Reference no: EM133397890

Part 1:

Define and give examples of parity in health care delivery and mental health parity.
Identify nursing interventions and a plan to ensure that your client with a serious mental illness has a better chance of maintaining their medication regimen and to .support medication compliance and independence in community settings
Discuss priorities for inpatient staff dealing with behavioral crises to resolve without violating the patient's legal rights.

Part 2:

Discuss the role of cortisol and its effects when released in response to prolonged stress.
Discuss the best treatment options for Post-Traumatic Stress Disorder (psychotherapeutic and psychopharmacologic strategies).
Explore and discuss the relationship between emotions, stress and functioning of the immune system.
Discuss the relationship between the sympathetic and parasympathetic nervous system and how they impact stress reduction and the relaxation response.
Identify the etiology and precipitating events as well as expected behaviors for dissociative identity disorder and dissociative fugue disorders.
Define, giving examples of events and cues that are associated and symptoms seen in PTSD including derealization, depersonalization, nightmares, re-experiencing, intrusion, flashbacks.

Part 3:

Recognize/identify MAOI's on our Medication classification list and explore the relationship of MAOIs, dietary restrictions, tyramine, and vasoconstriction; discuss the most important teaching for your patients on these meds.
Recognize/identify the SSRI antidepressants on our medication classification list and discuss most common as well as adverse side effects, causes and important med education to ensure pt understanding.
Identify the signs and the symptoms of serotonin syndrome and identify your assessment questions for your patient who you suspect may have serotonin syndrome.
Identify the DSM 5 characteristics necessary for a diagnosis of Major Depressive Disorder and describe the therapeutic effects that the nurse monitors for when a patient is on antidepressant therapy.
Compare and contrast diagnostic criteria for depression including mood, affect, vegetative signs, anhedonia, low self-worth/esteem, hopelessness, negative thinking, overgeneralization and give examples of each and identify how you would assess, address and document each.
Recognize/identify the tricyclic antidepressants (TCA's) on our medication classification list and discuss significant common & adverse side effects, the client population of concern when administering TCA's and important assessment of this population.
Discuss teaching and both the pharmacological and nonpharmacological interventions to address common side effects of TCA's.

Part 4:

Compare and contrast specific symptoms and behaviors seen in a manic episode with severe hyperactivity, poor nutritional status, decreased need for sleep, demanding behavior; and identify priority concerns important nursing interventions and support measures.
Discuss Mood Stabilizers (carbamazepine, valproic acid, lamotrigine) and (lithium) to treat bipolar; identify significant side and adverse effects specific to each as well as important labs for each.
Discuss rapid cycling bipolar and identify specific medications that have been shown to have efficacy.

Part 5:

Discuss and differentiate between etiologies of schizophrenia related to both neurochemical and neuroanatomic theory.
Identify antipsychotic medications on our list - compare, contrast these first- and second-generation antipsychotics, discussing their use for positive and negative symptoms, common side, and adverse effects as well as the most appropriate patient profiles for these meds.
Define, differentiate between and give examples of the following symptoms found in schizophrenia: associative looseness, thought blocking, poverty of thought, neologisms, word salad, thought insertion/deletion, ideas of reference.
Discuss/differentiate nursing interventions/teaching related to side/adverse effects of haloperidol, fluphenazine, chlorpromazine, clozapine, olanzapine, risperidone, ziprasidone, quetiapine, and aripiprazole.
Define and give examples of extrapyramidal side effects (EPS) pseudoparkinsons, dystonia, akathisia, tardive dyskinesia, and describe nursing interventions and specific medication protocols for each.
Compare, contrast, define and give examples of Neuroleptic Malignant Syndrome & Agranulocytosis; identify medications that cause, describe, and discuss symptoms of each and nursing interventions.

Part 6:

Define 'crisis' and how that impacts interventions and discuss optimal outcomes for an individual experiencing a crisis.
Discuss the purpose and focus of crisis intervention strategies.
Define and give examples of situational, adventitious, and maturational crisis.
Compare and contrast primary, secondary and tertiary interventions to promote mental health.
Discuss assessment of a patients' perception of a crisis and ability to cope in a crisis situation.

Part 7:

Discuss neuro-transmitter involvement in depression and suicide and best medication to help.
Identify the protective factors as well as importance of a lethality assessment including important questions to ask a patient with suicide ideation and or plan.
Identify the characteristic most common among people who have suicide ideation or attempt suicide.
Identify and discuss behaviors that provides the strongest clue of an impending suicide attempt.
Discuss nursing diagnosis/nursing management and risk assessment of patient on suicide precautions.

Part 8:

Discuss central nervous system structures associated with anger and aggression
Identify techniques that you can teach your patient who is easily frustrated and acts out in anger to identify and more appropriately deal with their emotions.
Discuss least to most restrictive interventions with the agitated, aggressive patient and the primary guideline for the use of seclusion and restraint.
Discuss the definitions and give examples of anger, aggression, hostility.
Discuss the steps in nursing staff approaches when a patient has become agitated and aggressive and a code has been called.
Identify the best medications to rapidly diffuse anger that is fueling a behavioral crisis.

Part 9:

Discuss and define the grief process, giving examples of each step.
Discuss and define, giving examples of anticipatory, disenfranchised, complicated, ambiguous grief.
Discuss and give examples of factors that may adversely impact the mourning process, making it more difficult.