Ch 7 Flashcards

1
Q

mental health

A

state of well-being in which people realize their own abilities, can cope with normal stresses of life, can work productively, and are able to make contributions to their communities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

mental status

A

person’s state of mind, reflected by emotional and cognitive responses

degree of competence that a person shows: intellectual, emotional (right emotion at right time), psychological (using words appropriately), personality (may change w/ mental health)

orientation - person, place, time, situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

neurotransmitters

A

chemical vehicles that provide synaptic transmission of messages from neuron to neuron or from neurons to muscle cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

depression

A

common psychiatric disorder associated with a neurochemical imbalance

characterized by feelings of helplessness and hopelessness and recurrent suicidal thoughts

not care about appearance

women 2x likely to have depression than men

somatic complaints: altered appetite, sleep problems, constipation, headache, fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

anxiety

A

feeling of uneasiness or discomfort from mild anxiety to panic

response to no specific source or actual object (unlike fear)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

anxiety disorders

A

panic attacks
generalized anxiety disorder
specific phobias
obsessive-compulsive disorder (OCD)
posttraumatic stress disorder (PTSD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

delusions

A

beliefs so strong you can’t convince them otherwise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hallucinations

A

apparent perception of something that doesn’t exist

could be from any of the 5 senses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

obsessions

A

thoughts, impulses, or images that persist or recur, despite the affected individual’s attempts to dismiss them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

compulsions

A

ritualistic behaviors that an individual feels driven to perform in an attempt to reduce anxiety or prevent an imagined calamity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

bipolar disorder

A

characterized by episodes of mania, depression, or mixed moods

mania: exhibits excessive emotional displays, excitement, or hyperactivity accompanied by elation or delusions of grandeur

depressive: marked by apathy and feelings of profound sadness, loneliness, guilt and lowered self-esteem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

schizophrenia

A

group of psychotic disorders characterized by: severe disturbance of thought and associative looseness, impaired reality testing (hallucinations, delusions), limited socialization

clinical findings: flat, blunted, or bizarre emotions, disorganized thinking, jumbled or illogical speech, impaired reasoning, autistic thinking (delusions, hallucinations), severe ambivalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

anxiety/panic disorder (levels)

A

4 levels: mild, moderate, severe, panic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

delirium

A

characterized by disturbance of consciousness and rapidly developing change in cognition
(rarely lasts more than a month, reversible with treatment)

ACUTE CONDITION

clinical findings: altered level of consciousness, impaired memory, fluctuating attention span, may have hallucinations or delusions, “sundowning” may increase, speech may be rapid, inappropriate, or rambling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

dementia

A

characterized by memory impairment

CHRONIC CONDITION (NOT REVERSIBLE)

slow/steady decline

Alzheimer’s is form of dementia

clinical findings: consciousness intact but memory, judgment, and calculation impaired, flat affect, may have delusions, speech is slow and incoherent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Neurotransmitters that affect mental health

A

norepinephrine
serotonin
dopamine
histamine
acetylcholine
gamma-aminobutyric acid (GABA)

imbalance can cause mental health issues

less norepinephrine and serotonin = depression

17
Q

When does data collection begin for mental health assessment?

A

upon first seeing patient

18
Q

Who should be asked about alcohol and recreational drug use?

A

every adult and adolescent; to determine if it is a health problem

19
Q

What should you ask about alcohol use?

A

what kind, how often

men no more than 2/day

women and elderly no more than 1/day

20
Q

CAGE questionnaire

A

C - have you ever felt the need to CUT DOWN on your drinking?
A - have you ever felt ANNOYED by criticism of your drinking?
G - have you ever felt GUILTY about your drinking?
E - have you ever felt the need to drink a morning EYE-OPENER?

21
Q

AUDIT tool

A

A - alcohol
U - use
D - disorders
I - identification
T - test

22
Q

Topics to ask about patient drinking causing problems

A

risk of harm (DUI)
relationship trouble
role failure (call in to work)
run-ins with the law

23
Q

Mini-Mental State Examination (MMSE) tests include…

A

memory
ability to form sentences
simple math problems
repeat simple sentences
reading
writing
copying (drawing)
judgment (give scenario to see what they would do)

24
Q

speech and language skills assessment

A

detailed evaluation of receptive and expressive communication skills should be performed if the patient has difficulty communicating during the history

voice quality (loudness/volume)
articulation (dysphasia)
comprehension
coherence
aphasia (lack of ability to speak)

25
Q

When should you evaluate for emotional stability? And what do you evaluate?

A

evaluated when the patient does not seem to be coping well or does not have resources to meet his or her needs

mood and feelings (appropriate for time)
thought process and content
perceptual distortions and hallucinations

26
Q

Goal - positive patient outcomes

A

patient doesn’t harm self or others
patient demonstrates appropriate social interactions
patient identifies personal strengths
patient is productive
patient is able to adapt (cope with stressors, adjust with situations)

27
Q

Frontal Lobe

A

DECISION MAKER
elaboration of thought
concentration
personality
emotional traits
inhibition
short term memory
language production

28
Q

Parietal Lobe

A

body orientation
sensory input
disorientation

29
Q

Occipital Lobe

A

visual interpretation and reception

30
Q

Temporal Lobe

A

auditory reception
language comprehension
reading comprehension
long term memory

31
Q

Cerebellum

A

balance and coordination

32
Q

Brain Stem

A

breathing
consciousness
blood pressure
heart rate
sleep