Exam 1 (ppts only) Flashcards

1
Q

mental health and its traits.

A
mental health is the ability to recognize own potential, cope with normal stress, work productively, and make contribution to community.
traits include ability to:
-think rationally
-communicate appropriately
-learn
-grow emotionally
-be resilient
-have a healthy self esteem
-have realistic goals and reasonable function within individual's role
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2
Q

questions to consider when trying to evaluate someone’s mental health

A
  1. are they thinking rationally?
  2. hows their communication skills?
  3. how did they handle stress in the past? (resilience)
  4. how does feel about her herself/ self-esteem ?
  5. able to function in their role?(wife/daughter/employee/etc)
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3
Q

mental illness

A

disorders with definable diagnosis. significant dysfunction in mental functioning r/t developmental/biological/physiological disturbances.
it is culturally defined.

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4
Q

resilience definition and characteristics

A

ability and capacity to secure resources needed to support well-being.
characterized by optimism, sense of mastery, competence.

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5
Q

what is essential for recovery?

A

resilience

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6
Q

risk and protective factors for psych disorders are?

A

individual attributes/behaviors, social/economic disturbances, and environmental factors.

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7
Q

perceptions of mental health/mental illness can be generally divided into what 2 ideas?

A

mental illness vs physical illness

nature vs nurture

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8
Q

diathesis stress model

A

diathesis: biological predisposition
stress meaning environmental stress or trauma.
this is the most accepted explanation of mental illness. it is asserts that most psych disorders come from a combination of genetic vulnerability and negative environmental stressors.

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9
Q

study distribution of mental disorders

A

studies identify high risk groups, high risk factors, incidence, prevalence, lifetime risk

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10
Q

mental health parity act (1996)

A

parity = equivalence

required insurance companies to provide equal treatment coverage for psych disorders

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11
Q

patient protection and affordable care act

A

gave coverage for most uninsured americans thru expanded medicaid eligibility (for the very poor).
created health insurance exchanges to offer more choices.
insurance was mandated.

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12
Q

prevalence

A

number of cases across time

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13
Q

incidence

A

number of cases in a certain time period?

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14
Q

lifetime risk

A

risk that one will develop a disease in the course of a lifetime

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15
Q

leading cause of disability in US

A

major depressive disorder

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16
Q

how does schizophrenia affect gender

A

affects men and women equally

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17
Q

when does panic disorder typically begin

A

typically in adolescence

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18
Q

when is generalized anxiety risk highest

A

between childhood and middle age

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19
Q

groups treated for specific mental disorders are studied for?

A
  • natural history of illness
  • diagnostic screening tests
  • interventions
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20
Q

what are psychological theories helpful for?

A

help us to explain behavior

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21
Q

psychological therapies are?

A

are treatments based on psychological theories

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22
Q

what are the psychoanalytic theories

A

Freud’s and psychoanalysis

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23
Q

Freud’s psychoanalytic theory

A

Levels of awareness (the iceberg)

  • Conscious: contains all material a person is aware of at anytime
  • Preconscious: just below the surface of awareness, contains material that can be retrieved easily through conscious effort
  • Unconscious: repressed information that may be associated with trauma, exerts a powerful yet unseen effect on conscious thinking
  • Defense mechanisms operate on an unconscious level to deny and distort reality to make it less threatening
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24
Q

psychoanalysis

A

Form of therapy seldom used today because it believes intrapsychic conflict is the cause for all mental illness.
The purpose is to uncover unconscious conflicts
Some valid tools and concepts from it:
Transference: unconscious feelings that the patient has toward the healthcare worker that were originally felt during childhood for a significant other (affection or hostility)
Countertransference: unconscious feelings that the healthcare worker has toward the patient

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25
what are the interpersonal theories/therapies
Sullivan's, interpersonal therapy, Peplau's theory
26
sullivan's interpersonal theory, foundation for what?
purpose of all behavior is to get needs met through interpersonal interactions and to reduce or avoid anxiety . -Anxiety: painful emotions arise from social insecurity preventing biological needs from being met -Security operations: coping mechanism to avoid/ reduce anxiety -Self-system: all the security operations an individual uses to defend against anxiety and promote self-esteem Foundation for Peplau's theory
27
interpersonal therapy: goal and what's it most effective for
Goal is to improve interpersonal functioning and promote satisfaction with social relationships Most effective in treating: grief and loss, interpersonal disputes, and role transition
28
peplau's theory focus, levels of anxiety, what kind of interventions
Shifts focus from what nurses do to patients to what nurses do with patients. -Participant observer -Focus: mutuality, respect for patient, unconditional acceptance, and empathy -The art of nursing: care, compassion, advocacy, comfort, well-being -Science of nursing: intervention to relieve patient suffering -Levels of anxiety: mild, moderate, severe, panic -Promoted interventions to lower anxiety with the aim of improving patient’s ability to think and function Peplau known as the mother to psych nursing
29
what're the cognitive theory/therapies
cognitive theory, cognitive behavioral therapy (Beck), rational emotive behavior therapy
30
cognitive theory
- Interplay between the individual and the environment - Thoughts come before feelings and actions - Thoughts about the world and our place in it are based on our own unique perspectives (may or may not be reality based)
31
cognitive behavioral therapy (Beck) ideas, goal, teaching
A person’s cognitions are based on attitudes/ assumptions developed from previous experiences - Goal: test distorted beliefs and change way of thinking - Patients are taught to challenge their negative thinking and to substitute it with positive rational thoughts
32
rational emotive behavior therapy goal
Aims to eradicate irrational beliefs | Recognize thoughts that are not accurate
33
what're the humanistic theories
theory of human motivation, Maslow's hierarchy of needs
34
theory of human motivation
- Psychology must go beyond experiences of hate/pain/conflict to include love/compassion/well-being - Human beings are active participants in life, striving for self-actualization
35
maslow's hierarchy
When lower needs are met, higher needs are able to emerge - Physiological needs (water, food) - Safety - Belonging and love needs (intimate relationships) - Esteem needs - Self-actualization
36
biological theory, its focus
Focus: neurological, biological, chemical, genetic How the brain and body interacts to create: emotions, memories, and perceptual experiences Ignores social, environmental, cultural, economic factors
37
what're the developmental theories
cognitive development (Piaget) and Erikson's 8 stages of development (psychosocial development) and theory of object relations
38
cognitive development (Piaget)
- A dynamic progression over time - Sensorimotor stage (birth-2): purposeful movement, hand eye coordination, conceptualize objects no longer visible - Preoperational stage (2-7): unable to conserve mass, volume, etc - Concrete operational stage (7-11): able to see a situation from another persons viewpoint - Formal operational stage (11-adulthood): abstract thinking and problem solving skills develop
39
Erikson's 8 stages
- Personality develops over a lifetime - Trust vs. mistrust (infancy-1) - Autonomy vs shame (1-3) - Initiative vs guilt (3-6) - Industry vs inferiority (6-12) - Identity vs role confusion (12-20) - Intimacy vs isolation (20-35) - Generativity vs self absorptions (35-60) - Integrity vs despair (65-death)
40
theory of object relations
Past relationships influence sense of self and present relationships "Object" = a significant person -disruption of early separation
41
Milieu Therapy
use of the total environment | -people, setting, structure, and emotional climate are all important to helaing
42
why is developmental model important part of nursing assessment
helps determine what types of interventions are most likely to be effective
43
progression from black and white thinking to complex decision making
- preconventional level - conventional level - post conventional level
44
cellular composition of the brain/functions
- neurons - respond to stimuli - conduct electrical impulses - release chemicals - neurotransmitters - presynaptic neuron - transmitter destruction (enzymes, reuptake) fix this (slide 4 ch 3)
45
neuronal action
neurons can release more than one chemical at the same time fix this (slide 5 ch 3)
46
brainstem fxs
- core regulates internal organs and vital functions - hypothalamus-basic drives and link between thoughts and emotion and function of the internal organs - brainstem-processing center for sensory information
47
cerebellum fxs
regulates skeletal muscle, coordination/contraction, maintains equilibrium
48
cerebrum fx
mental activities, conscious sense of being, emotional status, memory, control of skeletal muscles-movement, language and communication
49
imaging, visuals of the brain
- structured imaging techniques (CT) | - functional imaging techniques (PET, SPECT)
50
what can disturb mental fx
- environment - genes - altered neurons (norEPI, serotonin, dopamine, glutamate, Y-aminobutyric acid aka GABA)
51
pharmacodynamics
what drugs do and how they do it, drug action and drug responses what drugs do to body
52
pharmacokinetics
what body does to drugs ADME -absorption, distribution, metabolism, excretion
53
pharmacogenetics
effects of genetic variation on drug responses
54
antianxiety and hypnotic drugs (classes and some examples)
- benzos (-pam), common trade names are Valium, Klonopin, Xanax, Ativation, Restoril - short acting sedative hypnotic sleep agents (non benzos aka Z-hypnotics): zolpidem aka Ambien, Lunesta - melatonin receptor agonists: ramelteon aka Rozerem, buspirone aka BuSpar
55
anitdepressant drug classes
selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, serotonin specific antidepressant tetracyclic drugs, norepinephrine dopamine reuptake inhibitors, tricyclic antidepressants
56
SSRIs examples
fluoxetine / Prozac sertraline / Zoloft escitalopram / Lexapro
57
SNRI examples
venlafaxine / Effexor duloxetine / Cymbalta levomilnacipran / Fetzima
58
levomilnacipran / Fetzima
an SNRI with greater effect on norepi reuptake than any other SNRIs available for treating depression. increasing norepi may be responsible for observed increases in HR and BP in some pts
59
MAOI examples and major side effect
``` major side effect of weight gain.(??) ex: isocarboxazid / Marplan phenelzine / Nardil selegiline / EMSAM ```
60
norepinephrine and serotinin specific antidepressant tetracyclic example
mirtazapine / Remeron
61
norepinephrine dopamine reuptake inhibitor
bupropion / Wellbutrin, Zyban
62
tricyclic antidepressant examples
nortriptyline / Pamelor amitriptyline / Elavil imipramine / Tofranil
63
mood stabilizer drugs example
lithium / Eskalith, Lithobid
64
anticonvulsant drugs examples
valproate / Depakote carbamezapine / Equetro, Tegretol lamotrigine / Lamictal gabapentin / Neurontin
65
antipsychotic drugs
- first generation, conventional, typical of standard antipsychotic drugs - strong antagonists/blocking agents. bind to D2 receptors, block attachment of dopamine, reduce dopaminergic transmission -antagonists of receptors for Ach, noreip, histamine significant side effects of weight gain/sedation
66
first generation conventional antipsychotic drugs
antagonists of muscarinic receptors for Ach, norepi, histamine. significant side effects of weight gain, sedation
67
second generation atypical antipsychotic drugs
- produce fewer EPS side effects - target both negative and positive symptoms - predominantly D2 (dopamine) and 5-HT2A serotonin antagonist/blockers - often chosen as first line tx
68
second generation atypical antipsychotic drugs examples
clozapine / Clozaril risperidone / Risperdal quetiapine / Seroquel aripiprazole / Abilify
69
long acting injectable antipsychotics
- first generation: haloperidol decanoate and flupheanzine decanoate - second generation: apiprazole monohydrate (Abilify) monthly. also olanzapine pamoate (Zyprexa Relprevv) monthly, or paliperidone palmitate (Invega Sustenna, Xeplion) monthly or q3 months. Risperidone microspheres (Risperdal Consta) q 2 weeks - third generation: apiprazole lauroxil (Aristada) monthly dopamine stabilizer
70
ADHD drug treatment examples
- methylphenidate (Ritalin, Daytrana) | - dextramphetamine (Adderall, Vyvanse)
71
drugs for Alzheimers description and exmaples
- cholinesterase inhibitors (slow destruction of Ach) ex: tacrine (Cognex), donepezil (Aricept) -glutamate blocking agents ex: memantine (Namenda, Namenda XR) -
72
herbal medicine, major concerns
- OTC/prescription - major concerns: potential long term effects; nerve damage, kidney damage, liver damage from things like kava kava - possibility of adverse chemical reactions with other substances and with conventional medications