Exam (elaborations)
Mental Health N356 Exam 2
- Course
- Institution
Mental Health N356 Exam 2
[Show more]
Content preview
MentalHealth
N356
Exam
2
What
disorder
goes
hand
in
hand
with
mood
disorders?
-
ANSWER-ANXIETY
Comorbidities:
*substance
abuse
*schizophrenia
*eating
disorders
Medical
diagnoses
often
concurring
with
depression
-
ANSWER-*diabetes
*cancer
*stroke
*epilepsy
*cardiac
disease
Serotonin
Syndrome
-
ANSWER--caused
by
excess
intra-synaptic
serotonin
-
occurs
from
combining
serotonin
enhancing
drugs
-occurs
from
administering
SSRIs
too
close
to
the
discontinuation
of
MAOIs
Serotonin
Syndrome
Symptoms
-
ANSWER--mania
-ataxia,
myoclonus
(muscle
twitiching)
-nausea
-Diarrhea
-Tremors
-headache,
confusion
-diaphoresis
-restlessness
-hyper-reflexia
(over
responsive
reflexes)
Serotonin
syndrome
treatment
-
ANSWER-discontinue
all
serotonin
medication
and
provide
symptomatic
support
Electroconvulsive
Therapy
(ECT)
-
ANSWER--
grand
mal
seizure
caused
by
electrical
currents
via
electrodes
applied
to
temples
-unilateral
application
for
fever
cognitive
SE -bilateral
application
for
severally
ill
Indications
for
ECT
-
ANSWER--postpartum
psychosis
-need
for
rapid
response
-severe
Major
Depression
(90%)
-prior
positive
responses
to
ECT
-depression
with
psychotic
features
-
failure
of
meds
and/or
psychotherapy
-Bi-polar
disorder
unresponsive
to
medication
-Schizophrenia
with
catatonic
or
affective
symptoms
Preparing
pts
for
ECT
-
ANSWER--void
-remove
prostheses
-no
NPO
6-8
hrs
prior
to
treatment
-Pretreatment
lab
tests
Pre
ECT
Medications
-
ANSWER--Iv
injection
of
anesthetic
(brevital
sodium)
-IV
injection
of
muscle
relaxant
(succinylocholine-anctine
25-75
mg)
Risk
of
Suicide
-
ANSWER--prior
episodes
of
depression
-family
history
of
depression
-prior
suicide
attempts
-female
gender
-medical
co-morbidities
-lack
of
social
support
-stressful
life
events
-personal
history
of
sexual
abuse
-current
susbstance
disorder
What
is
important
for
a
nurse
to
assess
when
she
has
a
depressed
patient?
-
ANSWER-Assess
for
suicide
ideation
How
do
we
assess
suicide?
-
ANSWER-Ask
directly
about
any
suicidal
thinking,
impulses
or
past
attempts,
and
personal/family
history
of
suicide
attempts.
Ask
if
they
have
a
plan,
is
it
well
thought
and
can
pt
carry
through?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now