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NURS 250 Mental Health Exam 2025 2026. QUESTIONS WITH CORRECT AND VERIFIED ANSWERS. A+, Exams of Nursing

NURS 250 Mental Health Exam 2025 2026. QUESTIONS WITH CORRECT AND VERIFIED ANSWERS. A+ GRADED. Depression S&S Depressed mood plus SIGECAPS Depression S&S SIGECAPS: S Sleep Depression S&S SIGECAPS: I Interest (anhedonia) Depression S&S SIGECAPS: G Guilt Depression S&S SIGECAPS: E Energy Depression S&S SIGECAPS: C Concentration

Typology: Exams

2024/2025

Available from 07/12/2025

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A+ GRADED. Depression S&S Depressed mood plus SIGECAPS Depression S&S SIGECAPS: S Sleep Depression S&S SIGECAPS: I Interest (anhedonia) Depression S&S SIGECAPS: G Guilt Depression S&S SIGECAPS: E Energy Depression S&S SIGECAPS: C Concentration Depression S&S SIGECAPS: A Appetite Depression S&S SIGECAPS: P Psychomotor Retardation/Agitation Depression S&S SIGECAPS: S (2) Suicide How to Diagnosis Major Depressive Disorder 5 out of these 9 symptoms for 2 or > weeks Avolition lack of motivation How to assess mood/affect 1st: give one or 2 words to describe mood then rate mood (0-10) Lack of Ability to Concentrate due to... decreased blood flow to frontal cortex Suicidal Levels ITGAC): I Ideation Suicidal Levels (TGAC): T Threat Suicidal Levels ITGAC): G Gesture Suicidal Levels ITGAC): A Attempt Suicidal Levels ITGAC): C Completion Suicide Prevention Plan Safe environment Warning signs Internal coping Strategies Positive distractions (people/places) Who to contact for help (friends/family) Professional Agencies PET Scans (blood flow) Light Therapy Electroconvulsive Therapy (ECT) Transcranial Magnetic Stimulation Vagal Nerve Stimulation Deep Brain Stimulation (R/F Hemorrhaging) ECT Pre-Procedure Consent form NPO except BP meds (only sip of water) ECT During Procedure Baseline Vitals IV-line Tourniquet applied to one extremity Meds (general anesthesia short-acting like Brevital Sodium and short acting muscle relaxant like Succynyl Choline) Monitor ECG waves and for evidence of seizure activity ECT Post Procedure Priorities: airway clearance, pain control, & mental status (Return of gag reflex) Vital signs (q 15 mins for 1 hour the q 4 hours; orthostatic hypotension common) Confusion, memory loss and headache common High fall risk in elderly Psychotropic Medications for Depressive Disorders Antidepressants: SSRIs gold standard Medication Interactions: Dietary (MAOIs), OTC Products (Hypericum perforatum, St. Johns Wort) Exercise CBT (reframe how they think) How to assess if medications are effective in Depressive Disorders Mood/A ffect Increased Temp Central Serotonin Syndrome Symptoms SHIVERS: V Vital sign instability (tachycardia & increased BP) Central Serotonin Syndrome Symptoms SHIVERS: E Encephalopathy (mental status changes) Central Serotonin Syndrome Symptoms SHIVERS: R Restlessness Central Serotonin Syndrome Symptoms SHIVERS: S (2) Sweating & Large Stool Treatment of Central Serotonin Syndrome Hold meds Transfer patient to unit Cooling blankets Dantrolene (Skeletal Muscle Relaxant) Diazepam (muscle rigidity & anticonvulsant) Cyproheptadine HCL (antihistamine & blocks serotonin) Bipolar 1 Mania to Major depression Bipolar 2 Hypomania to Major Depression Dysthymia Moderate Depression 2 years or more "always been that way" Decreased need for sleep Inappropriate dress Flight of ideas Caring for Clients with Bipolar Disorders-Mania: Assess Assess mood, behavior, thought process & content plus speech Caring for Clients with Bipolar Disorders-Mania: Ensure Ensure safe, reduced stimuli environment, adequate sleep/rest, hygiene & elimination Caring for Clients with Bipolar Disorders-Mania: Provide Provide on the go high protein/high calorie nutrition and hydration Caring for Clients with Bipolar Disorders-Mania: Incorporate Incorporate distractions Caring for Clients with Bipolar Disorders-Mania: Employ Employ limit setting as needed Caring for Clients with Bipolar Disorders-Mania: Monitor Monitor for signs of lithium toxicity Caring for Clients with Bipolar Disorders-Mania: Diet Small, frequent meals -increased protein, increased calories Communicating with a patient with Bipolar Speak in firm calm, neutral manner (not with fast speech) Use short concise sentences Maintain consistency with unit rules & expectations Use distraction techniques Maintenance: (0.4-1.0) Medications for Bipolar Disorders: Lithium Carbonate Side Effects vs. Toxicity Expected = weight gain, N&V, thirst, diarrhea, fine hand tremors, goiter, & hypothyroidism can occur Confusion, coarse hand tremors, incoordination, EEG changes to large dilute urine output, hypotension and death Medications for Bipolar Disorders: Anticonvulsants Divalproex Sodium Carbamazepine Lamotrigine (common; causes Steven Johnson Syndrome) Medications for Bipolar Disorders: Antipsychotics Olanzapine Risperidone -manage agitation Safe Psychotropic Medication Administration for Bipolar Teach Patients to: -Get blood levels drawn -Look for signs of toxicity -Drink 1500 to 3000 mL daily -Keep same sodium intake -Notify health provider ---before taking OTC meds ---if severe diaphoresis, severe diarrhea or excess vomiting develops (may need to STOP Lithium) ---Lithium is often tapered when discontinuing it Schizophrenia Spectrum Disorders Delusion Disorder Schizophreniform Disorder Schizoaffective Disorder What is implicated in the perceptual disturbances? dopamine Positive Symptoms of Schizophrenia Hallucinations Delusions Disorganized speech (loose association) Cognitive Symptoms of Schizophrenia impaired judgment and memory easily distracted illogical thinking Negative Symptoms of Schizophrenia Blunted Affect Avolition (lake of motivation) Anhedonia (lack of pleasure) Alogia (poverty of thought) Affective Symptoms of Schizophrenia Suicidality Hopelessness Dysphoria Schizophrenia symptoms DISRUPTS social/interpersonal occupation self-care quality of life Managing the Hallucinations Determine type, command, frequency, & pattern of hallucinations STOP technique