*NURSING > STUDY GUIDE > NUR2488 / NUR 2488 / NU 249 Exam 2 Concept / Study Guide Updated: Mental Health Nursing - Rasmussen (All)

NUR2488 / NUR 2488 / NU 249 Exam 2 Concept / Study Guide Updated: Mental Health Nursing - Rasmussen

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NUR2488 / NU249 Mental Health Nursing – Exam 2 Concept Guide Mood: Depression Define common symptoms- memory difficulties, suicidal, worthlessness, helplessness, anhedonia-loss of pleasurab... le 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 include: • •Headache, which usually dissipates in a few days • •Nausea, which usually dissipates in a few days • •Sleeplessness and/or drowsiness during day, which usually dissipates in a few weeks • •Tremors and/or dizziness • •Sexual problems: reduces sexual drive, problems having and enjoying sex • •Agitation, feeling jittery and nervous; rare serotonin syndrome; rare activation of suicidal ideation Minimal interaction with other drugs, minimal weight gain, sedation Possible initial anxiety [Show More]

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