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Mental Health
Exam 3
24
Nursing
Undergraduate 4
11/15/2011

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Term
effects of meth use
Definition
powerful CNS stimulant, dopamine rush, increased VS, sensory acuity, energy, confidence, decreased appetite, need for sleep, constrict vessels causing tingling and resulting in scratching
Term
chronic effects of meth use
Definition
tremor, weakness, fatigue, dry mouth, anorexia, weight loss, cough sweating, ha, dental problems (meth mouth), confusion, paranoia, hallucinations, memory loss, anger, pain, irritability, depression; over time, sustained release of dopamine damages the brain, dopamine becomes neurotoxic, neuron terminals are destroyed, transporter binding in injured resembling Parkinson’s disease
Term
24 months
Definition
recovery of meth is considered after ....
Term
treatment plan of meth users
Definition
anhedonia and mood dysregulation for 4-6 months (talk about this and how depressed they are; this lasts for many months); there is regrowth of terminals (can get back but you are just not the same); MI (motivational interviewing), CBT (cognitive behavioral therapy), 12 Step, contingency management with incentives. Just treat the symptoms (if they are psychotic treat it with antipsychotics; depressed… treat them with anti-depressants)
Term
Alexithymia:
Definition
difficulty recognizing and describing emotions resulting in a restricted emotional life, “no words for feelings.”
Term
symptoms of anorexia nervosa
Definition
bony appearance, fatigue, see that the patient is low in all electrolytes in lab work; CBC: everything low; muscle weakness; low muscle mass; skin is dry; thin/brittle hair
Term
symptoms of bulemia nervosa
Definition
Dental problems, chapped lips, constipation, sense of poor coping mechanisms, low self-esteem, powerlessness, sometimes PTSD is seen;serotonin (give anti-depressants to increase their serotonin levels)
Term
maudsley approach
Definition
intensive outpatient treatment where parents play an active and positive role in order to: Help restore their child’s weight to normal levels expected given their adolescent’s age and height; hand the control over eating back to the adolescent, and; encourage normal adolescent development through an in-depth discussion of these crucial developmental issues as they pertain to their child.
Term
etiology of schizophrenia
Definition
Dopamine hypothesis: too much dopamine (antipsychotics block these receptor sites) Things such as sleep deprivation ect can cause the same symptoms and behaviors as someone with schizophrenia would have
Term
psychosis; they can definately be identified as psychotic
Delusions. These beliefs are not based in reality and usually involve misinterpretation of perception or experience. They are the most common of schizophrenic symptoms.
Hallucinations. These usually involve seeing or hearing things that don't exist, although hallucinations can be in any of the senses. Hearing voices is the most common hallucination among people with schizophrenia.
Thought disorder. Difficulty speaking and organizing thoughts may result in stopping speech midsentence or putting together meaningless words, sometimes known as "word salad."
Disorganized behavior. This may show in a number of ways, ranging from childlike silliness to unpredictable agitation.
Definition
positive symptom of schizophrenia
Term
(withdrawing from other people and becoming isolated, difficult time interacting with other people)
Loss of interest in everyday activities
Appearing to lack emotion
Reduced ability to plan or carry out activities
Neglect of personal hygiene
Social withdrawal
Loss of motivation
Definition
negative symptoms of schizophrenia
Term
paranoid
Definition
most common type of schizophrenia, people are very delusional
Term
catatonic schizophrenia
Definition
episodes of behavior at extreme opposite ends of the spectrum. You may seem like you're in coma-like daze — unable to speak, move or respond — or you may talk and behave in a bizarre, hyperactive way. People with this subtype don't interact with others, get into bizarre positions, or engage in meaningless gestures or activities.
Term
schizophrenia
Definition
may result in some combination of hallucinations, delusions and disordered thinking and behavior.
Term
schizoaffective
Definition
3rd most common; combination of the schizoid symptoms as well as the affective depressive symptoms? (if you see someone with schizophrenia and they are very depressed it may be…
Term
neuroleptic malignant syndrome
Definition
occurs when ppl get started on their medications, fever of 104 (not always) and severe muscle stiffness. Notice any severe side affects you stop the medication right away.
Term
medication treatments of schizophrenia
Definition
antipsychotics (really being used in the 1980’s; they have just become better and better, more effective need smaller amounts, less side effects) including depot (IM injection every 3 weeks; especially useful for ppl who cannot be trusted to take this medication everyday) medications;
Term
benztropine
Definition
given in schizophrenic patients for parkinsons like behaviors (tremors, shuffling gait)
Term
Thorazine (Chlorpromazine)
Definition
given in schizophrenic patients to decrease psychotic symptoms
Term
CNS stimulants (Ritalin)
Definition
most commonly used for management of hyperactive child
Term
Haldol (Haloperidol)
Definition
medication primarily used to treat Tourette's disorder?
Term
Tension-Building Phase- tolerance for frustration is declining; doesn't take much to make him angry; may lash out, but then be quick to apologize; minor battering incidents may occur; man fears woman leaving and jelousy and possessiveness increase; woman starts to withdraw and man gets more angry --> triggering event occurs and leads to next phase (II)
Definition
Cycle of battering: Phase I
Term
Acute Battering Incident- most violent and the shortest (usually last about 24 hours); batterer justifying behavior and then realizes he lost control with anger (cannot believe what just happened) woman may provoke because she knows it will only get better after this phase; woman just wants to find safe place away from the batterer. Help is usually only sought out when woman is severely injured; fears life or life of children.
Definition
Cycle of battering: Phase II
Term
Honeymoon phase
Definition
Cycle of battering: Phase III
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