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Week 3 Lecture notes
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Week 3 lecture notes anne pottinger mental health nursing
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NURS3524 - Pottinger’s classI fucking hate this class but let’s take notes I guess
AREAS FOR TEST
- mainly anxiety
- 40 McQ
- 1 case scenario
- One on eating disorders
- One on depression and suicide - likely the scenario will be on depression and
suicide
- IN the scenarios always answer and look towards the MAIN scenario and
NOT previous parts of the questions above
- NCLEX style qs
- Read application on the textbook - box on lithium toxicity
Questions on the test will look like:
● Your patient is on an MAOI which of the following would indicate what you have thought
of them. Which indicated that your patient needs help
● Questions wont be tricky but will be application
● Discharging - pre-discharge teaching and pt is an adolescent. Which of the following will
you include in your teaching
○ Should they consume it with alcohol
○ Report side effects
○ Imp as this medication can cause you to be suicidal so be careful
○ Antidepressants take 4+ weeks to work
● If you had a pt that was manic, what would be the best way to approach an assessment?
○ Ask them small questions one at a time with space in betweenn
○ Small Portions of food
○ Pay attention to the feet - feet could hurt from walking alot
○ Don’t do entire thing- ensure safety
○ Do the assessment in bits
○ Focus on communication
● When someone harms themselves what to do?
○ CHECK THEIR ABCs, don’t ask them how they feel
● Wellbutrin
○ Bupropion, sold under the brand names Wellbutrin and Zyban among others, is
an atypical antidepressant primarily used to treat major depressive disorder and
to support smoking cessation
○ Smoking cessation
○ Slow position changes
Defence Mechanisms (quick review kind of)
● Projection
, ○ Patient can project certain issues onto the nurse because of something that
happened in the past or something lke that
○ Projecting their emotions.
● Displacement
○ Angry but taking out on someone else
○ Kicking a dog coz they are angry with their boss, can’t say they are angry at boss
so take it out on a dog
Legalities
- two ways to get in the mental health system
- Mental health act of Ontario
- Forensic system - week 6
- Key thing: know legal status, another year thing to an involuntary patient- they can still
consent to no treatment
- Patients can be involuntary, incapable, and contesting - you can’t treat still, you have to
wait for the results from the review board
- You can always treat during an emergency though - physical altercation =
psychological emergency
- You can use physical or chemical restraints for violent patients yet need consent.
CLASS NOTES - FINALLY
Signs and symptoms of mania
- Impulsiveness
- Euphoria
- Insomnia
- Agitation
- Flight of thought
- Manipulative
- hyperactivity
- Excited
- Thoughts of grandeur
- Poor judgment
- Delusion
- Hyperactive mjotor activity
- Ecstatic -feeling or expressing overwhelming happiness or joyful excitement.
- Easily distractable
- Intrusiveness
- Pressure of speech
- Increased speed of speech
- Lack of sleep
- Delusions
- Goudy dressing - dressing with no regard for social inclusion just wearing whatever tf
you want
- Increased sex drive
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