The novice psychiatric-mental health nurse understands the ...

[vicky]

The novice psychiatric-mental health nurse understands the importance of professional and personal qualities when working with patients who have psychiatric conditions.
 
  What is the most important personal quality the nurse should have when working with patients with mood disorders?
  1. Good recall
  2. Self-awareness
  3. The ability to sympathize
  4. An extroverted personality

Question 2

The nurse caring for a patient with severe mania anticipates that which neuromodulation therapy will likely be ordered for maintenance treatment?
 
  1. Light therapy
  2. Deep brain stimulation (DBS)
  3. Electroconvulsive therapy (ECT)
  4. Repetitive transcranial magnetic stimulation (rTMS)

[zacnyjessica]

Answer to Question 1

Answer: 2
Explanation: Self-awareness is most important because knowledge of self is the first step toward an effective nurse-patient relationship. An extroverted personality is not needed to work effectively with mood-disordered patients. Empathy, rather than sympathy, is important in working with patients with psychiatric illnesses. Good recall does not ensure effective work with patients who have mood disorders.

Answer to Question 2

Answer: 3
Explanation: ECT is believed to affect alteration/modulation of neurotransmitter and hormonal systems responsible for mood and cognition. It is given under general anesthesia for a total of 6-12 treatments and is commonly used for patients with severe mood disorders as both an acute and maintenance treatment. Light therapy is used in treatment of seasonal affective disorder (SAD); DBS is used in the treatment of severe refractory depression; and rTMS is approved for treatment of unipolar depression with one failed antidepressant treatment.