NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
PTSD-1
● S/S
○ Flashbacks, dreams about the traumatic event,
memories of the event recur involuntarily and are
distressing to the client, avoidance of
people/places/events/situations that bring back
reminders of the event
○ Depressive or anxiety disorders, anger, irritability,
decreased interest in current activities, guilt, negative
beliefs, detachment from others, inability to
experience positive emotional experiences,
hypervigilance, aggression, sleep disturbances
● Risk factors
○ Exposure to traumatic event or experience - ex. physical
abuse
○ Exposure to trauma experienced during natural disasters
- ex. Fire, storm
○ Exposure or repeated re-exposure to trauma in occupational
setting
○ Living through traumatic event experienced
by family member/close friend
● Client Education
○ Educate about relaxation techniques and other anxiety-
reducing strategies
○ Monitor for causes and manifestations of the disorder
○ Avoid caffeine and alcohol
○ Encourage to join group/family therapy, support groups
● Medications
○ ANTIDEPRESSANTS:
■ Side effects: headache, anxiety, drowsiness,
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
,NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
insomnia, nervousness, diarrhea, sexual
dysfunction, increased
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
,NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
sweating, pruritus, tremor
■ Education:
● caution patient to avoid alcohol and
other CNS depressants
● Avoid driving and other activities that require
alertness
● Change position slowly
● If dry mouth, urinary retention, or
constipation occurs - notify HCP
● Frequent rinses, good oral hygiene,
sugarless candy/gum
● Notify HCP before starting herbal alternative
therapies
● Inform importance of follow-ups
○ SSRIs - Paroxetine, sertraline
■ Side effects: anxiety, dizziness, drowsiness,
headache, insomnia, weakness, sweating,
constipation, diarrhea, dry mouth, nause,
ejaculatory disturbance. **SEVERE: neuroleptic
malignant syndrome, suicidal thoughts, stevens-
johnson syndrome, serotonin syndrome
■ Education:
● Assess for suicidal tendencies - esp. Early therapy
● Assess for serotonin syndrome
● Monitor for development of neuroleptic
malignant syndrome - discontinue
● Assess fro rash periodically during therapy
● Assess s/s of PTSD
○ SNRIs - Venlafaxine
■ Side effects: abnormal dreams, anxiety, dizziness,
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
, NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
headache, insomnia, nervousness, weakness,
ecchymoses, rhinitis, visual disturbances, anorexia,
constipation, diarrhea, dry
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
Chamberlain University 2022
PTSD-1
● S/S
○ Flashbacks, dreams about the traumatic event,
memories of the event recur involuntarily and are
distressing to the client, avoidance of
people/places/events/situations that bring back
reminders of the event
○ Depressive or anxiety disorders, anger, irritability,
decreased interest in current activities, guilt, negative
beliefs, detachment from others, inability to
experience positive emotional experiences,
hypervigilance, aggression, sleep disturbances
● Risk factors
○ Exposure to traumatic event or experience - ex. physical
abuse
○ Exposure to trauma experienced during natural disasters
- ex. Fire, storm
○ Exposure or repeated re-exposure to trauma in occupational
setting
○ Living through traumatic event experienced
by family member/close friend
● Client Education
○ Educate about relaxation techniques and other anxiety-
reducing strategies
○ Monitor for causes and manifestations of the disorder
○ Avoid caffeine and alcohol
○ Encourage to join group/family therapy, support groups
● Medications
○ ANTIDEPRESSANTS:
■ Side effects: headache, anxiety, drowsiness,
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
,NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
insomnia, nervousness, diarrhea, sexual
dysfunction, increased
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
,NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
sweating, pruritus, tremor
■ Education:
● caution patient to avoid alcohol and
other CNS depressants
● Avoid driving and other activities that require
alertness
● Change position slowly
● If dry mouth, urinary retention, or
constipation occurs - notify HCP
● Frequent rinses, good oral hygiene,
sugarless candy/gum
● Notify HCP before starting herbal alternative
therapies
● Inform importance of follow-ups
○ SSRIs - Paroxetine, sertraline
■ Side effects: anxiety, dizziness, drowsiness,
headache, insomnia, weakness, sweating,
constipation, diarrhea, dry mouth, nause,
ejaculatory disturbance. **SEVERE: neuroleptic
malignant syndrome, suicidal thoughts, stevens-
johnson syndrome, serotonin syndrome
■ Education:
● Assess for suicidal tendencies - esp. Early therapy
● Assess for serotonin syndrome
● Monitor for development of neuroleptic
malignant syndrome - discontinue
● Assess fro rash periodically during therapy
● Assess s/s of PTSD
○ SNRIs - Venlafaxine
■ Side effects: abnormal dreams, anxiety, dizziness,
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
, NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
headache, insomnia, nervousness, weakness,
ecchymoses, rhinitis, visual disturbances, anorexia,
constipation, diarrhea, dry
NR326 EXAM 2-MENTAL HEALTH REVIEW
Chamberlain University 2022
