Mental Status Examination & Mood Disorders

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Questions and Answers

Match the following substance use disorders with their associated symptoms:

Alcohol = Acknowledgment of consequences and need for abstinence Cocaine = Withdrawal symptoms include depression and drowsiness Impaired Professionals = Increased use of the bathroom Bulimia = Binge and purge behaviors

Match the following eating disorders with their physical symptoms:

Anorexia = Low body weight and dehydration Bulimia = Normal or overweight with weight fluctuations Cocaine = Cravings and urges during withdrawal Alcohol = Nutritional deficiencies and muscle weakness

Match the following eating disorders with their emotional symptoms:

Anorexia = Depression and anxiety Bulimia = Low self-esteem and anxiety Alcohol = Fear of gaining weight Cocaine = Obsessiveness and perfectionism

Match the following eating disorders with their intervention outcomes:

Anorexia = Patient will gain weight Bulimia = Will be binge and purge free Cocaine = Patient recognizes need for abstinence Alcohol = Increased social interactions Signup and view all the answers

Match the following signs of impaired professionals with their descriptions:

Increased use of the bathroom = Frequent medication administration Calling out frequently = Often appears in pain Adding extra shifts = Engages in narcotic count discrepancies Working nights = Volunteers as medication nurse Signup and view all the answers

Match the section of the Mental Status Examination (MSE) with the correct component:

General Observations = Grooming Sensorium = Memory Affect/Mood = Mood Thought Processes = Thought Content Signup and view all the answers

Match the mood disorder with its characteristic:

Depression = Persistent sadness Bipolar Disorder = Extreme mood swings Mania = Increased activity and energy Hypomania = Less severe mania Signup and view all the answers

Match the component of the nursing process (ADPIE) with its description:

Assessment = Collecting information Diagnosis = Identifying issues Planning = Setting goals Implementation = Executing the plan Signup and view all the answers

Match the characteristic of mania with the correct description:

Abnormally upbeat = Exaggerated sense of well-being Distractibility = Difficulty focusing Racing thoughts = Fast shifting of ideas Decreased need for sleep = Feeling rested after little sleep Signup and view all the answers

Match the suicide assessment question with its focus:

Does the client have thoughts of suicide? = Identifying ideation Does the client have a plan? = Assessing specificity Are there means to act upon the plan? = Evaluating access How lethal is the plan? = Determining seriousness Signup and view all the answers

Match the mood stabilizer with its class:

Lithium = Mood stabilizer Valproate = Anticonvulsant Carbamazepine = Anticonvulsant Lamotrigine = Mood stabilizer Signup and view all the answers

Match the intervention for mania with its appropriate description:

Prevent physical harm = Safety priority Redirect patient = Guiding attention Support patient to maintain self-control = Encouragement and support Use manic symptoms for care = Leverage to manage behavior Signup and view all the answers

Match the aspect of thought processes with its corresponding type:

Thought Content = What is being thought about Thought Form = How thoughts are organized Insight = Understanding of one's condition Judgment = Decision-making ability Signup and view all the answers

Match the antianxiety medications with their characteristics:

Benzodiazepines = Can cause sedation and drowsiness Non-Benzodiazepines = Buspirone Patient teaching = Do not drive or operate heavy machinery Antidepressants = Used for mood disorders Signup and view all the answers

Match the antidepressant classes with their medications:

TCAs = Amitriptyline, Imipramine, Nortriptyline SSRIs = Fluoxetine, Paroxetine, Citalopram, Sertraline SNRIs = Venlafaxine, Duloxetine MAOIs = Tranylcypromine, Phenelzine Signup and view all the answers

Match the antimanic medications with their categories:

Mood Stabilizers = Lithium Anticonvulsants = Valproic Acid, Carbamazepine Depakote = Valproic Acids' trade name Gabapentin = Anticonvulsant medication Signup and view all the answers

Match the typical antipsychotics with their characteristics:

Chlorpromazine = Typical antipsychotic Haloperidol = Can cause dystonia Fluphenazine = Used to treat severe psychiatric conditions Thioridazine = Can cause involuntary muscle contractions Signup and view all the answers

Match the atypical antipsychotics with their advantages:

Risperidone = Used for newly diagnosed patients Olanzapine = Less EPS side effects Clozapine = Effective for treatment-resistant schizophrenia Quetiapine = Used in both schizophrenia and bipolar disorder Signup and view all the answers

Match the antiparkinson medications with their types:

Dopaminergic Agent = Carbidopa/Levodopa Dopamine Agonist = Pramipexole Anticholinergic = Benztropine Antihistamine = Diphenhydramine Signup and view all the answers

Match the antidepressant side effects with their respective classes:

MAOIs = Avoid tyramine-containing foods SSRIs = Can cause sexual dysfunction SNRIs = May increase blood pressure Atypical Antidepressants = Can cause sedation Signup and view all the answers

Match the side effects with the antipsychotic medication types:

Typical Antipsychotics = Dystonia, EPS Atypical Antipsychotics = Less EPS side effects Depot Form = Longer acting than oral medications Both types = Can cause weight gain Signup and view all the answers

Flashcards

Mania characteristics

Abnormally upbeat, jumpy, 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

Focus on preventing harm, using manic symptoms (like distractibility) to manage care, redirecting the patient, and supporting self-control.

Suicide assessment questions

Questions to ask to determine if a patient has thoughts of suicide, a plan, means, intention, lethal plan, and risk.

Mental Status Exam (MSE) sections

Includes general observations (appearance, grooming, dress, motor behavior, physical condition, rapport/reaction), sensorium (memory, orientation, intellectual functioning, concentration, abstraction, calculation), affect/mood (affect, mood, congruency), thought processes (thought content, thought form), and insight/judgment (chemical dependence).