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Kol- Mental Health > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

client experiences excessive fear or anxiety when seperated from an individual to which the client is emotional attached

A

seperation anxiety

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2
Q

client experiences irrational fear of certain situation or object

A

specific phobia

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3
Q

extreme fear of certain places(outdoors, bridge) where client feels vulnerable or unsafe

A

agoraphobia

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4
Q

client experiences excessive fear of social performance siutations

A

social anxiety

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5
Q

client experiences recurring panic attacks

A

panic disorder

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6
Q

client exhibits uncontrolled, excessive worry for at least 6 months

A

generalized anxiety disorder

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7
Q

Is OCD an actual anxiety disorder?

A

NO! but has similar effects

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8
Q

client has intrusive thoughts or unrealistic obsessions and tries to control these thoughts through compulsive behaviors

A

obsessive compulsive disorder

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9
Q

client has difficult parting with possessions, resulting in extreme stress and functional impairments

A

hoarding disorder

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10
Q

client has preoccupation with perceived flaws or defects in physical appearance

A

body dysmorphic disorder

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11
Q

3 types of OCDS

A
  • OCD
  • Hoarding disorder
  • Body dysmorphic disorder
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12
Q

anxiety and OCD’s have a _______ and _____link

A

genetic and neurobiological

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13
Q

need what to qualify as panic disorder?

A

4 or more of :

  • palpitations
  • shortness of breath
  • choking/smothering feeling
  • chest pain
  • nausea
  • depersonalization
  • fear of dying or insanity
  • chills/hot flashes
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14
Q

manifestations of GAD

A

(majority of days for 6 months)

  • restlessness
  • muscle tension
  • avoidance of stressful activities
  • increased time to prepare for stressful events
  • procrastination in decision making
  • sleep disturbance
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15
Q

first line meds for anxiety/OCD?

A

SSRI

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16
Q

other meds for anxiety

A

SNRI, benzo, buspirone, beta blocker, antihistamine, anticonvulsant

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17
Q

anxiety patient centered care interventions

A
  • assess for comorbid condition of substance abuse
  • panic needs calm quiet enviro
  • remain with client during worst of anxiety
  • relaxation techniques
  • hope for positive outcomes
  • enhance client self esteem
  • postpone health teaching until after acute anxiety subsides
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18
Q

use flooding for which kind of anxiety?

A

phobias

-large amount of undesireable stimulus in attempt to turn off anxiety response

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19
Q

exposure to traumatic events causes anxiety, detachment, and other manfiestations about the event for at least 3 days but not more than 1 month following the event

A

acute stress disorder

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20
Q

exposure to traumatic events causes anxiety, detachment, and other manifestations about the event for longer than 1 mo following the event

A

post-traumatic stress disorder

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21
Q

a stressor triggers a reaction causing changes in mood/dysfunction in performing usual activities. The stressor and effects are less severe than with ASD or PTSD

A

Adjustment Disorder

-pattern of LIFE LONG difficulty accepting change

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22
Q

4 types of dissociative disorders

A
  • depersonalization/derealiziation disorder
  • dissociative amnesia
  • dissociative fugue
  • dissociative identity disorder
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23
Q

disorder characterized by temporary change in awareness displaying depersonalization, derealization, or both in response to stress.

A

-depersonalization/derealiziation disorder

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24
Q

feeling that a person is observing one’s own personality or body from a distance

A

depersonalization

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25
Q

feeling that an outside event is unreal or part of a dream or that objects apprear larger or smaller than they should

A

derealization

26
Q

inability to recall personal information related to traumatic or stressful events. amnesia can be events of certain period of time or just certain details

A

dissociative amnesia

27
Q

tyoe of dissociative amnesia in which client travels to a new area and is unable to remembers ones own identity and at least some of ones past. Can last weeks to months, usually follows traumatic event

A

dissociative fugue

28
Q

client displays more than one distinct personality, with a stressful event precipitating the change from one personality to another

A

dissociative identity disorder

29
Q

when should military and first responders receive treatment related to trauma?

A

before severe trauma reactions occur (ie preventative)

30
Q

PTSD prevention after a traumatic incident

A
  • need for breaks, rest, water, nutrition
  • emotional support
  • staff supporting each other
  • debrief following incident
  • expression of feelings
  • offer counseling resources
31
Q

PTSD puts client at risk for what other mental health disorders?

A

anxiety, depression, substance abuse, dissociative

32
Q

ASD and PTSD expected findings

A
  • intrusive memories or flashbacks
  • dissociative flashbacks where client feels event is occuring again in present
  • avoidance ofthings associated with event
  • avoiding thinking about event
  • anxiety, depression
  • anger, irritability
  • decreased interest and inability to feel happiness
  • guilt
  • hypervigiliance
  • inability to focus
  • suicidal or homicidal thoughts
33
Q

adjustment disorder expected findings

A

depression
anxiety
changes in behavior( erratic, arguing)

34
Q

signs of dissociative identity disorder

A

client displays 2 or more seperate personalities

35
Q

nursing intervention for dissociative disorders

A
  • grounding techniques
  • facilitate decisions that lower stress
  • when ready, encourage client to make deicision independntly
  • avoid giving too much info about past events to prevent increased stress
36
Q

meds for ASD and PTSD?

A

antidepressants
prazosin (decrease hypervigilance and insomnia)
propranolol

37
Q

meds for adjustment and dissociaitve disorders?

A

online if shoing signs of anxiety and depression

38
Q

EMDR for PTSD is contraindicated in which patient populations?

A

-active suicidal ideation, psychosis, severe dissociaitiv, disorders, eyes disorders, unstable substance abuse

eye movement desensitization and reprocessing

39
Q

a single or recurrent episode of unipolar depression (not associated with mood swings from major depression to mania) resulting in a significant change in a pts ability to function normally.

A

major depressive disorder mdd

40
Q

In order to have MDD, 5 or more of the following symptoms must be present for at least 2 weeks

A

depressed mood
difficulty sleeping, increased sleepiness
indecisiveness, decreased ability to concentrate
suicidal ideation
psychomotor agitation, or psychomotor retardation increase/decrease in weight

41
Q

Psychotic Features of MDD vs postpartum features of MDD

A

visual or auditory hallucinations or the presence of delusions

a depressive episode that begins within 4 weeks of childbirth

42
Q

PMDD (prementstrual dysphoric disorder) is associated with whih phase of the menstrual cycle?

A

luteal

43
Q

phases of MDD threatment

A
  1. acute: severe clinical findings , 6-12 week treatment : safety, reduction of major symptoms
  2. continuation: improved function, 4-9 mo duration: medication, relapse prevention
  3. maintenance: remission - goal = prevent future depressive episodes
44
Q

risk factors for MDD

A
  • family history
  • females
  • > 65 yrs
  • neurotransmitter deficiences (decrease serotonin)

*depression can be a primary disorder or a response to another physical or mental health disorder

45
Q

top 3 SSRI for depression, pateint education

A 
citalopram
fluoxetine
sertraline 
-no st john wort
-sexual dysfunction common
-HA/N, insomnia, anxiety, agitation
46
Q

Tricyclic antidepressant for depression + education

A

amitriptyline

-orthostatic hypotension

anticholingergic remediation:

  • chew sugarless gum
  • high fiber
  • increase fluid
47
Q

MAOI for depression + education

A

phenelzine

  • no tyramine
  • high drug drug interaction- talk to provider before new meds
48
Q

a typical antidepressant + patient education

A

buproprion

  • HA, dry mouth, constipation, Nausea insomnia, increase HR
  • appetite suppression- monitor weiht
  • not cool with seizure disorders
49
Q

SNRI for depression + education

A

venlafaxine
duloxetine

  • nausea, insomina, weifght gain, sweating, sexual dysfunction
  • caution with HTN
50
Q

SSRI + St John wort =

A

serotonin syndrome

51
Q

milder depression that lasts at least 2 years for adults, 1 year for children and 3 clinical findings of depression

A

persistent depressive disorder

52
Q

distrust/suscipision based on unfound beliefs others want to harm/exploit deceive that person

A

paranoid personality disorder

53
Q

emotional detachment from relationships , indifference to praise/criticism, uncooperative

A

schizoid personality disorder

54
Q

odd beliefs leading to interpersonal difficulties, magical thinking, perceptual distortions that are not clear delusions or hallucinations

A

schizotypal personality disorder

55
Q

instability of affect/identity/relationships, manipulation, fear of abandonment, self injurious, nonadherence to traditional morals/values, verbally charming and engaging, extreme mood lability, SAFETY PLANS, stigma towards this diagnosis, may have element of attention seeking behavior

A

borderline personality disorder

56
Q

lack of empathy, disregarding of people around them, bring people in to get what they need and then discard them, grandiose/arrogance, sensitive to criticism, risk for suicide and depression when not getting praise from people

A

narcissistic personality disorder

57
Q

need for secondary gain, report inability to function when they can, want family to take care of them, physical complaints frequent, level of validation that allows them to move beyond

A

◦ fictitious/Munchausen

58
Q

characterized by emotional attention-seeking behavior, in which the person needs to be the center of attention; often seductive and flirtatious

A

Histrionic personality disorder

59
Q

characterized by disregard for others w/ exploitation, lack of empathy, repeated unlawful actions, deceit, and failure to accept personal responsibility; sense of entitlement, manipulative, impulsive, and seductive; nonadherence to traditional morals and values; verbally charming and engaging

A

antisocial personality disorder

60
Q

characterized by social inhibition and avoidance of all situations that require interpersonal contact, despite wanting to close relationships, due to extreme fear of rejection; often very anxious in social situations

A

avoidant personality disorder

61
Q

characterized by extreme dependency in a close relationship w/ an urgent search to find a replacement when one relationship ends

A

Dependent personality disorder

62
Q

characterized by perfectionism w/ focus on orderliness and control to the extent that the individual might not be able to accomplish a given task

A

Obsessive-compulsive personality disorder

Kol- Mental Health (3 decks)

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