NUR 256 Mental Health Exam 2 | Full Prep
Guide with Questions and Correct Answers |
A+ Assured
• Lithium Levels . Answer: 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
• Signs & Symptoms of Lithium Toxicity . Answer: Thirst, Tremors,
Vomiting, Diarrhea, Muscle Weakness
• Bipolar II Disorder . Answer: Episodes of hypomania (elation, high
energy, but less than bipolar I)
Does not experience psychosis
• Bipolar I Disorder . Answer: Episodes of mania (super elation, super
energy, doesn't eat/drink/sleep, takes risks, spends excessive,
hypersexual)
May have hallucinations
• What is a priority when a Manic Bipolar I patient arrives at the ED? .
Answer: 1. Medically evaluate
2. IVF
2. Benzodiazepines
• Nursing Interventions for Bipolar I Disorder . Answer: Limit Stimuli,
Safety, Encourage Sleep, Set Limits
, • Benztropine (Cogentin) . Answer: Used for treatment of EPS, pseudo-
parkinson symptoms
• Signs & Symptoms of Neuroleptic Malignant Syndrome . Answer:
Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
• Generation Three Antipsychotics . Answer: Aripiprazole (Abilify)
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
• Generation Two Antipsychotics (Atypical) . Answer: First line
treatment, less chance of EPS
Treats positive and negative symptoms of schizophrenia
Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone
• Metabolic Syndrom . Answer: Occurs with generation two
antipsychotics (atypical)
Weight gain, hyperglycemia, hyperlipidemia
• Generation One Antipsychotics . Answer: Treats positive symptoms of
schizophrenia
Extrapyramidal Side Effects
Chlorpromazine, Haloperidol, Fluphenazine
• Catonia . Answer: Moves very little or not at all
Evaluate for hazards of immobility (edema, cyanosis, injury, skin
impairment)
Guide with Questions and Correct Answers |
A+ Assured
• Lithium Levels . Answer: 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
• Signs & Symptoms of Lithium Toxicity . Answer: Thirst, Tremors,
Vomiting, Diarrhea, Muscle Weakness
• Bipolar II Disorder . Answer: Episodes of hypomania (elation, high
energy, but less than bipolar I)
Does not experience psychosis
• Bipolar I Disorder . Answer: Episodes of mania (super elation, super
energy, doesn't eat/drink/sleep, takes risks, spends excessive,
hypersexual)
May have hallucinations
• What is a priority when a Manic Bipolar I patient arrives at the ED? .
Answer: 1. Medically evaluate
2. IVF
2. Benzodiazepines
• Nursing Interventions for Bipolar I Disorder . Answer: Limit Stimuli,
Safety, Encourage Sleep, Set Limits
, • Benztropine (Cogentin) . Answer: Used for treatment of EPS, pseudo-
parkinson symptoms
• Signs & Symptoms of Neuroleptic Malignant Syndrome . Answer:
Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
• Generation Three Antipsychotics . Answer: Aripiprazole (Abilify)
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
• Generation Two Antipsychotics (Atypical) . Answer: First line
treatment, less chance of EPS
Treats positive and negative symptoms of schizophrenia
Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone
• Metabolic Syndrom . Answer: Occurs with generation two
antipsychotics (atypical)
Weight gain, hyperglycemia, hyperlipidemia
• Generation One Antipsychotics . Answer: Treats positive symptoms of
schizophrenia
Extrapyramidal Side Effects
Chlorpromazine, Haloperidol, Fluphenazine
• Catonia . Answer: Moves very little or not at all
Evaluate for hazards of immobility (edema, cyanosis, injury, skin
impairment)
