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MH Test #3 > Block 8 Anxiety, Depression, Mood D/O > Flashcards

Block 8 Anxiety, Depression, Mood D/O Flashcards

1
Q

the emotional state that influences a persons entire personality and life functioning is ones…

A

mood

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2
Q

an emotional state in which a person is extremely euphoric, active, and grandiose is…

A

manic

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3
Q

a moderate depression that lasts longer than 2 years is called…

A

dysthymia

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4
Q

a last resort for severely depressed persons who do not respond to antidepressants is causing a gran mal seizure through…

A

electroconvulsive therapy

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5
Q

the naturally occurring salt that helps those with bipolar disorder control their behavior and though is…

A

lithium

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6
Q

a psychiatric disorder characterized by sudden dramatic extremes in emotional shifts is…

A

bipolar disorder

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7
Q

an example of a tricyclic antidepressant is…

A

elavil

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8
Q

a client has become more quiet and withdrawn, refuses his medications, and has stopped eating. the nurse should first assess him for…

A

suicide risk

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9
Q

a feeling of uneasiness, uncertainty, and helplessness…

A

anxiety

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10
Q

a normal emotional response to a real or imagines threat or stressor…

A

anxiety

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11
Q

uncontrolled anxiety often leads to…

A

ineffective and maladaptive behavior

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12
Q

mild anxiety can increase what by enhancing what?

A

increase learning by enhancing concentration and focus.

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13
Q

positively focused anxiety helps us to…

A

learn

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14
Q

maladaptive responses to anxiety are…

A

ineffective

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15
Q

responses to anxiety range from…

A

mild to panic

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16
Q

this type of anxiety is a learned response to an anticipated event (ex. lawyer nauseated before a case)

A

signal anxiety

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17
Q

this type of anxiety allows an individuals coping abilities to become overwhelmed and emotional control is lost…

A

anxiety state

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18
Q

this type of anxiety occurs in low stress situations

A

anxiety trait

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19
Q

physical symptoms of anxiety include (5)…

A

muscle tension, fidgeting, headache, problems with sleep, fight or flight reaction

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20
Q

during the fight or flight response what happens to the HR and the pupils?

A

the HR increases and the pupil dilate

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21
Q

coping mechanisms in the physical realm include…

A

efforts to directly face and handle the problem like running away

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22
Q

intelectual coping mechanisms are aimed at…

A

making the treat less meaningful by changing ones perception, ex. that test wasn’t really that bad

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23
Q

psychological strategies that help to lessen the feelings of anxiety…

A

defense mechanisms

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24
Q

the goal of this is to reduce uncomfortable negative emotions…

A

defense mechanisms

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25
Q

the client needs to learn how to cope with stress during a…

A

crisis

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26
Q

when ones ability to cope with anxiety is overwhelmed…

A

crisis

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27
Q

how must a patient successfully resolve the source of the problem during a crisis?

A

develop new coping behaviors

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28
Q

this is contagious…

A

anxiety

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29
Q

it is important the caregivers recognize and cope effectively with…

A

their own anxieties

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30
Q

problems associated with anxiety in chilhood… (4)

A

phobia, separation anxiety, overanxious disorder, avoidant disorder.

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31
Q

avoidant disorder=

A

avoid what makes them anxious

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32
Q

adolescents who ineffectively cope with anxiety often express themselves how?

A

inappropriately. example drugs and running away

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33
Q

adults handle anxiety by using…

A

earlier established coping mechanisms

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34
Q

developmental tasks such as establishing a career and family present…

A

numerous stressors

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35
Q

elders often,,,,,,,,their anxiety

A

deny

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36
Q

individuals anxiety is broad, long lasting, and excessive is this type of anxiety disorder

A

generalized anxiety disorder (they are worried and anxious more often than not)

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37
Q

panic disorder is associated with or without this

A

agoraphobia

38
Q

when a client is having a panic attack what three things do we as nurses need to do?

A

stay with the client. initiate relaxation, and give drugs.

39
Q

an internal fear reaction=

A

phobia

40
Q

these are obsessive in nature…

A

phobia

41
Q

specific behavior must be performed to reduce anxiety=

A

obsessive compulsive disorder

42
Q

most common obsessions are related to…

A

cleanliness, dirt, germs, aggressive and sexual impulses, health concerns, safety concerns, and order and symmetry, repetitive behaviors such as gambling and hand washing.

43
Q

series of behavioral and emotional responses that follow an overwhelming stressful event=

A

traumatic stress disorder

44
Q

reliving of traumatic events or situations=

A

post-traumatic stress disorder

45
Q

what is the most effective way to cope with anxiety?

A

prevention

46
Q

what may anxiety be treated with?

A

benzodiazepines

47
Q

two examples of benzodiazepines=

A

valium and ativan

48
Q

three side effects of benzodiazepines=

A

dizziness, blurred vision, and dry mouth

49
Q

what is an example of therapy for anxiety?

A

desensitization

50
Q

what is the nursing priority during therapy for anxiety?

A

safety

51
Q

billy is getting ready to give a speech tomorrow. He is very anxious about getting up in front of a large audience. he begins to close his eyes and to imagine that everyone in the audience is smiling while he is giving his speech. This is what type of coping mechanism?

A

intellectual

52
Q

a client is being admitted to the psychiatric unit. he recently serve in the iraq war and lost his legs. he very casually describes how he lost both legs in the battle. what type of coping mechanism is this?

A

dissociation

53
Q

a teenager who is doing very poorly in school is consistently daydreaming about the private jet he will one day own. this is an example of what type of coping mechanism?

A

fantasy

54
Q

the first priority in taking care of a client with an anxiety disorder is…

A

protecting the client from injury to self and others

55
Q

the most sever form of anxiety is…

A

panic

56
Q

using defense mechanisms to deal with anxiety is an example of…

A

emotional coping

57
Q

anxiety results form a conflict between the ego and id in which theory?

A

freudian

58
Q

development of thumb sucking or nail biting is…

A

a behavior that may lessen anxiety in a child

59
Q

running away from home is an example of…

A

ineffective coping

60
Q

gambling or working excessively can be classified as..

A

addictive behavior

61
Q

a person who recently had his drivers license revoked for driving under the influence states that he is not an alcoholic because he never misses work as a result of his drinking. a psychiatric nurse recognizes this behavior as…

A

denial

62
Q

neurotransmitters and hormones are involved in…

A

mood regulation

63
Q

which hormone has to do with mood?

A

serotonin

64
Q

this type of depression leaves when the issue is resolved…

A

situational depression

65
Q

this type of depression is depressive responses in children that are tied to a specific event…

A

situational depression

66
Q

what four factors does depression in adolescence usually relate to?

A

self-esteem, loneliness, family strengths, and parent-teen communications

67
Q

what four groups of people are most likely to be depressed?

A

people with physical illness, women, people 35-44, white and Hispanic people.

68
Q

this is not a normal part of aging…

A

depression

69
Q

emotions that are elevated, expansive, and irritable accompanied by loss of identity, increased activity, and grandiose thought and actions=

A

mania

70
Q

feelings of sadness, disappointment, and despair=

A

depression

71
Q

suicidal thought may be entertained in..

A

major depressive episode

72
Q

which psych patient should be assessed first?

A

the depressed patient

73
Q

episodes of depression alternate with episodes of mania=

A

bi polar

74
Q

behavior of repeated mood swings alternating between hypomania and depressive symptoms with no normalcy periods=

A

cyclothymic disorder

75
Q

this occurs in many people from october to april=

A

seasonal affective disorder

76
Q

how is seasonal affective disorder treated?

A

phototherapy

77
Q

postpartum depression occurs after chidbirth if lasts longer than…

A

2 weeks

78
Q

what is the purpose of the maintenance treatment plan?

A

to prevent relapse

79
Q

most of the time for this treatment phase the patient has to be in the hospital…

A

acute treatment phase

80
Q

what are the three current standard treatments for mood disorders?

A

psychotherapy, pharmacological therapy, and electroconvulsive therapy

81
Q

what do you need to watch for when a patient is on MAOIs?

A

food interactions

82
Q

SSRI example=

A

prozac

83
Q

SSRI side effects (2)

A

dry mouth (oral care and gum) and blurred vision (prozac is an SSRI)

84
Q

how long do most antidepressants require before their effects are noted and the clients well being improves?

A

2-4 weeks

85
Q

antimanic=

A

lithium

86
Q

what is the therapeutic level of lithium?

A

0.6-1.2

87
Q

when do you need to call the doctor when a patient is on lithium?

A

if nystagmus, tremors, decreased urine output, decreased LOC, hallucinations, seizures, or coma

88
Q

when a patient is depressed or manic what needs to be assessed?

A

their level of depression or mania

89
Q

holistic interventions should look at…

A

physical, emotional, social, intellectual, spiritual

90
Q

the nurse is admitting a client who has daily moderate depression that has lasted 3 years. the clients condition is known as what?

A

mood disorder

91
Q

the nurse is admitting a client with suspected bipolar disorder. the client has repeated patterns of mood swings alternating between hypomania and depressive symptoms; hover, they are less intense than classic bipolar disease. what is this condition known as?

A

cyclothymic disorder

MH Test #3 (3 decks)

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