Psychiatric Mental Health Nursing

The difference between paraphilia and paraphilic disorders. Some of the main paraphilic disorders, including: exhibitionism, voyeurism, fetishism, frotteurism, sexual sadism, sexual masochism, and pedophilia.

Addiction and substance use disorders. Important terminology regarding addiction, including: intoxication, tolerance, dependence, and withdrawal. Alcohol use disorder, including the signs and symptoms of intoxication, signs and symptoms of withdrawal, signs and symptoms of delirium tremens, nursing care of a patient experiencing alcohol withdrawal, and treatment to promote alcohol abstinence. Opioid use disorder, including the signs and symptoms of intoxication, signs of toxicity (i.e., opioid overdose), the antidote for opioids, signs of opioid withdrawal, and treatment of opioid use disorder. Finally, stimulant use disorder, including the signs and symptoms of intoxication, signs and symptoms of toxicity, signs and symptoms of withdrawal, and treatment of stimulant use disorder.

Alzheimer's disease and reviews the differences between dementia and delirium. The symptoms of early-stage, moderate-stage, and late-stage Alzheimer's disease, along with other symptoms associated with dementia, such as confabulation, preservation, and sundowning. The diagnosis, treatment, and nursing care of a patient with Alzheimer's disease. Important teaching regarding home safety. Finally, key differences between dementia and delirium.

Gender dysphoria and body dysmorphic disorder. What gender dysphoria is and symptoms of gender dysphoria. Diagnosis, treatment, and nursing care of patients with gender dysphoria. What body dysmorphic disorder is, along with signs/symptoms of body dysmorphic disorder. The diagnosis, treatment, and nursing care of patients with body dysmorphic disorder.

Dissociative disorders, including: dissociative amnesia, depersonalization disorder, and dissociative identity disorder. Risk factors, diagnosis, treatment, and nursing care of patients with dissociative disorders.

Attention Deficit Hyperactivity Disorder (ADHD) and Autism. The symptoms, diagnosis, treatment, and family teaching associated with ADHD. The risk factors, symptoms, diagnosis, treatment, and family teaching associated with autism.

Conduct disorder and oppositional defiant disorder. The characteristics of each disorder, risk factors associated with conduct disorder, and treatment of conduct disorder.

Personality disorders, including: paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, antisocial personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder, avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder.

Schizophrenia. Positive and symptoms associated with schizophrenia (i.e., delusions, hallucinations, altered speech patterns), along with the negative symptoms associated with schizophrenia. Detailed explanation of disorganized speech associated with schizophrenia, including: flight of ideas, pressured speech, neologisms, echolalia, word salad, and clang association. Diagnosis, treatment, and nursing care of patients with schizophrenia.

Bipolar Disorder. Types of bipolar, symptoms of mania and depression, treatment of bipolar disorder, and nursing care of patients with bipolar disorder.

Obsessive Compulsive Disorder (OCD). Obsessions and compulsions, diagnosis of OCD, treatment of OCD, and nursing care of patients with OCD. Post Traumatic Stress Disorder (PTSD). Risk factors, signs/symptoms, diagnosis, treatment, and nursing care of patients with PTSD.

Major depressive disorder (MDD). The risk factors, symptoms, diagnosis, treatment, and nursing care for a patient with depression. Other depressive disorders, including: persistent depressive disorder, premenstrual dysphoric disorder, and seasonal affective disorder.

Generalized Anxiety Disorder (GAD). Symptoms, diagnosis, treatment, and nursing care of generalized anxiety disorder. Specific anxiety disorders, including social anxiety disorder and agoraphobia.

Medications used for substance use disorders, including alcohol use disorder (disulfiram, naltrexone, acamprosate) and opioid use disorder (buprenorphine, methadone). Medications that support smoking cessation (varenicline, buproprion).

Central Nervous System stimulations, which are used to treat ADHD (Attention Deficit Hyperactivity Disorder). Key medications within this class, side effects, nursing care, and patient teaching for ADHD medications.

Antipsychotic medications used in the treatment of schizophrenia, including first generation (typical) and second generation (atypical) antipsychotics. The side effects and nursing care for each medication class. Two important antipsychotic side effects: extrapyramidal symptoms and neuroleptic malignant syndrome.

Key medications used in the treatment of bipolar disorder, including lithium, carbamazepine, and valproic acid. For lithium, the side effects, contraindications, signs/symptoms of toxicity, interactions, nursing care, and patient teaching associated with lithium. For carbamazepine and valproic acid, the mode of action, key side effects, and nursing care associated with these medications.

Two key atypical antidepressants, bupropion and trazodone. The indications, mode of action, and side effects associated with these medications.

Monoamine oxidase inhibitors (i.e., MAOIs), including: phenelzine, tranylcypromine, isocarboxazid, and selegiline. The mode of action, key side effects, interactions, and patient teaching associated with MAOIs.

Tricyclic antidepressants, including amitriptyline and imipramine. The indications, mode of action, side effects, and patient teaching associated with this medication class.

Selective Serotonin Reuptake Inhibitors (SSRIs) and Selective Serotonin and Norepinephrine Reuptake Inhibitors (SSNRIs). Key medications that fall within these drug classes. The mode of action, interactions, and important side effects to know for SSRIs and SSNRIs.

Key medications used to treat anxiety, including benzodiazepines (diazepam, lorazepam, midazolam, alprazolam, chlordiazepoxide) and atypical anxiolytics (buspirone). The mode of action, side effects, and important teaching regarding medications in these drug classes.

Four key neurotransmitters that are commonly affected by mental health medications, including: GABA, serotonin, norepinephrine, and dopamine. Key teaching that should be provided a patient who is prescribed a psychiatric medication. Signs/symptoms of serotonin syndrome and what herbal supplement can increase the risk for serotonin syndrome.

Overviews of Electroconvulsive Therapy (ECT) and Vagus Nerve Stimulation (VNS). ECT includes the indications, contraindications, medications used during the procedure, side effects, nursing care and patient teaching. For VNS, we cover the indications, side effects, and patient teaching.

Overviews of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), and Transcranial Magnetic Stimulation (TMS).

Introduction to therapies for mental health disorders. Relaxation techniques, including progressive relaxation, biofeedback, guided imagery, and meditation. The concept of milieu therapy, along with the purpose and phases of group therapy. A variety of behavioral therapies, including operant conditioning, modeling, aversion therapy, systematic desensitization, and flooding.

Learn all about the primary, secondary, and tertiary prevention of mental health disorders in the community.

Content warning: Sexual assault and suicide. This video covers key nursing knowledge about sexual assault victims and suicidal patients. The labs, treatment, and nursing care for victims of sexual assault. The 3 phases of rape-trauma syndrome: acute, outward adjustment, and resolution. The risk factors and protective factors associated with suicide, along with the signs of impending suicide. Finally, treatment options and nursing care of suicidal patients.

In this video, we continue our coverage of abuse: signs of physical, emotional abuse, sexual abuse, and neglect. Important nursing care interventions for abuse situations.

Learn about violence and aggression: predictors of violence, deescalation techniques, and interventions for violent behavior. Overview of abuse: abuse types (physical, emotional, sexual, neglect, and economic abuse), followed by the cycle of abuse/violence and perpetrator and victim risk factors

Defense mechanisms, including: avoidance, compensation, conversion, denial, displacement, dissociation, identification, intellectualization, projection, rationalization, reaction formation, regression, repression, splitting, sublimation, suppression, and undoing. Includes a video quiz!

The types of crises (maturational, situational, adventitious) and nursing care of patients during a crisis. The difference between an actual loss vs. a perceived loss. The stages of grief (denial, anger, bargaining, depression, and acceptance) and types of grief (complicated, anticipatory, and disenfranchised grief). Includes a video quiz!

The stages of General Adaptation Syndrome: alarm reaction stage, resistance stage, and exhaustion stage. The characteristics and symptoms of mild, moderate, severe, and panic-level anxiety. The nursing care of patients with anxiety. Includes a video quiz!

The key components of a mental status examination: Appearance, Behavior, Motor Activity, Speech, Mood/Affect, Thought Process/Content, Perception, Cognition, Insight, and Judgement. Includes a video quiz!

Phases of the Nurse/Client Relationship (pre-orientation, orientation, working, termination), the concepts of transference and countertransference. Therapeutic communication techniques and non-therapeutic communication techniques.

Intentional torts, including: assault, battery, false imprisonment, invasion of privacy, and defamation of character. Unintentional torts, including negligence and malpractice. Restraints and seclusion, include indications for restraints, types of restraints, nursing care related to restraints, order requirements, and documentation requirements related to restraints.

Learn about Informed Consent, including the provider's and nurse's responsibilities with Informed Consent. Who IS and ISN'T competent to provide informed consent. A review of nursing ethical principles, including: autonomy, beneficence, nonmaleficence, justice, fidelity, advocacy, and veracity.

An introduction to our Psychiatric Mental Health Nursing video series. Learn PMH principles, starting with types of admissions/commitments (voluntary admission, involuntary commitment, emergency commitment) and patient rights (patient confidentiality, right to refuse treatment, right to least restrictive environment).