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150 Cards in this Set

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A stressor that forces an individual to respond and or adapt in some way
Crisis
Situational
Maturational
Cultural
Community are all types of what?
Crisis
An event or situation that causes a challenge to a person is a _______ crisis
Situational
Moving into a new state of life: ex; mid-life crisis
Maturational Crisis
Moves to another culture and returns to their own culture is a ________ crisis
Cultural
Affects whole community is a type of _________ crisis
ex: 9-11, Katrina
Community
Threat
Increased Anxiety
Escalating Anxiety and
Panic are the _____ of a crisis
Stages
A crisi is managed with _________ mechanisms
Coping
If the crisis is handled in the 1st stadge than it _____ move into the 2nd
Does not
In the increased anxiety stage, the level of coping is _______
Lowered
Nursing Interventions for Crisis are:
Setting _____ goals
Listening
Sincerity
__________ Acceptance
Understanding the subjective experience
Assisting client to reconize themes and meaning of crisi event
Mutual
Unconditional
When anxiety is high, you have to be very ______; then wait till the anxiety is lower to use theraputic measures
Direct
The person who can up with the predictability of General Adaption Stages including:
Stage
Alarm
Resisitance
Exhaustion
Ponche Salye
Stimulus one percieves as harmful or challenging is ______
Stress
_______ requires adaptation or adjustment
Crisis
These are different responses to stress:
______/______ biological response which is energized and the
____________ state which is the withdrawl state
Fight or Flight
Conservative
These are symptoms of ______:
Emotional Lability
Physical Illness
Inability to concentrate
Stress
Somatizing is when you turn your stress into an __________
Ailment
Objective syptoms of anxiety include?
Increased BP
Dilated pupils
Increased pulse
Subjective symptoms of anxiety are:
Difficulty concentrating
irritability
Shaking
nausea
These are _________ patterns to cope with anxiety:
Acting out
Paralysis or retreating
Somatizing
Avoidnance
Constructive action
Behavior Patterns
What are the stages of anxiety?
Mild
Moderate
Severe
Panic
Day to Day tension-get adrenling going, could be a good thing, keeps you alert
Mild Stage
This stage has greatly reduced perception
Severe
This stage has a loss of control and no personality
Panic
Excessive anxiety with common daily life experiences:
difficulty controlling things
General Anxiety Disorder
S&S od GAD include
Restlessness and fatigue
GAD is a _________ disorder and lasts _____ term
***TEST Question***
Chronic
Long!
Treatment for GAD include:
Therapy
Medication
Relaxation Techniques
Nursing Interventions for someone with GAD include:
En-courage patient to ______ stressors
Teach that ______ is a normal part of life
Teach them Normal _____ mechanisms
Re-Think
Anxiety
Coping
Typical medications for GAD inlcude:
Anti-anxiety
Benziodiapines
Most generic forms of Anti-anxiety medications have either ____ or ____ in the name
AZE
AZ
Panic disorder cause _______
Phobias
Panic disorders are ____ attacks that are violent and last ____ term
Acute
Short
S&S of panic disorders include:
Hopelessness, SI, despair, pouding _____, chest pains, lightheadness, SOB, flushing
Heart
Treatment during a panic attack include
Remain calm and stay with patient
Short clear sentences
Reassurance
After attack is when you
explore cause of attack
Teach S&S of anxiety episodes
Medications are panic attacks are
SSRI
Benziopines
The fear of leaving a persons home
Agoraphobia
1/3 of people with _____ disorder have agoraphobia
Panic
Desensitization is
Therapy where you expose the person to their fear in baby steps
You can give people with phovias anxiolytics which are
Anti-Anxiety meds
Fear of being in a social setting due to embarrashment
Social Phobia
______ phobias are treated with cognitive behavioral therapy, antidepressants, beta-blockers
and anti-anxiety meds
Social
Beta-Blockers helps phobias because it calms the ____, lowers BP, and stops physiologival factors
Pulse
OCD affects mostly ____
men
OCD is
repitative thoughts that are senseless, but they cannot stop doing it. They know they are senseless thoughts
OCD is a _____ disorder and affects females between the age of 20-25 and males between 6-15
Genetic
Treatment for OCD is _____ therapy, _______ and thought stopping
Group
SSRI
When you get the thought you say "stop" or "get away"
Thought stopping
You _______ stop someone in the middle of a compulsion, You always wait till the _____
Never
End
Expourser to trauma or terrifying attack
PTSD
PTSD usually occurs ___ months post incident
3
S&S of PTSD are
________ (flashbacks, nightmares)
_______ (don't talk about, socially withdrawn)
__________ (irritable, bad sleeping, guilt)
Re-experienceing
Avoidance
Hyperarousal
Treatment for PTSD includes group _____, _________ and cognitive behavioral therapy
Therapy
Antidepressants
Conditions in which there are PHYSICAL SYMPTOMS with NO known organic cause
Somatoform Disorder
Somatoform disorders are psychological based and caused by __________ fears
uncounscious
To dx a somatiform disorder you have to have ____ out of 35 possible symptoms including:
4 pain symptoms in different parts of the body
2 GI symtpoms
1 reproductive problem (sexual)
! blindness, deafness
13
A _________ disorder is when the level of pain is way to much for physical symptom. Occurs more in adolescents
Pain
Pre-Occupational body defect that a person has an extraordinary response to.
Body Dysmorphic Disorder
They believe the pain disorder and body dysmorphic disorder have a possible ________ componenet and goes along with depression and OCD
Hormonal
Conversionof an anxiety into a physical symptom
Conversion Disorder
Conversional disorders result of _____ of coping mechanism
Overuse
"La Belle Indifference" means
they don't mind being blind because it reduces anxiety
Conversion disorder is all ___________ response
Uncounsises
People with conversion disorder are _____ faking the illness because there is no organic cause!
Not
Pre-occupation with the idea that one is seriously ill and cannot be helped.
Hypochondriasis
Treatment for hypochondriasis includes treating the _______________ with hyponosis and relaxtion techniques.
Symptoms
You can also treat hypochondriasis with ____ and anti-anxiety meds
SSRI
Person intentionally makes up symptoms to get attention
Munchausens Syndrome
Munchausen syndrome by proxy is _______ ________ because it is when a caregiver gives a child a disease or illness that is false for attention
Child abuse
People with Munchanesens syndrome usually has other mental illnesses or a _____ against the medical position
Grudge
Disorder in amount, quality or timing of sleep
Dysomnia
abnormal events during sleep
Parasomnias
a sleep disorder can be when the 5 stages of sleep are passed in __ to ___ hours
1-2
Examples of ____ ______:
Bubble bath, dark room, no tv, warm milk, glass of wine
Sleep hygeine
The treatment for narcolepsy is ________
Stimulants
Nightmares, sleep terror and sleepwalking all occur mostly in children with ____________
parasomnias
Treamtent for sleeping disorders are reassurance, sleep pattern assessment and proper sleep __________
hygeine
Eating disorder in which the person experiences hunger but refuses to eat because of a distorted body image
Anorexia
15% of people with anorexia die due to _______ imbalance and low potassium valves
Electrolyte
S&S of anorexia
Ameroherria
@00-400 calories a day
weak
usually trys to be a perfect student
_____________ on belly
Fine Hair
People with anorexia see themselves as ________
Fat
Eating disorder characterized by uncontrollable binge eating alternating with vomiting or dieting
Bulima
Bulimea is ________ to dx than anorexia, because people are of average weight
Harder
Electrolyte imbalance
Cardiac Irregularities
Edema
Dehydration
GI problems
Complications to eating disorders
A person with an eating disorder needs ___ to ___ nurse-patient relationship
1-1
Nursing interventions include:
Monitor calorie intake
Weigh _______
Nutrition education
Monitor ______ and _______ levels
Promote self-concept and coping skills
Discourage pt from focusing on food
Daily
Electrolytes and potassium
Care for eating disorders include:
Anti-Depressants and Anxiolytics
Therapy- __________
Prioritize Care
cognitive-behavioral
Group
Family
Individual!
In the case of someone who has an eating disorder...the 1st thing to worry about is their physiological stability, so you always give ___________ first priority
Nutrition
a persons mental processes vs. thought, memory & identity break off from the main stream of personality
Dissociation
Dissocative disorders are ___________ rather than organic
Psychogenic
Inability to recall info as a result of physical or psychological trama
Psychogenic amnesia
person takes on a new identity of a new person and travels or takes a trip
Psychogenic fugue
perceptions of reality has changed, feels like you are floating or having an out of body experience. HUGE RISK FOR SUICIDE!
Depersonalization disorder
2 or more separte alternating disorder. Combines primary personality and alternating personality
Multiple personality disorder
These are symptoms of ________:
Weird movements or blinking, different clothing, different ages, speak with different voices, periods of amnesia, disossicatioon, can't remember events, found in weird places
MPD
Treatment for MPD include:
______therapy
Medications including: SSRI
Hypnosis
Psychotherpay
In MPD, the primary personality ________ know that the other personalities exist but the alternating personalities are aware of all other perrsonalities
Does not know
90% of MPD is cause by _______ at childhood, because another personality develops to deal with it.
Abuse
In MPD, each personality serves a coping ________
purpose
_______ therapy is good for all ANXIETY disorders
Group
The difference between adult OCD and children OCD is that children think what they are doing is ____________, while adults know it is not
Rational
Seperation anxiety is ______ in children while social anxiety is where they are intensilly worried about being judged
Normal
A set of patterns or traits that hinder a persons ability to maintain significant relationships
personality disorder
A social response becomes ___________ when manipulation, impulsivity, and narcissism happen on a regular basis
Maladaptive
Trust, Needs are met
Infancy stage
seperation and individualization stage
Preschool age
Empathy and morality formed
Childhood age
same sex friendships
pre-adolscence age
heterosexual friendships
adolescence age
self-sufficent, adult relationships
young adulthood
parent, adult friendships, foster independence in others
middle adulthood
increased dependence on others
late adulthood
a person with a personality disorder has a continous behavior (not ________) and is very pervasice
Episodic
These are a type ____ cluster
Paranoid
Schzizoid
Schizotypical
A
Defensive, suspicous, use projection, don't give or take
Paranoid
detached, no joy or sadness, cold and indifferent, and don't enjoy close relationships
Schzoid
Interpersonal deficites, perceptions distoreded, difficult feeling understood and accepted "Travel on spaceship"
Schizotypal
This cluster is based on overemotional, dramatic erratic and impulsive behavior including
Antisocial
Borderline
Histrionic
Narcisstic
CLuter B
Usually grows out of by age 45, lie, exploite, large % prision population, very manipulative and demanding, irresponsible and deviantent
Antisocial
Spasmotic, regressive, uncertain, hypersensitive, profound mood shifts,unstable and have intense relationships
Borderline
Hysterical, seek attention, superficial, stormy relationships, cannot form deep bonds
Histronic
arrogent, no empathy, very seductive, socially exploted "Give an inch, take a mile!"
Narcissitic
This cluster is anxious and fearful
Avoidant
Dependent
Obsessive-Compulsive
CLuster C
socially inhibited, w/drawn w/ interpersonal contact, feel inadquite to hold relationship and is hypersensitive
Avoidant
low self esteem, dependent on relationship, need someone after break up immediately
Dependent
unable to express affection, perfectionisim, superior attiutde
obessive complusive
This is the other cateogory including:
_______-agressive
and depressive
Passice
negative attitude, complain about being unappreciated
Passive Aggressive
Gloomy, pessimistic, dysthmic and unhappy
Depressive
people with personality disorders have pre-disposing factors:
Biological
Developmental
Sociocultural
Maybe inherited biological
Biological
Early seperation and or disturbed parental involvement
***ABUSE BY CARETAKER***
developmental
Involuntary social isolation- frequent moving, chronic illness, disfiguring appearence
Sociocultural
_________ of family is a sociocultural stressor
Instability
These are __________ stressors
idelaization
disppointment when unrealistic goals are not met
rationalization and devaulation
Rejection of other persons
Psychological
When you assess a stressor yyou have to evaluate how the patient ____ the stressor, and any family losses
See
These are usual ______ mechanisms for people with personality disorders:
Projection
Splitting
Projective idenification
Coping
Project parts of themselves on someone else, usually negative things, see others as objects to be used
Projective identification
Medical diagnosis has to have these 2 factors
Chronic and Long-Standing
When in the planning stage you have to do constant observation to promote _______
safety
Milieu Therapy
show by modeling what is expected
To have a __________ relationship you must use these things:
physically present
psychological accessiblilty
Family involvement
Mileu therapy
Limit setting and structure
Focus on STRENGTHS
Theraputic
To correctly use _________ strategies, you must use:
Social skills training
Anger management
Dialectical behavioral therapy- psych education, mood exercises, cognitive therapy
Behavioral
Medications (________) are used to relieve symtpoms (anxiety, mood swings, impulsivity_
SSRI
An example of a Atypical Antipsychotic is...
Clozipine, Aprexa
An example of a typical antipsychotic is
Thorazine
These are _________:
Tricyclics
SSRIS
MAOI
ECT
Anti-depressant
These are examples of _____ ____:
Lithium
Anti-convulsants
Mood stabilizers