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Mental Health-MJ > T1-Random Info > Flashcards

T1-Random Info Flashcards

1
Q

All behavior has ____

A

Meaning

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2
Q

What is the foundation of ALL relationships?

A

Trust!!!

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3
Q

What is the gold standard for treating mental illness because it lists diagnosis criteria for mental illness

A

DSM-5

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4
Q

Apply the ANA standards of care and the ANA scope and standards of practice

A

Boundaries to what we can and cannot do; the book tells us what we can and cannot do

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5
Q

3 stages of GAS?

A
  1. Alarm
  2. Resistance
  3. Exhaustion
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6
Q

Coined the word stress

A

Seyle

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7
Q

Stress triggered by something in the environment

A

Holmes and Rae

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8
Q

Biological response to stress

A

Seyle

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9
Q

Stress has a relationship between person and environment

A

Lazarus and Folkman

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10
Q

What is wrong with Holme’s and Rae’s Recent Life Changes Questionnaire

A

Does not take into account perception of life events, coping skills, or support systems

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11
Q

What predisposing factors did Lazarus and Folkman come up with?

A

Genetic influence
Past experience
Existing conditions

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12
Q

What depression:

Associated with hormonal changes

A

Post partum

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13
Q

What depression:

Associated with normal grieving

A

Mild

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14
Q

What depression:

Associated with dysthymic disorder

A

Moderate

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15
Q

What depression:

Includes symptoms of MDD and BP

A

Severe

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16
Q

Anergia

A

Lack of energy

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17
Q

Anhedonia

A

Lack of pleasure in normal activities

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18
Q

SAD PERSONS

A

Sex (male higher risk)
Age (adolescents, elderly)
Depression

Previous attempt
ETOH use
Rational thinking loss
Social support decrease
Organized plan
No spouse
Sickness
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19
Q

What are anxiety disorders comorbid with?

A

Depression

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20
Q

Is anxiety disorders familial?

A

Yes

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21
Q

What neurotransmitter is thought to be increased with anxiety?

A

Norepinephrine

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22
Q

What neurotransmitter is thought to be decreased with anxiety disorders?

A

Serotonin and GABA

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23
Q

The most intense state of anxiety

A

Panic disorder

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24
Q

What is the foundation of all relationships?

A

TRUST!!!

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25
Q

Kubular Ross 5 stages of grief?

A 
Denial 
Anger
Bargaining
Depression
Acceptance
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26
Q

_____ is the work of grieving

A

Mourning

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27
Q

What can facilitate the process of mourning, that is it may actually decrease the length of time of the response

A

Anticipatory grief

28
Q

Delayed maladaptive grief response what Kubular Ross stage are you stuck in?

A

Denial

29
Q

Distorted maladaptive grief response what Kubular Ross stage are you stuck in?

A

Anger

30
Q

What are the 2 major and primary response to stress?

A

Anxiety and Grief

31
Q

A biological, psychological, social, or chemical factor that causes physical or emotional tension and may be a factor in the etiology of certain illnesses

A

Stressor (according to Townsend–our book author)

32
Q

Stress is a _____ response

A

Biological (according to Hans Selye)

33
Q

What happens if a person remains in a chronic state of aroused response?

A

Exhaustion

34
Q

What stage of GAS does illness or mental health disorders appear?

A

Exhaustion

35
Q

Who has stress as an environmental event that triggers a response?

A

Miller and Rae

36
Q

What are the limitations of Miller and Rae’s theory?

A

Doesnt take into account the individuals

  • perception of the life events in the checklist
  • their coping skills
  • or their support systems
37
Q

Who says stress is a relationship between the person and environment?

A

Lazarus and Folkman

38
Q

That are the predisposing factors Lazarus and Folkman came up with?

A

Genetic influences
Past experiences
Existing conditions

39
Q

Strategies that are protective and try and restore and maintain to the extent possible both physical and psychological homeostasis

A

Adaptive coping strategies

40
Q

Who came up with the relaxation response?

A

Dr. Herbert Benson

41
Q

What is the physiologcial response to the realization response?

A

HR and BP lowers
Muslces relax
Metabolism decreases
Nitric Oxide INCREASSES (which dilates arteries, relaxes smooth muscle, and increases blood flow)

42
Q

How do you elicit the relaxation response?

A
  1. Sit quite in a comfy position
  2. Close eyes and relax muscles
  3. Breath slowely and naturally
  4. Focus on something repetitive
  5. Dismiss everyday thoughts
  6. Continue to focuse
  7. Do this 10-20 min
  8. Sit quietly for a min allowing other thoughts to return; open eyes
43
Q

This level of anxiety is precipitated by imminent loss or change that threatens ones sense of security

A

State (acute) anxiety

44
Q

This level of anxiert is one that usually develops over time, often starting in childhood. The adult who experience chronic anxiety may display that anxiety in physical symptoms such as fatigue and frequent headache

A

Trait (chronic) anxiety

45
Q

Prepares people for action; sharpens senses; increases motivation; increases perception and awarance of environment; learning is enhanced

A

Mild anxiety

46
Q

Less alert to envrionment, decreased attention span, assistance in problem solving, muscular tension and restlessness

A

Moderate anxiety

47
Q

Perception greatly diminished, concentration difficult; can’t complete simple tasks; heat, palpitations, insomnia, confusion, dread, poor; all behavior aimed at relieving anxiety

A

Severe anxiety

48
Q

Cant focus on even one detail; loss of contact with reality; hallucinations or delusions may occur; human function and communication ineffective; feeling of terror; feelings of “going crazy”; can be life threatening if prolonged

A

Panic anxiety

49
Q

Difference between coping mechanisms and ego defenses?

A

Coping= behaviors that satisfy need for comfort

Ego defenses= using energy to confront the threat

50
Q

What anxiety is coping mechanisms seen? Examples?

A

Mild

daydreaming, sleeping, yawning, laughing, facing, cursing, fidgeting

51
Q

What anxiety are defense mechanism seen?

A

Mild to moderate anxiety

Compensation, denial, isolation

52
Q

A severe mental disorder character by gross impairment in reality testing; manifested by delusions, hallucinations, disorganized speech, or disorganized or catatonic behavior

A

Psychosis

53
Q

A mood disorder causing persistent feeling of sadness and loss of interest

A

Major depressive disorder

54
Q

4 S&S of depression?

A
  1. Hypersomnolence
  2. Lack of appetite or overeating
  3. Anhedonia
  4. Anergic
55
Q

What are some assumptions about depression?

A
  1. Person can just get over it (not that simple)
  2. That talking about it makes it worse for them (no, it doesnt)
  3. They are lazy (*no energy–anergic)
  4. Only happens in poor people (*can happen in ANYONE)
  5. Only should be in people who had something tragic happen to them (no, that does happen, but it also can just occur psychologically)
56
Q

Client has experienced syndrome of manic or mixed symptoms; episodes of depression

A

Bipolar I

57
Q

Client has had bouts of major depression and episodic occurrences of HYPOmania, but never met full criteria for FULL manic episode

A

Bipolar II

58
Q

An alteration in mood that is expressed by feelings of elation, inflated self-esteem, grandiosity, hyperactivity, and accelerated thinking and speaking

A

Mania

59
Q

Big 3 S/S with mania?

A

Accelerated mood
Grandiosity
Decreased sleep

60
Q

What is often hard to diagnose bc it may be confused with someone who is outgoing and energetic

A

Hypomania

61
Q

Assumptions with mania?

A
  • Just hyper or are high on something
  • Just crazy
  • All people with mania are happy and elated (no, they can be angry and agitated too)
62
Q

What disorders put people at risk for suicide?

A

Command hallucincations
MDD
BP
Schizophrenia

63
Q

How should we make rounds for people with major depression?

A

Irregular intervals of 15 min checks

64
Q

One big intervention for persons with bipolar disorder is to help the client recognize that he or she must ________ of own behavior and refrain from attributing to others

A

Accept consequence of their own behavior

65
Q

3 nursing interventions similar for people with MDD and bipolar?

A
  1. Line of sight (unobstrustive observation)
  2. Eating (make better choices or to eat in general)
  3. Hygiene (need to do it themselves thoughl both disorders may have issues with this)
*MDD= no energy to do personal hygiene
Bipolar= depressive and no energy to do it or manic and don't care to do it
66
Q

What is SOLAR listening (nonverbal)?

A 
Sit quietly facing patient
Observe an open posture
Lean forward toward the patient
Establish eye contact
Relax

Confused bc solar is spelt SOLAR but this is SOLER?

Mental Health-MJ (39 decks)

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