NURS 222

Mood stabilizer Anticonvulsant (Seizure) Drugs –Mood Stabilizers ■ Valproate (Depakote) ● Depakote – given to bipolar patients ◆ Antiseizure and anticonvulsive medication ◆ Enteric coated – can’t crush, cut, or chew medication ● Useful agent in ◆ rapid cycling, ◆ substance abuse, ◆ aggression, ◆ intermittent explosive disorder ● Divalproex Sodium - Depakote® - (enteric coated) ● Valproic Acid Syrup – Depakene® syrup ● Valproic Acid – Depakene® (250 - 1,50...

1. When admitting a client to an inpatient mental health facility, a nurse notices that the client seems withdrawn and appears fearful. To establish a trusting nurse-client relationship, the nurse should first a. Introduce the client to other clients in the day room (working phase) b. Inform the client that her admission will be confidential (orientation phase) c. Assist the client in facilitating behavioral change (working phase) d. Determine coping strategies that the client has used in the pa...

1. A nurse is performing an admission assessment for a client who voluntary entered an outpatient mental health crisis facility. The client states, “I’ve lost control of everything in my life!” which of the following questions should the nurse ask first? a. “What has helped you to cope with a crisis in the past?” b. “Who can we call to support you during this crisis?” c. “Are you having thoughts about harming yourself today?” d. “What event brought on this crisis?” 2. A nur...

A client with bipolar comes to the nursing station 3am and demand to call the doctor, what should the nurse do that is most appropriate? a. It is unreasonable to call your doctor, I will not call your doctor at this hour. b. Get back in your room, I will call your doctor later c. I cant call your doctor in the middle of the night, unless it is an emergencry d. You seem upset about something, how can I help you? 2. Medication Cogentin (benztropine ), why given? a. (Antipsychoticanticholinergic...

1. Conduct Disorder (Cruelty to Animals) Demonstrate a persistent pattern of behavior that violates the rights of others or rules/norms of society. In simpler words… CONDUCT DISORDER = BREAKS LAWS!  MAKE SURE THEY ARE AWARE OF THE RULES OF THE UNIT AND ANY CONSEQUENCES OF VIOLATING THOSE RULES Categories include: *Assess Aggression towards people & animals *Destruction property *Deceitfulness or theft *Serious violation of rules 2. Alcohol Abuse It declines as you age! 3. A nurse is caring ...

RASS (Richmond Agitation Sedation Scale) 4: Combative: overly combative, violent, immediate danger to staff 3: Very agitated: removes/ pulls catheter or tube(s); aggressive 2: Agitated: frequent non-purposeful movement, fights ventilator 1: Restless: Anxious but movements not aggressive vigorous 0: Alert and calm Verbal Stimulation ver v (eye-opening/eye contact) to voice (>10 seconds) -2: Light sedation: Briefly awaken with eye contact to voice (<10 seconds) -3: Moderated sedation: ...