Term
|
Definition
| to the extreme, interferes with life |
|
|
Term
|
Definition
Unipolar, Bipolar,
severe enough that people loose interest in life, may become "vegetative" |
|
|
Term
| Affective characteristics of Depression |
|
Definition
| sadness, guilt, crying, loss of emotional attachment, powerlessness, helplessness |
|
|
Term
| Cognitive characteristics of Depression |
|
Definition
| low self esteem, negative beliefs, loss of control, poor memory and concentration, unable to make decisions, distorted body image, loss of faith, ambivalence to treatment |
|
|
Term
| Physiologic characteristics of Depression |
|
Definition
| normal or increased appetite, changes in sleep patterns, decreased levels of activity, decreased bowel activity, changes in physical appearance |
|
|
Term
|
Definition
| Medication, ECT, photo therapy, family therapy |
|
|
Term
|
Definition
| Imbalance in neurotransmitters which is why medication normally helps |
|
|
Term
|
Definition
| used sometimes when medications don't work or with medications to increase effectiveness |
|
|
Term
|
Definition
| sometimes used on people in the north who may not be getting enough sunshine, useful for seasonal affective disorder |
|
|
Term
|
Definition
| SSRI first line because of the few side affects associated with them. Maintenance therapy is continued until symptom free for 4 months to a year then they are tapered if possible for the patient to discontinue |
|
|
Term
| Nursing diagnosis for Depression |
|
Definition
| Risk for suicide, disturbed thought process, ineffective coping, hopelessness, social isolation, self care deficient |
|
|
Term
|
Definition
| Increased after patient has been on antidepressants because they are feeling better and have the energy to carry out suicide |
|
|
Term
|
Definition
| A sustained emotional state and how you subjectively feel |
|
|
Term
|
Definition
| Manner in which you communicate your mood to others, it is the immediate and observable emotional expression of mood |
|
|
Term
| Major depression or unipolar disorder |
|
Definition
| loss of interest in life, depressed mood ranging from mild to severe, severe depression with psychotic features |
|
|
Term
|
Definition
| periods of depression with interspersed with normal mood |
|
|
Term
|
Definition
| mood alternates between extremes of depression and elation with periods of normal inbetween, rapid cycling, bipolar I & II, Mixed, Manic depressed |
|
|
Term
|
Definition
| Mood ranges from moderate depression to hypomania, may or may not include periods of normalcy, that lasts for a period of 2 years, less severe and do not qualify for a diagnosis of bipolar disorder or major depression |
|
|
Term
|
Definition
| Mixture of symptoms including: delusions, hallucinations, disorganized speech, disorganized behavior, may also have symptoms of mood disorders |
|
|
Term
|
Definition
Often starts within 3 months of delivery but can occur any time within the first year after having a child, signs and symptoms include: insomnia, loss of energy, can't concentrate, anxiety, mood swings, crying
(Can affect parenting and bonding) lasts longer than 2 wks |
|
|
Term
| Behavioral Characteristics of depression |
|
Definition
| decreased desire to participate in activities, decreased interactions with others, increased need for affiliation |
|
|
Term
| Behavioral Characteristics of mania |
|
Definition
| increased productivity at first then decreases, talkative and gregarious, decreased need for afflilaition |
|
|
Term
| Affective Characteristics of Mania |
|
Definition
| unstable mood, unable to experience guilt, participate in every pleasurable activity, form intense emotional attachments quickly, euphoric, powerful , manic episodes |
|
|
Term
| Cognitive Characteristics of Mania |
|
Definition
| grandiose beliefs, inordinate expectations of self and others, unable to make decisions, flight of ideas, distorted body image-"movie star status", don't want to give up feeling of euphoria |
|
|
Term
| Physical Characteristics of Mania |
|
Definition
| decreased appetite, changes in sleep patterns, activity level increased, |
|
|
Term
| Nursing care for Depression/Mania |
|
Definition
| Have patience, be alert for nonverbals such as tearfulness, avoidance of eye contact, do not rush them, assessment should not last longer than 15-20 minutes |
|
|
Term
| Interventions for Depression/Mania |
|
Definition
| Safety 1st priority, hallucination management, active listening, guilt work, mood management, self-esteem enhancement, spiritual support, impulse control |
|
|
Term
| Client education for Depression/Mania |
|
Definition
| disease process, caregiver support, family mobilization, family therapy, exercise promotion, nutritional management, sleep enhancement |
|
|
Term
| Evaluation of Depression/Mania |
|
Definition
| improved mood, takes meds as prescribed, no suicidal thoughts, |
|
|
Term
| Warning signs for Suicide |
|
Definition
| talk about suicide or death, preoccupied with death or dying, withdrawn from friends or social activities, severe loss, drastic behavior changes, loss of interest in hobbies, work, school, giving away prized possessions, has attempted suicide before, expressing hopelessness |
|
|
Term
|
Definition
| A response to external or internal stress which cannot be managed by usual coping mechanisms of the person stressed |
|
|
Term
| Define situational crisis |
|
Definition
| depends on a stressful external event, examples: divorce, rape, car accident, home destroyed, loss of employment, death of a loved one, loss of health, loss of status, |
|
|
Term
|
Definition
| problems of predictable developmental changes throughout the life cycle. examples: birth, separation from family, puberty, college, marriage, child birth, empty nesting, aging, death, illness |
|
|
Term
|
Definition
| A person confronted by a conflict or problem that threatens the self-concept responds with increased feelings of anxiety. The increase in anxiety stimulates the use of problem solving techniques and defense mechanisms in an effort to solve the problem and lower anxiety. |
|
|
Term
|
Definition
| If the usual defensive response fails and the threat persists, anxiety continues to rise and produce feelings of extreme discomfort. Individual functioning becomes disorganized. Trail and error attempts at solving this problem and restoring a normal balance begin. |
|
|
Term
|
Definition
| If the trail and error attempts fail, anxiety can escalate to severe and panic levels, and the person mobilizes automatic relief behaviors, such as withdrawl and flight. Some form of resolution (decompressing needs or redefining the situation to reach an acceptable solution) may be in this stage |
|
|
Term
|
Definition
| If the problem is not solved and new coping skills are ineffective, anxiety can overwhelm the person and lead to serious personality disorganization, depression, confusion, violence against others or suicidal behavior |
|
|
Term
|
Definition
| earthquakes, floods, riot, war, |
|
|
Term
| What is the primary nursing goal for a crisis? |
|
Definition
| assist the client to resolve the immediate problem and regain emotional equilibrium by helping them understand the event, getting them support, helping with coping mechanisms |
|
|
Term
| Primary care for crisis intervention |
|
Definition
| promotes mental health and reduces mental illness to decrease the incidence of the crisis |
|
|
Term
| Secondary care for crisis intervention |
|
Definition
| establishes intervention to prevent prolonged anxiety from diminishing personal effectiveness and personality organization |
|
|
Term
| Tertiary care for crisis intervention |
|
Definition
| provides support for those who have experienced a severe crisis and are now recovering from a disabling mental state (ex: rehab centers, shelters, day hospitals, outpatient clinics |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Skin picking. Could last weeks or decades. |
|
|
Term
| Which point by the nurse includes teaching a client about panic disorder? |
|
Definition
| A.) Symptoms are time limited and will abate. |
|
|
Term
| Nurse recognized a behavior is viewed as accepted as normal if? |
|
Definition
| A.) Fits into standard accepted one's society. |
|
|
Term
| Clint developed OCD about hand washing over the years and sought help. The purpose of the ritual is to? |
|
Definition
| B.) temporary and partially relief of anxiety. |
|
|
Term
| While stuck in traffic, cab driver had s/s of a heart attack and went to the ER. The nurse will state... |
|
Definition
| A.) Although you may feel that way during the midst of a heart attack, you actually suffer from panic disorder |
|
|
Term
| When formulating initial skin care for OCD of hand washing. Which should receive highest priority? |
|
Definition
| D.) Clint will maintain good skin integrity on his hands |
|
|
Term
|
Definition
| Involving others needs before one's own |
|
|
Term
|
Definition
| The phenomenon of understanding that one's problems are not unique and it helps group members to feel secure and understood |
|
|
Term
| In milieu therapy, the client has freedom to... |
|
Definition
| D.) To express in socially acceptable manner |
|
|
Term
| The client has acute stress and has difficulty expressing verbally about her rapist. The nurse would suggest... |
|
Definition
| A.) To write in a journal |
|
|
Term
| Nurse is planning care for the client with phobias based on which behavior pattern? |
|
Definition
|
|
Term
| Life changing event questionnaire, which situation would most merit complete assessment of ones person's stress status and coping abilities? |
|
Definition
| A.) A person returning to college after his employer ceased operations. |
|
|
Term
| The nurse uses guided imagery which would be appropriate guided imagery script? |
|
Definition
Select all:
B.) with each breath, you are feeling calmer...
C.) You are alone on the beach and the sun is warm...
E.) You have grown calm, your mind is still... |
|
|
Term
| Conducting family assessment- family coping mechanism |
|
Definition
| B.) How does your family deal with disappointment and stress changes |
|
|
Term
| Nurse identifies which behaviors as associated with dysfunctional family process related to impaired communications? |
|
Definition
| D.) Inability to meet emotional needs of the other family members. |
|
|
Term
| Which pattern indicates that there are existing or potential problems with the family communication? |
|
Definition
| D.) Disagreements are not addressed among members. |
|
|
Term
| Mrs. G... My husband is always angry about something... |
|
Definition
|
|
Term
| My youngest son is such a brat. The nurse should suspect the younger son is... |
|
Definition
|
|
Term
| The nurse understands with the right help and the right time. The client can successfully resolve functioning better than before the crisis... |
|
Definition
| C.) Acquisition of new coping skills |
|
|
Term
| The client is experiencing combination situational and maturational crisis, best intervention. |
|
Definition
|
|
Term
| Client lost family member in accident, best priority outcome for crisis intervention |
|
Definition
| D.) Resolve immediate problem and return to pre-crisis level of functioning. |
|
|
Term
| Crisis situation exist when... |
|
Definition
| An individual usual coping skills are no longer effective. |
|
|
Term
| Home destroyed by flood , client receives minor injuries. What would the nurse do... |
|
Definition
| C.) Identify community resources that can help the client. |
|
|
Term
| What can a nurse do to avoid frustration when dealing with a severely depressed client? |
|
Definition
| Expect the client to be withdrawn and disinterested in the relationship. |
|
|
Term
| Major difference in bipolar and unipolar is... |
|
Definition
|
|
Term
| When reassessing your client, which indicates that the manic phase is resolving? |
|
Definition
| C.) She talks less and more slowly. |
|
|
Term
| The most important outcome for mood disorders is to... |
|
Definition
|
|
Term
| Moderately depressed client and making a decision... |
|
Definition
| B.) What do you think that I should do now? |
|
|
Term
| One on one suicidal ideations,... identifying major factors... the next step is |
|
Definition
|
|
Term
| A new nurse is not comfortable with asking a client about suicide |
|
Definition
| B.) It is not possible to give someone suicidal ideations. |
|
|
Term
| When working the hotline it is important to do what first? |
|
Definition
|
|
Term
|
Definition
| expect other members of the family to know what they are thinking |
|
|
Term
|
Definition
| keep members from trying out new roles and maturing |
|
|
Term
| Characteristics of dysfunctional communication |
|
Definition
| manipuling, distracting, generalizing, blaming, placating |
|
|
Term
| Nursing diagnoses for family interventions |
|
Definition
| impaired parenting, dysfuctional family process, caregiver role strain, ineffective denial, defensive coping |
|
|
Term
|
Definition
| expect other members of the family to know what they are thinking |
|
|
Term
|
Definition
| Excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing. Afraid of having panic attack in public. |
|
|
Term
|
Definition
| Severe nmbing, derealization, inability to remember stressful event, fear, helplessness, or horror that occurs within 1 month of exposure to extreme stress. |
|
|
Term
|
Definition
| develops after exposure to a dangerous and life threatening situation, non-judgemental, talk about feelings and experience, may have flashbacks or numbing of emotions |
|
|
Term
| Generalized Anxiety Disorder |
|
Definition
| persistent worry and anxiety without panic attacks or phobias. |
|
|
Term
|
Definition
| unwanted repetitive thoughts or behaviors , goal achieve thought stopping, don't interrupt them, onset is in early 20s, "I don't want to, I have to" |
|
|
Term
|
Definition
| An anxiety disorder in which panic attacks are the key feature. |
|
|
Term
|
Definition
| unreasonable behavior responses, ex: elevators, bathrooms, afraid of loosing control, most successful treatment is desensitization, avoid object or situation |
|
|
Term
|
Definition
| Focuses on changing the interactions among the people who make up the family unit |
|
|
Term
|
Definition
| Focus is on boundaries, systems, and use of scapegoating |
|
|
Term
| Characteristics of a healthy family |
|
Definition
| provide physical and emotional safety of members, support systems, use of power for all family members, rules are clear and accepted, future planning present, clear boundaries, straight messages, no manipulation, deals with conflict, mutual negotiation of roles by age and ability, spouses happy wiht each other |
|
|
Term
|
Definition
| Those functions that maintain a distinction among individuals within a family or group and between family members and the outside world. Boudaries may be clear, diffuse, rigid, or inconsistent |
|
|
Term
| Examples of dysfunctional communication |
|
Definition
| double bind (positive command, negative nonverbal), scapegoating, triangulation |
|
|
Term
| Why do dysfunctional families normally have a scapegoat? |
|
Definition
| A form of displacement in which a family member is blamed for another family member's distress |
|
|
Term
|
Definition
| Feelings of apprehension, uneasiness, uncertainty, or dread resulting from a real or perceived threat whose actual source is unknown or unrecognized |
|
|
Term
|
Definition
| A reaction to a specific danger |
|
|
Term
|
Definition
| Vital signs normal, perceptual field broad, relaxed |
|
|
Term
|
Definition
| VS normal or slightly elevated, tension, perceptual field narrowed, optimum state for problem solving |
|
|
Term
|
Definition
| fight or flight response, problem solving difficult, pain and hearing decreased. |
|
|
Term
| What are some things that can decrease anxiety? |
|
Definition
| physical activity, laughter, friends |
|
|
Term
| Interventions for Anxiety |
|
Definition
| Coping enhancement, hope inspiration, self-esteem enhancement, relaxation therapy |
|
|
Term
|
Definition
| highest level of anxiety, recurrent attacks, feelings of terror and helplessness, fear of dying, going crazy, impending doom, helplessness, trapped, choking, labored breathing, pounding heart, chest pain, nausea, blurred vision, patients often develop restrictive lifestyles due to the panic |
|
|
Term
|
Definition
| One of the most common phobias, fear of social situations |
|
|
Term
| When a client is experiencing panic anxiety, the priority nursing intervention is: |
|
Definition
| Reassuring the client that he/she is going to be ok. |
|
|
Term
| A woman refuses to eat in a restaurant because she is afraid others will laugh at the way she eats. This behavior is associated with: |
|
Definition
|
|
Term
| The client is diagnosed with panic disorder and experiences palpitations, trembling, shortness of breath and chest pain. An outcome is for the client to be able to: |
|
Definition
| Interrupt progression of escalating anxiety |
|
|
Term
| Which assessments would validate the diagnosis of generalized anxiety disorder? |
|
Definition
| Excessive worry, Muscle tension, Feeling "on edge" |
|
|
Term
| A client who survived a violent explosion reports “a lot of symptoms” that seem related to the event. Which symptoms would the nurse expect with PTSD? |
|
Definition
| Fitful sleep, Terrifying nightmares, Fear of returning to sleep |
|
|
Term
| A major principle the nurse should observe when communicating with a patient experiencing elated mood is to: |
|
Definition
| Use a calm, firm approach |
|
|
Term
| Nadia has been diagnosed with bipolar disorder. What is an outcome for Nadia in the continuation of treatment phase of bipolar disorder? |
|
Definition
| Patient will adhere to medication regimen |
|
|
Term
| A medication teaching plan for a patient receiving lithium should include: |
|
Definition
| A periodic monitoring of renal and thyroid function |
|
|
Term
| Which symptom related to communication is likely to be present in a patient experiencing mania? |
|
Definition
|
|
Term
| For assessment purposes, the nurse should identify the body system most at risk for compensation during a severe manic episode as: |
|
Definition
|
|
Term
| Risk factors for depression |
|
Definition
| Female, unmarried, lw socieconomic calsss, early childhood tauma, negative life even, family history of depression, ineffective coping ability, medical illness, absence of social support, alcohol or substance abuse. |
|
|
Term
|
Definition
| q. negative, self-deprecating view of self, pessimistic view of the world, the belief that negative reinforcement will continue in the future |
|
|
Term
| What percentage of people who are depressed commit suicide? |
|
Definition
|
|
Term
| Primary intervention for suicide |
|
Definition
| activities that provide support, information, and education to prevent suicide. |
|
|
Term
| Secondary intervention for suicide |
|
Definition
| Treatment of the actual suicidal crisis, practiced in clinics, hospitals, jails and on telephone hotlines., involves the entire community. |
|
|
Term
| Tertiary intervention for suicide |
|
Definition
| refers to interventions with the circle of survivors of a person who has completed suicide |
|
|
Term
| Griffin is a 19 year old student who volunteers for a depression screening at his college. He identifies himself as gay. Which of the following is true based on current knowledge of the gay and bisexual community and suicide risk? |
|
Definition
| Griffin has a higher suicide risk than his heterosexual peers. |
|
|
Term
| You are admitting joel, a 39 year old patient with depression. Which assessment statements would be appropriate to ask joel to assess suicide risk? |
|
Definition
| do you ever think about suicide, are you thinking of hurting yourself, do you sometimes wish you were dead, has it ever seemed as if life is not worth living, if you were to kill yourself, how would you do it, does it seem as if others might be better off if you were dead |
|
|
Term
| Which person is at the highest risk for suicide? |
|
Definition
| a young, single white male who is alcohol dependent, hopeless, impulsive, has just been rejected by his girlfriend, and has ready access to a gun he has hidden. |
|
|
Term
| Which interventions maximize the safety of a patient who is actively suicidal on an inpatient mental health unit? |
|
Definition
| Place the patient on every 15 minute checks, put in room near the nurses' station, install breakaway curtain rods, coat hooks, and shower rods, |
|
|
Term
| Kara is a 23- year old patient admitted with depression and suicidal ideation. Which interventions would be therapeutic for kara? |
|
Definition
| assess the patient thoroughly, and reassess the patienat regular intervals as levels of ris fluctuate, meet regularly with the patient to provide opportunities for the patient to express and explorre feelings, administer antidepressant medication scautiously and conservatively because of their potential to increase the suicide risk in kara'a age gorup, help the patient to identify positive self attributes and to to question negative self-perceptions that are unrealistic. |
|
|
Term
| Goal of crisis intervention |
|
Definition
| Return the patient to at least the pre-crisis level of functioning. |
|
|
Term
|
Definition
| promotes mental health and reduces mental illness to decreased the incidence of crisis., tech specific coping skills |
|
|
Term
| Secondary care for crisis |
|
Definition
| establishes intervention during an acute crisis to prevent prolonged anxiety from diminishing person effectiveness and personality organization. primary focus is to ensure the safety of the patient. |
|
|
Term
|
Definition
| provides support for those who have experienced a severe crisis and are now recovering from a disabling mental state. ,CISD (critical incident stress debriefing) |
|
|
Term
| Which statement about crisis theory will provide a basis for nursing intervention? |
|
Definition
| A cisis is an acute, time-limited phenomenon experienced as an overwhelming emotional reaction to a problem perceived as unsolvable. |
|
|
Term
| Lilly, a single mother of four, comes to the crisis center 24 hours after an apartment fire in which all the family's household goods and clotheing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. You assess the situation as: |
|
Definition
|
|
Term
| When responding to the patient who has had a fire the intervention that takes priority is to: |
|
Definition
|
|
Term
| Which belief would be least helpful for a nurse working in crisis intervention? |
|
Definition
| A person in crisis is incapable of making decisions |
|
|
Term
| The highest priority goal of crisis intervention is: |
|
Definition
|
|
Term
| Just before you escort the juarez family in fro a meeting, their 17 year old son confides toyou that he is gay. He says he has not told any other adult, including his parents. What is your best response to him? |
|
Definition
| How do you think your parents would react if you told them. |
|
|
Term
| While you are working with a family whose son iwas admitted due to a psychotic break, you observe the mother say, "what, not hug for your mom?" As the son embraces his mother, she stiffens, which results in the young man backing away. She responds, " You only care about yourself" what behavior is the mother engaging in? |
|
Definition
|
|
Term
| You are evaluating the family therapy experience. Which behavior would indicate that further family therapy is needed? |
|
Definition
| Wife talks to husband through the children |
|
|
Term
| Which of the following family members should you refer to individual therapy rather than family therapy? |
|
Definition
| A father who is questioning his sexuality. |
|
|
