Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
94 Cards in this Set
- Front
- Back
What does fear mean?
|
Rection to specific danger
|
|
What does anxiety mean?
|
Feeling of apprehension, uneasiness resulting from a real or perceived threat who source is unknown/unrecgnized, vague sense of dread
|
|
What does crisis mean?
|
Temporary state of disequlibrium
|
|
What does stress mean?
|
Body's arousal response to any demand, change or percieved threat
|
|
Mild anxiety?
|
Occurs in normal day experience, problem solving more efficient, slight discomfort, restlessness, irritability(nail biting, foot tapping and figeting)
|
|
Moderate anxiety?
|
Narrow perceptual field, grasps less of what's going on, selective inattention only certain things in environment are seen or heard, tension, pounding heart, increase pulse/resp, perspiration
|
|
Severe anxiety?
|
Focus on one particular detail or many scattered details, learning and problem solving are impossilbe-dazed and confused, increase in headache, nausea, dizzy, insomina, pound heart, hyperventilation
|
|
Panic anxiety?
|
Most extreme form, lead to disturbed behavior, lost touch with reality, confusion, shouting, screaming, withdrawal, halluciniations, false sensory perceptions,
|
|
Nursing interventions for mild to moderate level of anxiety
|
Nurse can help pt focus and solve problems-open ended questions, seeking clarifications, don't bring up random topics, listen
|
|
Nursing interventions to severe to panic levels
|
remove to quiet environment, provide gross motor activites to drain tension, med and restrains for last resorts,
BE FIRM, SHORT AND SIMPLE STATEMENTS ARE USEFUL |
|
What is generalized anxiety disorders??
|
excessive anxiety or worry about numerous things lasts for 6 months or more, worry is out of proportion, sleep disturbance, decision making is difficult because making mistake, restlessness, fatigue, irritability, tension
|
|
What is OCD?
|
Obessions and complusions occur together
|
|
What does to obessions means?
|
Thoughts, impulses or images that persist and recur so that they cannot be dismessed from the mind
|
|
What is egodystonic mean?
|
symptoms that an individual experiences that are unacceptable, objectionable and alient to themselves
|
|
What is Compulsions
|
ritualistics behaviors that an individual feels driven to perform an attempt to reduce anxiety, relief is temporary
|
|
What is PTSD?
|
Repeated re-experiencing of a highly traumatic event that involved serious injury to self or others, to which individual responded with intense fear, helplessness or horror
|
|
What is panic attack?
|
Sudden onset of extreme apprehension fear, palipitations, chest pain, breathing difficulties
|
|
What is panic disorders?
|
Recurrent episdoes of panic attacks, at least 1 of the atacks has been followed by 1 month of persistent concern about having additional attacks, worry about consquences, significant change in behavior
|
|
What is somatization?
|
expression of psychological stress through physical symptoms
|
|
What is malingering
|
conscious process of intentionally producing symptoms for obvious benefit
|
|
What is factious disorder
|
self-injury for purpose of assuming the sick role and to recieve comfort and attention
|
|
What is Psychosomatic illiness?
|
medical condition that may be affected by stress
|
|
What is somatization disorder?
|
Requires sevel symptoms accompanied by functional impariment: pain, gi, neuro, sexual
|
|
What is body dysmorphic disorder?
|
Pt has normal appearance or minor defect but is preoccupied with imagined defective body part
|
|
What is typical characteristics?
|
obsessional thinking and compulsive behavior such as a mirror checking and camouflaging
|
|
What is comoribidy for body dysmorphic disorder?
|
major depression, ocd, social phobia, suicidal
|
|
What is la belle indifference?
|
lack of emotional concern about the symptoms
|
|
What is conversion disorder?
|
Affect voluntary motor or sensory function suggesting a physical condition
|
|
What is comorbidity of conversion disorder?
|
depression, anxiety, somatoform disorders, personality disorders
|
|
What is depersonalization?
|
persisent alteration in perception of self with intact reality testing, feeling deadness of the body, see self from distance
|
|
What is dissociatve amnesia?
|
Inablity to recall personal information often occuring after traumatic event
|
|
What is generalize amnesia?
|
unable to recall information on entire lifetime
|
|
What is localize amnesia?
|
pt unable to remeber all events in certain period
|
|
What is selective amnesia?
|
pt able to recall some but not all events in certain period
|
|
What is dissociative fugue?
|
Individaul may assume new identity, precipated by traumatic event
|
|
What is dissociative identity dissorder?
|
Multiple personality
|
|
What are interventions for dissociative identity disorder?
|
safety, simple routines, confirm identity, do things for self, do not flood pt with past events, teach stress reduction methods, allow pt to progress at own pace as memory is recovered
|
|
Nursing interventions for anxiety?
|
provide safe environment, be quiet, simple structured, task orientated, support groups
|
|
Nursing interventions for Somatoform disorder?
|
offer explnations and support during testing, avoid further reineforcement, spent time w/pt, observe/record symptoms, don't imply that symptoms are not real, reinfore strengths, teach stress reductions
|
|
Medications given for anxiety/somatoform/DID
|
Benzodiazepines(additive, interact w/other rx, drowsiness)
SSRI(dose dependent, daytime sedations) Tricyclics( decrease nonrepinephrine, dry mouth blurred vission) |
|
What is ADHD?
|
Inattention, impulsivity, hyperactive, easily distracted, unable to meet age appropriate role expectations, difficulty making friends in school, may have migranes, seizures, asthma
|
|
Nursing interventions for ADHD
|
Safety, build trust, control impuslses, tolerate frustration, role models, provide support, revwarding behavior
|
|
RX treat for ADHD
|
Ritalin, psychostimulants
|
|
What is conduct disorder?
|
repetive conduct that violates other's rights: stealing, mugging, physical violence, poor peer relationships, truancy, running away, cruelty to animals/people, destrictions of property, absence of guilt, defiant, hostile, provocative
|
|
What are nursing interventions for conduct disorder?
|
group therapy, safety factors, have health referrals
|
|
RX for conduct disorder?
|
Haldol
|
|
What oppositional defiant disorder?
|
recurrent pattern of negativistic, disobedient hostile behavior towards authority without violating rights of others, agression, attention seeking behaviors
|
|
What are nursing interventions for oppositional defiant disorder?
|
See ADHD, rx- antipsychotics, lithium, anticonvulsants, antidepressants
|
|
What is mood disorder?
|
acting out behaviors of kids, once considered symptoms of masked by depression, decrease activity and worthlessness
|
|
RX for mood disorders?
|
antidepressants
|
|
What is separation anxiety?
|
become excessively ancious when separted or anticipating a separation from home or parents, withdrawal, somatic complaints
|
|
Nursing interventions separation anxiety
|
develop coping skills, protect from panic levels of anxiety by acting as parent, accept regression but give emotional support, increase self-esteem and feelings of competence, help accept and work through traumatic events
|
|
What is rx for separation anxiety?
|
SSRI
|
|
What is adjustment disorder?
|
maladaptive reaction to a specific psychosocial disorder, occurs within 3 months of stressor, depression anxiety, physical complaints
|
|
What is bipolar disorder?
|
severe mood changes, overly inflated self-esteem, increased energy, talking, decreased needs for sleep
|
|
Nursing interventiosn for bi polar disorders?
|
group therapy, safety, increasing coping skills, empower the child
|
|
RX for bi-polar
|
mood stablizers, antidepressants
|
|
What is autistic disorder?
|
behavioral syndrom resulting from abnormal brain fuction, incurable, very passive, diffculty in social interaction and communication, repeating,
|
|
What is asperger's syndrome?
|
later onset of autsim, less severe, social deficits, restricted interests, no mental retardation, social interaction impairment
|
|
Nursing interventions for austism and apsergers?
|
parent involvement, behvior modication, play therapy, music/dance therapy, foster develpment of communication and self concepts
|
|
What is pathology for elderly depression?
|
physical illness, neuro deficit, losses, isolations, poverty, financial strain
rx group therapy |
|
What is delirum pathology?
|
drug intoxication, systemic infections, dehydration, hypoxia, nutriotion, fluid/electoryltes
|
|
What is delirium reversible behavior?
|
clouden consciouness, disorganized thinking, memory imparment, disorientated, attention difficulty, illusions, hallucinations, unfocused speech, strong emotional reaction
|
|
What is sundown syndrome for delirium?
|
symptoms/behaviior more pronounced in evening withdrawn, agitated, psychotic
|
|
What are nursing interventions for delirium?
|
nurse assessment, prevent physical harm, support measure to relieve distress
|
|
What is dementia?
|
Develops more slowly, multiple cognitive deficts that include impairment in memory with impairment in consciousness, memory loss, irreversible, imparment of abstract reasoning, make up stories
|
|
What is secondary dementia?
|
occurs as results of some other pathological process->viral encephalitis, anemia, folic acid deficianency
|
|
What is aphasia?
|
language distrubance
|
|
What is apraxia?
|
impaired motor function
|
|
What agnosis?
|
failure to recognize objects
|
|
What is alzheimers dissease?
|
complex disease that begins to damage brain long before symptoms appear, progressive degerative, attacks brain, impaired memory, thinking and behavior
|
|
What is stage 1 alzheimers?
|
lose their keys, use memory aids, signs of depression
|
|
What is stage 2 alzheimers?
|
wandering starts, forget their name and address, labeling helps, making up stories, repeat phrases, moods are labile
|
|
What is confabulation?
|
making up stories or answers to maintain self-esteem
|
|
What is perseveration?
|
repetition of phrases or behaviors
|
|
What is stage 3 alzheimers/
|
start to see loss of complete adl's, unable to identify familiar objects, language decrease, incontence, danger to self and others, give antipsychotics and antidepressants, total care
|
|
What is stage 4 alzheimers?
|
cant read or write, need to taste, chew everthing, forget how to chew, blunting emotions, mute, incontinent, bed sore, touching everyting in site
|
|
What is hypermetamorphosis
|
touching everything in sight
|
|
What are rx for stage 4?
|
cognex aricept, antipyschotic, antidepressions
|
|
What are interventions for stage 4?
|
promote normal activity, give choices, step by step directions, maintain self care, promote sleep, clear thought process, promote orientation
|
|
What is anorexia nervosa?
|
Engaged in self-starvation, intense fear of gaining weight, disturbance inself image and weight, chronic, loss of menses for least 3 months, BMI <17.5
|
|
Types of anorexia?
|
binge-eating/purging and restricting type
|
|
What are physical complications of anorexia?
|
decreased vital signs, electrolyte imbalances, leukopenia, osteoprorosis, amenorrhea, abnormal thyroid, cardiac abnormalities, fatty degeneration of liver, hematura, proteinuria
|
|
What are interventions for anorexia?
|
acknowledge emotional and physical difficulty the pt is experiencing, assess suicidal thoughts, monitor vitals, weight daily, monitor before and after meals, educate, work to identify strength
|
|
Assessment guidelines for anorexia
|
determine if medical/psychiatric condition warrants hospitlization, ask what do you eat in a day, assess urine output, imbalanced nutrition, family understanding, acceptannce of treatment
|
|
What are rx for anorexia?
|
ssri, atypical antipsyctiotics
|
|
Evaluation of anorexia?
|
percentage of weight restores, self worth no longer dependent on weight, relapse common, decreased distruption in pts life
|
|
What is refeeding syndrome?
|
catastrophic treatment complication which demands of replenished circulatory system overwhelm the capacity of nutritionally depleted cardiac muscle
|
|
What is bulimia nervousa?
|
repeated episodes of binge eating followed by inappropriate compensatory behavior, self induced
|
|
Physical complications for bulimia nervousa?
|
cardiomypathoy, cardia dysrhythmias, electroylte imbalances, dehydration, loss of dental enamel, partoid gland enlargment, esophageal tears, russell's sign
|
|
Milieu therapy for bulimia nervousa?
|
highly structure inpt unit has goal to interrupt binge cycle, diet coping skills, effect of illness, do not skip meals or restrict food, close observation
|
|
RX for bulimia nervousa?
|
ssri
|
|
Binge eating physical complications
|
obesity, psychiatric disease, dm, arterial hypetension, infertility
|
|
Criteria for binge eating
|
fast eating behaviors, eating to an unpleasant degree of fullness, eating large amounts without feeling hungry, eating while feeling guility
|