I. Intro/Ethics 5.

This type of bipolar consists of recurrent

1. This is currently the most accepted depressive episodes with at least 1
explanation for mental illness. hypomanic episode.
-The Diathesis-Stress model -Bipolar II Disorder

2. Mental illness is characterized by these III. Depression & Suicide

changes. 1. This is the best reason for closely
-What are mood, cognition, behaviour, monitoring a patient who has started on
significant distress, and impaired antidepressant medication therapy.
functioning. -Increased risk for suicide due to improved
energy
3. This is the application by a Dr for
psychiatric assessment and lasts up to 72 2. This is the term used when someone loses
hours. interest in previously enjoyed activities. And
- Form 1 the other term is for a lack of awareness of a
psychiatric condition by the client
4. This is the nurse’s priority action before themselves.
including a client’s significant other in the -Anhedonia and Anosognosia
discussion of the treatment plan.
-obtaining the patient’s permission to 3. This is the greatest safety concern for a
discuss their information (consent) patient with depression. -Risk for suicide

5. These have resulted in historical trauma of 4. These are warning signs of increased risk for
Canada’s Indigenous people, contributing to suicide in clients.
negative outcomes of their mental and social -Threats of suicide, having a plan, reckless
health. behavior, with drawling from others, giving
-Colonization, Residential Schools, Racial away possessions, excess substance use,
and social stigma, Social determinants of dramatic changes in mood
health.
5. The best response by the nurse when a
depressed client states “Nothing feels good
to me anymore and it never will”.
II. Bipolar & Mood disorders -Example: Have you been thinking about
1. This is the safety concern for clients in the taking your own life?
maintenance phase of Bipolar 1 disorder.
-Exhaustion IV. Anxiety disorders
1. This is a priority nursing intervention for a
2. This is the primary outcome for a patient in client with somatic symptom disorder.
the continuation phase of bipolar disorder. -Shift the focus from somatic symptoms to
-Medication adherence feelings

3. The nurse anticipates this when a client with 2. These are the appropriate terms for the
Bipolar 1 disorder has an intense manic following: a repetitive action and persistent
episode. thought in a client with obsessive-
-Auditory Hallucinations compulsive disorder.
-Compulsion and obsession
4. Euphoria, sexual indiscretion, impulsive
spending, grandiosity, hyperactivity, and 3. This client with this level of anxiety would
manipulative behaviour are signs of this. benefit from discussion of past coping
-Mania in Bipolar 1 disorder mechanisms used when faced with a similar
situation.
-Client experiencing mild anxiety
 4. A client with this anxiety related disorder 3. This process is characterized by losing
will likely be resistant to accepting control of substance use, continuing to use
psychiatric help. despite negative effects, and cravings with a
- Somatic Symptom Disorder tendency to relapse after substance use is
stopped.
5. This disorder is characterized by a persistent -Addiction etiology
difficulty discarding with possessions
regardless of monetary value. 4. These 3 elements must be present for
-Hoarding disorder addiction to occur.
-Biological, Psychological and Social factors
V. Schizoprenia
1. During this phase of schizophrenia will the 5. This type of prevention might include
client likely present with hallucinations, “Identifying students caught smoking at
delusions, and disorganized thinking. school to provide quitting resources.”
-Acute phase -Secondary Prevention (Primary, secondary,
and tertiary.)
2. This type of medication only targets the
positive signs of schizophrenia. VII. Personality Disorders
-1st Generation/Conventional antipsychotics 1. This PD is characterized by self-absorption
and exaggerated sense of self importance.
3. This is the most appropriate nursing -Narcissistic PD
response to a client that the nurse believe is
experiencing command hallucinations. 2. This PD is characterized by erratic and
-Ask directly what they are hearing impulsive behaviours, self-harm.
-Borderline PD
4. This type of speech pattern is a repetition of
what has been said by another. 3. This PD is characterized by a pervasive
-Echolalia pattern of disregard for and violation of the
rights of others, and by deceit and
5. These are differences in men’s and women’s manipulation.
experiences with schizophrenia. -Antisocial PD
-Men experience schizophrenia earlier than
women, more cognitive changes, and have 4. This PD is characterized by inappropriate
poorer outcomes overall behaviour, attention seeking, labile emotions
and promiscuity.
VI. Substance Use disorder -Histrionic PD
1. Psychiatric disorders and substance use
disorders commonly occur together and are 5. This PD is characterized by low self-esteem,
referred to as this. self- isolation, feel unwelcome,
-Concurrent disorder hypersensitive to negative evaluations from
others and readily believe themselves to be
2. This screening tool is used to determine past inferior.
or present substance use associated with -Avoidant PD
Substance Use Disorder.
-CAGE: VIII. Anger, Violence, Assault/Interpersonal
C-felt the need to cut down Violence
A- annoyed by people complaining about 1. These behaviours can put a woman at
your use increased risk for intimate partner violence.
G- felt guilty about substance use -What is leave the relationship, becoming
E- take an eye-opener in the morning pregnant, gaining independence/getting a
job?
 2. These are strategies for maintaining the 4. Clients who suffer from this may have poor
nurse’s safety when working with dental health and enamel erosion, but may
potentially aggressive or violent patients. have a normal weight. -Bulimia
-Avoiding wearing dangling earrings and
necklaces 5. These are the most common life-threatening
-Ensure adequate staff for backup conditions affecting those with eating
- Know the layout of the area disorders.
-Don’t block the door but have the exit -Cardiac dysrhythmias, electrolyte
closest to you imbalance, and suicide
-Provide feedback to the patient about their
behaviour X. Crisis and Disaster/ Sexual assault
-Avoid confrontation with the patient 1. An example of this kind of crisis is a student
waking up late and missing their final exam.
3. These are the common characteristics of a -Situational Crisis
perpetrator of abuse.
-Dominant, critical, controlling, extremely 2. This approach is used when clients blame
jealous, sarcastic, moody, socially isolated, themselves for a sexual assault.
low self-esteem, poor coping skills, rigid, -Separate vulnerability from blame
substance abuse history.
3. These are evaluation criteria for sexual
4. This aspect of the client’s thought process assault recovery.
would be most indicative of a client’s -Being free from signs and symptoms of
potential for aggression. PTSD and dissociative disorders;
-What are perceptions and delusions. eating/sleeping well, calm and relaxed with
only minor disruptions, comfort in their own
5. A child that presents to the clinic is body, enjoying sexual relations, generally
underweight, as measured by the growth positive about themselves, and managing
chart, dirty, and has no coat for the winter stress adaptively.
months. This is an example of this form of
abuse. 4. These 3 disorders are commonly
-Neglect (Types: Financial, physical, experienced after a sexual assault.
emotional, neglect, verbal, sexual, 1.Acute Stress Disorder
psychological, spiritual, and cultural) 2. PTSD
3. Rape-trauma syndrome
IX. Eating disorders
1. This eating disorder is characterized by 5. This is the priority action for a client who is
significant overeating followed by purging hysterically crying and experiencing intense
and exercising excessively. anxiety feelings.
-Bulimia nervosa -Reassure them they are safe and orientate
them to where they are.
2. Making elaborate means while only eating
very small portions, wearing loose fitting
clothes, and significant weight loss. These
behaviours would be consistent with this
eating disorder. -Anorexia nervosa

3. This is the nurse’s highest priority

intervention for a patient diagnosed with
anorexia nervosa as they begin to gain
weight.
-Observing for the adverse effects of
refeeding