Interventions when a client is at risk for suicide? - Answers Remove shoestrings, curtain Rods and glass
items. Give the client plastic wear to eat with.
Signs of a bipolar manic episode? - Answers Risky behavior, high self esteem
When a client is manic the best therapeutic communication is? - Answers calm but firm, be consistent,
short explanations, redirect energy, Identify expectations and consequences.
Mini mental statues exam (MMSE) is used to? - Answers assess dementia by assessing the client's
cognitive status through a series of questions such as: word recall and following directions such as
drawing a clock face
Clients are at higher risk for suicide if? - Answers they have a family history or is abused
Compassion fatigue (Secondary Traumatic Stress) - Answers emotional effect that nurses and other
health care workers may experience by being indirectly traumatized when helping or trying to help a
person who has experienced primary traumatic stress
Restraints are used if? - Answers -patient is a danger to themselves or others
-patient is interfering with medical therapies
Signs of anxiety includes? - Answers impending doom, chest tightness, increased blood pressure
Lamictal(lamotrigine) - Answers Used to treat bipolar disorder and can cause a rash called steven-
Johnson syndrome
Celexa (citalopram) used to treat? - Answers depression
Citalopram and selegiline should? - Answers not be combined. It can cause serotonin syndrome. Signs
include confusion, hallucination, seizure, changes in blood pressure, increased heart rate, blurred vision,
tremor, nausea, vomiting, and diarrhea. Severe cases may result in coma or death
Fluvoxamine (Luvox) used to treat? - Answers OCD (obsessive compulsive disorder) side effects are
sexual dysfunction and suicidal thinking
Obsessions are what? - Answers what they think thoughts
A compulsion is what? - Answers what they do actions
Compulsions includes? - Answers repetitive or irresistible behaviors like counting, chanting, checking,
washing, tapping and ordering
. Buspirone used to treat? - Answers anxiety
, side effects are sedation
Valproic Acid (Depakote) - Answers anticonvulsant also used as a mood stabilizer
used to treat bipolar disorder. You must monitor liver function. Side effects include birth defects
Tricyclic Antidepressants (TCAs) - Answers Antidepressants that increase the action of neurotransimtters
by blocking their removal (reuptake) from the synapses (spaces between nerve cells). (1)
Side effects: dry mouth, blurred vision, urine retention, tachycardia, constipation
Lithium - Answers First line drug to treat bipolar. There is a narrow therapeutic range that places the
client at a high risk for toxicity signs of toxicity are vomiting, diarrhea, thirst, slurred speech, and muscle
weakness coma, cardiac dysrhythmias, and death.
Agnosia definition - Answers a symptom of dementia: The loss of sensory ability to recognize objects
The primary symptom of PTSD is - Answers flash backs and are often in conjunction with substance
abuse
The primary concern for Alzheimer's clients at home is? - Answers safety
Donepezil treats - Answers Alzheimer's disease
persistent depressive disorder - Answers Chronic Depressive mood lasting over two years
Major Depressive Disorder (MDD) - Answers Acute resolvable depression
Delirium(confusion) is? - Answers a neurocognitive disorder that is always secondary to another
condition. Use the assessment tool CAM
Dementia is? - Answers a neurocognitive disorder, which is slow progress and directly impacts a client's
ability to function. Impairment in memory is a key feature
exacerbations are? - Answers Periods of mental illness or dysfunction marked by an increase in the
signs, symptoms, and seriousness
ineffective coping is? - Answers when anxiety is a maladaptive response in an individual
s/s of an anxiety disorder - Answers increased vial signs, urinary urgency and frequency, diaphoresis, and
rigid and tense muscles
symptoms of severe anxiety but refuses to discuss is what kind of behavior? - Answers Avoidance
behaviors
Agoraphobia is? - Answers Fear and avoidance of open, public places
Assault is defined as: - Answers the open threat of bodily harm