Mental Health & Crisis Management

1. A pregnant patient receives the news that she has low iron according to the complete blood count (CBC) lab results. The patient panics and worries that there is something wrong. Your response to the patient is:

2. A newborn is delivered by Cesarean Section and weighs 4000 gms. As the nurse caring for the newborn you will complete the following action: Question 40 options: Avoid skin to skin with mother Heel stick for blood glucose Recommend formula feeding as a supplement Refrain from covering the newborn’s head with a hat to avoid overheating

3. Fertility Awareness Methods are best utilized by:

4. The purpose of applying pressure to the anus and perineal area with a sterile towel during the delivery of the fetal head is:

5. A patient in labour and delivery is hemorrhaging after the vaginal delivery of a 2800 gm newborn. You know that the most likely cause of hemorrhage is: Question 31 options:  Uterine atony Lacerations to the perineum and birth canal Placental abruption Retained palcental tissue

6. A pregnant patient reports having upper epigastric pain, a headache and pitting edema. You know that these are all symptoms of: Question 27 options: Preeclampsia Fatty liver disease Seizure disorder of pregnancy Eclampsia

7. When palpating a contraction, what criteria is the nurse assessing regarding the contraction?

8. you are assessing a non-hispanic black, 35 years old multipara at 24 weeks gestation.

9. You are coming onto shift and have been assigned Room #3. You receive report that the newborn in Room #3 is 39 weeks gestation, Large for gestational age, pink and feeding well. When you observe the newborn you see that the newborn weighs 3000 gms, is covered in lanugo and is feeding well. This observation concludes that: Question 14 options: The newborn is actually large for gestation age The newborn is actually intrauterine growth restricted The social worker needs to be contacted. The newborn is less than 39 weeks gestation

10. An newborn is delivered vaginally at 36 weeks gestation. You are aware that this newborn may :

11. The fetus has engaged and Mom has been pushing for 4 hours. The physician encourages an epidural to give Mom a rest. When the baby is finally delivered vaginally you notice the following:

Mood disorders and schizoaffective disorders

 

Overview1

 

Mood disorders affect about 10% of the population. Everyone experiences “highs” and “lows”, but people with mood disorders experience them with greater intensity and for longer periods of time.

 

Depression is the most common mood disorder; a person with depression feels “very low.” Symptoms may include: feelings of hopelessness, changes in eating patterns, disturbed sleep, constant tiredness, an inability to have fun, and thoughts of death or suicide.

 

People with bipolar disorder have periods of depression and periods of feeling unusually “high” or elated.

 

Some examples of mood disorders include2:

 

Major depressive disorder (MDD)

Prolonged and persistent periods of extreme sadness.

Bipolar disorder

Depression that includes alternating times of depression and mania.

Seasonal affective disorder (SAD)

A form of depression most often associated with fewer hours of daylight in the far northern and southern latitudes from late fall to early spring.

Cyclothymic disorder

A disorder that causes emotional ups and downs that are less extreme than bipolar disorder.

Premenstrual dysphoric disorder

Mood changes and irritability that occur during the premenstrual phase of a woman’s cycle and go away with the onset of menses.

Persistent depressive disorder (dysthymia)

A long-term (chronic) form of depression.

Disruptive mood dysregulation disorder

A disorder of chronic, severe and persistent irritability in children that often includes frequent temper outbursts that are inconsistent with the child’s developmental age.

Depression related to medical illness

A persistent depressed mood and a significant loss of pleasure in most or all activities that’s directly related to the physical effects of another medical condition.

Depression induced by substance use or medication

Depression symptoms that develop during or soon after substance use or withdrawal or after exposure to a medication.

 

Schizoaffective Disorder

 

verview3

The two types of schizoaffective disorder — both of which include some symptoms of schizophrenia — are:

· Bipolar type, which includes episodes of mania and sometimes major depression

· Depressive type, which includes only major depressive episodes

Schizoaffective disorder may run a unique course in each affected person, so it’s not as well-understood or well-defined as other mental health conditions.

Untreated schizoaffective disorder may lead to problems functioning at work, at school and in social situations. People with schizoaffective disorder may need assistance and support with daily functioning.

Fact Sheets about Mood Disorders

· Anxiety and Mood Disorders

Mood Matters: What you need to know about ANXIETY AND MOOD DISORDERS

· Bipolar Disorder

Mood Matters: What you need to know about BIPOLAR DISORDER

· Depression

Mood Matters: What you need to know about DEPRESSION

· Early Psychosis and Young People

Mood Matters: What you need to know about EARLY PSYCHOSIS and YOUNG PEOPLE

· Obsessive Compulsive Disorder (OCD)

Mood Matters: What you need to know about OBSESSIVE COMPULSIVE DISORDER

· Perimenopause / Menopause

Mood Matters: What you need to know about PERIMENOPAUSE / MENOPAUSE

· Postpartum Depression

Mood Matters: What you need to know about POSTPARTUM DEPRESSION

· Premenstrual Dysphoric Disorder (PMDD)

Mood Matters: What you need to know about PREMENSTRUAL DYSPHORIC DISORDER (PMDD) and PREMENSTRUAL SYNDROME

· Rapid Cycling

Mood Matters: What you need to know about RAPID CYCLING

· Seasonal Affective Disorder (S.A.D.)

Mood Matters: What you need to know about SEASONAL AFFECTIVE DISORDER (S.A.D.)

· Seniors and Depression

Mood Matters: What you need to know about SENIORS and DEPRESSION

· Suicide

Mood Matters: What you need to know about SUICIDE and MOOD DISORDERS

· Teen Depression

Mood Matters: What you need to know about TEEN DEPRESSION

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