NUR 233 mental health exam 2
1. What is the definition of BIPOLAR disorder: Extreme changed in mood,
energy, and the ability to function
2. Classification of Bipolar disorder: Bipolar I
Bipolar II
Cyclothymic disorder
and mixed features
3. What is Bipolar II: - Has same symptoms of bipolar I disorder, however the
symptoms are described as "hypomania" because they are less severe than in
pure mania.
4. What is cyclothymic disorder?: brief periods of Hypomanic symptoms
alternating with brief periods of depressive symptoms that are not as extensive
or as long lasting as seen in full hypomanic episodes or full depressive
episodes
5. Interventions for mania: physical safety of the client and others
Asses for Fatigue
Provide rest periods
provide privacy
use calm slow interactions
Ignore or distract the client from GRANDIOSE thinking
Do not argue with the client
Provide high calories finger foods
6. What us ETC (electroconvulsive therapy): Treatment for depression
electrodes attached to the temples that cause a brief seizure pithing the brain
Usual course is 6 to 12 treatments
7. Indications for ETC use: When antidepressant medication have no effects
When there is a need for a rapid definitive response when the client is in
extreme agitation or stupor
when the client has a history of poor medication response
When the client prefers ETC
8. What is Alzheimer's disease?: is an irreversible form of smile dementia
caused by nerve cell deterioration
9. Stages of Alzheimer's Disease: Stage 1. Mild, Forgetfulness
Stage 2. Moderate, Confusion
Stage 3. Mild to Sever, ambulatory dementia
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, NUR 233 mental health exam 2
Stage 4. Late, End stage
10. What is the Priority in care for Alzheimers disease: Providing a safe
environment
11. Suicid Precautions: Remove articles that could be used for suicide: belts,
straps, shoelaces, sheets, breakable items for sharp edges, razor blades,
curtain cord, bed coils, and personal care items.
Remove any furniture that could be used for self-injury and doors to closets.
Windows should be shatterproof.
Designate a room close to the desk or a room with a closed TV monitor.
Check the pt every 15 minutes around the clock.
12. Suicide Prevention: Primary - prevention strategies that include providing
information and education to at-risk populations
Secondary - management of the suicide crisis
Tertiary - interventions with the family or friends of a person who committed suicide
13. When are children usually diagnosised with Bipolar disorder: not till after 7
because it can mimic ADHD
14. Operant Conditioning: a type of learning in which behavior is strengthened
if followed by a reinforcer or diminished if followed by a punisher
15. Tricyclic Antidepressants: Uses: produce antidepressant and mild
tranquilizing effects.
16. Selective Serotonin Reuptake Inhibitors (SSRIs): Fluoxetine (Prozac) is
the only SSRI that is approved for treating depression in children and
adolescents. 17. Serotonin Syndrome: With any drug that increases 5-HT (e.g.,
MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus,
cardiovascular instability, flushing, diarrhea, seizures.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
18. Monoamine Oxidase Inhibitors (MAOI's): Action: Blocks the metabolic
destruction of epinephrine, norepinephrine, dopamine, and serotonin by the
enzyme monoamine oxydase in the presynaptic neurons of the brain. 19. MAIOs
side effects and precautions: Hypertension CRISIS
2/6
1. What is the definition of BIPOLAR disorder: Extreme changed in mood,
energy, and the ability to function
2. Classification of Bipolar disorder: Bipolar I
Bipolar II
Cyclothymic disorder
and mixed features
3. What is Bipolar II: - Has same symptoms of bipolar I disorder, however the
symptoms are described as "hypomania" because they are less severe than in
pure mania.
4. What is cyclothymic disorder?: brief periods of Hypomanic symptoms
alternating with brief periods of depressive symptoms that are not as extensive
or as long lasting as seen in full hypomanic episodes or full depressive
episodes
5. Interventions for mania: physical safety of the client and others
Asses for Fatigue
Provide rest periods
provide privacy
use calm slow interactions
Ignore or distract the client from GRANDIOSE thinking
Do not argue with the client
Provide high calories finger foods
6. What us ETC (electroconvulsive therapy): Treatment for depression
electrodes attached to the temples that cause a brief seizure pithing the brain
Usual course is 6 to 12 treatments
7. Indications for ETC use: When antidepressant medication have no effects
When there is a need for a rapid definitive response when the client is in
extreme agitation or stupor
when the client has a history of poor medication response
When the client prefers ETC
8. What is Alzheimer's disease?: is an irreversible form of smile dementia
caused by nerve cell deterioration
9. Stages of Alzheimer's Disease: Stage 1. Mild, Forgetfulness
Stage 2. Moderate, Confusion
Stage 3. Mild to Sever, ambulatory dementia
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, NUR 233 mental health exam 2
Stage 4. Late, End stage
10. What is the Priority in care for Alzheimers disease: Providing a safe
environment
11. Suicid Precautions: Remove articles that could be used for suicide: belts,
straps, shoelaces, sheets, breakable items for sharp edges, razor blades,
curtain cord, bed coils, and personal care items.
Remove any furniture that could be used for self-injury and doors to closets.
Windows should be shatterproof.
Designate a room close to the desk or a room with a closed TV monitor.
Check the pt every 15 minutes around the clock.
12. Suicide Prevention: Primary - prevention strategies that include providing
information and education to at-risk populations
Secondary - management of the suicide crisis
Tertiary - interventions with the family or friends of a person who committed suicide
13. When are children usually diagnosised with Bipolar disorder: not till after 7
because it can mimic ADHD
14. Operant Conditioning: a type of learning in which behavior is strengthened
if followed by a reinforcer or diminished if followed by a punisher
15. Tricyclic Antidepressants: Uses: produce antidepressant and mild
tranquilizing effects.
16. Selective Serotonin Reuptake Inhibitors (SSRIs): Fluoxetine (Prozac) is
the only SSRI that is approved for treating depression in children and
adolescents. 17. Serotonin Syndrome: With any drug that increases 5-HT (e.g.,
MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus,
cardiovascular instability, flushing, diarrhea, seizures.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
18. Monoamine Oxidase Inhibitors (MAOI's): Action: Blocks the metabolic
destruction of epinephrine, norepinephrine, dopamine, and serotonin by the
enzyme monoamine oxydase in the presynaptic neurons of the brain. 19. MAIOs
side effects and precautions: Hypertension CRISIS
2/6
