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HESI®-RN Comprehensive Review
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Psychiatric Assessment Strategies for Inpatients: Resources with a Purpose

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Psychiatric Assessment Strategies for Inpatients: Resources with a Purpose
15 Picmonics to Learn | 30 mins
Schizophrenia Assessment
Positive Symptoms
Hallucinations
Delusions
Associative Looseness
Negative Symptoms
Flat Affect
Poverty of Thought
Absence of Something that Should be Present
Cognitive Symptoms
Illogical Thinking
Impaired Judgment and Memory
Affective Symptoms
Dysphoria
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2 mins
Schizophrenia Interventions
Drug Therapy
Antipsychotics
Interventions
Build Trust
Assistance with Self-care
Reality Testing
Monitor for Neuroleptic Malignant Syndrome
Monitor for Tardive Dyskinesia
Family Therapy
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2 mins
Hallucinations, Illusions, Delusions
Hallucination
No External Stimulus
Auditory
Visual
Olfactory
Gustatory
Tactile
Illusion
Misinterpretation of Stimulus
Delusion
Fixed, False Belief
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2 mins
Bipolar Disorder Assessment
Mechanism
Neurotransmitter Dysregulation and Genetic Factors
Mania Signs and Symptoms
Euphoric Mood
Nonstop Physical Activity
Flight of Ideas
Rapid Speech
Depression Signs and Symptoms
Mood Changes
Sad Affect
Psychomotor Retardation
Suicidal Thoughts
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2 mins
Bipolar Disorder Interventions
Drug Therapy
Lithium
Valproic Acid (Valproate)
Lamotrigine
Manic Episode
Hospitalization
Nutrition
Hygiene
Depressive Episode
Monitor for Vegetative Signs
Suicide Precautions
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2 mins
Documentation Guidelines
Factual
Objective Information
Subjective Information from Patient
Objective Supports Subjective
Accurate
Avoid Unnecessary Words and Details
Exact Measurements
Current
Assessments
Document ASAP
Treatment and Response
Change in Status
Admission, Transfer, Discharge or Death
Organized
Document in a Logical Order
Ensure Information Recorded is Complete
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4 mins
SIG E CAPS for Major Depressive Disorder (MDD)
SIG E CAPS Acronym
Sleep Problems
Interest Deficit
Guilt or Worthlessness
Energy Loss or Fatigue
Concentration Difficulty
Appetite Changes
Psychomotor Retardation or Agitation
Suicidal Ideation
Diagnosis
5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
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2 mins
Major Depressive Disorder with Peripartum Onset
Diagnostic Criteria
Sleep Problems
Interest Deficit
Guilt or Worthlessness
Energy Loss or Fatigue
Concentration Difficulty
Appetite Changes
Psychomotor Retardation or Agitation
Suicidal Ideation
5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Onset No Later Than 1 Year After Delivery
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2 mins
Suicide Assessment
SAD PERSONS Scale
Verbal Cues
Direct (Overt) Statements
Indirect (Covert) Statements
Behavioral Cues
Giving Away Prized Possessions
Sudden Improvement in Mood
Putting Personal Affairs in Order
Lethality of Plan
Detail of Plan
Availability of Means
Proposed Method
Suicide Precautions
Safe Environment
One-on-One Monitoring
No Suicide Contract
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2 mins
Suicide Risk Factors
Depression
Previous Attempt
No Support System
Access to Firearms or Medications
Substance Abuse
Physical or Sexual Abuse
Chronic Illness or Pain
Extremes of Age
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2 mins
Lithium
Mechanism of Action
Mood Stabilizer
Unknown Mechanism
Indications
Bipolar Disorder
Side Effects
Nephrogenic Diabetes Insipidus
Hypothyroidism
Tremor
Heart Block
Contraindication
Pregnancy
Considerations
Monitor Plasma Levels
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2 mins
Valproic Acid (Depakote)
Mechanism
Blocks Na+ Channels
Increases GABA Concentration
Indications
Tonic-clonic Seizures
Bipolar Disorder
Migraine Prophylaxis
Side Effects
Hepatotoxicity
Blood Dyscrasias
GI Distress
Tremor
Pancreatitis
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1 min
Valproic Acid (Valproate) Side Effects
V-A-L-P-R-O-A-T-E
Vomiting
Alopecia
Liver Toxicity
Pancreatitis/Pancytopenia
Retain Fat (Weight Gain)
Oedema (Edema)
Appetite Increase
Tremor
Enzyme Inhibitor (P450)
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2 mins
Carbamazepine (Tegretol)
Mechanism
Inactivates Na+ Channels
Indications
Seizures
Bipolar Disorder
Trigeminal Neuralgia
Side Effects
Nystagmus
Ataxia
Hepatotoxicity
Blood Dyscrasias
Water Retention
Stevens-Johnson Syndrome
Considerations
Avoid Grapefruit Juice
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2 mins
Lamotrigine (Lamictal)
Mechanism
Blocks Na+ Channels
Indications
Seizures
Bipolar Disorder
Side Effects
Diplopia
Stevens-Johnson Syndrome
Headache
Aseptic Meningitis
Nausea and Vomiting
Considerations
Screen for Suicide Risk
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2 mins

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