Mental Health Exam 4 Flashcards
KAHOOT TRUE/FALSE: Codependence includes behaviors such as enabling.
TRUE
KAHOOT The nurse assessing a patient for possible withdrawal would use the tool..
CIWA
KAHOOT What is the legal limit for alcohol?
0.08
KAHOOT TRUE/FALSE: Piloerection, lacrimation and rhinorrhea are seen in withdrawal.
TRUE
KAHOOT Needing more of a substance to get the same effect is:
tolerance
KAHOOT A client experiencing withdrawal might show which signs:
nausea, tremors, diaphoresis, high BP
KAHOOT TRUE/FALSE: Abuse of inhalants is most often seen in younger users.
True
KAHOOT Put the 3 P’s of Insomnia in order
- Predisposing
- Precipitating
- Perpetuating
KAHOOT _________ disorder is seen with la belle indifference
Conversion
KAHOOT AA has ____ steps
12
KAHOOT TRUE/FALSE: Arrhythmias & refeeding syndrome are the biggest risks with anorexia
TRUE
KAHOOT Which medication is NOT matched with its indication?
Clonidine for benzo reversal agent
KAHOOT Which of the following is NOT true with bulimia?
highest risk in older adults
KAHOOT TRUE/FALSE: Anorexia has body image DISTORTIONS (sees themselves as “fat” even when they are not)
TRUE
KAHOOT TRUE/FALSE: Amitriptyline can cause weight gain in the treatment of anorexia.
TRUE
KAHOOT Which is NOT an appropriate intervention with a patient with an eating disorder?
cardio exercise
KAHOOT Which is NOT correctly matched?
pseudocyesis - seizures
KAHOOT Fear that you will develop an illness is called disease: ______
phobia
KAHOOT TRUE/FALSE: If a client refuses to see a health care professional because they are afraid of a diagnosis is health avoidant.
TRUE
KAHOOT Paradoxical insomnia means thinking you are awake when you are actually asleep.
TRUE
This is referred to as the absence of menstrual cycle and may include menstrual irregularities if the cycle is present.
Amenorrhea
In patients with anorexia, the body struggles to maintain a normal body temperature. _____ may appear as a way to help the body conserve heat, presenting as fine hairs seen with severe malnourishment.
Lanugo
This is the consequence of erosion of tooth enamel due to vomiting in patients with bulimia. (Patients with bulimia also display Russell’s sign, be sure to remember this)
Dental Carries
A potentially fatal complication during the treatment of anorexia, occurring during the reintroduction of fluids, electrolytes and carbohydrates with a severely malnourished client.
Refeeding Syndrome
This is referred to as “the eating of non-food items.” The object can be literally anything – paint chips, hair, or dirt!
Pica
____ is to function without memory of the event.
EXAMPLE: Person gets home but does not remember how they got there.
Blackout
____ is defined as “needing more of the substance to obtain the same results.” This leads to the increased use of the substance.
Tolerance
This substance is a CNS depressant.
Withdrawal time is 4-12 hours.
Withdrawal peaks on day 2.
Withdrawal symptoms may be life-threatening, including seizures, delirium, and tremors.
Treated with benzodiazepines for symptom care.
(be aware of possible (select all that apply quetion)
Alcohol
What is the legal intoxication level?
0.08g/dl
A __ step program, also known as AA (alcoholics anonymous): a model that promotes abstinence of alcohol. Encourages support in recovery, requires a sponsor.
12
The bristling of hairs, also referred to as “cold turkey” or “gooseflesh.” This is a symptom seen in withdrawal of opioids.
Piloerection
(3 Ps of Insomnia)
is a vulnerability to develop insomnia; includes genetics, “worriers,” and a stressful life schedule (shift work/travel)
Predisposing
(3 Ps of Insomnia)
-causes those first few nights of insomnia, caused by short term stressors, trauma/medical conditions
Precipitating
(3 Ps of Insomnia)
CHRONIC insomnia; characterized by:
bad habits that develop following episodes of insomnia, naps, alcohol or substance use, excessive caffeine use to stay awake during the day.
Perpetuating
What routine is described as being used to improve sleep?
Sleep hygiene practices.
What are examples of sleep hygiene practices?
establish a schedule, avoid sleep deprivation, avoid large meals at bedtime, avoid daytime naps, exercise daily but not close to bedtime, avoid caffeine, do not clock watch in bed, avoid alcohol, reserve bed for sleeping only, write down concerns to address later (& then let it go), use music or white noise.
Example: jet lag from traveling: can be treated using sleep hygiene, melatonin, and light therapy
Circadian rhythm sleep-wake disorders
A disorder characterized by bad dreams, without widely accepted treatments.
Nightmare disorder
A disorder characterized by complex motor behavior initiated during sleep.
Sleepwalking disorder
How does a sleepwalker present?
Appears disoriented, may become violent, most common in children 4-8 years old, goes away in adolescence.
A disorder characterized by abrupt awakenings in the night with panicky screams, more common in small children, children are without memory of the event later, this typically goes away in adolescence.
Sleep terror disorder
What type of sleep-related breathing disorder is treated with a CPAP machine?
Sleep Apnea
This condition is characterized by irresistible sleep attacks, usually lasting 10-20 minutes, treated with stimulant medication and behavioral structuring.
Narcolepsy
This condition is characterized by excessive sleep in one month, with sleep lasting as long as 8-12 hours daily plus naps; sleep is without refreshment following, and this condition is treated with stimulant medication.
Hypersomnolence
How do we treat insomnia due to a mental health disorder, medical condition, or substance use?
Treat the primary cause to be helpful, medications are commonly used as treatment, avoid stimulants!!
This condition is characterized by the inability to obtain adequate sleep
Idiopathic insomnia
How do we treat hypersomnolence?
stimulant medication
How do we treat sleep apnea?
cPAP machine at night
How do we treat narcolepsy?
stimulant medication and behavior structuring
How do we treat idiopathic insomnia?
sleep hygiene,
relaxation therapy,
medication
This condition is characterized by thinking you’re awake when you are actually asleep.
Paradoxical insomnia
How do we treat paradoxical insomnia?
break rumination, as the disorder is due to ruminative worry about sleep and decrease anxiety.
Which condition is characterized by the conditioned arousal associated with the thought of sleep? It is associated with the stress and anxiety surrounding sleep, as well as worrying about sleep.
Psychophysiological insomnia
How do we treat psychophysiological insomnia?
relaxation and sleep hygiene
Which medication is used for smoking cessation (think nicotine)
Bupropion
