Mental Health Quiz 1 with complete solution(2022)

MAOIs and dietary teaching - hint: know what cheeses are acceptable and what are not - ATI will try to trick you on this Cream cheese / cottage cheese / milk Teach Patients: Avoid foods in tyramine: aged cheese / aged wines / aged meats (proteins) / and antihistamines like Sudafed, no antidepressants / no SSRI's What is resilience? Give examples The ability and capacity to secure resources needed to support wellbeing. Examples: Optimism / Sense of mastery / competence. 00:14 01:26 How long do medications take to reach a therapeutic level? This varies depending on the medication but usually between 2-6 weeks Antipsychotics - what are they prescribed for Acute psychotic disorders: schizophrenia / bipolar disorder (manic phase) / Tourette disorder. Antipsychotics- adverse effects Adverse effects: Agranulocytosis (low white blood cells) / Anticholinergic effects (dry mouth, urinary retention, blurred vision, photophobia). Acute dystonia (severe spasms of the tongue, neck and back), pseudo parkinsonism (rigidity, shuffling gait), tardive dyskinesia, akathisia (inability to stay still) Antipsychotics- patient education Teach Patient: Do not stop abruptly, get up slowly, take sips of water frequently or hard candy for dry mouth, may cause weight change, notify your physician of any adverse reactions (tardive dyskinesia, irregular or increased HR, avoid alcohol, avoid herbal supplements. Benzodiazepines Antianxiety Drugs: Valium / Xanax / Ativan / Librium Benzodiazepines - who are they contraindicated in Contraindicated for: Sleep Apnea, depression, glaucoma, respiratory depression. Use with caution in patients with liver disease, cardiac disease, renal disease, and substance abuse. Benzodiazepines - adverse effects, Adverse effects: Drowsiness, confusion, dizziness, depression, impaired vison, dependence, withdrawal symptoms. Benzodiazepines - patient education Teach patients: Take as directed. When stopping follow the directions given by your physician, take with food if you have GI upset, store in a secure place, potential dependency Patient safety for agitated patients - what would you do, what meds? Environmental awareness and self-awareness, attempt to calm patient verbally Medicate with benzodiazepines if verbal methods do not work. Tardive dyskinesia - what symptoms Involuntary movements of the tongue and face, such as lip smacking, tongue fasciculations, involuntary movements of the legs, arms, and trunk.