Neurotransmitters
Anxiety (ADPIE) assessment and coping strategies, defense mechanisms (positive vs negative),
patient teaching, know pharmacological interventions that we can give for a client with signs and
symptoms of anxiety (know anxiolytics / anti-anxiety meds) therapeutic communication with
anxious client
Anxiety interventions for panic attack,), Medication Interventions: Peek at table 27.4 SSRI,
SNRI, Benzodiazepines
Anxiety disorders: teaching client about relaxation techniques
Anxiety: Know differences between the degrees of anxiety, mild, moderate, severe, and panic.
What does my patient look like in each level of anxiety?
PTSD ADPIE: assessment, signs, and symptoms, recognizing cues, and interventions. Patient
Teaching about PTSD?
PTSD: trauma and stressor related disorders: manifestations (Changes or signs and symptoms
in physical and emotional reactions) of PTSD in a school aged child
Diagnostic And Statistical Manual 5th edition: (DSM-5): Know the purposes
• What is DSM and 3 main purposes (1. common language for clinicians, 2. defining
characteristics or symptoms for diagnosis, 3. identify causes of disorder)
Mental health vs mental illness
Know the interdisciplinary team and roles in MH:
• Interdisciplinary teams: different roles such as psychologist, psychiatrist, nurse (charge & staff
(, manager, social worker, case manager, RECREATIONAL THERAPIST is active in MH and
works with clients to help stay active and prepare GROUP ACTIVITIES.
Know Maslows Hierarchy with 5 Levels:
• What is greatest importance or highest priority? In Mental Health (MH) we should think about
our #1 PRIORITY is always SAFETY which when you look at Maslows this falls under the
Safety Needs after Physiological needs.
Assessment: subjective vs objective (subjective data consist of the client’s perception of his or
her health problems. Objective data are observations or measurements made by the data
collector)
What is an example of a therapeutic response if the nurse says the wrong thing? Therapeutic
communication: is in every chapter
• Review the definitions for effective communication: ATI chapter 3 and Boyd Chapter 10
Know the difference between Transference vs Countertransference
The therapeutic communication interaction is most comfortable when the nurse and client are 3
to 6 feet apart; 0 to 18 inches is comfortable for parents with young children, people who
mutually desire personal contact, or people whispering; 2 to 3 feet is comfortable between family
and friends who are talking; 4 to 12 feet is acceptable for communication in social, work, and
business settings
Client discharge and supportive systems (how do we know and what does this look like?)
Know term resilient and how we bounce back after incident (elasticity): refers to positive
adaptation or the ability to maintain or regain mental health despite adversity
Suicide Prevention: Assessment to Recognize Cues and think about what matters most?,
Diagnosis with Analyzing the Cues and think about what is the relevant data or what could be
the complications with this client?, Planning / Goals: what is my solution for client?,
Interventions: what is my nursing action for this client?, Evaluation (ADPIE): What are high and
Low Lethality Methods; What are some expected behaviors, What are risk factors for this client?
• Suicide and depression with interventions and medications prescribed, suicide and high risk
factors, suicide prevention, suicide plans (assessment), SAD PERSONS SCALE, therapeutic
communication with clients who are suicidal
Culturally competent care: Nursing care for cultural competence (communication) Math
calculation: Review week 3 Module & practice with example
Case Study: 2 questions based on one case study: Anxiety (ADPIE): Refer to Boyd Table 27.4 to
view medications for Panic Anxiety for example: SSRIs, SNRIs, Benzodiazepines... How do
Interventions differ between the degrees of Anxiety: Mild, Moderate, Severe, Panic
NEVADA STATE COLLEGE
EXAM 1: FOCUSED STUDY REVIEW SPRING 2022: COHORT 0822A
Know what it means to have family boundaries
• Review Boundaries (family, professional, etc....) and Know the differences: for example: Rigid
(do not change), Enmeshment (fail to differentiate and results in low levels of autonomy in
families), Clear (appropriate)
Know Stigma
Know discharge considerations (what should I think about when I am discharging my client?)
Why is spirituality and being caring important? How does it relate to being fully present.?
Therapeutic and safe environment: priority action when establishing trust with a client
Drug actions including EPS, Anticholinergic effects, Dopamine-blocking effects
tricyclic antidepressant, selective norepinephrine reuptake inhibitor (SNRI), MAO
inhibitor, SSRI. (Know classification, side effects, and meds in each class for comparison)
What are Extrapyramidal Symptoms (EPS) and what does it look like? What is the cause? Legal
and ethical issues: interventions for a client in restraint and or seclusion