PSYCHIATRIC NURSING EXAM 2
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1. When to check blood levels of Lithi- 8-12 hours after taking, every week, then every 3
um? months
2. How do OTC medications interfere Interfere w/ excretion of Li, increases Li levels in blood
with lithium?
3. _________ are OTC medications that NSAIDs
interacts with Lithium
4. When can a patient take a missed Within 2 hours
dose of Lithium?
5. Lithium must be taken at the same TRUE
time each day. T/F?
6. Patient will need to stay _________ hydrated; sodium (Na)
when taking lithium due to the in-
verse relationship of lithium and
__________
7. How long does it take for lithium to 1 week
"kick in?"
8. __________ is taken for acute ma- Lithium (Li)
nia and depression, it treats current
symptoms and prevents future re-
lapse
9. Medications for BPD I include: Lithium, anticonvulsants, second-gen. antipsychotics
10. Therapeutic range for Lithium: 0.6-1.2 mEq/L
11. What is the toxic blood level for 1.5 mEq//L & above
litium?
, PSYCHIATRIC NURSING EXAM 2
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12. Contraindications for Lithium: Kidney probs., diuretic use (excretion of Na, retention
of Li), pregnancy, cardiovascular disease
13. What must assessed before lithium Creatinine levels
is administered? *can cause kidney probs
14. Side effects of lithium include Fine hand tremor, mild thirst, mild nausea, GI discom-
fort (take WITH meals), mental confusion, renal toxicity
(long-term), acne, hair loss, muscle weakness
15. Signs of lithium toxicity include: Coarse hand tremors, persistent diarrhea (GI upset),
mental confusion, muscle hyperirritability, incoordi-
nation
16. ____________________ may be take Anticonvulsants
for alcohol and/or benzodiazepine
withdrawal
17. What is taken to remove lithium Kayexalate
from the body if toxic levels are
reached?
18. ___________ are taken for aggressive Anticonvulsants
behaviors r/t BPD, they have a calm-
ing effect
19. What must the nurse monitor while LFTs/liver enzymes, platelet count
a patient is taking an anticonvul- *causes liver probs., decreases platelets
sant?
20. Valproate (Depakote) is an anticonvulsant; childbearing ages (can caise NTDs)
_____________ that should not be tak-
en at which age?
, PSYCHIATRIC NURSING EXAM 2
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21. Valproate (Depakote) is an anticonvulsant; hair loss, pancreatitis, liver failure
____________ that can cause
_________, __________, and _______ fail-
ure
22. Carbamazepine (Tegretol) is an anticonvulsant; anemia, infection/sepsis (destroys
___________ that can cause WBCs), drug interactions
__________, increases risk for
________, and has many drug
_____________
23. Lamotrigine (Lamictal) is an anticonvulsant; low dose
___________ that must be started on
a _____ dose
24. Because Lamotrigine (Lamictal) can Steven Johnson syndrome, rash
cause _________ _________ syndrome,
patients must report signs of
________
25. Second-Generation ____________ antipsychotics, management
helps with _________ of BPD
26. What antipsychotics helps with Olanzapine (Zyprexa)
acute mania by calming the patient *second-gen.
down, but it causes severe weight
gain?
27. Quetiapine (Seroquel, Seroquel XR) antipsychotic (second- gen.), depression
is an __________ used to treat
__________
28.
, PSYCHIATRIC NURSING EXAM 2
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______________ has the same s/s as Hypothyroidism
depression *must be ruled out first before diagnosed with major
depressive disorder
29. Disruptive mood dysregulation dis- kids
order is most commonly seen in
_________
30. Symptoms of depression include: Feelings of sadness/emptinesirratibiltiy, somat-
ic/body concerns (HA, stomach ache), impaired think-
ing
*all impact person's ability to function
31. Which disorder is characterized Persistent depressive disorder
by low-level depressive feelings *formerly known as dysthymia
through most of each day, for the
majority of days
32. Persistent depressive disorder lasts 2 years, 1 year
at least __ years in adults and ___
year in children and adolescents
33. Symptoms of persistent depressive decreased appetite/overeating, insomnia/hypersom-
disorder: nia, low energy, poor self-esteem, difficulty thinking,
feelings of hopelessness
*^^milder symptoms of MDD; must have 2 or more to
be diagnosed
34. Chronic major depressive disorder 2 years
(MDD) last for than ___ years
35. Symptoms of persistent depressive Milder symptoms of MDD: decreased ap-
disorder include: petite/overeating, insomnia/or hypersomnia, low en-
Study online at https://quizlet.com/_eo7veu
1. When to check blood levels of Lithi- 8-12 hours after taking, every week, then every 3
um? months
2. How do OTC medications interfere Interfere w/ excretion of Li, increases Li levels in blood
with lithium?
3. _________ are OTC medications that NSAIDs
interacts with Lithium
4. When can a patient take a missed Within 2 hours
dose of Lithium?
5. Lithium must be taken at the same TRUE
time each day. T/F?
6. Patient will need to stay _________ hydrated; sodium (Na)
when taking lithium due to the in-
verse relationship of lithium and
__________
7. How long does it take for lithium to 1 week
"kick in?"
8. __________ is taken for acute ma- Lithium (Li)
nia and depression, it treats current
symptoms and prevents future re-
lapse
9. Medications for BPD I include: Lithium, anticonvulsants, second-gen. antipsychotics
10. Therapeutic range for Lithium: 0.6-1.2 mEq/L
11. What is the toxic blood level for 1.5 mEq//L & above
litium?
, PSYCHIATRIC NURSING EXAM 2
Study online at https://quizlet.com/_eo7veu
12. Contraindications for Lithium: Kidney probs., diuretic use (excretion of Na, retention
of Li), pregnancy, cardiovascular disease
13. What must assessed before lithium Creatinine levels
is administered? *can cause kidney probs
14. Side effects of lithium include Fine hand tremor, mild thirst, mild nausea, GI discom-
fort (take WITH meals), mental confusion, renal toxicity
(long-term), acne, hair loss, muscle weakness
15. Signs of lithium toxicity include: Coarse hand tremors, persistent diarrhea (GI upset),
mental confusion, muscle hyperirritability, incoordi-
nation
16. ____________________ may be take Anticonvulsants
for alcohol and/or benzodiazepine
withdrawal
17. What is taken to remove lithium Kayexalate
from the body if toxic levels are
reached?
18. ___________ are taken for aggressive Anticonvulsants
behaviors r/t BPD, they have a calm-
ing effect
19. What must the nurse monitor while LFTs/liver enzymes, platelet count
a patient is taking an anticonvul- *causes liver probs., decreases platelets
sant?
20. Valproate (Depakote) is an anticonvulsant; childbearing ages (can caise NTDs)
_____________ that should not be tak-
en at which age?
, PSYCHIATRIC NURSING EXAM 2
Study online at https://quizlet.com/_eo7veu
21. Valproate (Depakote) is an anticonvulsant; hair loss, pancreatitis, liver failure
____________ that can cause
_________, __________, and _______ fail-
ure
22. Carbamazepine (Tegretol) is an anticonvulsant; anemia, infection/sepsis (destroys
___________ that can cause WBCs), drug interactions
__________, increases risk for
________, and has many drug
_____________
23. Lamotrigine (Lamictal) is an anticonvulsant; low dose
___________ that must be started on
a _____ dose
24. Because Lamotrigine (Lamictal) can Steven Johnson syndrome, rash
cause _________ _________ syndrome,
patients must report signs of
________
25. Second-Generation ____________ antipsychotics, management
helps with _________ of BPD
26. What antipsychotics helps with Olanzapine (Zyprexa)
acute mania by calming the patient *second-gen.
down, but it causes severe weight
gain?
27. Quetiapine (Seroquel, Seroquel XR) antipsychotic (second- gen.), depression
is an __________ used to treat
__________
28.
, PSYCHIATRIC NURSING EXAM 2
Study online at https://quizlet.com/_eo7veu
______________ has the same s/s as Hypothyroidism
depression *must be ruled out first before diagnosed with major
depressive disorder
29. Disruptive mood dysregulation dis- kids
order is most commonly seen in
_________
30. Symptoms of depression include: Feelings of sadness/emptinesirratibiltiy, somat-
ic/body concerns (HA, stomach ache), impaired think-
ing
*all impact person's ability to function
31. Which disorder is characterized Persistent depressive disorder
by low-level depressive feelings *formerly known as dysthymia
through most of each day, for the
majority of days
32. Persistent depressive disorder lasts 2 years, 1 year
at least __ years in adults and ___
year in children and adolescents
33. Symptoms of persistent depressive decreased appetite/overeating, insomnia/hypersom-
disorder: nia, low energy, poor self-esteem, difficulty thinking,
feelings of hopelessness
*^^milder symptoms of MDD; must have 2 or more to
be diagnosed
34. Chronic major depressive disorder 2 years
(MDD) last for than ___ years
35. Symptoms of persistent depressive Milder symptoms of MDD: decreased ap-
disorder include: petite/overeating, insomnia/or hypersomnia, low en-
