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N201 > Exam 5 Mental Health > Flashcards

Exam 5 Mental Health Flashcards

1
Q

Pleasure Principle

A

Id

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2
Q

Reality Principle

A

Ego

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3
Q

Opposite of the id

A

Superego

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4
Q

Moral component

A

Superego

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5
Q

Rational Self

A

Ego

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6
Q

Munchausen Syndrome

A

most severe form of fictitious disorder

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7
Q

7 Somatoform Disorders

A 
Factitious Disorder
Somatization Disorder
Pain Disorder
Conversion Disorder
Malingering
Hypochondriasis
Body dysmorphic disorder
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8
Q

Conversion Disorder Most Frequently Affects

A

Women

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9
Q

Sudden deficit in voluntary or sensory motor function w/o organic cause

A

Conversion disorder

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10
Q

La Belle Indifference

A

Relative lack of concern due to medical problem/ condition–> Conversion disorder

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11
Q

Examples of physical expressions of conversion disorder

A

Paralysis, aphonia (can’t talk), seizures, anosmia (inability to smell), pseudocyesis (false pregnancy)

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12
Q

pseudocyesis

A

false pregnancy

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13
Q

exaggerated believe that body/ (body part) is deformed/ defective
Hx includes numerous plastic surgeries/ dermatologist

A

Body Dysmorphic Disorder

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14
Q

Body Dysmorphic Disorder most commonly focuses on

A 
the face (esp for females)- shape of nose, excessive facial hair, ears, eye, mouth, lips, teeth)
Men (body build & genitalia)
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15
Q

Body Dysmorphic Disorder Co-morbidities

A

Depression & OCD

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16
Q

3 clusters of personality disorders

A

Cluster A: odd/ eccentric
Cluster B: dramatic, emotional, or erratic
Cluster C: anxious or fearful

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17
Q

Cluster A (odd/ eccentric) personality disorders

A

Paranoid
Schizoid
Schizotypal

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18
Q

4 Cluster B personality disorders

A

Antisocial
Borderline
Histrionic
Narcissistic

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19
Q

3 Cluster C personality disorders

A

Avoidant
Dependent
Obsessive-compulsive

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20
Q

distrust & suspiciousness of others; Other’s are spiteful

begins in early adulthood.

A

Paranoid Personality- Cluster A

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21
Q

Song for Narcissistic Personality Disorder

A

Popular-Kristin Chenowth (Wicked)

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22
Q

Song for Paranoid Personality

A

Somebody’s Watching Me (Mr. Rockwell)

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23
Q

Song for Antisocial Personality

A

The Wanderer

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24
Q

Family influences (eating disorders)

A 
Controlling 
High expectations (achievement)
Chaotic (dramatic, arguments, tension)
Enmeshed 
Passive father, domineering mom
Dependent child
High parental criticism
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25
Q

High mortality rate (10%)

A

Borderline Personality

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26
Q

1* gain

A

enable the individual to avoid difficult situations/ unpleasant activities about which anxious

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27
Q

2* gain

A

attention/ support not otherwise forthcoming

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28
Q

NDx somatization disorder

A

Ineffective Coping

Deficient Knowledge

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29
Q

NDx Pain Disorder

A

Chronic pain

Social Isolation

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30
Q

NDx Conversion Disorder

A

Disturbed sensory perception

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31
Q

NDx Hypochondrias

A

Chronic Low Self-esteem

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32
Q

grandiose sense of personal achievements

A

Narcissistic Personality

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33
Q

Interventions for Somatic Disorders

A
  1. Accept Physical Complaint as Real
  2. ID gains
  3. Initially fulfill most urgent needs, slowly w/d
  4. Explain new s/s will be referred to MD
  5. Allow to Verb. fears
  6. Spend Time W/ Pt
  7. Shift focus from somatic complaints to feelings/ neutral topic
  8. Do not push awareness/ insight
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34
Q 
Characterized by: 
Terror of weight gain 
(⬇️85% expected wt)
Preoccupied with food
View self as fat when emancipated 
Peculiar handling of food
A

Anorexia nervous

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35
Q

Critera for hospitalization (anorexia)

A

Wt loss of 30% over 6 mo
Hypothermia
K<3meq/ L
EKG changes

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36
Q

Referring syndrome

A

Demands of replenished circulatory system overwhelm capacity of nutritionally depleted heart➡️cardiovascular collapse

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37
Q

Panic Attacks are the Key Feature

A

Panic Disorder

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38
Q

Mysophobia

A

Fear of dirt, germs, contamination

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39
Q

Algophobia

A

Fear of pain

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40
Q

Anthropophobia

A

Fear of People

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41
Q

Aviatophobia

A

fear of flying

42
Q

Common SSRIs

A
  • Prozac
  • Paxil
  • Zoloft
    Start out on low dose – initially cause more anxiety
43
Q

SSRI info

A

-Start out on low dose – initially cause more anxiety
-~ 4-6 wks –> full benefit
Do not stop abruptly/ use with ETOH

44
Q

Common- SSNRIs

A

Serotonin, norepinephrine reuptake inhibitors

  • Cymbalta
  • Effecor
45
Q

Aviatophobia

A

fear of flying

46
Q

Buspirone

A

does not suppress CNS
effective in 60-80% of pt w/ generalized anxiety
10-14d to work

47
Q

Tx anxiety symptoms, disorders, acute alcohol w/d

HUGE potential for dependence

A

benzodiazepines

48
Q

benzodiazepines (DO NOT LIST)

A 
DO NOT
•	Increase dose or frequency
•	Drink ETOH 
•	Breast feed/ Take if pregnant
•	Drink caffeine beverages 
•	Stop abruptly
49
Q

blocks beta-adrenergic receptors in the sympathetic nervous system causing a relaxation response

A

Beta-Blockers

GAD and Panic disorder

50
Q

Buspirone

A

does not suppress CNS

effective in 60-80% of pt w/ generalized anxiety

51
Q

Side Effects of BuSpar

A

→ HA, dizziness, light-headedness, nausea, insomnia

52
Q

Eustress

A

good stresses

53
Q

occurs w/in 1 mo after exposure; must display 3 dissociative symptoms either during or after the traumatic event; resolves w/in 4 wks

A

Acute Stress Disorder:

54
Q

1* method that ego uses to control/ manage anxiety

A

Defense Mechanisms

55
Q

1* inhibitory transmitter;

elevates w/ anxiety (w/ disorders, this doesn’t happen)

56
Q

enduring patterns of perceiving r/t and thinking about the environment

A

personality

57
Q

pervasive, persistent, and inappropriate mistrust of others;
suspicious of other’s motives

A

paranoid personality disorder

more men than women

58
Q

personality disorder–>profound defect in the ability to form personal relationships or to respond to others in any meaningful, emotional way.

A

Schizoid Personality

59
Q

Cold, aloof, & indifferent to others; Prefer to work in isolation & are unsociable; Invest energy in intellectual pursuits

A

Schizoid Personality

60
Q

Isolate/ lonely–>Exist on periphery of society; Avoid relationships; Spend time daydreaming

  • Appear indifferent to praise or criticism*
  • Form attachments to animals*
A

Schizoid Personality

61
Q

once describe as “latent schizophrenic”

A

Schizotypal Personality Disorder (Cluster A)

62
Q

personality disorder–>profound defect in the ability to form personal relationships or to respond to others in any meaningful, emotional way.

A

Schizoid Personality

63
Q

Trans. Feeling to another that is LESS threatening

or neutral

A

Displacement

64
Q

Attributing feelings/ impulses unacceptable to 1’s

Self to another person.

A

Projection

65
Q

once describe as “latent schizophrenic”

A

Schizotypal Personality Disorder (Cluster A)

66
Q

Covering up real/ perceived weakness by

Emphasizing a trait 1 considers more desirable

A

Compensation

67
Q

Trans. Feeling to another that is LESS threatening

or neutral

A

Displacement

68
Q

Attributing feelings/ impulses unacceptable to 1’s

Self to another person.

A

Projection

69
Q

emotional brain

regulates emotion and memory

A

Limbic System

70
Q

Parts of the Limbic System

A
  1. Thalamus
  2. Hypothalamus
  3. Cingulate
  4. Amygdala
  5. Hippocampus
  6. Basal Ganglia
71
Q

Asc. w/ visual processing

A

Occipital Lobe

72
Q

Asc w/ perception and recognition of auditory stimuli, memory, and speech

A

Temporal Lobe

73
Q
  • controls autonomic nervous system center for emotional response and behavior
  • regulates body temperature, food intake, water balance and thirst, —controls endocrine system
A

Hypothalamus

74
Q

Parts of the Limbic System

A
  1. Thalamus
  2. Hypothalamus
  3. Cingulate
  4. Amygdala
  5. Hippocampus
  6. Basal Ganglia
75
Q

Serves as a conduit of messages to and from the inner Limbic System

76
Q

Plays a role in planning and coordinating motor movements and posture

A

Basal Ganglia

77
Q
  • controls autonomic nervous system center for emotional response and behavior
  • regulates body temperature, food intake, water balance and thirst, —controls endocrine system
A

Hypothalamus

78
Q

All sensory inputs travel through it to the higher levels of the brain

79
Q

neurotransmitter involved in voluntary movement, learning, memory, and sleep

A

Acetylcholine

80
Q

Too much has been associated with schizophrenia (neurotransmitters)

A

Dopamine

Norepinephrine

81
Q

Too much Acetylcholine

A

associated w/ depression

82
Q

Too little Acetylcholine (in the hippocampus):

A

associated with dementia.

83
Q

correlated with movement, attention, and learning (neurotransmitter)

84
Q

Neurotransmitter involved in energy, and glucose metabolism;

Low amts associated w/ depression.

A

Epinephrine

85
Q
  • plays a role in mood, sleep, appetite, and impulsive and aggressive behavior
  • too little-asc w/ depression & anxiety, esp OCD
86
Q

associated with eating, alertness

neurotransmitter

A

Norepinephrine

Too little norepinephrine has been associated with depression

87
Q

Too little GABA

A

asc w/ anxiety/ anxiety disorders

88
Q

established framework for the interpersonal development of the nurse w/ the pt.

A

Hildegard E. Peplau (RN)

89
Q

Separating a thought/ memory from the feeling tone or emo asc. w/it

w/o showing emo, a young woman describes being attacked and rape

90
Q

GABA

A

(Gamma-Amino Butyric Acid)

inhibits excitation and anxiety

91
Q

Involuntary*blocking of unpleasant feelings &

Experiences from 1’s awareness

A

Repression

92
Q

established framework for the interpersonal development of the nurse w/ the pt.

A

Hildegard E. Peplau (RN)

93
Q

Attempt to increase self-worth by acquiring certain attributes & characteristics of an individual 1 admires
Ex: 8 yo playing teacher

A

Identification

94
Q

Always constructive

Rechanneling of drives/ impulses that are personally/ socially unacceptable into activities that are constructive

A

Sublimation

95
Q

Right Brain

A

Unconcious Mind (Id)→ imagery, creativity, synthess, dreams, symbols, emotions

96
Q

a tx intervention in which a trained leader establishes a group for the purpose of treating patients with psychiatric disorders. (led by psychiatrist or psychologist NOT RN)

A

Group Psychotherapy

97
Q

Attempt to increase self-worth by acquiring certain
Attributes & characteristics of an individual 1
Admires
Ex: 8 yo playing teacher

A

Identification

98
Q

Left Brain:

A

Concious Mind (Ego)→ Logic, reason, math, reading, writing, analysis

99
Q

Right Brain

A

Unconcious Mind (Id)→ imagery, creativity, synthess, dreams, symbols, emotions

100
Q

a tx intervention in which a trained leader establishes a group for the purpose of treating patients with psychiatric disorders. (led by psychiatrist or psychologist NOT RN)

A

Group Psychotherapy

101
Q

express both positive and negative feelings → relief

N201 (21 decks)

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