Podcast
Questions and Answers
What is a primary characteristic of mental illness?
What is a primary characteristic of mental illness?
Which of the following is NOT part of the SOLER technique in therapeutic communication?
Which of the following is NOT part of the SOLER technique in therapeutic communication?
Which factor significantly increases suicide risk?
Which factor significantly increases suicide risk?
What is crucial for monitoring while a patient is on lithium for bipolar disorder?
What is crucial for monitoring while a patient is on lithium for bipolar disorder?
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What is a major symptom of schizophrenia?
What is a major symptom of schizophrenia?
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In treating generalized anxiety disorder, which medication may be beneficial?
In treating generalized anxiety disorder, which medication may be beneficial?
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What is a common withdrawal symptom from CNS depressants?
What is a common withdrawal symptom from CNS depressants?
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During the intrapartal care of a patient, which stage involves pushing and delivery?
During the intrapartal care of a patient, which stage involves pushing and delivery?
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Study Notes
Psychiatric Mental Health Nursing
- Mental Illness: Occurs when a person struggles to adapt to stress, leading to functional impairment. Ego defense mechanisms include denial, displacement, rationalization, and repression.
- Therapeutic Communication: Use the SOLER technique (Sit, Open posture, Lean forward, Eye contact, Relax). Employ broad openings and general leads; avoid non-therapeutic communication.
- Suicide Risk Assessment: Assess for thoughts, intentions, plans, and access to means. High risk is indicated by a plan and access to the means.
- Bipolar Disorder: Lithium requires monitoring fluid/electrolyte balance; avoid excessive caffeine/diuretics. Mania management prioritizes safety, nutrition monitoring, and hyperactivity/poor judgment observation.
- Schizophrenia: Characterized by major thought disturbances like delusions and hallucinations. Clozaril necessitates lab monitoring for agranulocytosis.
- Anxiety/Phobias: Employ therapeutic communication, remain calm, and offer reassurance. Buspirone may help with Generalized Anxiety Disorder. Phobias trigger intense anxiety, even from the thought of the feared object/situation.
- Substance Use: Central nervous system depressants (alcohol, opioids) manifest with bradypnea, bradycardia, and altered mental status. Withdrawal symptoms include tachycardia, tachypnea, anxiety, and restlessness.
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Personality Disorders:
- Cluster A (Odd/Eccentric): Paranoid and Schizotypal personality disorders.
- Cluster B (Dramatic/Erratic): Antisocial, Borderline, and Narcissistic personality disorders.
- Cluster C (Anxious/Fearful): Avoidant, Dependent, and Obsessive-Compulsive personality disorders.
Maternal Newborn Nursing
- Antepartum Care: Assess safety, habits (drug use), immunizations, and offer genetic screening (CVS, amniocentesis); educate about TORCH infections and teratogens. Monitor fetal growth via ultrasound and fundal height.
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Intrapartal Care:
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Labor Stages:
- First stage: Cervical effacement and dilation.
- Second stage: Pushing and delivery.
- Third stage: Placental delivery.
- Preterm Labor: Administer steroids (fetal lung maturity) and antibiotics (preventing premature rupture of membranes).
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Labor Stages:
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Postpartum Care:
- Hemorrhage: Uterine atony (first 24 hours) versus subinvolution (after 24 hours).
- Infection: Monitor for urinary tract, mastitis, metritis, and wound infections.
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Newborn Care:
- APGAR Scoring: Assess heart rate, respiration, muscle tone, reflex irritability, and color at 1 and 5 minutes.
- Preterm Infants: Higher risk for apnea, bradycardia, and cold stress.
- Neonatal Abstinence Syndrome (NAS): Monitor for withdrawal signs (e.g., sneezing, tremors, irritability).
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Description
This quiz covers essential topics in psychiatric mental health nursing, including mental illness, therapeutic communication techniques, and risk assessments for conditions such as bipolar disorder and schizophrenia. Test your knowledge of mental health concepts and nursing interventions to enhance your patient care skills.
