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VN 42 Med Surg 3 > VN 42 Mental Health Test 10 > Flashcards

VN 42 Mental Health Test 10 Flashcards

1
Q
  1. Anorexia Nervosa: causes
A
  • disturbed body image
  • Biological factors & genetics
  • Psychological factors (fear of maturing, by not eating remains child in the family
  • Traumatic event(bullying sexual abuse)
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2
Q
  1. Anorexia Nervosa manifestations:
A

(POREPAIRED)
* Excessive weight loss, usually more than 25% of body weight prior to dieting
* Refusal to maintain normal weight
* Intense fear of being fat
* Restricting food intake often to only 200–300 calories per day
* Excessive exercise
* Obsessive thoughts
* Perfectionism
* Absence of menstrual cycle (women)
* Distorted body image
* Physical signs can include slow pulse rate, electrolyte imbalances, fatigue, dry skin, and lanugo (fine body hair)

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3
Q
  1. Anorexia Nervosa Nursing goals:
A
  • Returning to normal weight (slow and steady, no more than 3lbs/wk)
  • Stopping abnormal eating behaviors
  • Dismantling unhealthy thoughts
  • Treating comorbidities
  • Planning for relapse prevention
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4
Q
  1. Bulimia: manifestations
A

(POEEUULIFTER)
* Extreme dieting
* Use and abuse of laxatives or syrup of ipecac (to induce vomiting)
* Use and abuse of diuretics
* Obsession with food and eating
* Poor self-concept
* Thoughts of harming self
* Routine use of bathroom immediately after eating
* Erosion of tooth enamel or hoarseness from vomiting
* Extreme sensitivity to body shape and weight
* Likely to appear normal weight or slightly overweight
* Impulsive
* Feeling depressed, guilty, worthless

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5
Q
  1. Bulimia complications:
A
  • Cardiac arrhythmias
  • Electrolyte imbalance
  • Dehydration
  • Tears in the gastric or esophageal mucosa
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6
Q
  1. Name the initial Nursing Goal when caring for patients with eating disorders (PG.278).
A
  • Establish trust
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7
Q
  1. Abuse?
A

Physical, verbal, or emotional mistreatment of self or others; misuse of chemicals, food, or other substances.

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8
Q

9.Victim?

A

A person who is harmed by another.

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9
Q
  1. In what area is violence being reported more frequently?
A
  • Workplace violence
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10
Q
  1. What effect might culture have on abuse issues (PG.330)?
A
  • Some behaviors may appear abusive to us but are culturally appropriate.
  • In some cultures, men expect their wife’s subservience. This cultural norm needs to be taken into consideration before assuming the wife is being abused.
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11
Q
  1. How does alcohol influence the ability to abuse (PG.330)?
A
  • Alcohol increases the chance of abuse
  • Impairment of judgement
  • Ability to control impulses is altered
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12
Q
  1. Who is at highest risk to become an abuser?
A
  • Someone who has been abused themselves
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13
Q
  1. Sexual abuse?
A

Unwanted sexual contact

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14
Q
  1. Sexual harassment?
A

Unwanted sexual innuendo, often inflicted by a workplace superior on an employee or a subordinate.

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15
Q
  1. Incest?
A

Sexual activity between people who are so closely related that marriage is illegal.

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16
Q
  1. Rape?
A

Violent sexual act that is performed against one’s will.

17
Q
  1. Date rape?
A

Unwanted sexual intercourse between people who are acquainted and in which the party who pays for the date expects sex in return.

18
Q
  1. Physical abuse?
A

Any actions by omission or commission that cause physical harm to another.

19
Q
  1. What is the best form of therapy for an abused child (PG.338)?
A
  • Art & Drawing
20
Q
  1. What effect does socio-economic status have on reporting spousal abuse?
A
  • Victims tend to under-report the abuse
21
Q
  1. What is elder abuse?
A
  • Physical, emotional, sexual, and economic abuse of older adults.
  • Victims often dependent on abuser
  • Victims reports of abuse may be ignored
  • Abuser usually caregiver role (hired caregiver, family)
22
Q
  1. What is Respite Care?
A
  • Relief supplied to primary caregivers.
23
Q
  1. List the general Nursing Actions to help abused persons (PG.339).
A
  • Report abuse yourself as the nurse
  • Ensure safety
  • Know your own thoughts & feelings about abuse
  • Remain nonjudgmental/ show empathy
  • Know your agency policy & use your resources

VN 42 Med Surg 3 (14 decks)

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