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Mental Health
Final reveiw
69
Medical
Undergraduate 1
05/22/2009

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Cards

Term
What is one's ability to cope with & adjust to the recurrent stresses of everyday living?
Definition
Mental Health
Term
May be evidenced by a pattern of behaviors that is conspicious, threating & disruptive, that is considered socially & culturally acceptable is what?
Definition
Mental Illness
Term
A vague feeling of apprension that results from a perceived threat to the self is called what?
Definition
Anxiety
Term

What level of anxiety whould you see:

anxiety enable the body to meet stressful demands by promoting problem solving & constructive actions?

Definition
Mild levels
Term

What level of anxiety would you see:

Immoblize the individual coping skills & results in emotional choas?

Definition
Higher levels
Term
What signs and symptoms would you see with higher levels of anxiety?
Definition
vocal, rapid speech, increase pulse, increased respirations, increase blood pressure, tremors, restlessness, increased perspirations, nausea, decreased appetite, diarrhea
Term
What level of anxiety interferes with daily activites?
Definition
Severe
Term
What are some theraputic communications with the elderly?
Definition
Reminiscence & life review are effective techniques
Term
WHat are the common behaviors seen with illness?
Definition

Denial

Anxiety

Shock

Anger

Withdrawls

Term
An ineffective coping with stress that causes mild interpersonal disorganization is called what?
Definition
Neurosis
Term
Is out of touch with reality & has severe personality deterioration, impaired perception & judgement, halluciations & delusions is called what?
Definition
Psychosis
Term
What is a multiaxial system that classifies mental disorders & is used by most hospitals & health care professionals in the U.S?
Definition
DSM-IV
Term
What does the  DSM-IV look at in a pt?
Definition
Psychiatric disorders, personality and developmental disorders, general medical conditions, psychosocial and environmental disorders, global assessments
Term
What is gathering of personal resources of inner drive to complete a task or reach a goal?
Definition
Motivation
Term
Is to anything that interferes with goal directed activity refers to what?
Definition
Frustration
Term
To an individual ability to adjust to changing life situations using various strategies refers to what?
Definition
Adaptions
Term
What are used to reduce anxiety brought on by stress?
Definition
Coping responses
Term
What are some coping responses?
Definition
Overeating, smoking, drinking, fighting, seeking out someone to talk to, yelling
Term
What are ways to help pts decrease anxiety?
Definition

Decribe present state of anxiety

Analyze current expectations, goals, beliefs & values in accordance with whatis perceived as actually happenings.

Recognize the healing power of positive thinking

Develop problem-solving & decision making skills

Use progressive muscle relaxation

Develop assertive communications skills

 

Term
What is a slow & progressive worsening of symptoms of impaired memory, judgement, personality changes, decreased cognitive function and impaired orientation; a term used to describe an altered mental state secondary to cerebral disease?
Definition
Dementia
Term
What is an acute, rapid onset of symptoms of disorientation, incoherent thought content, impaired cognitive funtion, symptoms worsen at night, illusions, and halluciations; its a rapid changein consciousness that occurs over a short period of time?
Definition
Delirium
Term

A prolonged, intense unhappiness is what?

 

 

Definition

Major depression

 

 

The symptoms are: apathy, pessimism, multiple physical complaints, guilty feeling, anxiety, isolation, suicidal thoughts, appetite disturbance, fatigue, sleep distrubance

Term
Prolonged, intense unhappiness.
Definition

Major depression

 

Symptoms: apathy, pessimism, mulitple physical complaints, guility feelings, anxiety, isolation, sucidial thoughts, fatigue, short-term memory disturbance.

Term
Sudden shifts of emotional extremes from depression to mania is called what?
Definition

Bipolar disorder

 

Signs and symptoms: mania, grand or self-confident mood, overresponsiveness to stimuli, insomnia w/out fatigue, impaired judgement, irritability

Term
What are some suicidal warning signs and precautions?
Definition
withdrawl from family and friends, talking about death, giving away possessions,drug or alcohol abuse, personality changes, signs of depression, difficulty concentrating
Term
What type of delusion: belief of being someone with great powers to control the situation?
Definition
Grandeur
Term
What type of delusion: belief that event has special personal meaning?
Definition
Ideas of reference
Term
What type of delusion: belief that someone is out to harm them?
Definition
Persecution
Term
What type of delusion: belief that ideas are put in their minds?
Definition
Thought insertion
Term
What type of delusion: belief that their thoughts are being removed from their minds?
Definition
Thought withdrawl
Term
What are some nursing interventions of the pt w/ depression?
Definition

Examine & remain aware of your own feelings about suicide.

Monitor eating, keep I/O records

Encourage fluids

Try 6 small feedings a day

Plan physical activity while awake

Encourage planned naps only

Involve the pt as much as possible in planning his treatment

Term
What is considered to be a type of panic disorder of high anxiety brought on by possible situations in which a panic attack may occur?
Definition
Agoraphobia
Term
What are thoughts that are recurrent, intrusive and senseless. These thoughts are anxiety producing & distressful in that they are uncontrollable?
Definition
Obessions
Term
What are behaviors that are preformed in response to an obessive thought.  The repetitive, ritualistic behaviors such as checking the locks 10 times before going to bed?
Definition
Obsessions
Term
What is formly called shell shock, describes a response to an intense traumatic exsperience that is beyond the usual range of human experiences?
Definition

Posttraumatic stress disorder

 

Ex: murder, war, major car accident etc

Term
What personality disorder is an individual who is over-cooperative from a deep fear of abandonment: cannot carry out a task alone: unable to take responsibilty for his own ADL's?
Definition
Dependent personality
Term
What personality disorders is characterized by suspicion, secretiveness,distortion of reality & oversensitivity; thinks others are out to get them?
Definition
Paranoid disorder
Term
What personality disorderhas not established self-identity; fears being alone; experiences mood swings over a short period of time; relationships w/others reveal rapid shifts from adoring to cruel punishing?
Definition
Borderline disorder
Term
What personality disorder has a history of difficulties w/ personal relationships; does not profit from experience or punishment; has no loyalties to any person, group, or code of ethics;has a tendency to rationalize behavior; relies on deceit & manipulation to get their own way?
Definition
Antisocial personality
Term
What refers to a physical disorder brought on by a psychological triggers?
Definition
Psychosomatic illness
Term
What addresses the stress-related problems that can result in physical signs and symptoms. They  are thought to have an emotional basis, manifested as a physical illness?
Definition
Psychophysical illness
Term
What is a disorder characterized by recurrent, multiple, physical complaints & symptoms for which there is no organic cause?
Definition

Somatization (Briquet's Syndrome)

 

Its a physiological disorder

Term
What are symptoms of alcohol withdrawls?
Definition
Diaphoresis, tachycardia, HTN, tremors, nausea, vomiting, anorexia, restlessness, disorientation, hallucinations, seizuresWhat are
Term
What are characteristics of an addictive personality user?
Definition
Low self esteem, depression, feeling of insecurity
Term
What stage of dependence does an increased drug tolerence, strong denial, defends drug use to family concerns, more socalizing w/users, increased tardiness od call offs from wk/school, possible legal troubles and good prognosis for recovery, even w/out a treatment program?
Definition
Early stage
Term
 What stage of dependence has severe impairement in all areas of function, continous use but cannot achieve "normal", medical problems worsen, organ involvement, malnutrition worsens, poor problem solving and judgement, unemployed, often homeless and must get help? 
Definition
Late stage
Term
What does alcohol convert to?
Definition
Ethanol
Term
What amount of alcohol per day in which acts adversely on fetus?
Definition
2 drinks
Term
What type of seizures do alcoholics have if they have them?
Definition
Grandmal
Term
What is entailed in the "detoxification" period?
Definition

A controlled setting where the pt can be closely observed and treated  for any complications is important during this acute phase of recovery

Safety

treat tremors, nervousness and restlessness with meds

reduce enviromental stimuli

cardiac monitoring

 

 

Term
What is Alcoholics Anonymous?
Definition
An international nonprofit org consists of abstinent alcoholics helping other alcoholic to become and stay sober through group support, shared exsperiences and faith in a power greater then themselves
Term
What is Antabuse (disulfiram) utilized for?
Definition
Its used for alcoholic pt goingthrough detox. If given to the pt and the pt drinks any alcohol they will have projectile vomitting. It is suppose to make them not want to drink again
Term
What is methadone used for?
Definition
Heroine addicts. long term care for pt who are in recovery
Term
How long can PCP hallucinations last for?
Definition
up to 12 hrs
Term
What is the date rape drug?
Definition
Rohypnol
Term
What is the care for a crack baby?
Definition
swaddling, minimal bright lights, no noise, no excessive handling
Term
What is Dalmane used for?
Definition
Insomnia
Term
What does xanxax do?
Definition
Slows down the nervous system- antianxiety
Term
What is GHB?
Definition
It is a senthetic steroid, sedative
Term
WHat happens with cocaine overdose?
Definition
cardiorespiratory distress & seizures
Term
What happens with amphetamines overdose?
Definition
overstimulation of the heart can increase blood pressure which cause damage to the blood vessels leading to strokes or heart attack, shaking, forgetfullness
Term
What happens during a heroin overdose?
Definition
Flu-like symptoms, psyotic feelings of suicide, vomiting, sweating
Term
What are symptoms of valium overdose?
Definition
respiratory distress, rapid tolerence, seizures, status epillepticus 
Term
What is it called when you grind your teeth while on drugs?
Definition
Bruxism
Term
What do you do if you suspect a impaired nurse?
Definition
report them to the supervisor
Term
What does Oeer Assistance Program do?
Definition
If it is confirm you have a addiction problem at work they will come in and take you to a rehab center
Term
What is an acute psychotic reaction, a result of excessive alcohol consumption over along a period of time?
Definition
Delirium Tremors
Term
What is short-termed memory loss, disorientation, fear with an apperence of panic, hallucinations and increased temp?
Definition
Korsakoffs Psychosis
Term
Whatis a thiamine deficiency causing brain damage in the temporal lobes of the voluntary eye movemnet and double vision lack of muscle coordination and disorientation with confabulation (pt fills in memory gap with inapproaiate words)?
Definition
Weinicke's Encephalopathy
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