Mood Disorders
11Focused Study Guide for Mood Disorders
1. List the signs & symptoms of anxiety & describe the nurse’s role in managing anxiety in clients. Panic Disorder -Episodes typically last 15 to 30 min Four or more of the following symptoms are present: * Palpitations * Shortness of breath * Choking or smothering sensation * Chest pain * Nausea * Feelings of depersonalization * Fear of dying or insanity * Chills or hot flashes | Generalized anxiety disorder (GAD) excessiveWorry > 6 months.At least three of the following physical symptoms are present: Fatigue Restlessness Problems with concentration Irritability Increased muscle tension Sleep disturbances | Physical: palpitations increased or decreased blood pressure, rapid breathing, difficulty getting air, pacing, face flushed, localized sweating, diarrhea | Affective: impatient, nervous, fearful, anxious, & frightened | Cognitive: self-consciousness, hyperviligance, self-consciousness, confused, fear of losing control | Behavioral: inhibited, avoidance, restlessness, postural collapse | Nurses Role * Teaching patients breathing control * Relaxation techniques * Increasing physical exercise activity * Lower the demands or perceived demands to promote comfort * Being sensitive to pronounced startle reflexes * Simplifying routines * Making routines as consistent & predictable as possible * Identifying areas in which control can be contained, & creating an environment in which the patient feels safe * Anticipatory preparation for non-routine events |
2. Identify appropriate nursing diagnoses, nursing interventions, goals & activities for clients diagnosed with bipolar disorder. Nursing diagnosis | Nursing interventions | Goals & Activities | * Disturbed Sleep pattern r/t hyperactivity * Sleep deprivation r/t insomnia * Hypothermia * Deficient Fluid Volume * Noncompliance * Risk for Injury * Activity intolerance * Anxiety * Fatigue *
1. List the signs & symptoms of anxiety & describe the nurse’s role in managing anxiety in clients. Panic Disorder -Episodes typically last 15 to 30 min Four or more of the following symptoms are present: * Palpitations * Shortness of breath * Choking or smothering sensation * Chest pain * Nausea * Feelings of depersonalization * Fear of dying or insanity * Chills or hot flashes | Generalized anxiety disorder (GAD) excessiveWorry > 6 months.At least three of the following physical symptoms are present: Fatigue Restlessness Problems with concentration Irritability Increased muscle tension Sleep disturbances | Physical: palpitations increased or decreased blood pressure, rapid breathing, difficulty getting air, pacing, face flushed, localized sweating, diarrhea | Affective: impatient, nervous, fearful, anxious, & frightened | Cognitive: self-consciousness, hyperviligance, self-consciousness, confused, fear of losing control | Behavioral: inhibited, avoidance, restlessness, postural collapse | Nurses Role * Teaching patients breathing control * Relaxation techniques * Increasing physical exercise activity * Lower the demands or perceived demands to promote comfort * Being sensitive to pronounced startle reflexes * Simplifying routines * Making routines as consistent & predictable as possible * Identifying areas in which control can be contained, & creating an environment in which the patient feels safe * Anticipatory preparation for non-routine events |
2. Identify appropriate nursing diagnoses, nursing interventions, goals & activities for clients diagnosed with bipolar disorder. Nursing diagnosis | Nursing interventions | Goals & Activities | * Disturbed Sleep pattern r/t hyperactivity * Sleep deprivation r/t insomnia * Hypothermia * Deficient Fluid Volume * Noncompliance * Risk for Injury * Activity intolerance * Anxiety * Fatigue *