NUR 326 Medicine Terms & Definitions for Suicide Prevention

Patient education on what not to do when taking MAOIs

No blue cheese and wine (tyramine foods)

Report confusion, nausea, sweating, blurred vision

A client attempts to commit suicide by taking half a bottle of Tylenol. What is the nurse;s priority?

Requires 1:1 supervision

What is a statement made by a patient that means they understand ECT?

"I may forget this conversation."

In the middle of an assessment, the patient gets super agitated and starts rocking back and forth, what should you do as the nurse?

Stop the assessment and ask them what triggered it

What drug causes yellowing of sclera and skin jaundice?

Valproic acid

A patient gets super agitated during a group session and jumps up and storms out of the daytime room, what should you do?

Follow patient to see what upset them

You are in a patient’s room and they get super upset and agitated all of a sudden. What should you do (SATA)?

.a Take a step back

b. Identify/look for other staff nearby that can help if necessary

c. Say, "you seem upset, we are here for you."

Hot spot: A patient is currently taking lithium. Which of the following in the patient’s chart is concerning?

Lithium blood level = 1.7

What is the most important thing to educate a patient when taking lithium?

Partaking in activities that result in excessive sweating

What happens when you mix Zoloft and duloxetine (SSRI and SNRI)?

Shivers and sweating

What is expected with a benzo?

Shallow breathing

Why would a patient taking buspirone exhibit GI symptoms?

Works by inhibiting the reuptake of serotonin

Match defense mechanisms

Dissociation: Veteran is having PTSD flashbacks even though he has been home

Projection: Partner is blaming all of the fights on another partner

Reaction Formation: Gay individual is embarrassed that they are gay and keep saying very offensive anti-gay statements

A patient comes in with various stages of bruises that are healing. What should you do?

Offer community resources

On the unit there are shared rooms and on single room. What patient gets their own room?

Bipolar 1 patient

What anti-depressant category is most dangerous for suicidal ideations?

TCAs

What is a PRN medication for anxiety?

Lorazepam (Ativan)

What is the right comment about the therapeutic milieu?

Ensuring the environment is safe for clients and staff

A person is switching from crying to laughing and cannot answer the nurse’s questions. What are they experiencing?

Labile affect

What are risk factors for major depressive disorder (SATA)?

a. Postpartum

b. Family history of depression

c. Over 65 years old

d. Substance abuse

e. (another option that i don't remember)

What is the best goal for a bipolar 1 patient on the mental health unit?

They have finished 90% of their fluids and meals unprompted

What is the best therapy for panic disorder?

Cognitive behavioral therapy

Who is most at risk for experiencing a manic episode?

A 30-year-old who drinks 2 energy drinks per day

Who is most likely to exhibit aggressive behavior?

An adolescent who got expelled from school for getting into a physical fight with a classmate

A patient is experiencing adverse effects of carbamazepine, what is the nursing priority?

Notify the provider

What activity is appropriate for someone experiencing an acute manic episode?

Going on a walk outside with the nurse

A patient becomes restless and begins tapping on their journal with a crayon and shifting their weight back and forth. What should the nurse say to the patient?

What are you thinking about?

A patient with major depressive disorder is severely malnourished, what should the nurse do to encourage proper nutrition?

Sit with the patient while they eat their meals

What activity is appropriate for someone with major depressive disorder?

Going on a walk

(Long question) A guy is having health issues and owns a limo company and is super upset because he cannot drive limos anymore. He states, “I want to die, there is no point of living if I can’t drive a limo,” what should the nurse say as a response?

Are you having thoughts of suicide?

Which patient should be admitted to an inpatient facility (SATA)?

a. Person having thoughts of harming their baby

b. Patient failed to reach therapeutic outcomes at an outpatient facility

c. Another answer that i don't remember

What manifestation is expected for someone experiencing mania?

Tangential thoughts

A nurse is talking to a patient with depression and they are answering slowly and frequently sighing. What should the nurse document about the way they are acting?

Patient showing delayed responses

What would the nurse do for a patient who has been admitted to the unit for depression?

Assess if they need assistance with hygiene

Who is most likely to be admitted involuntarily?

An aggressive person who tried to stab their roommate

A patient states, “It would be better if I were dead,” What should the nurse ask the patient?

Have you made a plan to commit suicide?

What is an expected sign for someone withdrawing from diazepam (benzodiazepine)?

Grand mal seizures

When should mechanical restraints be used on a patient?

When the patient is trying to self-harm despite other interventions

What is a convert cue of suicidal ideation?

"I am going to give you my coin collection."

What are examples of an inappropriate therapeutic relationship between the nurse and the patient (SATA)?

a. The nurse offers personal advice to patient

b. The nurse is overwhelmed and beings to cry when hearing the patient's trauma

c. Getting distracted and having to ask patient to repeat their answer

What person is most likely to commit suicide?

Adolescent who is getting bullied and seeking revenge

A patient is anxious about surgery…

Explore their feelings

Diazepam overdose…

Shallow breathing

In an abusive relationship and cannot go any longer…

Thoughts about harming themselves or others

13-year-old health assessment…

Classmates don't like her and she doesn't like her classmates

What can you not take when taking a benzodiazepine?

St John's Worts, Chamomile valerian root

Patient says they are going to ignore worries

Verbalize feelings

Acute manic episode…

Secure and safe environment

Patient showered, what do you say?

I see you showered today