7 Common Psychiatric Disorders
Essential clinical symptoms, safety priorities, and NCLEX board exam pearls every nurse must master.
Major Depressive Disorder
Persistent depressed mood & anhedonia > 2 weeks with critical suicide vulnerability.
Sudden elevated energy after deep depression often means a suicide plan is finalized. Heighten precautions immediately!
Bipolar Mania & Lithium
Grandiosity, hyperactivity, reduced sleep (<3h), and high impulsivity.
Hyponatremia & dehydration make kidneys retain toxic lithium levels. Maintain regular salt and 2–3L fluids daily.
Schizophrenia Spectrum
Positive symptoms (delusions, hallucinations) & Negative symptoms (flat affect, avolition).
"I understand the voices sound real to you, but I do not hear anyone speaking." Do not validate or argue!
Acute Panic Attacks
Autonomic surge with palpitations, hyperventilation, and terror of impending doom.
Instruct client: "Inhale through your nose for 4s, hold for 7s, exhale slowly through pursed lips for 8s."
Neuroleptic Malignant Syndrome (NMS)
Life-threatening reaction to antipsychotic pharmacotherapy.
1. Stop antipsychotic immediately.
2. Start aggressive cooling measures.
3. Administer IV Dantrolene or Bromocriptine as ordered.
Master Psychiatric Nursing for NCLEX
Ready to test your knowledge with interactive board scenarios and care plans?
✓ Psychotropic Pharmacology Cheat Sheet
✓ Interactive 6-Question Native Quiz
✓ Evidence-Based Safety Pearls