Term
T or F:
most characteristics of personality disorders "bleed into one another" |
|
Definition
|
|
Term
| personality disorders have their roots in what stage of development? |
|
Definition
|
|
Term
| do disorders run in families? |
|
Definition
|
|
Term
| what 4 areas can be effected due to personality disorders? |
|
Definition
-cognition
-affectivity
-interpersonal functioning
-impulse control |
|
|
Term
| the traits of a personality disorder can be described in two words: |
|
Definition
|
|
Term
| the DSM-IV places personality disorders at what level on the mental health continuum? |
|
Definition
|
|
Term
| physiological variables of personality disorders to be assessed |
|
Definition
-genetics
-sleep
-nutrition
-safety |
|
|
Term
| there is evidence that personality disorders may be present at birth. however the degree in which they are manifested from normal to excessive has to do with what factors? |
|
Definition
-genetic predisposition
-negative environmental conditions |
|
|
Term
| personality may be due to an imbalance in what? and a predisposition of what type? |
|
Definition
imbalance of neurotransmitters
genetic predisposition |
|
|
Term
| a lack of __________ can aggravate symptoms |
|
Definition
|
|
Term
| in regards to safety, antisocial and borderline patients are more at risk for what? |
|
Definition
| violence towards self and others |
|
|
Term
| is it likely that there is a single cause to personality disorders? |
|
Definition
|
|
Term
| what is the typical onset of personality disorders? |
|
Definition
| adolescence to early childhood |
|
|
Term
| the onset of a personality disorder usually predates the onset of what? |
|
Definition
|
|
Term
| do individuals with personality disorders suffer from impairments in social and occupational functioning? |
|
Definition
|
|
Term
| why can engagement in therapy be difficult for someone with a personality disorder? |
|
Definition
| because they have significant trust issues and several disorders may coexist |
|
|
Term
| which cluster can be described as containing disorders with "odd or eccentric behaviors"? |
|
Definition
|
|
Term
| people with a cluster A disorder usually exhibit what type of behaviors? |
|
Definition
|
|
Term
which cluster is this:
-avoids interpersonal relationships
-has unusual beliefs
-indifferent to other's reactions |
|
Definition
|
|
Term
| do cluster A individuals often seek treatment? |
|
Definition
|
|
Term
|
Definition
1. paranoid personality disorder
2. schizoid
3. schizotypal personality disorder |
|
|
Term
-disorder: paranoid personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: paranoid personality disorder
-cluster: A
-characteristic behavior in this cluster: odd & eccentric
-assessment of this disorder:
1. pervasive and unwanted suspiciousness
2. mistrust of others
3. difficult to interview
4. fear of being harmed |
|
|
Term
-disorder: schizoid personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: schizoid personality disorder
-cluster: A
-characteristic behavior in this cluster: odd & eccentric
-assessment of this disorder:
1. inability to form close personal relationships with others
2. solitary |
|
|
Term
-disorder: schizotypal personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: schizotypal personality disorder
-cluster: A
-characteristic behavior in this cluster: odd & eccentric
-assessment of this disorder:
1. discomfort with close relationships
2. odd beliefs
3. eccentric behavior
4. closer to schizophrenia however there is NO bizarre delusions and hallucinations |
|
|
Term
| cluster B behaviors can be described as |
|
Definition
| dramatic, emotional, and erratic behaviors and a little narcissistic |
|
|
Term
|
Definition
1. antisocial personality disorder
2. borderline personality disorder
3. histrionic personality disorder
4. narcissistic personality disorder |
|
|
Term
-disorder: antisocial personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: antisocial personality disorder
-cluster: B
-characteristic behavior in this cluster: dramatic, erratic, and emotional. at times narcissistic
-assessment of this disorder:
1. disregard for the rights of others
2. exploitative
3. lack of remorse |
|
|
Term
-disorder: borderline personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: borderline personality disorder
-cluster: B
-characteristic behavior in this cluster: dramatic, erratic, and emotional. at times narcissistic
-assessment of this disorder:
1. marked instability in relationships, mood, and self image
2. impulsive
3. entitled |
|
|
Term
-disorder: histrionic personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: histrionic personality disorder
-cluster: B
-characteristic behavior in this cluster: dramatic, erratic, and emotional. at times narcissistic
-assessment of this disorder:
1. excessive emotionality
2. attention seeking
3. drama king/queen |
|
|
Term
-disorder: narcissistic personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: narcissistic personality disorder
-cluster: B
-characteristic behavior in this cluster:
dramatic, erratic, and emotional. at times narcissistic
-assessment of this disorder:
1. pervasive grandiosity
2. need for admiration
3. lack of empathy
4. entitlement
5. exploits others |
|
|
Term
| in this cluster, persons tend to be manipulative in their actions and interactions, have a sense of entitlement, deny negative effects of hurting others, and often receive psychiatric care either voluntarily or involuntarily |
|
Definition
|
|
Term
| why do cluster B patients often receive psychiatric care either voluntarily or involuntarily? |
|
Definition
voluntarily: due to affective distress
involuntarily: illegal behavior |
|
|
Term
| what type of behaviors are exhibited by cluster C individuals? |
|
Definition
|
|
Term
|
Definition
1. avoidance personality disorder
2. |
|
|
Term
-disorder: avoidance personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: avoidance personality disorder
-cluster: C
-characteristic behavior in this cluster: anxious and fearful
-assessment of this disorder:
1. social withdrawal
2. extreme sensitivity to rejection |
|
|
Term
-disorder: dependent personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: dependent personality disorder
-cluster: C
-characteristic behavior in this cluster: anxious and fearful
-assessment of this disorder:
1. passively allows others to resume responsibility
2. very submissive |
|
|
Term
-disorder: obsessive-compulsive personality disorder
-cluster:
-characteristic behavior in this cluster:
-assessment of this disorder: |
|
Definition
-disorder: obsessive-compulsive personality disorder
-cluster: C
-characteristic behavior in this cluster: fearful and anxious
-assessment of this disorder:
1. pervasive pattern of perfectionism
2. inflexibility
3. control
4. hoard things
5. IS NOT anxiety based as in OCD
6. isolate themselves from a fear of rejection
7. often seek treatment for relationship related anxiety |
|
|
Term
| what is the difference between OCD and OCPD? |
|
Definition
| OCD is anxiety based OCPD is not. OCPD isolate themselves from a fear of rejection |
|
|
Term
| why do OCPD individuals seek treatment? |
|
Definition
| often seek treatment for relationship related anxiety |
|
|
Term
| when antisocial personality is in an extreme form, the person is referred to as a |
|
Definition
|
|
Term
| are people with antisocial personality social? |
|
Definition
| yes, just in a strange way |
|
|
Term
| why is there no effective treatment for antisocial personality disorder? |
|
Definition
| none known because they generally do not have a conscious |
|
|
Term
what personality disorder is this:
-extremely incapacitating
-failure to become independent and a self-supporting adult
-no effective treatment
-do NOT have a conscience
-may improve by midlife |
|
Definition
| antisocial personality disorder |
|
|
Term
| what "hope" is there for a person with antisocial personality disorder since there in no effective treatment? |
|
Definition
-they may improve by midlife
-a relationship with God may help them to develop a conscious |
|
|
Term
| what must be true in order to identify a person with antisocial personality disorder: |
|
Definition
1. must be at least 18 years old
2. history of conduct disorder before the age of 15 |
|
|
Term
| characteristics of a person with antisocial PD |
|
Definition
-disregard for the rights of others
-violation of the rights of others
-failure to conform to society's norms and laws
-deceitful and manipulative
-may have aliases
-use and lie for profit
-impulsivity with poor control of impulses
-fail to follow a life plan
-repeated physical fights or assaults
-wreckless
-disregard for their safety and that of others
-superficial charm and good intelligence
-no anxiety or remorse
-can pass a lie detector test
-treat people like insects
-can abuse animals
-substance abuse is commo |
|
|
Term
| the disregard for the rights of others and violation of the rights of others often begins when in a person with antisocial PD? |
|
Definition
|
|
Term
| leading diagnosis for a person with antisocial PD |
|
Definition
| ineffective coping because they don't know how to carry on a life that does not involve manipulating others, which is their coping mechanism |
|
|
Term
| what is the coping mechanism of a person with antisocial PD? |
|
Definition
|
|
Term
| goal for a person with antisocial PD on unit |
|
Definition
| -have them verbalize the rules of the unit AND the consequences of violating those rules |
|
|
Term
| how can you successfully implement therapeutic interventions for an individuals with antisocial PD? |
|
Definition
-set clear boundaries and state consequences
-confront behaviors without become confrontational or judgemental
-state the problem and consequences
-be consistent
-discuss and differentiate |
|
|
Term
| in order for consequences to be therapeutic to a person with antisocial PD the consequences must have |
|
Definition
| value to the patient, be consistently enforced and explained |
|
|
Term
| is it okay to discuss past behaviors with a person with antisocial PD and differentiate what is acceptable and what is not? |
|
Definition
|
|
Term
| what are some reasons that a person with antisocial PD would be in a treatment setting? |
|
Definition
-court ordered
-manipulated a transfer from jail: suicidal threats or pretended to be psychotic |
|
|
Term
| would a person with antisocial PD prefer jail or the unit? |
|
Definition
|
|
Term
| what type of conscience base do people with antisocial PD operate from? |
|
Definition
| none; it is all about what they "WANT", "FEEL" & "NEED" |
|
|
Term
| are people with borderline personality disorder either neurotic or psychotic? |
|
Definition
| no, they are on the BORDERLINE of other disorders |
|
|
Term
T or F:
people with borderline personality disorder have usually NOT experienced emotional, physical, or sexual abuse during childhood? |
|
Definition
|
|
Term
these characteristics describe what personality disorder:
-neither neurotic nor psychotic
-experienced emotional, physical, or sexual abuse
-immature ego |
|
Definition
| borderline personality disorder |
|
|
Term
| mechanisms of people with borderline personality disorder |
|
Definition
-splitting
-primitive idealization
-projective identification
-omnipotence of self which leads to devaluation and being hypercritical of others
-feel entitled |
|
|
Term
| splitting is the main mechanism of what PD? |
|
Definition
| borderline personality disorder |
|
|
Term
| what does primitive idealization reinforce? |
|
Definition
|
|
Term
| projective identification |
|
Definition
| aggression is externalized and projected onto another person |
|
|
Term
|
Definition
| reinforces splitting and is the "knight and shining armor" perception that a person with borderline personality disorder will do to idealize someone as a hero that will protect them from the villains (people who set limits) |
|
|
Term
| common characteristics of a person with borderline personality disorder |
|
Definition
-panic when alone
-fear abandonment
-narcissistic injury
-general dissatisfaction with life
-unable to experience pleasure
-lack a sense of self
-poor ego boundaries
-lack of sense of self
-can take on the characteristics of others
-very intense affect
-manifest massive defenses
-depression is common
-impulsive and manipulative
-play one person against the other
-excessive flattery
-provocative actions
-substance abuse is common
-many somatic complaints
-difficult to establish trust |
|
|
Term
| hallmarks of borderline personality disorder |
|
Definition
| -fear of abandonment and use of splitting as a coping mechanism |
|
|
Term
|
Definition
| unable to see that anyone else has any needs |
|
|
Term
| do people with borderline personality disorder like confrontation? |
|
Definition
|
|
Term
| when under stress, people with borderline personality disorder decompensate how? |
|
Definition
| go into psychosis when under stress |
|
|
Term
| self-destructive acts are common with borderline personality disorder; explain the process |
|
Definition
-feel depressed
-feel abandoned
-withdraw
-depersonalize
-feel like they are in a trance
-so they self-mutilate to: feel alive, see blood, or leave the trance
-able to dissociate and feel no pnai |
|
|
Term
| the self mutilation of people with borderline personality disorder is an attempt to relieve what? is it a real suicide attempt? must it be taken seriously? |
|
Definition
it is an attempt to relieve rage and anxiety
it is not a true suicide attempt
regardless it MUST be taken seriously |
|
|
Term
| a possible NANDA for people with borderline personality disorder: |
|
Definition
| -impaired social interaction r/t lack of personal identity particularly in patient who use splitting |
|
|
Term
| goal for people with borderline personality disorder |
|
Definition
| can interact with others and NOT use splitting |
|
|
Term
| during the implementation of the intervention for people with borderline personality disorder it is important to |
|
Definition
-be available without reinforcing dependent behaviors
-set limits on length and frequency of interactions
-point out tendency to see only one aspect of self and others
-relate splitting to specific occurrences
-support development of ego strengths |
|
|
Term
| is it good to share with a patient that having both good and bad views of person at the same time is normal? |
|
Definition
|
|
Term
| with regards to the staff, it is important to do what for PDs? |
|
Definition
| rotate for each shift, but keep the same nurse for the entire shift |
|
|
Term
| which type of PD would this NANDA most apply to: risk for self-mutilation r/t rage and inner emptiness? |
|
Definition
|
|
Term
| how are the hospitalization terms different for a person with BPD vs APD? |
|
Definition
BPD: keep it short as possible
APD: preserve unit structure and integrity |
|
|
Term
| all PDs share the characteristics of being: |
|
Definition
-inflexible
-having difficulties in interpersonal relationships that impair social and or occupational functioning |
|
|
Term
| why do people with PDs enter psychiatric treatment most often? |
|
Definition
| distress from a morbid major mental illness such a depression or bipolar disorder |
|
|
Term
|
Definition
| an enduring pattern of behavior that is considered to be both conscious and unconscious and reflects a means of adapting to a particular environment and its cultural, ethnic, and community standards |
|
|
Term
|
Definition
| a pattern of inner experience of behaviors the deviate markedly from the individual's culture, is pervasive and inflexible, has an onset of adolescence to early childhood, and leads to distress and impairment. |
|
|
Term
|
Definition
| existing in or spreading through every part of something |
|
|
Term
| 4 characteristics that all PDs have in common: |
|
Definition
1. maladaptive and inflexible response to stress
2. the ability to evoke interpersonal conflict
3. disability in working and loving
4. capacity to get under the skin of others |
|
|
Term
| what are some characteristics seen in people with PDs that are also seen in mood and schizophrenic disorders? what characteristics are different? |
|
Definition
similar: grandiosity, suspiciousness, and withdrawal
different: in PDs there is normal ego functioning and reality testing |
|
|
Term
T or F:
all individuals with personality disorder has self esteem issues |
|
Definition
| true!!!!!!!!!!!!!!!!!!!!!!!1 no matter how they look on the outside, they ALLLLLLLLL have self esteem issues |
|
|
Term
T or F:
people with PD can see themselves objectively |
|
Definition
|
|
Term
T or F:
people with PDs cannot take responsibility for their own behavior, cannot trust others, and are constantly fearful of being hurt |
|
Definition
|
|
Term
| because PDs are often overdiagnosed in client who are ethnically and culturally different from the healthcare provider, it is important for the clinician to obtain additional information from others from the individuals cultural background |
|
Definition
| obtain additional information from others from the individuals cultural background |
|
|
Term
T or F:
people with PDs tend to be more educated and employed |
|
Definition
| FALSE: they tend to be UNDER educated and UNEMPLOYED |
|
|
Term
T or F:
a person with a PD is more likely to be married |
|
Definition
| False: more likely to be single |
|
|
Term
T or F:
person with a PD often have comorbid substance abuse disorder, and may commit violent and nonviolent crimes including sex offenses |
|
Definition
|
|
Term
| with what type of therapy can there be sustained improvement for PDs? |
|
Definition
|
|
Term
| what is one HUGE area that people with PDs have trouble with that makes it really hard to form a therapeutic relationship with them? |
|
Definition
| they have HUGE trust issues |
|
|
Term
| PDs are on what position in the mental health spectrum? |
|
Definition
|
|
Term
| there is a definite genetic link to what PD? |
|
Definition
|
|
Term
| what can cause altered neurotransmitter systems and overuse of primitive defense mechanisms? |
|
Definition
|
|
Term
| defense mechanisms used by people with PDs include: |
|
Definition
repression
suppression
regression
undoing
splitting |
|
|
Term
| inablity to incorporate positive and negative aspects into a whole image of a person |
|
Definition
|
|
Term
| primary defense used by borderline PDs |
|
Definition
|
|
Term
what cluster is this:
avoid interpersonal relationships, have unusual beliefs, and maybe indifferent to the reactions of others to their views |
|
Definition
| cluster A: eccentric and odd behaviors |
|
|
Term
| characterized by distrust and suspiousness toward others, based on the belief (unsupported by evidence) that others want to exploit, harm, or decieve the person |
|
Definition
|
|
Term
| hypervigilant, anticipate hostility, may provoke hostile responses by starting a counterattack, demonstrate jealousy, controlling behaviors, and unwillingness to forgive |
|
Definition
|
|
Term
| this disorder has the primary feature of emotional detachment |
|
Definition
|
|
Term
| emotionally detached, does not seek out or enjoy close relationships, shows indifference to praise or criticism from others, work solitarily |
|
Definition
|
|
Term
| my be a precursor to schizophrenia or delusional disorder |
|
Definition
|
|
Term
| central characteristic of odd beliefs leading to interpersonal difficulties |
|
Definition
|
|
Term
| central characteristic of odd beliefs leading to interpersonal difficulties, eccentric appearance, shows evidence of magical thinking or perceptual distortions that are not clear delusions or hallucinations. speech may be difficult to follow because they develop vague associations |
|
Definition
|
|
Term
| what is the difference b/t schizoid PD and schizotypal PD? |
|
Definition
schizoid is known for emotional detachment and indifference to praise and criticism
schizoptypal is more eccentric in thoughts, and thinking. and they are more likely to seek psychiatric help because of intense anxiety felt in social relationships where as because schizoids don't care they won't |
|
|
Term
| individuals in this cluster seek out interpersonal relationships but cannot maintain them because of excessive demands and emotional instability, are manipulative in their actions despite superficial warmth and charm, and have a sense of unconscious entitlement |
|
Definition
|
|
Term
| there is a clear history of conduct disorder in childhood and the individuals show no remorse for hurting others |
|
Definition
|
|
Term
| central characterisitic of instability in affect, identity, and relationships |
|
Definition
|
|
Term
| individuals with this disorder seek out relationships but drive others in them away because of their excessive demands, impulsive behaviors, and unconctrolled anger |
|
Definition
|
|
Term
| one ofthe most common PDs in the healthcare setting |
|
Definition
|
|
Term
| significant risk for suicide, with a history of dramatic suicidal gestures and self-mutilation |
|
Definition
|
|
Term
| key ingredient of emotional attention seeking behavior, in which the person needs to be the center of attention |
|
Definition
|
|
Term
| impulsive, melodramatic, may act flirtatious or provacative to get the spotlight, must be the center of attention, attention seeking, relationships do not last because the partner often feel smothered |
|
Definition
|
|
Term
| does not have the insight into his or her role into the breaking up of relationships and may seek treatment for depression or cormorbid condition. demands the best of everything and is very critical |
|
Definition
|
|
Term
| primary feature of arrogance, with a grandiose view of self importance, has constant need for admiration. has a lack of empathy for others that strains most relationships. |
|
Definition
|
|
Term
| underneath the surface of arrogance is an intesne shame and fear that if they are bad they will be abandoned. afraid of their mistakes and of others. |
|
Definition
|
|
Term
| may seek help for depression, feeling that loved ones do not show appreciation of their special qualities |
|
Definition
|
|
Term
what cluster is this:
feel insecure and indadequate, depending on others for reassurance or isolating themselves for fear of rejection |
|
Definition
|
|
Term
| central characteristic of social inhibition and avoidance of all situations that require interpersonal contact. want to have close relationships but are preoccupied with the fear of rejection |
|
Definition
|
|
Term
| primary feature of extreme dependency in a close relationships, with an urgent need for a replacement when one relationship ends |
|
Definition
|
|
Term
| have difficulty making decisions and are constantly seeking reassurance. their submissiveness often leaves them vulnerable in abusive relationships |
|
Definition
|
|
Term
| have a deeply held conviction of personal incompetence and that they cannot survive on their own |
|
Definition
|
|
Term
| most common frequently seen PD in the clinical setting overall |
|
Definition
|
|
Term
| key characteristic of perfectionism with a focus on orderliness and control |
|
Definition
|
|
Term
| become so preoccupoed with details and rules that they may not be able to accomplish a given task |
|
Definition
|
|
Term
| this diagnosis is used when an person meets some but not all criteria for a given disorder or else has a mixture of features from several disorder |
|
Definition
| personality disorder not otherwise specified |
|
|
Term
| the best standardized test for evaluating personality |
|
Definition
| the Minnesota Multiphasic Personality Inventory (MMPI) |
|
|
Term
| why is it important to ascertain whether the client with a PD has suffered a recent loss? |
|
Definition
| at these times PDs are often exacerbated |
|
|
Term
| why can attempting at therapeutic relationships with antisocial and borderline PD patient often be a set up for failure? |
|
Definition
| their distrust and hostility |
|
|
Term
| what is the focus in an acute care setting for PDs? what about long term? |
|
Definition
acute care: treat the most important crisis: depression, anxiety, suicidal ideation
long term: it will take time and repetition to change learned behaviors. these issues are not expected to be resolved but appropriate therapeutic feedback is needed |
|
|
Term
| due to their distrust and hositility when they feel threatended, having a therapeutic relationship with a patient with a PD can be very difficult. what is one way to overcome this? |
|
Definition
| give them realistic choices such as selecting a particular group activity will give them a sense of control and can enhance therapy compliance |
|
|
Term
| which PD becomes depressive and suicidal when admiration is withdrawn or they feel rejected? |
|
Definition
|
|
Term
| it is important to understand that seductive behavior of a histrionic patient is a response to |
|
Definition
|
|
Term
| suggested therapies for borderline PD |
|
Definition
1. dialectical behavioral therapy
2. SSRIs for anger and depression
3. carbamazepine (tegretol) an anticonvulsant for lack of control and self-harm
4. low dose antipsychotics for cognitive disturbance (paranoia, magical thinking, and illusions) |
|
|
Term
| suggested therapies for antisocial PD |
|
Definition
1. cognitive approach
2. structured community residential program
3. agents for agression: lithium, anticonvulsants, SSRIs |
|
|
Term
| suggested therapies for narcissistic PD |
|
Definition
1. cognitive and behavioral measures
2. group therapy
3. no specific medication |
|
|
Term
| suggested therapies for histrionic PD |
|
Definition
1. group therapy
2. treatment of comorbid PDs
3. antidepressants PRN |
|
|
Term
| basic level interventions for clients with PDs |
|
Definition
| mileu therapy,psychobiological interventions, and case management |
|
|
Term
| can at times of stress patients with borderline PD be psychotic? |
|
Definition
|
|
Term
| primary goal of mileu therapy for a patient with a PD |
|
Definition
| affect management in a group context |
|
|
Term
| limit setting and confrontation about negative behavior is better accepted by the client if the staff first employ |
|
Definition
| empathetic mirroring; reflecting back to the client an understanding of the client's distress without a judgement |
|
|
Term
| what interventions can be done to effectively help a client with borderline PD relate their superficial self destructive behaviors to certain emotions? |
|
Definition
-act in accordance to unit policy
-remain neutral and dress the wound matter of factly
-instruct client to write down all of the events that led up to injury and the consequences before discussion of event
-this will encourage client to independently reflect on their own behavior instead of just ventilating feelings |
|
|
Term
| different drugs used for maintaining cognitive function and relieving symptoms in PDs |
|
Definition
| antidepressants, anxiolytic, antipsychotics |
|
|
Term
| people with PDs usually do not like taking medications unless it |
|
Definition
|
|
Term
| people with PDs fear taking medication because they do not want to lose |
|
Definition
|
|
Term
| many clients with PD function at a high level but a significant number need assistance to maintain their |
|
Definition
|
|
Term
| in the acute care setting, case managment focuses on 3 goals for those with PDs, what are they? |
|
Definition
1. gather pertinent history from current or previous providers
2. support reintegration with family or loved ones as appropriate
3. ensure appropriate referrals to outpatient care including substance abuse treatment PRN |
|
|
Term
| people with borderline PD are at serious risk for |
|
Definition
|
|
Term
| what is usually recommended if a borderline PD client is acutely psychotic or makes a life-threatening suicide attempts? |
|
Definition
|
|
Term
| in the case of self-mutilation and suicide threats, what can seem to help but actually reinforce this negative behavior in those with borderline PD? |
|
Definition
|
|
Term
| what is recommended for people with borderline PD in the case of self-mutilation and suicide threats? |
|
Definition
| not hospitalization since it actually reinforces this negative behavior. instead, overnight ER room stays, partial hospitalization day programs and outpatient therapy works best |
|
|
Term
| most effective treatment for borderline PD |
|
Definition
| dialectical behavioral therapy |
|
|
Term
|
Definition
| dialectical behavioral therapy is the most effective therapy for borderline PD; |
|
|
Term
| nursing interventions for cognitive disorder are focused on 3 things: |
|
Definition
1. maintaining client's dignity
2. preserving functional status
3. promoting quality of life for cognitively impaired clients |
|
|
Term
| three main cognitive disorders |
|
Definition
| delirium, dementia, and amnestic |
|
|
Term
|
Definition
| characterized by a disturbance of consciousness and a change in cognition such as impaired attention span and disturbances of consciousness that develop over a short period of time |
|
|
Term
| delirium is always secondary to another |
|
Definition
|
|
Term
| when the cause of the delirium cannot be determined, the delirium is classified as |
|
Definition
| delirium not otherwise specified |
|
|
Term
| is a transient disorder, and if the underlying cause is treated or corrected, then complete recovery should occur |
|
Definition
|
|
Term
|
Definition
| usually develops more slowly and is characterized by mutiple cognitive deficits that include impairment in memory without impairment in consciousness |
|
|
Term
| difference between dementia and delirium |
|
Definition
delirium: change in consciousness and cognition
dementia: change in memory (cognition) without change in consciousness |
|
|
Term
| are usually IRREVERISBLE except those that are secondary to another condition |
|
Definition
|
|
Term
| in secondary dementias, once the underlying causes are treated then |
|
Definition
| the dementia often improves |
|
|
Term
| most dementias, such as Alzheimer's are related to |
|
Definition
|
|
Term
|
Definition
| characterized by a loss of both short and long term memory that causes some impairment in functioning in the absence of significant cognitive impairments |
|
|
Term
| amnestic disorders are always secondary to |
|
Definition
|
|
Term
| which of the cognitive disorders are ALWAYS secondary to an underlying cause? |
|
Definition
| delirium and amnestic disorders |
|
|
Term
| does delirium occur more in elderly or younger clients? |
|
Definition
|
|
Term
| most common causes of delirium |
|
Definition
surgery
drugs
UTIs
CHF
cerebrovascular disease
terminal illness
children with a fever |
|
|
Term
| essential feature of delirium |
|
Definition
| disturbance of consciousness AND cognitive difficulties |
|
|
Term
| in this case thinking, memory, attention, and perception are typically disturbed |
|
Definition
|
|
Term
| the clincal manifestation develop over a short period of time (hours to days) and tend to fluctuate during the course of the day |
|
Definition
|
|
Term
|
Definition
| symptoms and problem behavior become more pronounced in the evening and may occur in both delirium and dementia |
|
|
Term
| because delirium causes psychological stress what types of interventions are needed? |
|
Definition
| those that are supportive, lower anxiety and promote calm and security to foster a sense of control |
|
|
Term
| during delirium the priority treatment is to |
|
Definition
| make an important medical or sugical intervention to correct the underlying disorder because if this happens, then recovery is possible |
|
|
Term
| if the underlying cause of delirium is not corrected then what can happen? |
|
Definition
| sustained neuronal damage can lead to irreversible changes |
|
|
Term
compare the onsets of:
delirium
dementia
depression |
|
Definition
delirium: short from hours to days
dementia: more gradual, slowly over months
depression: gradual with an exacerbation during crisis or stress |
|
|
Term
| the nurse would suspect what when the client abruptly develops a disturbance in consciousness that is manifested in reduced clarity of awareness of the environment |
|
Definition
|
|
Term
| in a person who develops delirium in what order would they begin to have orientation diffculties? |
|
Definition
first to time
then to place
last is person |
|
|
Term
| the nurse would suspect what when the client abruptly develops a disturbance in consciousness that is manifested in reduced clarity of awareness of the environment |
|
Definition
|
|
Term
| disorientation and confusion are usually worse when? |
|
Definition
| at night and the early morning |
|
|
Term
| what do clinicians use to screen or follow the progress of an individual with delirium? |
|
Definition
| Mini-Mental State Examination |
|
|
Term
| nursing assessment of a person with delirium include: |
|
Definition
cognitive and perceptual disturbances
physical needs
mood and behavior |
|
|
Term
| for a person with delirium what types of perceptual impairments might they have? |
|
Definition
| illusions and hallucinations |
|
|
Term
| why might it be difficult to engage a delirious person in a conversation? |
|
Definition
|
|
Term
| why might it be difficult to engage a delirious person in a conversation?ma |
|
Definition
| they are easily distracted, have attention deficits, and impaired memory |
|
|
Term
|
Definition
| errors in perception of sensory stimuli: a white sheet looks like a white snake |
|
|
Term
| what separates an illusion from a hallucination or delusion? |
|
Definition
| an illusion can usually be explained and clarified for the individual |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| what types of hallucination are common in delirium? |
|
Definition
|
|
Term
| visual and tactile hallucinations are more common in delirium whereas auditory hallucinations are more common in |
|
Definition
| schizophrenia, psychosis, and depression |
|
|
Term
| what types of social interaction help to reduce anxiety and misperceptions in delirium? |
|
Definition
| short periods of social interaction |
|
|
Term
| what type of autonomic signs would you expect in a person with delirium? |
|
Definition
| tachycardia, sweating, dilated pupils, flushed face, hypertension |
|
|
Term
T or F:
in delirium change in the sleep-wake cycle occur to the point that a complete reversal of the cycle can occur? |
|
Definition
|
|
Term
|
Definition
| clients are extraordinarly alert and their eyes constantly scan the room, they have difficutly falling asleep or may be activey dioriented and agitated throughout the night |
|
|
Term
| in what cognitive disorder would you expect your client to go from a stupor to hypervigilance? |
|
Definition
|
|
Term
| in delirium, the client's mood can change dramatically in what period of time? |
|
Definition
|
|
Term
| most common nursing diagnosis for delirium? |
|
Definition
|
|
Term
| desired overall outcomes for a delirious patient? |
|
Definition
client will remain safe
client will be oriented to time, place, and person by discharge
underling cause will be treated and ameliorated
return to premorbid level of functioning |
|
|
Term
is severe memory loss a normal part of getting older?
what about slight forgetfullness? |
|
Definition
is severe memory loss a normal part of getting older? NO
what about slight forgetfullness? YES |
|
|
Term
| judicious use of what medications can be helpful in controlling the behaviors in delirium? |
|
Definition
| antipsychotics and antianxiety |
|
|
Term
| judicious use of what medications can be helpful in controlling the behaviors in delirium? |
|
Definition
| antipsychotics and antianxiety |
|
|
Term
t or f:
a client in acute delirium can be left alone |
|
Definition
|
|
Term
|
Definition
| marked by pregressive deterioration in intellectual functioning, memory, and the ability to solve problems and learn new skills; a decline in the ability to perform ADLs, progressive deterioration of personality accompanied by impaired judgement |
|
|
Term
|
Definition
Alzheimer's type
vascular dementia
Lewy body disease
Pick's disease
Huntington's chorea
alchol related dementias: Korsakoff's
Creutzfeldt-Jakob disease
Parkinson's disease
AIDS
head trauma |
|
|
Term
| dementias can be classified as either |
|
Definition
|
|
Term
| not reversible, progressive and not secondary to another disorder form of dementia |
|
Definition
|
|
Term
| these types of dementias are progressive, primary, and irreversible: |
|
Definition
| Alzheimer's and vascular dementias |
|
|
Term
| a dementia that occurs as a result of some pathological process |
|
Definition
|
|
Term
| secondary dementias include |
|
Definition
Lewy body disease
Pick's disease
Huntington's chorea
alchol related dementias: Korsakoff's
Creutzfeldt-Jakob disease
Parkinson's disease
AIDS
head trauma
viral encephalitis
pernicious anemia
folic acid deficiency
hypothyroidism |
|
|
Term
|
Definition
| AIDS related dementia, a secondary dementia |
|
|
Term
| an example of a secondary dementia, cause by thiamine (vitamin B1) deficiency which may be associated with long term alcohol use |
|
Definition
|
|
Term
| Korsakoff's syndrome is marked by |
|
Definition
| peripheral neuropathy, cerebellar ataxia, confabulation, and neuropathy |
|
|
Term
| preferences for the development of Alzheimer's: |
|
Definition
|
|
Term
| typial age of onset of Alzheimer's |
|
Definition
|
|
Term
| Alzheimer's disease results in |
|
Definition
| cerebral atrophy with neuritic plaques and neurofibrillary tangles which are microscopic abnormalities in the brain tissue |
|
|
Term
| main component of the neuritic plaques, one of the abnormal strucutes found in the brains of Alzheimer's clients |
|
Definition
|
|
Term
| brain tissue/structure abnormalities found in the brains of Alzheimer's patients |
|
Definition
neurofibrillary tangles
neuritic plaques
granulovascular degeneration |
|
|
Term
| part of the brain responsible for recent or short term memory |
|
Definition
|
|
Term
|
Definition
| composed of hyperphosphorylated tau protein and form in the neurons in the hippocampus, negatively affecting memory |
|
|
Term
|
Definition
| cores of degenerated neuron material that lie free of the cell bodies on the ground substances of the brain. number of plaques is correlated to the severity of mental deterioration |
|
|
Term
| the number of neuritic plaques has shown to correlate to the |
|
Definition
| severity of mental detrioration in Alzheimer's |
|
|
Term
| granulvascular degeneration |
|
Definition
| filling of the brain cells with fluid and granular material. |
|
|
Term
| increased granulovascular degeneration accounts for |
|
Definition
| increased loss of mental function. |
|
|
Term
| is brain atrophy observable? |
|
Definition
|
|
Term
| what changes take place in the brain of a person with Alzheimer's? |
|
Definition
cortical sulci become wider
enlarged cerebral ventricles |
|
|
Term
| family members with people with Alzheimer's in the family are at a ___________ risk for developing the disease than the general population. T or F? |
|
Definition
|
|
Term
| the genes that showed the greatest evidence of late-onset Alzheimer's were chromosomes |
|
Definition
|
|
Term
|
Definition
|
|
Term
| which chromosome has recieved the greatest attention in regards to Alzheimer's? |
|
Definition
|
|
Term
| researchers believe that herpes simplex 1 virus in the nervous system of an individual with what allele is a risk factor for Alzheimer's? |
|
Definition
|
|
Term
| nongenetic links to the development of Alzheimer's |
|
Definition
| inflammation and high cholesterol |
|
|
Term
| studies have shown that inflammation and high cholesterol have been linked to the developement of Alzheimer's. what types of medications would help prevent it then? |
|
Definition
anti-inflammatory agents
and statins (cholesterol lowering) drugs |
|
|
Term
| in this stage of Alzheimer's it is easy to cover up and compensate for the loss of memory and use denial |
|
Definition
|
|
Term
|
Definition
| UNCONSCIOUS protective defense |
|
|
Term
|
Definition
| UNCONSCIOUSLY making up stories or answers to maintain self-esteem |
|
|
Term
| denial and confabulation, what do they have in common? |
|
Definition
|
|
Term
| difference between confabulation and lying? |
|
Definition
| confabulation is unconscious, lying is not |
|
|
Term
|
Definition
| repetition of phrases or behavior |
|
|
Term
| preservation is often seen in times of |
|
Definition
|
|
Term
| defensive behaviors that a nurse may encounter when assessing a patient with Alzheimer's |
|
Definition
1. denial
2. confabulation
3. question answering avoidance
4. preservation |
|
|
Term
| cardinal symptoms observed in Alzheimer's |
|
Definition
-amnesia or memory impairment
-aphasia
-apraxia
-agnosia
-difficulties in executive functioning |
|
|
Term
|
Definition
|
|
Term
|
Definition
| loss of purposeful movement in the absence of motor of sensory impairment |
|
|
Term
|
Definition
| loss of sensory ability to recognize objects |
|
|
Term
|
Definition
| lose the ability to recognize familiar sounds: telephone riging, car horn |
|
|
Term
| examples of disturbances in executive functioning |
|
Definition
| trouble planning, organizing and with abstract thinking |
|
|
Term
| disorders that can mimic dementia |
|
Definition
| drug toxicity, metabolic disorders, infections, and nutritional deficiencies |
|
|
Term
| name for disorders that can mimic dementia |
|
Definition
|
|
Term
| diagnostic measures for Dx Alzheimer's |
|
Definition
| CT, PET scans, Mini-Mental State Examination, ruling out other disorders, COMPLETE HISTORY!!!!!! |
|
|
Term
| disorder in the elderly that is frequentyl confused with dementia |
|
Definition
|
|
Term
| can delirium and depression and depression and dementia coexist in the same person? |
|
Definition
|
|
Term
| how is the stage of Alzheimer's classfied? |
|
Definition
| stage of the degenerative process |
|
|
Term
|
Definition
stage 1: Mild- forgetfulness
stage 2: Moderate- confusion
stage 3: Moderate to severe- ambulatory dementia
stafe 4: Late- end stage |
|
|
Term
| the loss of intellectual ability is |
|
Definition
|
|
Term
| what remains intact that causes others to minimize and underestimate the loss of an individual's ability in stage 1: mild Alzheimer's |
|
Definition
| the personality and social behavior stay intact |
|
|
Term
| depression may occur in Alzheimer's, but what occurs as the Alzheimer's progresses? |
|
Definition
|
|
Term
| what activities are known to decrease in stage 1 mild Alzheimer's? |
|
Definition
|
|
Term
| at stage 1 of Alzheimer's can it be diagnosed? |
|
Definition
|
|
Term
| at what stage of Alzheimer's is deterioriation evident? |
|
Definition
| stage 2: moderate Alzheimer's |
|
|
Term
| in what stage of Alzheimer's does denial take over? |
|
Definition
|
|
Term
| characterisitics of stage 1 Alzheimer's |
|
Definition
loses energy, drive, and iniative
still has personality and social behaviors
can still work but the extent become obvious in new or stressful situations
aware of the problem
depression is common |
|
|
Term
| characterisitics of stage 2 Alzheimer's |
|
Definition
denial takes over
deterioration is evident
ataxia
hygiene suffers
driving is dangerous |
|
|
Term
| in this stage of Alzheimer's the person is often unable to identify familiar objects or people or even a spouse (severe agnosia) |
|
Definition
| stage 3 moderate to severe |
|
|
Term
this is characteristic of what stage of Alzheimer's?
-person wanders
-is incontinent
-totally dependent on others for care
-severe agnosia and apraxia |
|
Definition
| stage 3: moderate to severe |
|
|
Term
| at what stage of Alzheimer's is institutionalization needed typically? |
|
Definition
| stage 3: moderate to severe |
|
|
Term
identify this stage of Alzheimer's:
-agraphia
-hyperorality
-hypermetamorphosis
-ability to talk and walk lost |
|
Definition
|
|
Term
| the end stage of Alzheimer's is characterized by |
|
Definition
|
|
Term
| death by Alzheimer's is usually due to |
|
Definition
|
|
Term
| can be used by nurses and families to plan strategies for addressing immedicate needs and to track progression of dementia |
|
Definition
| Functional Dementia Scale |
|
|
Term
| why is it important to order nonbarbituates for those with Alzheimer's? |
|
Definition
| they can have a pardoxical effect and cause agitation |
|
|
Term
| which neuroleptics would be most effective in allowing the patient with Alzheimer's to think clearly and also be sedated from agitation? |
|
Definition
|
|
Term
| why should we avoid the use of restraints when caring for those with Alzheimer's? |
|
Definition
| can make patients terrified and afraid and can cause fighting to exhaustion to get out |
|
|
Term
| wandering is common during what stages of Alzheimer's? |
|
Definition
|
|
Term
| is there a cure for Alzheimer's? |
|
Definition
|
|
Term
| 5 Alzheimer's disease drugs approved by the FDA that demonstrate positive effects not only on cognition but also on behavior and function in the ADLs |
|
Definition
| cognex, aricept, exelon, reminyl, namenda |
|
|
Term
| these drugs work to increase the brain's supply of acetlycholine, a nerve communicator that is deficient in people with Alzheimer's |
|
Definition
| cognex, aricept, reminyl, exelon |
|
|
Term
| which of the 5 Alzheimer's drugs DO NOT increase the supply of acetylcholine in the brain? |
|
Definition
|
|
Term
| how does the drug namenda work? |
|
Definition
| works by blocking overstimulation by glutamate which contributes to neurodegenerative disease |
|
|
Term
|
Definition
| contributes to neurodegenerative disease |
|
|
Term
|
Definition
| neurotransmitter that is deficient in people with Alzheimer's |
|
|
Term
|
Definition
-tacrine or THA
-first cholinesterase inhibitor
-improves functioning
-slows progress of the disease especially with cognition and memory |
|
|
Term
|
Definition
-elevated liver transaminerase levels
-GI effects
-liver toxicity |
|
|
Term
|
Definition
-hepatic effects
-need for multiple doses |
|
|
Term
| areas that cognex helps to slow the deterioriation of |
|
Definition
|
|
Term
| most prescribed Alzheimer's drug |
|
Definition
|
|
Term
|
Definition
-donepezil
-inhibits acetylcholine breakdown
-most prescribed Alzheimer's drug
-slows down deterioration of cognitive functions but without the liver toxicity found in tacrine (cognex)
-may have diarrhea and nausea
-said to slow down cognitive deterioration by about 2 years |
|
|
Term
|
Definition
| aricept slows down cognitive deterioration by about 2 years without the liver toxicity caused by cognex |
|
|
Term
|
Definition
-rivastigmine
-selective acetylcholinesterase inhibitor
- |
|
|
Term
| common side effects of exelon |
|
Definition
-N and V
-loss of apetite
-weight loss
-SE are usually temporary in most cases |
|
|
Term
|
Definition
|
|
Term
|
Definition
-galantamine
-reversible cholinesterase inhibitor
-prescribed during stages 1 and 2 of Alzheimer's |
|
|
Term
| during what stages is reminyl prescribed in Alzheimer's? |
|
Definition
|
|
Term
| firs drug to target the symptoms of Alzheimer's during the moderate to severe stages |
|
Definition
|
|
Term
| when taken with what drug was namenda found to produced significant additional benefits? |
|
Definition
|
|
Term
|
Definition
| affects NMDA receptors to block the overstimulation of glutamate receptors which contribute to neurodegenerative disease |
|
|
Term
| which vaccine is believed to help clear the brain of amyloid plaques? |
|
Definition
|
|
Term
| rule of thumb for giving elderly clients medication |
|
Definition
|
|
Term
| some of the troubling behaviors that Alzheimer's clients exhibit that must be coped with by the caregivers |
|
Definition
1. psychotic symptoms: hallucinations, paranoia
2. severe mood swings (depression is common)
3. anxiety (agitation)
4. verbal or physical aggression |
|
|
Term
acceptable medications to target specific problems in dementia: psychotic symptoms
what type of drug:
examples:
important information/precautions |
|
Definition
acceptable medications to target specific problems in dementia: psychotic symptoms
what type of drug: antipsychotics
examples:
-haldol
-zyprexa
-risperdal
-seroquel
important information/precautions:
these can cause akathisia: increased restlessness and agitation. can make client more incapacitated to the parkinsonian and anticholinergic effects |
|
|
Term
acceptable medications to target specific problems in dementia: affective symptoms such as depression
what type of drug:
examples:
important information/precautions |
|
Definition
acceptable medications to target specific problems in dementia: affective symptoms such as depression
what type of drug: antidepressants
examples:
-wellbutrin
-prozac
-serzone
-paxil
-zoloft
-desyrel
important information/precautions:
avoid agents with high anticholinergic activity, the SSRI's tend to be well tolerated by the elderly population |
|
|
Term
acceptable medications to target specific problems in dementia: anxiety
what type of drug:
examples:
important information/precautions |
|
Definition
acceptable medications to target specific problems in dementia: anxiety
what type of drug: BuSpar and benzodiazepines
examples:
-xanax
-valium
-ativan
important information/precautions:
BuSpar has no serious side effects on the elderly and should be considered.
Benzos: have side effects: psychomotor impairment, drowsiness, or cognitive impairment. use short acting small doses |
|
|
Term
acceptable medications to target specific problems in dementia: agitated and combative behavior
what type of drug:
important information/precautions |
|
Definition
acceptable medications to target specific problems in dementia: agitated and combative behavior
what type of drug:antipsychotics,BuSpar, trazodone, benzodiazepines
important information/precautions:
1. antipsychotics should be used only if te the behavior is a consquence of underlying psychotic process only
2. BuSpar can decraease episodic agitation in dementia client
3. trazodone appears to decrease aggressive behavior in agitated clients with demential for 3-4 weeks |
|
|
Term
| precautions when administering antipsychotics to those with Alzheimer's: |
|
Definition
| these can cause akathisia: increased restlessness and agitation. can make client more incapacitated to the parkinsonian and anticholinergic effects |
|
|
Term
|
Definition
|
|
Term
| what is the effects of BuSpar on the elderly? |
|
Definition
|
|
Term
| side effects and consideration for the use of benzos |
|
Definition
| psychomotor impairment, drowsiness, or cognitive impairment. use short acting small doses |
|
|
Term
| effects of trazodone in clients with dementia |
|
Definition
| trazodone appears to decrease aggressive behavior in agitated clients with demential for 3-4 weeks |
|
|
Term
| why does exposure to violence adversely affect a child's development? |
|
Definition
| because the energy needed to accomplish development tasks now goes to coping with violence |
|
|
Term
| physical or mental injury inflicted by one family member upon another and the omission or deprivation of essential services by a caregiver |
|
Definition
|
|
Term
|
Definition
| initiate violence, consider their own needs more important and seek for others to meet their needs |
|
|
Term
| both male and female abusers or perpetrators percieve themselves as having poor |
|
Definition
|
|
Term
|
Definition
| one whom the violence is perpetrated on |
|
|
Term
| does pregnancy lessen or further domestic violence in a relationship? |
|
Definition
|
|
Term
| victims are at greatest risk for danger when they attempt to |
|
Definition
|
|
Term
| children are most likely to be abused at what age |
|
Definition
|
|
Term
|
Definition
-tension building stage
-acute battering stage
-honeymoon stage |
|
|
Term
|
Definition
-minor incidents like pushing, shoving, verbal abuse
-the abuser is edgy with minor explosion
-victim feels like they are walking on egg shells and feels helpless, becomes compliant, and accepts blame |
|
|
Term
|
Definition
-serious battering event
-tension becomes unbearable and the victim may provoke an incident to get it over with
-victim may try to cover injury up or look for help |
|
|
Term
|
Definition
-abuser: shows loving and apologetic behavior, makes promises to change
-victim: truting, hoping for change, wants to believe partners promises |
|
|
Term
| in what stage in the cycle of violence will the abused person try to somatize and project the "poor me" image |
|
Definition
|
|
Term
| t or f: the abusers or perpetrators may have a period of amnesia and not remember the beating |
|
Definition
|
|
Term
t or f:
after the beating both parties are in shock |
|
Definition
|
|
Term
| when does the honeymoon phase fade away? |
|
Definition
|
|
Term
|
Definition
-physical violence
-sexual violence
-emotional violence
-neglect
-economic maltreatment |
|
|
Term
|
Definition
-physical
-developmental
-educational |
|
|
Term
| when assessing a victim of abuse the assessment must be done |
|
Definition
|
|
Term
| complaints that an abused person may claim are |
|
Definition
| vague liike insomia, abdominal pain, hyperventilation, headache, mentrual problems |
|
|
Term
| when interviewing a victim it is important to reassure the patient that they did |
|
Definition
|
|
Term
| the key to idenfication of possible abuse in a victim is |
|
Definition
| a high index of suspicion |
|
|
Term
| baby shaking syndrome signs |
|
Definition
-respiratory problems
-full bulging fontanelles |
|
|
Term
| why can shaking baby syndrome be fatal? |
|
Definition
| can cause intracranial hemorrhage leading to cerebral edema and death |
|
|
Term
| if you suspect that the patient's injury are due to abuse what is one way to ask them? |
|
Definition
| whether the injury has been caused my someone close to them |
|
|
Term
| whenever physical or sexual violence occurs what always also occurs? |
|
Definition
|
|
Term
| what drugs do a person experiencing violence often use to escape the situation? |
|
Definition
| CNS depressants like benzodiazepines |
|
|
Term
| if your client who is being abused is intoxicated and you need to do your interview what should you do? should you release the client to their spouse? |
|
Definition
|
|
Term
| nurses have a legal responsibililty and are mandated to report what types of abuse? |
|
Definition
| suspected child or elderly abuse |
|
|
Term
| unless the elderly person who is being suspected of being abused is found to be legally ______________ then if a nurse suspects they are being abused they must report it |
|
Definition
|
|
Term
| family therapy should take place only if |
|
Definition
| the violence is recent and both parties agree |
|
|
Term
|
Definition
Short term memory loss
Long term memory loss
Impairment of person’s functioning
An impairment in learning and recalling information that
exists in the absence of other significant cognitive
impairments |
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|
