Give the rationale why a nurse would not use humor as a nursing intervention for
anhedonia
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Patient is depressed and unable to feel happiness, so cracking a joke is not
going to help and may come across as belittling
Give the rationale why limit setting would not be appropriate for a patient who is
severely manic.
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, These are the reasons why you WOULD use limit setting for a severely
manic patient:
-Risk for injury: Extreme hyperactivity, increased agitation and lack of
control over purposeless and potentially injurious movements
-Risk for violence: Self-directed or other- directed: Manic excitement,
delusional thinking, hallucinations, impulsivity
-Disturbed thought processes: Delusions of grandeur and persecution,
inaccurate interpretation of the environment.
Decrease environmental stimuli that might provoke anxiety, agitation, and
distractibility would prevent risk for injury
If a patient is severely manic, using chemical restraints/physical for limit
setting would not be ideal until patient has calmed down a bit or else
aggression will increase.
Why is it important to identify short-term goals for the future with suicidal patients?
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Hope
Describe the difference between punishing a child and giving a time-out.
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Punishing: Unpleasant consequence
Time-out: Ignoring children that are acting out and letting them gain
control of himself
What role does sleep play in a patient experiencing anxiety?
,Give this one a try later!
Patients experiencing anxiety often have difficulty sleeping, many
neurocognitive symptoms of sleep deprivation can mimic psychiatric
symptoms.
Overthinking during sleep hours
What vitamin deficiency does the alcoholic have?
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folate, vitamin B6, thiamine, and vitamin A
Is suicidal ideation always a high nursing priority?
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Suicide is a "never event"
Which classification of drugs are more at risk for causing the following adverse
effects: agranulocytosis, cholinergic side effects, Serotonin Syndrome, and
Neuroleptic Syndromes
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, Agranulocytosis: clozapine(Clozaril)
Cholinergic:
-low potency 1st gen antipsychotics (Thorazine, Mellaril)
-some 2nd gen antipsychotics (Clozaril, Zyprexa)
-TCAs
-Tegretol
Serotonin Syndrome: antidepressants
Neuroleptic: antipsychotics
Explain why one-on-one supervision is an appropriate nursing intervention for a
patient, who is severely manic, and insists that he does not want to wear any clothes.
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Because a manic patient will make poor judgement and embarrass him or
herself
Sets a structured environment will help the patient maintain appropriate
behavior
What cognitive distortion is common in children and adolescents with suicidal
ideation?
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tunnel vision
cataplexy
anhedonia
Give this one a try later!
Patient is depressed and unable to feel happiness, so cracking a joke is not
going to help and may come across as belittling
Give the rationale why limit setting would not be appropriate for a patient who is
severely manic.
Give this one a try later!
, These are the reasons why you WOULD use limit setting for a severely
manic patient:
-Risk for injury: Extreme hyperactivity, increased agitation and lack of
control over purposeless and potentially injurious movements
-Risk for violence: Self-directed or other- directed: Manic excitement,
delusional thinking, hallucinations, impulsivity
-Disturbed thought processes: Delusions of grandeur and persecution,
inaccurate interpretation of the environment.
Decrease environmental stimuli that might provoke anxiety, agitation, and
distractibility would prevent risk for injury
If a patient is severely manic, using chemical restraints/physical for limit
setting would not be ideal until patient has calmed down a bit or else
aggression will increase.
Why is it important to identify short-term goals for the future with suicidal patients?
Give this one a try later!
Hope
Describe the difference between punishing a child and giving a time-out.
Give this one a try later!
Punishing: Unpleasant consequence
Time-out: Ignoring children that are acting out and letting them gain
control of himself
What role does sleep play in a patient experiencing anxiety?
,Give this one a try later!
Patients experiencing anxiety often have difficulty sleeping, many
neurocognitive symptoms of sleep deprivation can mimic psychiatric
symptoms.
Overthinking during sleep hours
What vitamin deficiency does the alcoholic have?
Give this one a try later!
folate, vitamin B6, thiamine, and vitamin A
Is suicidal ideation always a high nursing priority?
Give this one a try later!
Suicide is a "never event"
Which classification of drugs are more at risk for causing the following adverse
effects: agranulocytosis, cholinergic side effects, Serotonin Syndrome, and
Neuroleptic Syndromes
Give this one a try later!
, Agranulocytosis: clozapine(Clozaril)
Cholinergic:
-low potency 1st gen antipsychotics (Thorazine, Mellaril)
-some 2nd gen antipsychotics (Clozaril, Zyprexa)
-TCAs
-Tegretol
Serotonin Syndrome: antidepressants
Neuroleptic: antipsychotics
Explain why one-on-one supervision is an appropriate nursing intervention for a
patient, who is severely manic, and insists that he does not want to wear any clothes.
Give this one a try later!
Because a manic patient will make poor judgement and embarrass him or
herself
Sets a structured environment will help the patient maintain appropriate
behavior
What cognitive distortion is common in children and adolescents with suicidal
ideation?
Give this one a try later!
tunnel vision
cataplexy
