Exam (elaborations)

NUR2488 / NUR 2488 / NU 249 Exam 2 Concept / Study Guide (Latest 2021 / 2022): Mental Health Nursing - Rasmussen

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NUR 2488

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NUR 2488

NU249/NUR2488- Concept Guides- Exam 2 Mood: Depression Define common symptoms- memory difficulties, suicidal, worthlessness, helplessness, anhedonia-loss of pleasurable in things they once loved, anergia-lack of energy.. Severe=not eating or drinking. Given up. High protein, high calorie diet....

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Uploaded on September 4, 2022
Number of pages 12
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Type Exam (elaborations)
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nur2488 nur 2488 nu 249 exam 2 concept study guide latest 2021 2022 mental health nursing rasmussen

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NUR2488 / NUR 2488 / NU 249 Exam 2 Concept / Study Guide (Latest ): Mental Health Nursing - Rasmussen College

NU249/NUR2488- Concept Guides- Exam 2

Mood:
Depression
Define common symptoms- memory difficulties, suicidal, worthlessness, helplessness,
anhedonia-loss of pleasurable in things they once loved, anergia-lack of energy.. Severe=not
eating or drinking. Given up. High protein, high calorie diet. Around the clock observation,
suicide=1on1.
Beck’s Cognitive Triad (p. 250)
 1.A negative, self-deprecating view of self: “I really never do anything well; everyone else
seems smarter.”
 2.A pessimistic view of the world: “Once you're down, you can't get up. Look around,
poverty, homelessness, sickness, war, and despair are every place you look.”
 3.The belief that negative reinforcement (or no validation for the self) will continue: “It
doesn't matter what you do; nothing ever gets better. I'll be in this stupid job the rest of
my life.”

Risk for suicide- Questions to ask,
Are you feeling suicidal? Do you have a plan? Do you have the means?
High vs low risk (Ch 23)
Nursing Diagnosis (Table 15-2)
Risk for suicide, self mutilation, decisional conflict, impaired memory, acute confusion,
ineffective coping, interrupted family process, risk for impaired parent/infant/child attachment,
ineffective role performance, hopelessness, chronic low self esteem.
Physical Interventions (Table 15-5)
Nutritional interventions (high calorie meals for those not eating), encourage sleep, emphasize
self care measures.
Medications-
Classes:
SSRI- first line! black box warning=increase suicidal ideation. Selexa, fluoxetineProzac. Don’t
start within 14 days of last MAOI dose=serotonin syndrome-hyperactivity, seizures

Citalopram† Celexa Common side effects Minimal interaction Possible initial anxiety
include: with other drugs,
minimal weight

, NU249/NUR2488- Concept Guides- Exam 2

gain, sedation
 •Headache, which
usually dissipates in a few
days Possible initial anxiety
Minimal interaction,
Lexapr
Escitalopram†  •Nausea, which sedation, and weight
o 18 yr or older; 12-17 yr
usually dissipates in a few gain for MDD
days

 •Sleeplessness and/or Possible interaction
drowsiness during day, with other drugs, initial
Fluoxetine† Prozac which usually dissipates in Activating anxiety
a few weeks (energizing)
8 yr or older
 •Tremors and/or
dizziness
8 yr or older for OCD
Fluvoxamine Luvox  •Sexual problems:
only
reduces sexual drive,
problems having and
enjoying sex
Weight gain, interacts
Good antianxiety with other meds,
Paroxetine† Paxil  •Agitation, feeling
benefit contraindicated in
jittery and nervous; rare
pregnancy
serotonin syndrome; rare
activation of suicidal
ideation
Sertraline† Zoloft

TCA= amitryptiline, imipramine .anticholinergic effects, get dr attention for urinary retention.
Cardiotoxicity with overdose

Amitriptyline Elavil Common side effects include:

 •Dry mouth
10 yr or older only
ClomipramineAnafranil
 •Constipation for OCD

 •Bladder problems (hard to empty bladder,
Desipramine Norprami weak urine stream, men with enlarged prostate

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Exam (elaborations)

NUR2488 / NUR 2488 / NU 249 Exam 2 Concept / Study Guide (Latest 2021 / 2022): Mental Health Nursing - Rasmussen

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