The onset of a manic episode is often preceded by...
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Increased Sleep Disturbances
A nurse has been confronted about stealing and taking drugs from the narcotics cart
in the med room. The nurse has been reported to the board of nursing in their state.
What is the likely initial outcome?
A. The nurse will be assisted into drug treatment.
B. The nurse will need to transfer to a different unit.
C. The nurse will be fired immediately
D. The nurse will lose their nursing license immediately.
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, A. The nurse will be assisted into drug treatment.
Within what age range do people with a psychotic-related disorder typically first
experience manifestations?
-Within what age range are they typically first diagnosed?
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-First manifestations in late teens to mid-twenties.
-Diagnosed most often between ages 16-30
Which of the following are manifestations of Major Depressive Disorder? (SATA)
A. Anhedonia
B. Significant, unintentional weight loss or gain.
C. Insomnia
D. Talkativeness
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A, B, C are all correct.
-Anhedonia is a loss of interest or pleasure in activities
-Pts may experience wt loss or gain and a decrease or increase in appetite
(appetite changes)
-Patients may present with insomnia or hypersomnia
-Talkativeness is a manifestation of mania, not depression.
A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder.
Which of the following behaviors should the nurse expect the client to exhibit?
A. The client is giving away their possessions.
,B. The client is demonstrating risky behavior.
C. The client is sleeping excessively.
D. The client states they feel worthless.
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B. The client is demonstrating risky behavior.
-Expect a client who is experiencing mania to exhibit risky
behavior. Other behaviors of mania include impulsivity,
overactivity, pacing, sleeplessness, fast speech, and being
overconfident.
A nurse is educating a group of clients about addiction. The nurse should include that
which of the following factors increases the potential for addiction?
A. The brain already has cognitive deficits that causes it to be vulnerable to addiction.
B. The developing brain is exposed to substances at an early age.
C. Initial use of substances began in adulthood.
D. Medical insurance availability for substance use disorder treatment.
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B. The developing brain is exposed to substances at an early age.
-The risk for addiction is heightened when the developing brain is exposed
to substances.
The nurse is reviewing the labs for a client with bipolar disorder who was recently
placed on Lithium. Which of the following Serum Lithium levels would be a cause for
concern? (SATA)
A. 2.0 mEq/L
B. 1.2 mEq/L
C. 0.6 mEq/L
D. 0.2 mEq/L
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A and D are concerning.
-A is much too high; early symptoms of toxicity can be seen
at levels greater than 1.5 mEq/L.
-D is too low. We generally want Lithium levels to be above
0.5 mEq/L in order to see therapeutic benefits.
-Therapeutic range for lithium is between 0.5-1.5 mEq/L
A nurse is caring for a client who is scheduled for transcranial magnetic stimulation.
When preparing the client for the procedure, which of the following statements
should the nurse make?
A. "The procedure will last about 1 hour."
B. "During the procedure, you may notice slight relaxation of the jaw."
C. "This procedure is effective when combined with psychotherapy."
D. "The treatments will take about 6 months."
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C. "This procedure is effective when combined with
psychotherapy."
-Transcranial magnetic stimulation has been proven to be
very effective in the treatment of depression when coupled
with psychotherapy.
What is the treatment of choice for Antisocial Personality Disorder?
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-Cognitive behavioral therapy is usually the treatment of choice for this
personality disorder.
-Medications do not change the disorder but can help with some of the
aggression.
Give this one a try later!
Increased Sleep Disturbances
A nurse has been confronted about stealing and taking drugs from the narcotics cart
in the med room. The nurse has been reported to the board of nursing in their state.
What is the likely initial outcome?
A. The nurse will be assisted into drug treatment.
B. The nurse will need to transfer to a different unit.
C. The nurse will be fired immediately
D. The nurse will lose their nursing license immediately.
Give this one a try later!
, A. The nurse will be assisted into drug treatment.
Within what age range do people with a psychotic-related disorder typically first
experience manifestations?
-Within what age range are they typically first diagnosed?
Give this one a try later!
-First manifestations in late teens to mid-twenties.
-Diagnosed most often between ages 16-30
Which of the following are manifestations of Major Depressive Disorder? (SATA)
A. Anhedonia
B. Significant, unintentional weight loss or gain.
C. Insomnia
D. Talkativeness
Give this one a try later!
A, B, C are all correct.
-Anhedonia is a loss of interest or pleasure in activities
-Pts may experience wt loss or gain and a decrease or increase in appetite
(appetite changes)
-Patients may present with insomnia or hypersomnia
-Talkativeness is a manifestation of mania, not depression.
A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder.
Which of the following behaviors should the nurse expect the client to exhibit?
A. The client is giving away their possessions.
,B. The client is demonstrating risky behavior.
C. The client is sleeping excessively.
D. The client states they feel worthless.
Give this one a try later!
B. The client is demonstrating risky behavior.
-Expect a client who is experiencing mania to exhibit risky
behavior. Other behaviors of mania include impulsivity,
overactivity, pacing, sleeplessness, fast speech, and being
overconfident.
A nurse is educating a group of clients about addiction. The nurse should include that
which of the following factors increases the potential for addiction?
A. The brain already has cognitive deficits that causes it to be vulnerable to addiction.
B. The developing brain is exposed to substances at an early age.
C. Initial use of substances began in adulthood.
D. Medical insurance availability for substance use disorder treatment.
Give this one a try later!
B. The developing brain is exposed to substances at an early age.
-The risk for addiction is heightened when the developing brain is exposed
to substances.
The nurse is reviewing the labs for a client with bipolar disorder who was recently
placed on Lithium. Which of the following Serum Lithium levels would be a cause for
concern? (SATA)
A. 2.0 mEq/L
B. 1.2 mEq/L
C. 0.6 mEq/L
D. 0.2 mEq/L
, Give this one a try later!
A and D are concerning.
-A is much too high; early symptoms of toxicity can be seen
at levels greater than 1.5 mEq/L.
-D is too low. We generally want Lithium levels to be above
0.5 mEq/L in order to see therapeutic benefits.
-Therapeutic range for lithium is between 0.5-1.5 mEq/L
A nurse is caring for a client who is scheduled for transcranial magnetic stimulation.
When preparing the client for the procedure, which of the following statements
should the nurse make?
A. "The procedure will last about 1 hour."
B. "During the procedure, you may notice slight relaxation of the jaw."
C. "This procedure is effective when combined with psychotherapy."
D. "The treatments will take about 6 months."
Give this one a try later!
C. "This procedure is effective when combined with
psychotherapy."
-Transcranial magnetic stimulation has been proven to be
very effective in the treatment of depression when coupled
with psychotherapy.
What is the treatment of choice for Antisocial Personality Disorder?
Give this one a try later!
-Cognitive behavioral therapy is usually the treatment of choice for this
personality disorder.
-Medications do not change the disorder but can help with some of the
aggression.
