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Mental Health > Final: New info > Flashcards

Final: New info Flashcards

1
Q

S/S: Borderline PD

A

Unstable interpersonal relationships
Unstable self image
Unstable affect
Impaired problem solving
Self-harm behaviors

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2
Q

S/S Antisocial PD

A

Pervasive pattern of disregard for and violation of the rights of others occurring since age 15

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3
Q

Risk factors: Borderline PD

A

Sexual/physical abuse
Parental divorce
Illness
Parental psychopathology

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4
Q

Risk Factors: Antisocial PD

A

Males w/:
Alcohol use disorders
Released from prison
Released from rehab
Adverse socioeconomic/sociocultural
Violent family life as child

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5
Q

Comorbidities: Borderline PD

A

Major Depressive disorder
Eating Disorder
Anxiety disorder
Substance use disorder

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6
Q

Comorbidities: Antisocial PD

A

Mood disorder
Anxiety disorder
Other personality disorders
Alcohol/Drug abuse (not diagnosable if only occurs w/ substance use)

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7
Q

Priority Nursing intervention: Borderline PD

A

Don’t give unnecessary attention- positive reinforcement
DBT
MBT
Safety
Medications: SAFE doses (likely to try and OD)
-Mood stabilizers
-Atypical antipsychotics
-Antidepressants

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8
Q

Priority nursing interventions: Antisocial PD

A

Typically not seen in for treatment
Protect other patients from harm
Identify dysfunctional thinking patterns and develop new problem-solving behaviors
Anger control
Milieu interventions

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9
Q

Priority nursing assessment: Borderline PD

A

CSSRS
Head to toe- cutting/self harm
MSE

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10
Q

Priority nursing assessment: Antisocial PD

A

CIWA (if indicated)
MSE

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11
Q

Improve patients’ capacity to accurately understand others’ actions and develop self-awareness skills through therapeutic relationship

A

Mentalization-based therapy (MBT)

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12
Q

Providing structured environment w/ rules that are consistently enforced

A

Milieu interventions

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13
Q

restriction of intake. Leading to significantly low body weight

A

Anorexia

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14
Q

Severity of anorexia by BMI

A

Mild BMI >17
Moderate BMI 16-16.9
Severe BMI 15-15.9
Extreme BMI <15

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15
Q

2 Remission statuses of anorexia

A

Partial remission: Patient is no longer underweight but still restricts or binges/purges
Full remission: Criteria no longer applies

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16
Q

2 types of anorexia

A

Restrictive: dieting, fasting, and/or excessive exercising
Binge-eating/purging type: binge eating followed by purging (vomiting, laxative, diuretics, enemas)

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17
Q

rapid, episodic, impulsive, and uncontrollable ingestion of large amount of food during a short period of time followed by purging

A

Bulimia

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18
Q

Complications of starvation to weight loss:
Musculoskeletal

A

Loss of muscle mass
Loss of fat
osteoporosis

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19
Q

Complications of starvation to weight loss:
Gastro

A

Delayed gastric emptying
Bloating
Constipation
Abdominal pain
Gas diarrhea

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20
Q

Complications of starvation to weight loss:
Cardiac

A

Bradycardia
Hypotension
Loss of cardiac muscle
Small heart
Cardiac arrhythmias
Prolonged QT interval
Ventricular tachycardia
Sudden death

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21
Q

Complications of starvation to weight loss:
Metabolic

A

Hypothyroidism
Hypoglycemia
Decreased insulin sensitivity

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22
Q

Complications of starvation to weight loss:
Reproductive

A

Amenorrhea
Irregular periods
Low FSH and LH

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23
Q

Complications of starvation to weight loss:
Dermatologic

A

Dry, cracking skin
Brittle nails
Lanugo
Edema
Acrocyanosis
Thinning hair

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24
Q

Complications of starvation to weight loss:
Hematologic

A

Leukopenia
Anemia
Thrombocytopenia
Hypercholesterolemia
Hypercarotenemia

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25
Q

Complications of starvation to weight loss:
Neuropsychiatric

A

Abnormal taste sensation
Apathetic depression
Mild organic mental symptoms
Sleep disturbances
fatigue

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26
Q

Starvation to weightless cause complications in these areas

A

Neuropsychiatric
Hematologic
Dermatologic
Reproductive
Gastrointestinal
Cardiac
Metabolic
Musculoskeletal

27
Q

Complications related to purging:
Metabolic

A

Electrolyte abnormalities
Hypokalemia
Hypochloremic alkalosis
Hypomagnesemia
Increase BUN

28
Q

Complications related to purging:
Cardiac

A

Ipecac cardiomyopathy arrhythmias

29
Q

Complications related to purging:
Gastro

A

Salivary gland and pancreatic inflammation/enlargement
Esophageal/gastric erosion and rupture
Dysfunctional bowel w/ dilation
Superior mesenteric artery syndrome

30
Q

Complications related to purging:
Neuropsychiatric

A

Seizures
Mild neuropathies
Fatigue
Weakness
Mild organic mental symptoms

31
Q

Complications related to purging:
Dental

A

Erosion of dental enamel (perimylolysis)
(particularly frontal teeth
Decreased decay

32
Q

Eating disorder criteria for hospitalization: medical

A

Acute weight loss <85% below ideal
Heart rate near 40 bpm
Temp <36.1
Blood pressure <80/50
Hypokalemia
Hypophosphatemia
Hypomagnesemia
Poor motivation to recover

33
Q

Eating disorder criteria for hospitalization: Psychiatric

A

Risk for suicide
Severe depression
Failure to comply w/ treatment
Inadequate response to treatment at another level of care

34
Q

Supporting disclosure of sexual assault/ violence: children

A

Explain that you have to tell someone
Do not promise to keep it a secret
Never make assumptions about how the person feels about the abuser
Support them through the healing process
Details are not needed

35
Q

Supporting disclosure of sexual assault/ violence: adults

A

Support them in any way possible
Talk about collecting evidence, even if they don’t want to use it now
Let them know you believe them and are grateful they told you
Let them know they are brave

36
Q

Indicators of sexual violence: Physical

A

Bruising/bleeding/redness/rashes/bumps/scrapes/scabs/tears
Especially around the genitals
UTIs
STIs/HIV
Pregnancy
Abnormal discharge
Difficulty walking/standing
Fear of physical contact
Destructive coping mechanisms

37
Q

Indicators of sexual violence: Behavioral

A

Withdrawal
Disclosing
Advanced sexual knowledge for age
Indiscriminate sexual behavior
Running away
Abusing others
Regression
Over compliance
Excessive nightmares
Truancy/dropping out
Substance abuse
Sudden fear of situations/people

38
Q

Indicators of human trafficing

A

New technology
Tattoos
More cash
Change in demeanor/behavior
Change in wardrobe/appearance
Missing school
Older friends or BF/GF

39
Q

Barriers to disclosure

A

Scared no one will believe them
Scared they will get hurt
Don’t want to hurt loved ones

40
Q

Power and control wheel
Making her ask for money
Giving her an allowance
Taking her money
Not letting her know about or have access to family income
Preventing her from getting or keeping a job

A

Economic abuse

41
Q

Power and control wheel
Treating her like a servant
Making all the big decisions
Acting like the “master of the castle”
Being the one to define men’s and women’s roles

A

Male privilege

42
Q

Power and control wheel
Making her feel guilty about the children
Using the children to relay messages
Using visitation to harass her
Threatening to take the child away

A

Using children

43
Q

Power and control wheel
Minimizing, denying, and blamingMaking light of the abuse and not taking her concerns about it seriously
Saying the abuse didn’t happen
Shift responsibility for abusive behavior
Saying she caused it

A

Minimizing, denying, and blaming

44
Q

Power and control wheel
Controlling what she does, who she sees, talks to, what she reads, where she goes
Limiting her outside involvement
Using jealousy to justify actions

A

Using isolation

45
Q

Power and control wheel
Putting her down
Making her feel bad about herself
Calling her names
Making her feel guilty
Making her think she’s crazy
Playing mind games
Humiliating her

A

Emotional abuse

46
Q

Power and control wheel
Making her afraid by using looks, actions, and gestures
Smashing things
Destroying her property
Abusing pets
Displaying weapons

A

Using intimidation

47
Q

Power and control wheel
Making and/or carrying out threats to do something to hurt her
Threatening to leave her, commit suicide, report her to welfare
Making her drop charges
Making her do illegal things

A

Using coercion and threats

48
Q

Indicators of child abuse

A

Don’t want to go to someone’s house
Don’t want to play a certain game anymore
Describe the situation happening to a friend or a toy
Journal or draw about abuse
Want to tell you a BIG secret
Saw something on a movie
multiple stages of bruising
explained bruising, cuts, broken bones

49
Q

Indicators of elderly abuse

A

Multiple stages of bruising
explained bruising, cuts, broken bones
HIV/STDs
vaginal bleeding
New onset confusion, anxiety, depression

50
Q

persistent pattern of inattention, hyperactivity, and impulsiveness

A

ADHD

51
Q

S/S ADHD

A

Restless
Busy
Distractible
Unable to take turns
Disruptive
Hypofocus

52
Q

Non-pharmacological treatment of ADHD

A

Diet change
Sleep
Routien

53
Q

Pharmacological treatment of ADHD

A

Methylphenidate

54
Q

Techniques for data collection w/ child

A

Use simple vocabulary and short sentences tailored to child’s developmental and cognitive levels
No leading questions
Child understands the question
Tailor questions on individual basis
Watch tone and face for personal bias
Speak slowly and quietly
Learn about child’s current interests

55
Q

emotional bond formed between child and their parental figured at an early age; attaining and retaining interpersonal connection to a significant person, beginning at birth

A

attachment

56
Q

attachment type:
inconsistent parenting style; anxious when separated
“I want to be extremely emotionally close with others but they abandoned me”

A

anxious attachment

57
Q

Attachment type:
Individuals believe that they are unworthy of love due to severe childhood trauma, emotional neglect, or abuse
“I have trust issues and maintain distance from others”

A

Fearful avoidant attachment

58
Q

Attachment type:
Formed when a parent fails to mee their child’s needs emotionally
“It is very important that I feel independent and self-sufficient”

A

Dismissive/avoidant attachment

59
Q

Attachment type:
Emotional bond that is formed when a parent constantly response to their child’s every need and ensured that the child feels secure, understood, and calm
“I don’t worry about being abandoned or about someone getting too close to me”

A

Secure Attachment

60
Q

person’s characteristic intensity, activity level, rhythmicity, adaptability, energy expenditure, and mood

A

Temperament

61
Q

Temperament type:
positive mood, regular patterns of eating and sleeping, positive approach to new situation, low emotional intensity

A

Easy temperament

62
Q

Temperament type:
Irregular sleep and eating patterns, negative response to new stimuli, slow adaption, negative mood, and high emotional intensity

A

Difficult temperament

63
Q

Temperament type:
negative, mildly emotional response to new situation that is expressed with intensity and initially slow adaptation but evolves into a positive response

A

Slow-to-warm

Mental Health (3 decks)

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