what are modifiable risk factors for suicide? -Correct Answer - unrealistic expectations
perfectionism
poor coping skills
what are some warnings signs of suicide? -Correct Answer ideation, substance use
purposelessness, anxiety, "trapped", hopeless
withdrawal, anger, recklessness, mood chang...
Nurs 663 exam 1 study guide questions
and answers top rated 2024-2025
what are modifiable risk factors for suicide? -Correct Answer ✔- unrealistic expectations
perfectionism
poor coping skills
what are some warnings signs of suicide? -Correct Answer ✔ideation, substance use
purposelessness, anxiety, "trapped", hopeless
withdrawal, anger, recklessness, mood changes
what three classes of medication are used as mood stabilizers? -Correct Answer
✔lithium
anticonvulsants
antipsychotics
what medication can help reduce the risk of suicide? -Correct Answer ✔lithium
what symptoms of bipolar does lithium help? -Correct Answer ✔mania and depression
what blood tests need to be completed before starting lithium? -Correct Answer ✔kidney
(creatinine), TSH, CBC, pregnancy test
what is the goal blood trough level for lithium? -Correct Answer ✔0.6 - 1.2 mEq/L
what are the most common side effects of lithium use? -Correct Answer ✔GI upset
weight gain
tremor
hair loss/acne
can cause:
leukocytosis
polyuria/polydipsia secondary to ADH antagonism
thyroid abnormalities
what are the levels and signs of lithium toxicity? -Correct Answer ✔mild (1.5-2):
lethargy, tremor, increased GI upset
moderate (2-2.5) confusion, nystagmus
severe (>2.5) convulsions, oliguria, renal failure, seizures
Nurs 663 exam 1
, Nurs 663 exam 1
what type of change on ECG might you see with lithium overdose? -Correct Answer ✔T
wave flattened
what birth defect might be present with lithium use? -Correct Answer ✔ebstein's
anomoly
how do you treat lithium overdose? -Correct Answer ✔*dialysis*
sodium polystyrene sulfonate
what type of bipolar symptoms does valproic acid help? -Correct Answer ✔mania
- less effective with depression
what is the starting dose of lithium? -Correct Answer ✔300mg BID or TID
what types of bipolar patients might benefit most from valproic acid? -Correct Answer
✔rapid cycling
mixed
patient with comorbid anxiety
comorbid substance use
what lab tests should be monitored with valproic acid? -Correct Answer ✔LFT, CBC,
pregnancy test
what supplement should be started in women of childbearing age who are taking
valproic acid? -Correct Answer ✔folic acid
what is the target blood level of valproic acid? -Correct Answer ✔50-100 mcg/ml
what are side effects of valproic acid? -Correct Answer ✔thrombocytopenia,
pancreatitis, weight gain, hair loss, GI distress, cognitive dulling, neural tube defects in
pregnancy
*weight gain and sedation
- watch for increase in ammonia and transaminitis
what two organs can be impacted by valproic acid? -Correct Answer ✔liver, pancreas
what birth defects might be observed with valproic acid? -Correct Answer ✔neural tube
defects, cleft palate
what is the first line treatment for acute mania and mania prophylaxis? -Correct Answer
✔carbamazepine
Nurs 663 exam 1
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