00:00
So, let's think about a person who
might have a manic episode, all right.
00:09
And we see this person
acting very hyperactive,
restless, totally disorganized.
00:16
And this person goes
into the dining room.
00:19
And it's here with us
in a psychiatric unit,
and we see that patient
start to throw food around,
picks up dishes,
starts breaking dishes,
starts verbally
screaming at the staff,
starts yelling at the other
patients that are in the room.
00:41
One of the nurses gets up
and escorts the patient
out of the dining room
and takes the patient
back to the room.
00:51
Why would this be the proper
response of any staff member
upon seeing someone who is going
to be becoming abusive and erratic?
So your answers are to
prevent other patients from
observing this behavior
or thinking that the
patient's behavior poses
a substantial injury
to others and self.
01:22
Maybe you want to protect the
patient's biological integrity
until the medication
takes effect
or reinforced limit setting,
making sure that the patient learns
how to follow the unit rules.
01:39
Which intervention would be
the best intervention for that?
Remember, safety,
safety, safety, safety!
You always want to be
able to remove a patient
that is a danger to
themselves, a danger to others,
and put them in an area
where they are safe,
and which keeps everyone
else safe as well.
02:04
When a person is having
the violent outbursts,
it is not that moment that you
are enforcing limit setting.
02:11
You are practicing safe practice
to bring that patient
out of the room
where that patient might hurt
themselves or someone else.
02:22
So here's one of the
kinds of questions
that you might find
in licensing exam.
02:28
Which mood disorder is
characterized by the patient
feeling depressed most of
the day for a 2-year period?
Now remember, it's 2 years that's
what's going to stick in your head.
02:43
Depression for 2
years, most everyday.
02:49
So would it be dysthymia,
cyclothymia, melancholic disorder
or seasonal affective disorder?
We always say go for the
worst one and eliminate it.
03:01
So we know that it's not seasonal
affective because seasonal affective
would actually be something that comes with
seasons and not persistent for 2 years.
03:12
So that leaves us with melancholic,
cyclothymic and dysthymia.
03:18
Well melancholia, we have not ever
spoken about a melancholic disorder.
03:25
And the reason is,
melancholia is a symptom of depression.
03:30
It is not in and of
itself a disorder,
so we'll get rid of
that one as well.
03:35
Which leaves us with
cyclothymia and dysthymia.
03:39
And we know cyclothymia
is an alteration
between high and low moods so
we can get rid of that one.
03:46
Dysthymia is when we have a
patient who is feeling sad,
almost every day for a
period of 2 years or more.
03:56
So if you chose dysthymia,
you got it.