Maintenance Phase in Mental Health

Why is medication adherence essential during the maintenance phase?

To decrease social isolation
To avoid addiction
To prevent relapse (correct)
To increase sodium levels

What is a key aspect of patient teaching for lithium?

Stopping lithium if sweating excessively
Consistent fluid intake (correct)
High sodium intake
Taking lithium only during episodes

Why should individuals continue taking lithium even after the current episode subsides?

To decrease social isolation
To avoid addiction
To prevent relapse (correct)
To increase sodium levels

What effect does high sodium intake have on lithium levels?

Reduces lithium levels (C) Signup and view all the answers

What is an important reason to monitor lithium blood levels closely?

To prevent toxicity (A) Signup and view all the answers

Why is it important to maintain a consistent fluid intake while taking lithium?

To ensure proper effectiveness (B) Signup and view all the answers

What is one of the genetic risk factors associated with bipolar disorder?

Being a twin with a sibling that has the disorder (A) Signup and view all the answers

How do individuals with bipolar disorders generally compare to those with unipolar depression in terms of education and occupational status?

Achieve higher levels of education and occupational status (C) Signup and view all the answers

Which brain region is associated with executive decision making, personality expression, and social behavior in individuals with bipolar disorder?

Prefrontal cortical region (C) Signup and view all the answers

What neurotransmitters play a role in causing depression when in short supply and mania when in excess?

Dopamine and norepinephrine (D) Signup and view all the answers

Which physical abnormality is commonly associated with bipolar disorder?

Neuroendocrine hypothyroidism (A) Signup and view all the answers

What is a key characteristic resulting from dysregulation in the hippocampus and amygdala in individuals with bipolar disorder?

Heightened reward sensitivity (B) Signup and view all the answers

Which of the following is NOT a warning factor for immediate risk of suicide?

History of trauma or abuse (A) Signup and view all the answers

What is a risk factor that makes it more likely for an individual to consider, attempt, or die by suicide?

Mood disorders (A) Signup and view all the answers

Which factor is considered when evaluating the lethality of a suicide plan?

How lethal is the proposed method (A) Signup and view all the answers

What is a common hallmark symptom of mania described in the text?

Distractibility (B) Signup and view all the answers

What is a protective factor that makes it less likely for an individual to consider suicide?

Problem-solving and conflict resolution skills (B) Signup and view all the answers

Which behavior is characteristic of hypomania as described in the text?

Reduced need for sleep (C) Signup and view all the answers

Which of the following is a risk factor for suicide that may lead to considering, attempting, or dying by suicide?

Increasing alcohol and/or drug misuse (A) Signup and view all the answers

What distinguishes behavior during mania from behavior during hypomania?

Insomnia during mania (C) Signup and view all the answers

What does a history of suicide in the family represent in terms of suicide risk?

A risk factor (D) Signup and view all the answers

Which statement accurately describes the mood associated with mania?

Quick changes to irritation when frustrated (B) Signup and view all the answers

What physical effects can result from the nonstop physical activity and lack of sleep during mania?

Physical exhaustion and worsening of mania (B) Signup and view all the answers

What is a common behavioral pattern observed in individuals experiencing mania?

Engaging in constant motion or frenetic activity (A) Signup and view all the answers

What is recommended to be done particularly before a change in level of observation?

Perform an assessment (C) Signup and view all the answers

What is advised to be done with plastic utensils on the psychiatric unit?

Use disposable plastic utensils and count them when collecting trays (B) Signup and view all the answers

How should bathrooms be secured on the psychiatric unit?

Install breakaway shower rods and recessed shower nozzles (D) Signup and view all the answers

What should be done with potentially harmful objects in the patient's room?

Remove all potentially harmful objects in the presence of the patient (D) Signup and view all the answers

Who should receive instructions to keep doors locked on the psychiatric unit?

All nonclinical staff like housekeepers and maintenance workers (C) Signup and view all the answers

What is recommended to be done with visitors' belongings before allowing them to see patients?

Search all items brought by visitors to patients (B) Signup and view all the answers