Exam 1 review also

which antidepressant class is potentially lethal in overdose?

TCAs

when taking THIS antidepressant, you must follow a special diet (particularly avoiding processed foods)

MAOIs

which mood stabilizers may cause SJS?

lithium, lamictal, and carbamazepine/oxcarbazepine

what are important labs to look at for valproate (depakote)?

liver labs due to risk of hepatoxicity

what are important labs to look at for carbamazepine (tegretol)?

CBC including WBC due to risk of blood dyscrasias such as agranulocytosis

what is the main notable side effect of bupropion (wellbutrin)?

lowers the seizure threshold and therefore can cause seizures, esp in those with a history of seizures

a pt presents with flu-like symptoms and myoclonus... what's going on???

serotonin syndrome

which therapy is used to support emotional stability and is best provided for cluster B personality types?

dialectic behavioral therapy

what is the alternative name for the mood stabilizing drug class that treats bipolar disorder?

anti-epileptics

which SSRI medication is approved for tx of OCD?

fluvoxamine (luvox)

speech disorganization to the level of only saying random words

word salad

"I am sure that things will get better soon"

NOT therapeutic

nods

yesss therapeutic

the pt has trouble answering the question, going off into other topics at random and never returning to the original question

tangential thinking

what replaced the "no harm contract" as the EBP method to support someone at risk of suicide?

safety planning

to be diagnosed with MDD, 5 or more symptoms must be ongoing for...

at least two weeks

a form of meditation taken from yoga that helps w ruminating anxiety

mindfulness therapy

"I hope for the best outcome for your surgery!"

therapeutic

what could happen if MAOIs are combined with tyramine?

hypertensive crisis

black box warning for SSRIs/SNRIs

suicide risk in the youth!!!

one or more major depressive episodes accompanied by at least one hypomanic episode

bipolar II disorder

which med has an indication for decreasing risk of suicide?

lithium

which health professional is allowed to have a 50/50 relationship with the patient?

certified peer specialist

#1 risk factor for increased potential for suicide

history of previous attempts

WHO is more likely to die from suicide?

MALES!

WHO is more likely to attempt suicide?

the ladies

therapy where the person with a mood disorder tracks their daily routines

social rhythm therapy (or ISRP)

to meet the diagnostic criteria for bipolar I disorder, this type of mood episode is needed

manic

the person on the tx team that is in charge of the tx

the patient

liver function should be monitored with this medication used to treat bipolar disorder

Depakote (valproic acid)

child/adolescent mood disorder characterized by persistently irritable mood and developmentally inappropriate outbursts

disruptive mood dysregulation disorder

Im so sorry this happened to you"

NOT therapeutic

never say "I" because we don't CARE

recovery from mental illness is never seen as a...

linear path

the introduction of antipsychotic med clozapine was so effective it allowed for the closure of state hospitals and a transition towards community tx... what is this known as?

deinstitutionalization

does hypomania include symptoms such as delusions and hallucinations?

NO!!!!

this depression medication blocks the reuptake of dopamine and norepinephrine

bupropion (wellbutrin)

depressive symptoms ongoing for at least two years in adults, or one year in children/adolescents...

persistent depressive disorder

once safety is secured, an individual with mania typically has this need...

physiological need

maybe they haven't been eating correctly or haven't slept in days

the majority of people with severe and persistent mental illness live WHERE after state hospital closure?

the community

nursing education for preventing lithium toxicity in teens and young adults

stay hydrated during the summer!!!

why are tricyclic meds NOT chosen over SSRIs?

lethality of OD

speech character common with someone experiencing mania

pressured speech

first line med tx for depression and anxiety

SSRIs

the inpatient setting's goal of safety is assured through this intervention...

observation

which disorder is characterized by hypomanic episodes?

bipolar I

overuse of this medication can mimic panic and anxiety

albuterol

tell me about how your day went?

therapeutic

side effects of this medication class can lead to hypertensive crisis

MAOIs

this therapy is the best type of therapy for panic type anxiety where the trigger is KNOWN...

exposure therapy

the first symptoms of lithium toxicity appearing at serum level ~1.5

vomiting and tremors