Mental Health

Mental Health Exam 2 QUESTIONS AND CORRECT ANSWERS GRADE A+ What question involves in suicidal assesment? Define lethality -be able to judge methods of highest potential Ex. Do they have a gun? Do you plan on shooting yourself? What's most lethal what is most available? Gun vs over dose Sign and symptomes of suicide? - they went from sad to happy, eating more more sociable suicidal people are anxious MORE HAPPY, maybe develop the plan Safety interventions for person who is suicidal? -Monitor patient, put on 1 to 1, nothing to choke self with no shoestrings no fire arms make sure there is a safty Plan in Place. Risk for developing suicidal ideation? -Low serotonin levels personal family history, eating disorders, past attempt, trauma What is neuromalignant syndrome? -rare life-threatening reaction to neuroleptic medication like antipsychotics You hold the dose if lead pipe rigidity or low seratonin levels, get physician Sign and symptomes? -lead pipe rigidity, fever, temperature, coma, start looking like flu, What can cause NMS? -Antipsychotics EPS (Extra peripheral syndrome) Symptomes; Tardive dyskinesia (involumntary movement, like dancing, Rythem like movement) Akathisia (NEED to move can't sit still, restless behavior) Concrete thinking; inability to think abstractly, ex. Don't change horses in the middle of the street. schizophrenia patient states) Thought Deletion; believe that someone took thoughts out of your head Thought insertion ; someone putting thoughts in your head Neologism; newly coin word or expression from schizophrenia. Patient. Magical, thinking ; thinking you caused something really thought that she made an airplane crash because she thought about it schitzophrenia Positive symptoms; delusional, thinking hallucinations normal people don't have these Negative symptoms in schizophrenia; normal people have these schizophrenia don't hygiene, thinking, social withdrawal and emotional disorders Signs and symptoms early lithium toxicity ex. level 1.5; Nausia and vomiting, fatigue Advanced lithium toxicity; confusion, agitation Severe lithium, toxicity; seizure, hyperkalemia, difficulty walking, and lack of coordination **Meds to treat bipolar disorder; Anticonvulsant Ex. Valproate (Depakote) Carbamazepine (Equertro) **Lamotrigine (Lamictal); causes SJS What interventions are put into place on a unit that specialize in eating disorders? -Cardiac monitoring, bathrooms are locked, monitor weight, don't want refeeding syndrome gaining 1 to 3 pounds in a week Physical manifestation of anorexia nervosa; Weight loss , below normal weight, below 75 pounds put in the hospital, blood pressure less than 90 What is refeeding syndrome? potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding (whether enterally or parenterally -Weight gain of 1-3 lbs What would you consider to be suicidal patient? - covert/ overt patient, giving away possessions, sudden brightening of mood, depressed now happy, maybe they come up with a plan Hard/ soft method of suicide... ex. Pills vs. lethal gunshot wound to head -which more lethal? Asses for suicidal ideation? -Do you have a plan? What is it? Do you have access? ***biggest predictor someone is about to commit suicide is hopeless ***ALL TEST QUESTIONS Highest risk for suicide? -Elderly white men are most likely to commit suicide, because they have guns Cognitive problems associated with schizophrenia that can cause difficulty in unit? -Don't give too much directions or instructions, give SIMPLE DIRECTION Symptomes of antipsychotics; Blurred vision, weight gain, dykenisia; uncontrolled movement Ex drugs. Haldol, abilify and Seroquel Problem with 1st Gen antipsychotics with body image? -gain weight, sexual dysfunction How would you know someone is hallucinating? -talking to unseen objects Negitive symptomes schizophrenia? -impaired thinking, hygiene Positive symptoms? -hallucination,delusion, normal people don't have these Side effects of antispsychotics? - blurred vision, sedation, weight gain, tremor and agitation Establish priority nursing intervention? -airway, physiology integrity, SAFETY **labs patient will mention one will jump out at you, possibly lithium Bipolar patient states; "on top of the world" what your response? -what do you mean by that? Bipolar patient threaten to hit other patient -let's go to separate room ***TQ Patient gets naked how would you deal with it? Patient dancing on pool table what would you do about it?