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Mental Health Exam 3 NUR 356. Questions and Answers

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Mental Health Exam 3 NUR 356.

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Mental Health Exam 3 NUR 356

Lithium therapeutic range - answer0.6-1.2

Bipolar and mood stabilizer

Lithium toxicity occurs at - answer1.2

Bipolar 1, manic episode show symptoms present for _______or more days - answer7
days or more

Bipolar 1 patients may need ___:_____ observation. - answer1:1

observation if acute manic with suicidal ideations or demonstrating self destructive
behaviors

Difference between bipolar 1 and bipolar 2? - answer MANIA is only present in in
Bipolar 1

HypOmanic episodes alternate with ____________ depressive episodes - answer Major

hypOmanic episodes may have – answer suicidal ideations and severe depressive
episodes with
PSYCHOTIC FEATURES

SEVERE PSYCHOTIC FEATURES with suicidal ideations happens during -
answerhypOmanic episodes

cyclothymic disorder - answerChronic (at least 2 years) mood disorder characterized by
alternating mood elevation and depression levels that are not as severe as manic or
major depressive episodes.

what is lithium used to treat?. - answerto treat mania

what is lithium used to prevent? - answermanic episodes

what is lithiums therapeutic range? - answer0.6-1.2

what is lithium S/S of toxicity? - answerfever
diarrhea
blurred vision
tremors
Ataxia means without coordination.

, Antimanic Agents (Mood Stabilizers) - answerUsed for the treatment of Bipolar Disorder

Depakene (valproic acid, divalproex sodium), Depakote sprinkles
Lamictal (lamotrigine)
Lithium (lithium carbonate), Eskalith, Lithobid
Tegretol (carbamazepine), Carbotrol
Topamax (topiramate)

Antimanic Agents (Mood Stabilizers) desired out comes - answerMood stabilizer,
Keep pt safe from injury and self harm
Increased sleep
Decreased manipulative or attention seeking behaviors.

Anticonvulsants - answerLamotrigine (Lamictal)

valproic acid

carbamazepine

LAMotrigine = - answerskin of lamb/silence of the lambs movie = FLESH and
BLOOD&gore

lamoTRIGine= - answerTRIGgers a RASH

Lamotrigine (Lamictal) - answerdo NOT take with ALCOHOL

may cause dizziness

valproic acid (Depakote ) - answertherapeutic range
50-100

carbamazepine - answerrapid abrupt movement from one thought to another

pressureed speech =SUPER fast excessively like me

Patient may feel misunderstood have difficulty with relationships

fusterated by mood swings

PRIORITY nursing for schizophrenia patient1 #1

more important than vitals - answerPriority nursing action: assess for presence &
content of hallucinations, as they can lead to violence, self-harm, or suicide (higher
priority than vitals!)

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