FOR WK 2: STRESS & COPING, MOOD & AFFECT,
PSYCHOSIS,THERAPEUTIC COMMUNICATION | 2026
UPDATE | QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
What is depression? Answer - A mental health condition that can affect a
person's thoughts, feelings, behavior, and sense of well-being. It's characterized
by a low mood or loss of interest in activities for a long period of time
S/S of depression Answer - Poor appetite or eating too much
Trouble sleeping or sleeping too much
Nervousness and worry
Loss of interest in and withdrawal from usual activities
Feelings of sadness that don't go away
Irritability or restlessness
Lack of energy
Feelings of sadness, worthlessness or guilt
Inability to think or concentrate
Repeated thoughts of death or suicide
Chronic pain or other physical problems that don't respond to treatment
Increased risk-taking behavior, including reckless driving or substance abuse
,What is Mania? Answer - A manic episode is diagnosed if elevated mood
occurs with three or more of the other symptoms most of the day, nearly every
day, for 1 week or longer. If the mood is irritable, four additional symptoms
must be present.
S/S of mania Answer - Increased energy, activity, and restlessness
Excessively "high," overly good, euphoric mood
Extreme irritability
Racing thoughts and talking very fast, jumping from one idea to another
Distractibility, can't concentrate well
Little sleep needed
Unrealistic beliefs in one's abilities and powers
Poor judgment
Spending sprees
A lasting period of behavior that is different from usual
Increased sexual drive
Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
Provocative, intrusive, or aggressive behavior
Denial that anything is wrong
Lithium used to treat: Answer - Used in the treatment of Bipolar Disorders
can be used for depression or mania
Lithium patho Answer - Serotonin receptor blockage, produces neurochemical
changes in the brain
, Lithium typical adverse effects Answer - > Fine Hand Tremors
> Polyuria, mild thirst
> Lethargy, muscle weakness, slurred speech(lithium toxicity)
Lithium N/I Answer - Monitor drug levels.
•Monitor for s/s of toxicity.
•Teach client to eat diet containing stable amount of salt (no low salt diets)
•If excessive sweating or other potential loss of Na+, may need to supplement
with salt.
•Monitor I/O
•Monitor blood glucose levels in diabetic.
Anti-Anxiety example meds and what is it used to treat Answer - Examples:
Buspirone
> Used to manage anxiety
Anti-anxiety meds patho Answer - Binds to serotonin and dopamine receptors.
(no sedation/not CNS depressant)
Adverse effects of anti anxiety medication Answer - > Dizzy, HA, light-headed,
agitation
Antianxiety medication nursing care Answer - * Take w/meals to avoid GI upset
(avoid grapefruit juice, erythromycin, ketoconazole, st. johns wart)
* Effects do not occur immediately
* Medication should be taken on a regular basis
*Tolerance/dependance or withdrawal are not an issue w/this med