Chp 1 Mental Health & Mental Illness Flashcards

1
Q

Entails both process of preventing and reducing effects of health disturbance after adversity.

The process of swift recovery from adversity-related Mental ill health

A

Resiliency

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2
Q

the scientific study of mental illness or disorders

A

Psychopathology

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3
Q

Culture affects how mental illness is defined

T or F

A

T

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4
Q

Running Amok

A

Southeast Asia teenager males

Violent murderous spree that may end in suicide/death

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5
Q

Pibloktoq

A

Artic circle women will take off clothes

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6
Q

Which countries have Anorexia

A

Europe, North America, Australia

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7
Q

Which Culture-Bound mental health problems affects the Algonquins

A

Wendigo psychosis

Kill, eat human flesh, self-harm

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8
Q

Stigma or Bias

Negative attitudes & beliefs about patient

Social stereotypes & misconceptions about patient

A

Bias
Negative attitudes & beliefs about patient

Stigma
Social stereotypes & misconceptions about patient

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9
Q

Mistrust in Mental Health Treatment is mostly seen in these types of groups?

A

Populations that differ from majority culture

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10
Q

____ % of all lifetime mental illness begins by age 14

___ % by age 24

A

50% of all lifetime mental illness begins by age 14

75 % by age 24

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11
Q

Orgin of most mental disorders occur in ___ abnormalities

A

Intercellular

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12
Q

Diathesis-Stress model

What does Diathesis mean?

A

Mental disorder develops when an individual has a vulnerability or predisposition combined with exposure to stressful life events.

Diathesis = predisposition (nurture)

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13
Q

Mental health parity (equivalence) act (1996)

Did what?

A

Required insurance companies to provide equal treatment coverage for psychiatric disorders

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14
Q

Epidemiology for mental disorders

Incidence vs Prevalence

A

Incidence= number of new cases in a given time

Prevalence= number of cases regardless when they began

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15
Q

DSM & ICD are both resources for…

A

Diagnosis, description of mental & behavioral disorders

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16
Q

According to PowerPoint

Greatest tool is the purposeful use of self. (Psy Nursing)

T or F

A

T

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17
Q

International Classification for Nursing Practice (ICNP) developed by International Council of Nurses (ICN)

Does what…

A

Provides standardized nursing diagnoses

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18
Q

Continuum of Care

Health Promotion
Prevention
Treatment
Recovery

All designed to enhance factors of…

A

Resilience

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19
Q

The recovery model

mental disorder or substance dependence help that emphasizes and supports a person’s potential for recovery.

5 parts

A

hope, social inclusion, community participation, personal goal setting and self-management.

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20
Q

hope, social inclusion, community participation, personal goal setting and self-management.

Are the 5 core principles for…

A

Recovery Model

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21
Q

Recovery model is supported in 4 major dimensions (POWERPOINT)

A

Home
Health
Purpose
Community

22
Q

Rehab or Recovery

Achieving patients’ goals of their choosing

Managing patients deficits

Helping to learn to live with illness

Patients lead increasingly productive and meaningful lives

Focuses on patients’ strengths

A

Rehab
Managing patients deficits

Helping to learn to live with illness

Recovery
Achieving patients goals of their choosing

Patients lead increasingly productive and meaningful lives

Focuses on patients strengths

23
Q

uses proactive engagement and provides continuous, rapid, flexible and mobile team based care, 24/7

A

Assertive
Community
Treatment

24
Q

Mnemonic to remember major depression

A

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide ideation

25
Q

First line of medication treatment for anxiety

A

SSRI

26
Q

Somastatin (Up or Down) = Cognitive disease , learning peptides

A

Down

27
Q

A frequent & severe SE of medication is called

A

Black Box warning

28
Q

Most prescribed SSRI

A

Excitlopram (Lexapro)

29
Q

This medication in low doses can help stop smoking.

Contradicted in low weight & Seizures

A

Bupropion

30
Q

Lithium has narrow therapeutic range

Can reduce suicide

SE Polyuria, Drink lots of water.

Toxicity looks like drunk with flu

Should fine tremors be immediately reported?

A

No, but gross tremors yes

31
Q

Typical antipsychotics

Fluphenazine & Haloperidol

Have this feature in common

A

Long term Injectable

1st gen

32
Q

Clozapine

Most affective Atypical 2nd generation Antipsychotics

May lead to neutropenia

What is safe number for ANC (Absolute Neutrophil Count)

A

> 1500

33
Q

What do these medications have in common besides being 2nd generation Antipsychotics

Aripiprazole, Olanzapine, Paliperidone, Risperidone

A

Long- term Injectable solutions

34
Q

Trihayphenidyl Artane
Benadryl
Cogentin

Are used for….

A

EPS

35
Q

Name meds used for EPS

A

Artane - Trihayphenidyl
Benadryl
Cogentin

36
Q

Valbenasine

Deutetrubenzine

Are uses for….

A

Tardive dyskinesia treatment

37
Q

Most important factor in resilience

A

Inherited & biological factora

38
Q

Stigma / bias

Negative attitudes & beliefs about patient

Social stereotype and misconceptions about patients

A

Bias

Negative attitudes & beliefs about patient

Stigma

Social stereotype and misconceptions about patients

39
Q

This level of serotonin

Anxiety/ OCD

A

Low

40
Q

This level of serotonin

Sexual side effects, Akathisia, EPS

A

Too much

41
Q

Level of NE

Pain, memory learning, lack of focus

Sex problem, HTN, Tachycardia

A

Low
Pain, memory learning, lack of focus

High
Sex problem, HTN, Tachycardia

42
Q

This neurotransmitter

Alzheimer’s
Injuries
Consolidation of traumatic memories
Cognitive function
Behavior task

A

Glutamate

43
Q
  • Altered levels of this neuromodulators are associated with cognitive disease
A

Somatostatin

44
Q

Substances that is released by neuron & transmits info to other neurons which alters their activities

A

Neuromodulators: Peptides

45
Q

Acute mania

Therapeutic range 4 - 12

SE: Agranulocytosis/ SJS

A

Carbamazepine Tegretol

46
Q

Common SE of Carbamazepine

NOT FOR PREGGERS

Serious Side Effects

Therapeutic range 4 - 12

A

Common: Anticholinergic, OH ,itchy, HTN, Ataxia, arrhythmias

Serious: Agranulocytosis/ SJS

47
Q

Valproate (depakote)

NOT FOR PREGGERS

Therapeutic range 50 - 100

SE

Labs to check

A

Weight gain, mental dull,tremor, hair loss, libido loss, thrombocytopenia, pancreatitis, liver failure

Labs: AST, ALT ,ALBUMIN, CBC, AMMONIA

48
Q

Lamotrigine

Helpful in depression with bipolar

Therapeutic range 3 - 14

SE…..

A

Dizzy, Ataxia, blurred vision, Anticholinergic, photosensitivty

49
Q

What group are 2nd gen antipsychotic Contradicted in…

A

Dementia, CVA

50
Q

Off lable use of these meds include

Anorexia
Impulsively
Refractory hiccups
Antiemetics
Personality disorders

A

Antipsychotics

51
Q

SE profile

Somnolence
Weight gain
Photo sensitive
EPS
Anticholinergic
Metabolic syndrome
Cardiovascular disease
QT prolongation
Lower seizures threshold

A

Antipsychotic