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mental health exam
mental health exam
51
Nursing
Graduate
02/07/2012

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Term
The best type of question to use in theraputic communication is?
Definition
open ended quesetions
Term
What are some behaviors of GAD that one might exhibit?
Definition
feelings of restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and disturbed sleep. have difficulty controlling worry, frequency and duration of anxiety far out of portortion of real danger. most people realize this but cannot control it.
Term
mental health
Definition
a dynamis process which involves a persons physical, cognitive, affective, behavioral, and social dimensions which interact functionally with one another and the environment
Term
compensation
Definition
defined as making up for a deficiency in one area by excelling in another area.
Term
denial
Definition
refusal to acknoledge the situation
Term
what defense mechansim is shown by looking at a child who mimics his mother or father in certain behaviors?
Definition
introjection
Term
what defense mechanism is shown by a toddler who wants a bottle when his new baby brother comes home?
Definition
regression
Term
aphasia
Definition
the loss of the ability to express or receive and understand speech. it is assessed in an item that asks them to repeat the phrase
Term
apraxia
Definition
a cognitive disorder. the inability to perform complex movements. assess by asking the client to perform a three step command
Term
perceptual difficulties
Definition
misinterpretation in relation to their senses
Term
what are some examples of behaviors that would be exhibited by a person with OCD?
Definition
recurrent obsessions (thoughts), or recurrent compulsions (behaviors)
they produce distress, time consuming, interfere with functioning, involve intrusive thoughts about unpleasant or violent acts that a person cannot stop
Term
agoraphobia
Definition
anxiety about being in places or situations where escape may be difficult or embarrassing or when help might not be available in the case of a panic attack.
an extreme fear of leaving home which leads to the individual becoming progressivly inclusive
Term
what are four symptoms a person with PTSD might experience?
Definition
sleep disorders, hyper-vigilance, and exaggerated startle response
Term
psycological manifestations of anxiety include what?
Definition
irritability, restlessness, tearfulness, thought blocking, and lack of concentration
Term
psychosis
Definition
a thought disorder that includes: delusions, hallucinations, disorganized speech, or disorganized behavior. It is a percetion or reality
Term
list four functions that are either distorted or in excess in a patient with positive psychotic symptoms
Definition
-delusions
-hallucinations
-disorganized thinking or speech
-bizarre behaviors (such as constantly walking backwards)
Term
list three functions that are with decreased, or an instance where there is a loss in a patient with negative psychotic symptoms?
Definition
reduction in normal function of movement, red in norm. speech, motivation, expression of emotion, pleasure, or energy
Term
what are the two types of antipsychotics?
Definition
typical and atypical
Term
typical antipsychotics
Definition
-first generation
-used to treat positive psychotic symptoms
-used with clients who can tolerate the side effects
-used with clients that are violent or particularly agressive
- target the dopamine-2 receptors
Term
atypical antipsychotics
Definition
-relieves both positive and negative symptoms of the disease
Term
side effects of typical antipsychotics
Definition
extrapyramidal side effects or EPS (parkinsons side effects)
-dystonia (muscular rigidity)
-dyskinesia ( abnormal movements such a suffling gate, tremor,stooped posture, and loss of facial expression)
Term
what are two commonly used drugs that have as a major side effect acute dystonic reactions?
Definition
thorazine and haldol
Term
akathisia
Definition
restlessness, itense need to move
Term
what class of medications can be used to treat the side effects of atypical antipsychotics?
Definition
anxiolytics and benzox (lams and pams)
Term
biopolar disorder
Definition
person experiences both depressive and manic disorders. must experience both at least once in the same day
Term
4 of the common signs and symptoms of deprepssion
Definition
risk for self directed violence, chronic low self esteem, disturbed sleep pattern
Term
patients and families need to know that antidepressants will not reach their full until after what period of time?
Definition
2-6 weeks
Term
know what blood work a patient needs periodically if they are taking Lithium or carbamazine (Tegratol)
Definition
need to assess renal and kidney function
Term
Know what special diet the patient who is taking MAOI's need to adhere to.
Definition
no aged cheese, perserved meats, liver or other organ meats, sauerkraut, draft beer or red wine, soy sauce, yeast
Term
antisocial personality disorder
Definition
-individual must be at least 18
-have conduct disorder by age 15 (cruelty to people or animals, deceitfulness or theft, destruction of propert, serious violation of rules)
-tend to be irritable and aggressive, live in the moment, not concerned with past or future
-show little remorse or regret for negative consequences
Term
borderline personality disorder
Definition
-on the border of anxiety and psychosis
-emotional vulnerability
-self invalidation
- unrelenting crisis
-inhibited grieving
-active passivity
- apparent competence
Term
paranoid personality disordersness
Definition
-pattern of distrust and suspiciousness
- others are out to harm or decieve them
-connot form meaningful relationships
-relationships are based on power and control
Term
what are the nine elements of a mental health examination?
Definition
-appearance, mood and affect, speech, thought and content, sensorium, perceptual disorders, insight and judgement, memory and attention, and general intellectual level
Term
what are the two basic differences between delirium and dementia?
Definition
-speed of onset
- ability to reverse
Term
what is the most common defense mechanism used by substance abusers?
Definition
denial
Term
In the first stage of alcohol withdrawl syndrome what symptoms would you expect to see?
Definition
anxiety, aggitation, and tremors
Term
what is the key point you need to teach patients starting antabuse?
Definition
Dont drink alcohol with it!
Term
what are the most common signs and symptoms that are experienced by a patient who is withdrowing from ampetamines?
Definition
the CNS depressess. they are depressed and exhausted
Term
what are common signs and symptoms that are seem in examining a patient who has a chronic history of use of inhalant illegal substances?
Definition
runny nose, nose bleeds, and sniffles
Term
insight
Definition
Judgement, used for problem solving. allows people to see their own feeling and behaviors
Term
dopamine
Definition
controls complex movement, motivation, and cognition
Term
norepinephrine
Definition
controls attention, learning, and memory mood
Term
serotonin
Definition
level of anxiety. plays role in thought disorder andd level of depression
Term
DSM-IV-TR
Definition
diagnostic criteria for the mental health. shows hot to ADPIE a person with a mental health deficit
Term
What areas of an individuals' life are looked at in this assessment in evaluating a persons' mental illness?
Definition
work performance, social abilities, and psychosocial abilities
Term
involuntary commitment can be initiated by who?
Definition
physician or court ordered or on an emergent basis.
Term
ethical issues included in the realm of mental health care included?
Definition
-fidelity: faithfulness
- atonomy: can make their own decisions
-beneficance: quality of doing good to others
- justice: fairness
- veracity:honesty
Term
What are some negative aspects of ECT? (electroconvulsive therapy)
Definition
transient memory loss and transient mental confusion
Term
What are some key aspects you might see in a client experiencing post partum depression?
Definition
no energy, no desire to care for the infant.
-who's caring for the infant? how long since you delivered? could you harm yourself or the infant?
Term
cross tolerance
Definition
tolerance to an entire class of drugs.
ex. tolerant to anesthesia because of drug abuse
Term
enabling vs. co dependency
Definition
enabling: PASSIVLY helping the abuser to continue using the substance
co-dependency: ACTIVELY facilitating the abusers problem by allowing avoidance of the consequences for behavior related to use of the substance
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