Chapter 13

Question 1

this is going to be review from the last lecture but de Marco is explaining it

Question 2

typically before you start a patient on psychosocial you want to rule out what?

Answer 2

medical

Question 3

tumors and endocrines are the two most famous things that cause what?

Answer 3

psychotic episodes, so treat those two first before you give them psychotics

Question 4

a huge judgment call is based on some general observations ?

Answer 4

their appearance
- simply like winter clothes in the summer??

• summer clothes in the winter?

Question 5

mood is what?
affect is what?

Answer 5

patient saying sad
how you think the patient feels

Question 6

mood and affect can be what?

and means what?

Answer 6

congruent and incongruent

match or not match

Question 7

what 3 words apply for mood?

Answer 7

euthymic
euphoric
dysphoric

Question 8

what does these words mean ?

euthymic
euphoric
dysphoric

Answer 8

describe someone who is in normal mood, not too happy not too sad, appropriately acting

overall happy, manic, happy for no reason, smile, dancing
(not eating or sleeping)

sad, depressed

Question 9

what are the 4 words for affect?

Answer 9

board
restricted
blunt
flat

Question 10

what does these words mean?

board
restricted
blunt
flat

Answer 10

showing an emotionally board, when happy they are happy

showing emotions little less

even less than restricted

not expressing any emotion, saying you’re happy but not moving or smiling, just not expressing anything

Question 11

what are the 4 terms that apply to speech?

Answer 11

pressured
hyperverbal
poverty of speech
cadence

Question 12

what do these term mean?
pressured
hyperverbal
poverty of speech
cadence

Answer 12

quick, very fast, no periods, nonstop, dont even get a breathe. all the words are pushed together and no spaces, all one word

saying a lot of words at once! very talkative
( mania, super euphoric )

lack of speech, their not talking to you

rate and the rhythm! they speak, singly, and up and down in pitch!!

Question 13

illusion
hallucination
delusion

meaning

Answer 13

something is actually there, but youre perceiving it different
- shadow in your room, but you think its a person

5 senses, there is nothing, you’re just hearing your voices in your head

belief or thought that you have that is incorrect!!!

Question 14

you believe youre seeing angels that is ?

saying youre seeing angels that is ?

Answer 14

delusions ( belief )

hallucinations

Question 15

what is ideas of reference mean?

give the 2 ways this can happen

Answer 15

patient thinks that the outside world is about them

1. larger picture, reason why the president wore purple, is because he knows it my favorite color
2. someone walks into the room, and people stare at you, you think they all hate you

Question 16

circumstantial?
tangential?
flight of ideas?
loose of association ?

Answer 16

every piece of information around that point and answer
(staying on topic, but giving also un-needed information)

they never get to the point, all these facts about the question but never answer the actual question

jumping from idea to idea ( they all match, logical connection )

jumping from idea to another idea but they dont make sense
( literally jumping everywhere and nothing makes sense )

Question 17

lets practice
which is which?

circumstantial
tangential
flight of ideas
loose association

im asking a questions
about your family disease?

my grandpa has a history of prostate cancer, he was in the military, and his favorite color was blue !

my grandpa use to be in the military, he went to the hospital, and was going to die soon, and he hated the nurses !

my grandpa loves the rain, oh its raining outside, the bugs are in the trees,, the cicadas are coming out next year!

my grandpa loves games! dude I love the color red, my dog is so kind, I love chips!

Answer 17

circumstantial

tangential

flight of ideas

Loose association

Question 18

what is thought blocking mean ?

mainly associated with what ?

Answer 18

when the patient is trying to communicate with you and then stop mid sentence

appropriate speech, but just stop

psychosis cause they lose tract or get distracted

Question 19

what is word salad?

Answer 19

the words in the sentence make zero sense

fly water peach orange paper peach dog

no connection to each other

Question 20

what are the 4 things in memory?

Answer 20

recall
short term
recent
remote

Question 21

recall
short term
recent
remote/long term

definition and how we test it ! (2 for each )

Answer 21

instant recall, I say a list of objects/numbers, then you say it right after!!

ill give you a list, recall it, then 8mins later, I ask you what that list is again, can you remember a few mins later
(MINTUES!)

what happens recently in the world, what was the weather like yesterday, anything in the past few days or maybe a week
(DAYS TO WEEKS)

months to years to decades, family history, child history, 1975 memories?

Question 22

now onto the real chapter study : stress!

Question 23

stress is a normal part of life!
there are two types of experiences of stress

what is positive and negative experience?

Answer 23

positive
- helps develops successful coping skills

negative
- can result in negative mental and physical health consequences
( can’t change usually )

Question 24

how is stress defined as?

Answer 24

an environmental pressure or force that puts strain on a persons system

Question 25

you can have acute and chronic stress, define it each ?

Answer 25

acute
- normal acute stress to get things done, like school but goes away when school is done

chronic
- stress out 24/7 regardless of what’s going on

Question 26

what is the nursing goal for stress?

Answer 26

resolve stressful issues in the environment, reduce stress response, and develop positive coping skills

Question 27

acute stress can lead to ______, which in turn can have negative impact on a persons what?

Answer 27

physiologic overload

health, well being, social functioning

Question 28

chronic stress is associated with _____ that can lead to negative health outcomes

Answer 28

allostatic load (al)

Question 29

what is homeostasis vs allostatis ?

Answer 29

bodys tendency to resist physiologic change and hold boldly functions relatively consistent, well coordinated and usually stable

dynamic regulatory process that maintains homeostasis through a process of adaptation

Question 30

what is the order of how stress affects the body?
4!

Answer 30

appraisal
stress
coping
adaptation
( maldapation )

Question 31

appraisal
stress
coping
adaptation
( maldapation )

explain each term and how it goes with the stress and mental health

Answer 31

primary challenge,harm

physiologic response, emotional response,

problem focused, emotional focuses
- innate action

health and wellness, social functioning

maladaptive is when youre coping is not working so young up getting sick, decreased self esteem, social dysfunction

Question 32

your body does change when youre under stress, just know youre body will go into what state?

examples
beta blockers
- their anxiety goes away
- cause it decreases heart rate

Answer 32

fight and flight

Question 33

what are the 2 types of coping ?

Answer 33

problem focused coping

emotion focused coping

Question 34

what does problem focused coping ?

Answer 34

focus on the problem, so doing the project to assignment

spouse leaves her husband because she realizes that the abuse will not stop

Question 35

what is emotion focused coping ?

Answer 35

focusing on the emotion, how do we deal with this

how to not be sad or depressed

Question 36

there are 4 types of personality
a
b
c
d

can you describe each ?

Answer 36

competitive, aggressive, ambitious, impatient, alert, tense, restless

relaxed, easygoing, easily satisfied

introverted, respectful, conforming, complaint and eager to please

increased negative emotions, pessimism, non-sharing of emotions

Question 37

many personal factors, such as personality patterns, beliefs, values, and commitment to an outcome, interact with environmental demands and constraints that produce a person-envrioment relationship

Question 38

a patient can have 4 emotional response to stress which are?

Answer 38

negative
positive
borderline
nonemotions

Question 39

negative
positive
borderline
nonemotions
means what?

Answer 39

anger, fright
happiness, love
hope, compassion
awe, confusion

Question 40

what are some nursing interventions we are going to do for a patient who is under stress?

Answer 40

exercise
improve coping skills
spiritually
problem solving
family interventions

Question 41

You are working at the mental health crisis center when a young male comes in a very distressed state and tells the nurse, “I just can’t get over being fired last week. I’ve asked for help. I’ve talked to friends. I’ve tried everything to get through this, but nothing is working. Help me!” Which initial crisis intervention strategy should the nurse use?

A. referral for counseling

B. support system assessment

C. emotion management

D. unemployment assistance

Answer 41

C. emotion management

because they already talked to the family, they need to be able to control their emotions, you need to calm down the patient

Question 42

It is your first shift after orientation at the crisis shelter when an anxious young female is brought to the interviewing room; she is sobbing and tells you that she thinks she is pregnant following a rape and does not know what to do. Which nursing intervention is most appropriate at this time?

A. Ask the client about the type of things that she had thought of doing.

B. Recommend a pregnancy test after acknowledging the client’s distress.

C. Give the client some ideas about what to expect to happen next.

D. Question the client about her feelings and possible parental reactions.

Answer 42

B. Recommend a pregnancy test after acknowledging the client’s distress.