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behavioral health > behavorial health 1 > Flashcards

behavorial health 1 Flashcards

1
Q

Axiom #1
mental and medical conditions often co exist

A

-Co occurrence of disorders is called comorbidity. Successfully addressing one requires addressing both disorders.

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2
Q

Axiom #2
many mental disorders present with chronic and disabling physical sx.

A

-physical sx obscure psychological sx

-pts will talk about what hurts and the more severe, chronic and disabling the physical sx–> more likely there is an associated mental disorder

-psychological sx become apparent when providers have a suspicion of them

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3
Q

Axiom #3a

A

mental disorder paired with a chronic medical dx.

severe physical sx become a red flag for associated mental disorder

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4
Q

Axiom #3b

A

chronic MUS that have little to non identifiable disease or pathoph. basis

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5
Q

patients dont express their psychological and physical sx at the same bc?

A

-the stigma of mental disorders
-providers not interested
-not aware of their disorder

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6
Q

chronic dx leads to

A

mental disorder

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7
Q

mental disorder leads to

A

chronic dx

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8
Q

what dx tx leads to the mental disorder of depression and anxiety

A

-steroids
-HRT/OCP
-digoxin
-metaclopramide

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9
Q

what dx tx leads to the mental disorder of depression

A

-BB
-clonidine
-opiates

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10
Q

what dx tx leads to the mental disorder of anxiety?

A

-albuterol
-dicyclomide

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11
Q

SSRI causes

A

-obesity
-tremor
-Sex dys
-nausea

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12
Q

SNRI

A

-HTN
-tachcardyia
-sex dys

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13
Q

Bupropion

A

-lower seizure threshold
-anxiety
-night sweats

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14
Q

Mirtrazapine

A

-sedation
-obesity

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15
Q

Lithium

A

-thyroid dys.
-ECG changes

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16
Q

Lamotrigine

A

-hepatitis
-skin changes

17
Q

antipsychotics

A

-obesity/hyperlipidemia

18
Q

stimulants

A

-HTN
-insomnia
-MI

19
Q

pyschological sx =

A

mental disorder

20
Q

physical sx

A

medical disorder

21
Q

MUS

A

-94%
no medical explanation
-medical disorder sx are more severe than expected
-unclear etiology

RE FLAG FOR MENTAL DISORDER

22
Q

person had chronic nack pain, poor control of DM, opioid misuse = ex?

A

depression

23
Q

mental health model:

this is a biopsychosocial model too!!!

A

-establish communication and effective pt provider relationship
-educate pt
-obtain pt commitment
-determine pt goal
-negotiate a plan

24
Q

patient centered

A

-self determination
-shared decision making
-motivational interviewing
-social cognitive theory
-chronic care model

25
Q

MHCM

A

-values pt autonomy and emphasizes that while provider is expert of the dx/tx…. patient is the expert on their life and their needs

focuses on:
-self management
-fostering
-pt self efficacy

26
Q

MHCM emphasizes:

A

a negotiated approach w pt provider relationship, applicable to ALL DISORDERS

27
Q

PCI

A

-commitment
-education
-negotiate a plan
-goals

-emphasizes empathy and maximize communication and clinical pt relationship

27
Q

How do u show empathy

A

NURS

28
Q

PCI: Education

A

-not enough to state diagnosis of plan
-ask pt of their understanding of problem
-tell pt the facts of the diagnosis and recommend tx plan
-ask pt again about their understanding

29
Q

PCI: committment

A

pt must take responsibility and partner in

30
Q

PCI: goals

A

setting goals is important to effective mental health
-patients often overwhelmed SO it PROVIDER guides pt for reasonable goals

31
Q

PCI: negotiate

A

-medications
-inc. physical activity
-inc social activity
-sleep hygiene
-relax tech
-F/u

32
Q

Somatic Disorders:

A

somatic sx is diagnosed when a person has a significant focus on physical sx such as pain, SOB–> results in major distress and problems fxning

33
Q

DSMD

A

handbook for providers in US to guide mental disorders

34
Q

somatic sx disorder DSM-5

A

a. 1 or kore somatic sx result in distress in life

b. excessive thoughts, feelings, behaviors associated to somatic disorders:
[persistant thoughts about sx, high lvl of anxiety, excessive time and energy devoted to health concern]

C. more than 6 months

35
Q

Somatic sx disorders ex.

A

hypohondria (excessice worry about medial issue when there is not)
hysteria( over exaggerated)
grand hysteria(natural disaster)
MUS

36
Q

functional neurological disorder

A

-one or more sx of altered voluntary motor or sensory fxn

37
Q

somatic disorders occur bc:

A

-illness allow socially isolated person access to a social support system

-illness =nurture
-illness=manipualtion
-cry for help

behavioral health (6 decks)

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