1
PSYCHIATRIC MENTAL HEALTH EXAM STUDY GUIDE EXAM
NEWLY FORMATTED DOCUMENT
what is always the Always prioritize patient safety in care (and other
priority? patients and staff)
what is important to do stay with the patient during panic episodes to reduce
during a panic attack? fear and promote safety
what are anxiety-reducing calm presence, short instructions, and ensuring
nursing interventions? physical safety
what are the timing Time-limited episodes that eventually subside
features of panic attacks?
what is most effective patient education
once anxiety is reduced
(mild or moderate level)?
,2
- risk of dependence
- withdrawal
what are the safety - CNS depression
concerns for - drug interactions
benzodiazepines? use with caution
taper slowly under medical supervision
- watch for DDIs (with alcohol for example)
what is the first line SSRI (first line treatment) + therapy (CBT, mindfulness-
medication therapy for based interventions, ACT (acceptance + commitment
anxiety? therapy), lifestyle/physical activity)
- fluoxetine (prozac)
what are some of the
- sertraline (zoloft)
names of SSRIs?
- escitalopram (lexapro)
increases serotonin availability in the brain by
what is the mechanism of
blocking reuptake (higher concentration of serotonin in
SSRIs? synapse)
how long can SSRIs take may take 6 weeks for full therapeutic effects
to work? - pt education is important !!!
- sexual side effects (sexual dysfunction)
what are some common
- weight gain
side effects of SSRIs?
- risk of serotonin syndrome
, 3
this is an emergency
- fever
what are some symptoms - HTN
of serotonin syndrome? - rigidity
- confusion
- tachycardia
suicide risk increases: particularly in patients aged 18- 24
what is the suicide risk for early in treatment
SSRIs? - especially for someone who already had intent
- screen for suicide always !!
PSYCHIATRIC MENTAL HEALTH EXAM STUDY GUIDE EXAM
NEWLY FORMATTED DOCUMENT
what is always the Always prioritize patient safety in care (and other
priority? patients and staff)
what is important to do stay with the patient during panic episodes to reduce
during a panic attack? fear and promote safety
what are anxiety-reducing calm presence, short instructions, and ensuring
nursing interventions? physical safety
what are the timing Time-limited episodes that eventually subside
features of panic attacks?
what is most effective patient education
once anxiety is reduced
(mild or moderate level)?
,2
- risk of dependence
- withdrawal
what are the safety - CNS depression
concerns for - drug interactions
benzodiazepines? use with caution
taper slowly under medical supervision
- watch for DDIs (with alcohol for example)
what is the first line SSRI (first line treatment) + therapy (CBT, mindfulness-
medication therapy for based interventions, ACT (acceptance + commitment
anxiety? therapy), lifestyle/physical activity)
- fluoxetine (prozac)
what are some of the
- sertraline (zoloft)
names of SSRIs?
- escitalopram (lexapro)
increases serotonin availability in the brain by
what is the mechanism of
blocking reuptake (higher concentration of serotonin in
SSRIs? synapse)
how long can SSRIs take may take 6 weeks for full therapeutic effects
to work? - pt education is important !!!
- sexual side effects (sexual dysfunction)
what are some common
- weight gain
side effects of SSRIs?
- risk of serotonin syndrome
, 3
this is an emergency
- fever
what are some symptoms - HTN
of serotonin syndrome? - rigidity
- confusion
- tachycardia
suicide risk increases: particularly in patients aged 18- 24
what is the suicide risk for early in treatment
SSRIs? - especially for someone who already had intent
- screen for suicide always !!
