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Exam 2
Mental Health Aging and Crisis Exam 2
135
Psychology
Not Applicable
10/05/2014

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Term
Mood disorders
Definition
to the extreme, interferes with life
Term
Depressive disorder
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
Treatment for Depression
Definition
Medication, ECT, photo therapy, family therapy
Term
Cause of Depression
Definition
Imbalance in neurotransmitters which is why medication normally helps
Term
ECT
Definition
used sometimes when medications don't work or with medications to increase effectiveness
Term
Phototherapy
Definition
sometimes used on people in the north who may not be getting enough sunshine, useful for seasonal affective disorder
Term
Antidepressants
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
Risk for suicide
Definition
Increased after patient has been on antidepressants because they are feeling better and have the energy to carry out suicide
Term
Define Mood
Definition
A sustained emotional state and how you subjectively feel
Term
Define Affect
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
Dysthmic disorder
Definition
periods of depression with interspersed with normal mood
Term
Bipolar
Definition
mood alternates between extremes of depression and elation with periods of normal inbetween, rapid cycling, bipolar I & II, Mixed, Manic depressed
Term
Cyclothymic Disorder
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
Schizoaffective Disorder
Definition
Mixture of symptoms including: delusions, hallucinations, disorganized speech, disorganized behavior, may also have symptoms of mood disorders
Term
Postpartum depression
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 of Crisis
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
maturational Crisis
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
Phase 1 of Crisis
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
Phase 2 of Crisis
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
Phase 3 of Crisis
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
Phase 4 of crisis
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
adventitious crisis
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
Trichotillomania
Definition
Hairpulling
Term
Dermotillomania
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
Altruism
Definition
Involving others needs before one's own
Term
Universality
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
D.) Avoidance
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
C.) Generalizing
Term
My youngest son is such a brat. The nurse should suspect the younger son is...
Definition
A.) Being a Scapegoated
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
Individual approach
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
the presence of mania
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
remain safe.
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
B.) Problem solving
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
B.) Establish rapport
Term
Define Enmeshed
Definition
expect other members of the family to know what they are thinking
Term
rigid
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
Define Enmeshed
Definition
expect other members of the family to know what they are thinking
Term
Agoraphobia
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
Acute Stress Disorder
Definition
Severe nmbing, derealization, inability to remember stressful event, fear, helplessness, or horror that occurs within 1 month of exposure to extreme stress.
Term
PTSD
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
OCD
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
Panic Disorder
Definition
An anxiety disorder in which panic attacks are the key feature.
Term
Phobic Disorder
Definition
unreasonable behavior responses, ex: elevators, bathrooms, afraid of loosing control, most successful treatment is desensitization, avoid object or situation
Term
Family Therapy
Definition
Focuses on changing the interactions among the people who make up the family unit
Term
Behavior Family Therapy
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
What are boundaries?
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
Anxiety
Definition
Feelings of apprehension, uneasiness, uncertainty, or dread resulting from a real or perceived threat whose actual source is unknown or unrecognized
Term
Fear
Definition
A reaction to a specific danger
Term
Mild anxiety
Definition
Vital signs normal, perceptual field broad, relaxed
Term
Moderate anxiety
Definition
VS normal or slightly elevated, tension, perceptual field narrowed, optimum state for problem solving
Term
Severe anxiety
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
Panic
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
Social phobia
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
Social phobia
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
Verosity
Term
For assessment purposes, the nurse should identify the body system most at risk for compensation during a severe manic episode as:
Definition
cardiac
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
Beck's cognitive triad
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
15%
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
Primary care for crisis
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
Tertiary care
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
situational crisis
Term
When responding to the patient who has had a fire the intervention that takes priority is to:
Definition
reduce anxiety
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
Patient safety.
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
Double binding
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.
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