Major Drugs on the Exam:
- Stevens Johnsons syndrome lamotrigine (Lamictal)
- Lithium
- Drug Class Correct Answer-Lamotrigine (Lamictal)
- treats bipolar and seizures
- side effects: rashes, Stevens-Johnson syndrome
Lithium
- treats bipolar, mania, suicidal ideation
- major side effects: acne, alopecia, diarrhea, edema, hypothyroidism,
nausea/vomiting, polyuria, psoriasis, sedation, weight gain
- the gold standard for managing bipolar spectrum disorders, this
psychotropic is known for having a narrow therapeutic index.
Communication Techniques: Offering Self Correct Answer-Giving of
mindful presence, attention, and desire to understand
Communication Techniques: Placing the event in time or sequence
Correct Answer-Putting of actions and events into a more helpful
perspective
,Communication Techniques: Giving Information Correct Answer-
Provides knowledge to help the patient make an informed decision
Communication Techniques: Seeking Consensual Validation Correct
Answer-Seeking mutual understanding between the client and the
clinician
Communication Techniques: Summarizing Correct Answer-The main
points of discuss together to improve comprehension
Active Listening Correct Answer-The nurse is paying conscious
attention to what the patient is saying both verbally and nonverbally
Transactional Model of Communication: 4 parts Correct Answer-
Message, context, channel, communicator
Using silence (therapeutic communication): Correct Answer-It can
provide the opportunity to reflect on what has been experienced
It can help patients gather their thoughts
It can be interpreted as anger
It can make patients uncomfortable
Mental Status Exam: Appearance Correct Answer-Level of hygiene
Facial Expressions
,Mental Status Exam: Speech Correct Answer-Rate
Volume
Mental Status Exam: Disorders of the form of thought Correct Answer-
Thought content
Thought process
Mental Status Exam: Knowledge Correct Answer-Orientation
Fund of knowledge
The following health Conditions can cause depressive symptoms:
Correct Answer-Alzheimer's disease
Hypothyroidism
CHF
HIV
The following scales are used to assess for anxiety: Correct Answer-
GAD-7
Brief PHQ
The following medications have been associated with reducing suicide
ideation: Correct Answer-Clozapine (Clozaril)
Lithium
, Ketamine
Planning an Intervention Correct Answer-Safe
Evidenced-Based
Compatible and Appropriate
Realistic and Individualized
Postvention Correct Answer-Process of providing mental health care and
support to suicide survivors
Risk factors for Non-suicidal self injury(NSSI) Correct Answer-
Mistreatment by parents
Use of NSSI as self-punishment
Decreased amygdala activity in response to negative images
Types of Nontherapeutic Communication Correct Answer-Asking
"why" questions
Falsely reassuring
Minimizing feelings
Changing the subject
Exploring Correct Answer-Prompting the patient to provide additional
details about a particular comment or idea