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1
Q

Definition mental illness

A

interfere with daily activities, impaired judgment or alter reality

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2
Q

Dorothea Dix

A

surveyed asylums, mails and almshouses brought out public awareness

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3
Q

Frontal lobotomy

A

a surgical removal (sevrence) of frontal lobe

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4
Q

Intro of psychotherapeutic drugs

A

allowed for the dis-intuitions of many people with mental illness

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5
Q

Care settings

A

where do most people with mental illness end up: ER and jails because they don’t seek health care in time

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6
Q

Client’s rights

A

in emergency situations because clients are a threat to self or others they lose the right to restraints or seclusion

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7
Q

Elopement

A

leave facility without a discharge order

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8
Q

Western medicine is based on

A

scientific treatment methods and tends to disregard that which cannot be explained by research (scientific treatment and research)

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9
Q

Maslow

A

physiological needs, need for safety and security, love and belonging, esteem needs, need for self-actualization

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10
Q

Free association

A

responding with the first word that comes to mind

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11
Q

Erick Erikson, how many stages in his theory

A

8

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12
Q

Maslow self-actualization

A

achievement of ones full potential

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13
Q

Defense mechanism-Identification

A

taking on of personal characteristics of admired person to conceal own feelings of inadequacy; teen dresses like a popular music group

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14
Q

Do no harm

A

as care provider care has to be safe (responsibility ti ensure the client is safe)

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15
Q

Lithium

A

monitor intake of sodium

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16
Q

Develop mutual trust

A

develop trust whatever you tell them must be true must follow throw

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17
Q

Holistic care

A

all aspects of person

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18
Q

Therapeutic action of caring-addressing by Mr.

A

shows that you care and are being respectful to address them by there last name

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19
Q

Nursing process-assessment phase

A

collecting date, asking a serious of questions

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20
Q

Subjective vs. objective

A

subjective-what client says, objective: observed, collected

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21
Q

Flat affect

A

unresponsive emotions

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22
Q

Intrapersonal communication

A

self talk/self dialogue helpful in coping, prepare self

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23
Q

Therapeutic interacting skills-listening, silence reflection

A

supports effective communication between client and nurse

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24
Q

Verbal communication-documentation

A

when client gives information you must document what is said exactly, document exact words and phrases spoken by client

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25
Therapeutic communication-listen observe
helps to interpret communication effectively, meet patient needs, verbal and nonverbal messages; help interpret communication effectively by paying attention to verbal/nonverbal messages, help meet pt need
26
Social vs. therapeutic relationships
social- having fun, establishing personal relationships, therapeutic- focuses on client and there needs
27
Correcting environmental problems
eliminate distraction is move client to quiet space if they are trying to start a conversation
28
Phases of therapeutic relationship-termination phase
some clients may not to terminate therapeutic relationship may hinder there progress by bring up new problems, or miss appointments
29
Obesity-prevention treatment
early intervention and education, healthy food, healthy eating patterns, exercise
30
How to treat problems with sleep
follow bed time rituals each night like reading a book
31
Child neglect is
not meeting basic needs
32
Limit setting
children with behavioral disorders such has conduct and oppositional defiant disorder
33
Pica
persistent eating of nonfood items for more than 1 month
34
First intervention in childhood mental illness issues
early identification and treatment
35
Industry vs. inferiority
school age children 6-12 years old
36
Middle adolescence-conflicts over control
conflicts over control and independency
37
Consistent limit setting with teens
ADHD
38
Signs/symptoms of depression in teens
irritable moods, acting out behaviors
39
Eating disorders-issues control
issues is over control
40
Gender identity disorder
girl wearing boys clothing
41
Schizophrenia
first seen in adolescence
42
Adult male who lacks strong sense of personal identity
struggling with social development
43
Sandwich generation
caring for children and aging parents
44
Nursing care plan for a client with a mental disorder
goals must be important and realistic
45
Mental health intervention is for ALL clients
receiving health care
46
Marriage-effective communication
needed to maintain a strong relationship
47
Hopelessness
??
48
Stress response or fight or flight
human physiological stress response affects many body systems
49
Somatic illness and relationship to cultural/spiritual beliefs
aware of what problems means to client
50
Conversion disorder
somatoform disorder in which the person presents problems related to the sensory or motor functions
51
Hypochondriasis
exaggerates symptoms with no physical evidence
52
Malingering
complain to get out of doing something/physical complaints
53
Dissociative disorders
come about when person is trying to cope with anxiety, stress, trauma
54
Depersonalization disorder
can not tell difference between internal and external stimuli disconnect thought process due to sever anxiety
55
Tx for depersonalization disorder
stabilization
56
Dissociative disorder-manipulation
uses manipulation to get what they want
57
Nursing intervention to promote self-esteem
list accomplishments and success, strengths
58
Neglect
harm by another by failure to provide basic needs
59
Leading cause of maternal death during pregnancy
trauma
60
Shaken baby syndrome
s/sx lethargy, fussiness, and irritability
61
Disorders seen in abuse of adolescents
substance abuse, eating disorders, delinquency disorders, suicide
62
Elder abuse
mood swings, depression, fearful and extremely concerned about the cost of health care
63
Mandatory reporting of abuse
required of all health care providers
64
Caffeine addiction
addictive
65
Fetal alcohol syndrome
small head, low birth weight and slow development
66
Alcohol abuse in adolescents
most common
67
Relapse-1st step in treatment recognize need for help-Antabuse/disulfiram for
alcohol
68
Infants need trust from
parents, learn to trust if in nurturing environment
69
Paranoid personality disorder
most often seen in men
70
Antisocial
disregard to others
71
Psychopath
self gratification at the expense of others, manipulating lack of confidence, deceive, under erratic cluster
72
Dependent personality disorder and nursing therapeutic process
unable to make decisions, dependent personality, main goal help them become aware of how there behavior affects there life
73
Suicide and medication
monitor compliance to help prevent suicide
74
Ideas of reference- schizotypal personality disorder
characteristic
75
Side effects of antipsychocitc medications
extrapryamidal movement, dry mouth, blurred vision, photophobia
76
Psychotic disorders lose
contact with reality
77
Psychotic
will not eat or bath regularly
78
Schizophrenia affects 1% of world’s population
affects 1% of world population 2.5 million
79
Paranoid schizophrenic
thinks others are trying to kill them
80
Word salad- DX schizophrenia symptoms must be present for at least 1 year:
no connection of words, (word salad)
81
Med to tx psychoses called
antipsychotics neuroleptics
82
Concrete thinking
inability to consider abstract meaning of a phrase
83
tx for family to cope with schizophrenia
ongoing treatment and support
84
Ole factory hallucinations
smells/disturbing
85
Delusions
not thinking logically
86
Tardive dyskinesia
repetitious involuntary movement of face and extremities
87
Restitution
defensive mechanisms, giving back to resolve guilt feelings, a man argues with his wife and then buys her roses
88
Rationalization
use of “good” reason to explain behavior to make unacceptable motivation more acceptable, a student justifies failing an examination by saying that there was too much material to cover
89
Simple concrete language
use with people with schizophrenic with auditory hallucinations
90
Speech cluttering
rapid, confused delivery of unrhythmic speech pattern
91
Parroting
non therapeutic, continuous repeating of client’s words

psych final (1 decks)

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