EXAM 2 MENTAL HEALTH GALEN EXAM QUESTIONS AND ANSWERS

EXAM 2 MENTAL HEALTH GALEN
EXAM QUESTIONS AND ANSWERS
Lithium - ANSWERS--Mood stabilizer, used for treatment of bipolar disorder
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Narrow therapeutic window rv rv




Lithium Levels - ANSWERS--0.4-1.0 therapeutic
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1.5 mild toxicity
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1.5-2.0 advanced toxicity rv rv


2.0- 2.5 severe toxicity
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> 2.5 death
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Signs & Symptoms of Lithium Toxicity - ANSWERS--
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Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
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Bipolar II Disorder - ANSWERS-- rv rv rv rv


Episodes of hypomania (elation, high energy, but less than bipolar I)
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Does not experience psychosis
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Bipolar I Disorder - ANSWERS-- rv rv rv rv


Episodes of mania (super elation, super energy, doesn't eat/drink/
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sleep, takes risks, spends excessive, hypersexual)
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May have hallucinations
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What is a priority when a Manic Bipolar I patient arrives at the ED? - ANSWERS--
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1. Medically evaluate
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2. IVF
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2. Benzodiazepines
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Nursing Interventions for Bipolar I Disorder - ANSWERS--
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Limit Stimuli, Safety, Encourage Sleep, Set Limits
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Benztropine (Cogentin) - ANSWERS--Used for treatment of EPS, pseudo-
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parkinson symptoms rv




Signs & Symptoms of Neuroleptic Malignant Syndrome - ANSWERS--
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Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
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Generation Three Antipsychotics - ANSWERS--Aripiprazole (Abilify)
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Better side effect profile than generation one or two
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Treats positive and negative symptoms of schizophrenia
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, Generation Two Antipsychotics (Atypical) - ANSWERS-- rv rv rv rv rv


First line treatment, less chance of EPS
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Treats positive and negative symptoms of schizophrenia
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Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone
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Metabolic Syndrom - ANSWERS-- rv rv rv


Occurs with generation two antipsychotics (atypical)
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Weight gain, hyperglycemia, hyperlipidemia
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Generation One Antipsychotics - ANSWERS-- rv rv rv rv


Treats positive symptoms of schizophrenia
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Extrapyramidal Side Effects rv rv




Chlorpromazine, Haloperidol, Fluphenazine rv rv




Catonia - ANSWERS--Moves very little or not at all
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Evaluate for hazards of immobility (edema, cyanosis, injury, skin impairment)
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Nursing Interventions for Delusions - ANSWERS--
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Do not say you believe the delusion, don't try to talk the patient out of the delusion
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Explore delusion and how they feel about it
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If afraid of poisoning, let them eat prepackaged or wrapped food to establish trust
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Paranoid Schizophrenics - ANSWERS--Most Dangerous
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If they feel that someone will harm them, they may assault them
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You do not know whom they feel is harmful
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Nursing Interventions for Hallucinations - ANSWERS--Non-
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harmful: divert from hallucination and focus of feelings
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Command Hallucinations: Explore the hallucination and assess for safety ("What are
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the voices saying? Do you recognize them?")
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Delusions - ANSWERS--A thought that is not based upon reality
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Ex.) You feel that people are trying to hurt you
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Illusions - ANSWERS--You see/ hear something, but perceive it wrong
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You see an IV pole and believe its a large snake.
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