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nursing > Mental Health Exam 2 > Flashcards

Mental Health Exam 2 Flashcards

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1
Q

What can prolonged stress do to the immune system?

A

Weaken it, causing the pt to be more susceptible to illnesses

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2
Q

What does deep breathing exercises do for the body?

A

Calms the nervous system

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3
Q

What do social support groups do for a client?

A

Offer emotional assistance; alleviate feelings of isolation

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4
Q

What are the benefits of support systems and what are the main two?

A

Family and friends; emotional backing and social companionship

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5
Q

What are 2 self-care practices that can help clients reduce stress?

A

Exercise and meditation

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6
Q

How does exercise reduce stress?

A

Releases endorphins

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7
Q

How does meditation reduce stress?

A

Increases mental clarity

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8
Q

Characteristics of mild anxiety level:

A

Slight apprehension

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9
Q

Characteristics of moderate anxiety level:

A

Second level of anxiety; can be disrupting but usually not severe enough to prevent someone from completing responsibilities. some mild physical symptoms

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10
Q

Characteristics of severe anxiety level:

A

Can manifest physiologically as nausea, dizziness, tachycardia, and hyperventilation. Mentally as a feeling that something terrible is going to happen.

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11
Q

Characteristics of panic levels of anxiety:

A

Can manifest as disorganized behavior and a loss of touch with reality; running, screaming, disordered thoughts and perceptions

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12
Q

2 common defense mechanisms:

A

Projection and denial

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13
Q

What is projection?

A

Blaming others

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14
Q

What is denial?

A

Refusing to accept reality

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15
Q

How should the nurse handle panic in clients?

A

The initial action to be to tell the client to stop running and take a deep breath, while offering immediate assistance. Do not ask for clarification or “capture” the client in a basket hold. Provide calm, brief, and directive communication.

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16
Q

What is an example of using compensation as a defense mechanism?

A

A client feels unattractive but emphasizes their intelligence.

17
Q

How could the nurse assist a client demonstrating denial by comparing themselves to a “perfect” friend?

A

The client could benefit from further exploration of self-perception.

18
Q

What is PTSD?

A

Post-traumatic stress disorder; a mental health condition that is triggered by a traumatic event. Can cause flashbacks, nightmares, and severe anxiety

19
Q

What is the buddy system intervention?

A

Other clients will help a client in feeding

20
Q

Conversion Disorder:

A

Involves neurologic symptoms that cannot be explained by medical evaluation. Ex: Blindness, hearing loss, loss of balance

21
Q

Health anxiety:

A

excessive or persistent worry that a client feels about having or developing a major medical condition

22
Q

Illness Anxiety Disorder:

A

Persistent fears of having a serious illness

23
Q

Somatic symptom disorder:

A

Chronic physical symptoms without a clear cause

24
Q

How does journaling relieve stress?

A

Promotes awareness of experiences

25
Q

How do support groups help with stress?

A

Provide communal coping mechanisms

26
Q

What are the most common somatic symptoms?

A

Headache and insomnia

27
Q

How does stress affect the sympathetic nervous system?

A

Arouses the sympathetic nervous system, leading to elevated vitals

28
Q

What is the regression defense mechanism?

A

reverting to behaviors from an earlier stage of development

29
Q

What is the rationalization defense mechanism?

A

Justifies illogical ideas and actions with acceptable explanations.

30
Q

What kind of environment is helpful in calming panic or severe levels of anxiety?

A

safe, quiet, and structured. Offering outlets for energy and respecting personal space are SECONDARY TO SAFETY

31
Q

How does OCD manifest in clients?

A

Clients will engage in repetitive behaviors for short term relief

32
Q

What is Generalized Anxiety Disorder?

A

Characterized by excessive worrying

33
Q

What is the nurse’s top priority in caring for clients?

A

Safety

34
Q

After safety, the next priorities in care are:

A

Assessing, diagnosis, planning, implementation, evaluation or ADPIE

nursing (14 decks)

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