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Mental Health > Week 5 (Personality disorders/Substance use disorders) > Flashcards

Week 5 (Personality disorders/Substance use disorders) Flashcards

1
Q

Describe somatic symptom disorders

A

believe symptoms are medical, even with negative test findings

have difficult time accepting anxiety over physical symptoms

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2
Q

What are example of somatic symptom disorders?

A

illness anxiety disorder
functional neurological disorder
factitious disorder

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3
Q

What is illness anxiety disorder?

A

anxiety symptoms

hypochondriac (2 types)
1: goes to Dr. too much
2: will not go to Dr.

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4
Q

What is functional neurological disorder?

A

sudden loss of function
- no medical findings
- all of a sudden can’t walk, see, etc.

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5
Q

What is factitious disorder?

A

intentionally faking symptoms in order to assume sick role

want attention

AKA - munchausen syndrome

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6
Q

Define malingering

A

intentionally faking symptoms for a benefit

ex: getting out of work, criminal prosecution, medications

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7
Q

What will a nurse do for someone with factitious disorder?

A

encourage visitors
do not leave pt alone with parent
check on pt frequently/unexpectedly

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8
Q

What is the assessment for someone with any somatic symptoms disorders?

A
  • full assessment (rule out anything physical
  • dramatic terms used
  • ability to meet basic needs
  • family/work dynamic (stressor causing symptoms)
  • childhood trauma (increased risk of suicide)
  • ability to express feelings/needs
  • dependence on medication
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9
Q

What is the outcome for someone with any somatic symptom disorders?

A

live a normal life as possible
articulate feelings
identify ineffective coping patterns

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10
Q

What will the nurse do during the implementation phase for someone with any somatic symptom disorders?

A
  • do not imply symptoms are fake
  • spend time w/ pt when they are NOT expressing physical complaint
  • show concern, but avoid dependency
  • reinforce strengths
  • teach stress reduction
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11
Q

What will the nurse see during the evaluation phase for someone with any somatic symptom disorders?

A

goals met (even partially)
identified coping strategies
decreased somatic symptoms
able to function in daily life

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12
Q

Describe personality disorders

A

maladaptive patterns in behavior
lack of insight
tendency to blame others

they don’t see that they are the problem

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13
Q

What are the causes of personality disorders?

A

genetics
neurological
psychological (childhood trauma)
culture

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14
Q

When do symptoms begin for personality disorders?

A

early adulthood

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15
Q

How do people with personality disorders view others?

A

as all good or all bad (splitting)

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16
Q

What are examples of cluster A personality disorders?

A

schizotypal
paranoid
schizoid

(odd & eccentric)

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17
Q

Describe schizotypal personality disorder

A

social anxiety (awkward)
no need to socialize
magical thinking (weird ideas)
suspicious of others

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18
Q

Describe paranoid personality disorder

A

distrust of others
sees everything as attacks
can’t forgive insults
hostile to weak individuals

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19
Q

Describe schizoid personality disorder

A

mean/cold
unable to establish relationships
restricted emotions
enjoys animals (no humans)

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20
Q

What are examples of cluster B personality disorders?

A

antisocial
borderline
narcissistic
histrionic

only care about themselves

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21
Q

Describe antisocial personality disorder

A

sense of entitlement
lack of remorse (lying/manipulation)
impulsive (fail to plan ahead)
disregard for safety of others

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22
Q

How were those with antisocial personality disorder treated as children?

A

disciplined harshly
parents used substances
no supervision

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23
Q

Describe borderline personality disorder

A

chronically suicidal
mood instability (hard to calm down/sensitive)
unstable self-image and relationships
frantic efforts to avoid abandonment

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24
Q

What disorder is similar to borderline personality disorder? How can you differentiate?

A

bipolar

borderline has unstable relationships

25
Q

Describe narcissistic personality disorder

A

arrogant
require excessive admiration
lack empathy

they think they are better than everyone

26
Q

Describe histrionic personality disorder

A

theatrical
use physical appearance

they are the main character and only want attention

27
Q

What are examples of cluster C personality disorders?

A

avoidant
obsessive-compulsive
dependent

28
Q

Describe avoidant personality disorder

A

hypersensitive to criticism-avoid tasks
won’t take risks
imposter syndrome
avoids relationships, but need them

29
Q

Describe obsessive-compulsive personality disorder

A

can’t break rules
rigid perfectionism
financially stingy
high achievers

30
Q

Describe dependent personality disorder

A

clingy
excessively submissive
difficulty making decisions
hard time w/ conflict
tolerates abusive tx

31
Q

What is done during the assessment phase for someone with personality disorders?

A

look for:

  • primitive defenses (splitting, dissociation, projecting)
  • suicide/self-harm
  • aggressiveness (safety)
  • substance use
  • past-abuse
32
Q

What are the outcomes for someone with personality disorders?

A

minimize self-destructive/aggressive behaviors
link consequences to behaviors
identify ways to prevent crisis
prevent regression

33
Q

What is done during the implementation phase for someone with borderline and antisocial personality disorders?

A

set limits
reward positive behavior

for aggressive/manipulative pt:
- nurse will acknowledge, but not dismiss

34
Q

What is done during the implementation phase for someone with dependent and histrionic personality disorders?

A

modeling good behavior

35
Q

What is done during the implementation phase for someone with schizoid and schizotypal personality disorders?

A

respect need for isolation

36
Q

What is done during the implementation phase for someone any personality disorders?

A

milieu therapy
give pt choices

37
Q

Define dialectical behavioral therapy

Who can benefit from it?

A

addresses strategies for extreme mood swings

personality disorders

38
Q

What will the nurse see during the evaluation phase for someone with any personality disorders?

A

minimized suicide and self-harm behaviors

39
Q

What is the most used substance? What is the second most used?

A

1 - alcohol
2 - marijuana

40
Q

Who is mostly likely to have substance use?

aka: comorbidities

A

anxiety disorders
PTSD
depressive disorders
mania
schizophrenia

41
Q

What do those with substance use/addictive disorders have a higher risk of?

A

suicide

42
Q

Define dual diagnosis

A

substance use disorders and mental disorders

43
Q

What can happen with substance induced disorders?

A

intoxication
withdrawal
psychosis or delirium

44
Q

Define addiction

A

chronic, relapsing brain disease characterized by compulsive behavior

all they care about is drugs

45
Q

Define alcohol use disorder

A

problematic pattern of alcohol use

leads to impairment or distress

46
Q

What is the CAGE assessment tool?

A

Cut down drinking or drugs?
Annoyed by ppl criticizing alc/drug use?
Guilty of alc/drug use?
Eyeopener? (drink or drugs first thing in the morning to calm nerves)

47
Q

What criteria needs to be met from the CAGE assessment tool?

A

answer yes to at least 2
= alc or substance use disorder

48
Q

What are medical issues that can result from alcohol use?

A
  • gastrointestinal
  • cardiovascular (dysrhythmias or stroke)
  • wernicke-korsakoff’s syndrome (can’t make new memories)
  • nervous system/brain damage
49
Q

What is the legal limit for alcohol intoxication?

A

BAC .08%

50
Q

How soon can alcohol withdrawal syndrome occur?

A

as soon as 2 hours after last use

51
Q

Describe the signs of alcohol withdrawal syndrome

A

Autonomic
- elevated BP. pulse, temp
- sweating
- n/v/d

Motor
- tremors
- dysarthria
- seizures

Awareness
- agitation
- insomnia
- disorientation

Psychiatric
- anxiety
- hallucinations
- paranoia

52
Q

What is alcohol withdrawal delirium?

A

medical emergency
peak 48-72 hours after last use
lasts 2-5 days
can lead to seizures

53
Q

Describe opioid overdose

A

pinpoint pupils
respiratory depression
decreased LOC

54
Q

Describe opioid withdrawal

A

can last up to 4 weeks
peak 3-5 days
low energy
irritability
flu-like
hot/cold sweats
severe muscle aches/pains
abd. cramping

55
Q

What can a person who is addicted to nicotine experience?

A

abstinence syndrome (not life threatening)

  • strong cravings
  • impaired concentration
  • restlessness
  • increased appetite
56
Q

What is done during the assessment phase for someone with substance/alc abuse disorder?

A

What did they take?
urine toxicology/BAC
toxicity/overdose symptoms
insight
injury
suicide/homicide
defense mechanisms (denial)

57
Q

What are the outcomes for someone with substance/alc abuse disorder?

A

free from injury while withdrawing
increased insight
attend self help groups
develop relationships w/drug-free programs
demonstrate one new coping strategy

58
Q

What is done during the implementation phase for someone with substance/alc abuse disorder?

A

be nonjudgmental/accepting
treat other disorders
active listening
health promotion
relapse prevention

Mental Health (8 decks)

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