Podcast
Questions and Answers
What is the primary emotional symptom associated with anorexia?
What is the primary emotional symptom associated with anorexia?
- Euphoria
- Perfectionism (correct)
- Sociability
- Indifference
Which of the following is NOT typically a withdrawal symptom of cocaine?
Which of the following is NOT typically a withdrawal symptom of cocaine?
- Drowsiness
- Depression
- Cravings
- Increased energy (correct)
How should bulimic patients be educated regarding their weight management?
How should bulimic patients be educated regarding their weight management?
- They should strive to gain weight.
- They should focus on losing weight.
- They should aim to maintain their weight. (correct)
- They should not weigh themselves at all.
Which sign may indicate that a professional is impaired?
Which sign may indicate that a professional is impaired?
What is a common physical symptom of bulimia?
What is a common physical symptom of bulimia?
Which cognitive symptom is strongly associated with anorexia?
Which cognitive symptom is strongly associated with anorexia?
What are patients with substance use disorder required to recognize about their condition?
What are patients with substance use disorder required to recognize about their condition?
Which of the following emotional symptoms is common among bulimic patients?
Which of the following emotional symptoms is common among bulimic patients?
What kind of physical symptom is indicative of anorexia?
What kind of physical symptom is indicative of anorexia?
What is a primary goal of interventions for patients with eating disorders?
What is a primary goal of interventions for patients with eating disorders?
Which medication is classified as a non-benzodiazepine used for treating anxiety?
Which medication is classified as a non-benzodiazepine used for treating anxiety?
What is a common side effect associated with benzodiazepines like diazepam and lorazepam?
What is a common side effect associated with benzodiazepines like diazepam and lorazepam?
Which class of antidepressants requires avoidance of tyramine-containing foods?
Which class of antidepressants requires avoidance of tyramine-containing foods?
Which of the following medications is an atypical antipsychotic with fewer extrapyramidal symptoms?
Which of the following medications is an atypical antipsychotic with fewer extrapyramidal symptoms?
What type of medication is lithium classified as?
What type of medication is lithium classified as?
Which medication is indicated for the treatment of manic episodes in bipolar disorder?
Which medication is indicated for the treatment of manic episodes in bipolar disorder?
Which of the following medications is an anticholinergic used in the treatment of Parkinson's disease?
Which of the following medications is an anticholinergic used in the treatment of Parkinson's disease?
Which side effect is notably produced by typical antipsychotic medications such as haloperidol?
Which side effect is notably produced by typical antipsychotic medications such as haloperidol?
Which class of antidepressants includes buspirone?
Which class of antidepressants includes buspirone?
What is the purpose of using depot medications in psychiatric treatment?
What is the purpose of using depot medications in psychiatric treatment?
Which section of the Mental Status Examination primarily assesses a patient's physical presentation, including grooming and motor behavior?
Which section of the Mental Status Examination primarily assesses a patient's physical presentation, including grooming and motor behavior?
Which is NOT typically evaluated during the sensorium section of the Mental Status Examination?
Which is NOT typically evaluated during the sensorium section of the Mental Status Examination?
What is a characteristic symptom of mania in bipolar disorder?
What is a characteristic symptom of mania in bipolar disorder?
Which intervention is considered least restrictive when managing a patient exhibiting manic symptoms?
Which intervention is considered least restrictive when managing a patient exhibiting manic symptoms?
During the nursing process, what is the primary purpose of the Assessment stage?
During the nursing process, what is the primary purpose of the Assessment stage?
Which question is critical to assess a client's suicide risk effectively?
Which question is critical to assess a client's suicide risk effectively?
What type of medication is typically switched to if a mood stabilizer is ineffective in managing mood disorders?
What type of medication is typically switched to if a mood stabilizer is ineffective in managing mood disorders?
Which of the following Mood Disorders involves periods of abnormally elevated mood?
Which of the following Mood Disorders involves periods of abnormally elevated mood?
What does the term 'congruency' refer to in the context of Affect/Mood during a mental status exam?
What does the term 'congruency' refer to in the context of Affect/Mood during a mental status exam?
Which aspect of the Mental Status Examination helps assess a patient's ability to understand complex ideas or engage in abstract thinking?
Which aspect of the Mental Status Examination helps assess a patient's ability to understand complex ideas or engage in abstract thinking?
Flashcards
Mania Characteristics
Mania Characteristics
Abnormally upbeat, jumpy, or wired mood, increased activity, energy, or agitation; exaggerated sense of well-being and self-confidence, decreased need for sleep, unusual talkativeness, racing thoughts, and distractibility.
Mania Interventions
Mania Interventions
Prioritize preventing physical harm, use manic symptoms to manage care (e.g., redirecting the patient), support self-control.
Suicide Questions
Suicide Questions
Assess suicidal thoughts, plan, means, intent, lethality.
Mental Status Exam (MSE) Sections
Mental Status Exam (MSE) Sections
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MSE
MSE
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Nursing Process Stage for MSE
Nursing Process Stage for MSE
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Depression
Depression
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Mood Stabilizers/Anticonvulsants
Mood Stabilizers/Anticonvulsants
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Bipolar Disorder
Bipolar Disorder
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Suicide
Suicide
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Substance Use Disorder (Alcohol)
Substance Use Disorder (Alcohol)
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Cocaine Withdrawal
Cocaine Withdrawal
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Impaired Professionals (Signs)
Impaired Professionals (Signs)
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Anorexia (Physical Symptoms)
Anorexia (Physical Symptoms)
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Anorexia (Emotional/Cognitive Symptoms)
Anorexia (Emotional/Cognitive Symptoms)
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Anorexia (Intervention)
Anorexia (Intervention)
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Bulimia (Physical Symptoms)
Bulimia (Physical Symptoms)
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Bulimia (Emotional/Cognitive Symptoms)
Bulimia (Emotional/Cognitive Symptoms)
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Bulimia (Intervention Outcome)
Bulimia (Intervention Outcome)
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Pharmacology Importance
Pharmacology Importance
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Antianxiety Medications
Antianxiety Medications
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Benzodiazepines
Benzodiazepines
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Diazepam, Alprazolam, Lorazepam
Diazepam, Alprazolam, Lorazepam
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Antidepressant Medications
Antidepressant Medications
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TCAs (Tricyclic Antidepressants)
TCAs (Tricyclic Antidepressants)
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SSRIs (Selective Serotonin Reuptake Inhibitors)
SSRIs (Selective Serotonin Reuptake Inhibitors)
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SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
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MAOIs (Monoamine Oxidase Inhibitors)
MAOIs (Monoamine Oxidase Inhibitors)
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Atypical Antidepressants
Atypical Antidepressants
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Antimanic Medications
Antimanic Medications
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Study Notes
Mental Status Examination (MSE) Review
- Sections of the MSE: Review each section and the terms used for each. (Review the MSE form!)
- General Observations: Appearance, Grooming, Dress
- Motor Behavior/Activity: Physical condition, Rapport/Reaction
- Sensorium: Memory, Orientation, Semantic/Intellectual Functioning, Concentration, Abstraction, Calculation
- Affect/Mood: Affect, Mood, Congruency
- Thought Processes: Thought Content, Thought Form, Insight and Judgment
- Nursing Process (ADPIE): Assessment (MSE is part of this), Diagnosis, Planning, Implementation, Evaluation
Mood Disorders
- Depression
- Bipolar Disorder: Mania Characteristics (abnormally upbeat, jumpy, wired, increased activity/energy, exaggerated sense of well-being and self-confidence, decreased need for sleep, unusual talkativeness, racing thoughts, distractibility)
- Mania Interventions (least restrictive first): Prevent physical harm, redirect the patient, support the patient to maintain self-control.
- Suicide Risk: Questions to ask include whether the client has thoughts/ideas of suicide, a plan, means to act on the plan, intent to act on the plan, and the lethality of the plan. Safety is paramount.
Substance Use Disorders
- Alcohol, Cocaine: Withdrawal symptoms, consequences of substance use.
- Key patient education points: acknowledgement of consequences, need for abstinence from substance.
Eating Disorders
- Anorexia: Physical symptoms (low body weight, amenorrhea, muscle weakness, yellow skin, dehydration, nutritional deficiencies); emotional/cognitive symptoms (depression, anxiety, perfectionism, obsessiveness, fear of gaining weight). Interventions include educating patients that perfection isn't attainable & weight gain can occur as part of treatment.
- Bulimia: Physical symptoms (normal or overweight, fluctuations in weight, irregular bowel function); emotional/cognitive symptoms (depression, anxiety, low self-esteem); Interventions include: establishing a plan to stop binging/purging, and maintaining a healthy weight (weight restoration may not be necessary).
Pharmacology
- Antianxiety Medications: Benzodiazepines (diazepam, alprazolam, lorazepam) and Non-Benzodiazepines (buspirone) - side effects like sedation, drowsiness, importance of patient education on not operating heavy machinery while taking medication.
- Antidepressant Medications: TCAs (amitriptyline, imipramine, nortriptyline), SSRIs (fluoxetine, paroxetine, citalopram, escitalopram, sertraline), SNRIs (venlafaxine, duloxetine), MAOIs (tranylcypromine, phenelzine)--Avoid tyramine containing foods with MAOIs; and Atypical Antidepressants (bupropion, trazodone).
- Antimanic Medications/Mood Stabilizers: Lithium, Anticonvulsants (valproic acid, carbamazepine, gabapentin, lamotrigine).
- Antipsychotic Medications: Typical Antipsychotics (chlorpromazine, haloperidol, fluphenazine, thioridazine, thiothixene), Atypical Antipsychotics (risperidone, olanzapine, clozapine, quetiapine) -side effects, patient education and information.
- Antiparkinson Medications: Dopaminergic agents (carbidopa/levodopa), Dopamine Agonist (pramipexole), Anticholinergic (benztropine) and Antihistamine (diphenhydramine).
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