Mental Health Part 2

Front 1

what Is denial?

Back 1

person ignores reality and absolutely refuse to be swayed by evidence

Front 2

what is rationalization?

Back 2

justifying a behavior or action by making an excuse or an explanation

Front 3

what is displacement?

Back 3

discharging intense feelings for one person onto another object or person who is less threatening

Front 4

what is identification?

Back 4

modeling behavior after someone else

Front 5

what is intellectualization?

Back 5

excessive reasoning and logic to counter emotional distress (a nursing student is upset by the death of a pt, but talks at length about the equipment on the code cart)

Front 6

what is reaction formation?

Back 6

an intense feeling that is unknowingly acted out in an opposite manner (you treat someone who you unconsciously dislike in an over friendly manner)

Front 7

what is regression?

Back 7

returning to an earlier level of behavior when severely threatened

Front 8

what is repression?

Back 8

unconsciously blocking an unwanted thought or memory from open expression (a student does not truly remember cheating on a very important test)

Front 9

what is splitting?

Back 9

viewing people or situations as all good or all bad (a pt praises a nurse one day and then hates and scorns her the next day)

Front 10

what is sublimation?

Back 10

rechanneling an impulse into a more socially desirable acceptable activity (a student has generalized angry feelings about school so she take up kickboxing as an after-school sport)

Front 11

what does enabling mean?

Back 11

"helping" a person so that consequences from unhealthy behavior are less severe: enabling "helps" the unhealthy behavior to continue

Front 12

what is co-dependency?

Back 12

a family member or friend who overcompensates and tries to "fix the situation" or to control the substance abuser

Front 13

what are medical conditions associated with alcoholism?

Back 13

cirrhosis, cardiomyopathy, gastrointestinal bleeding, pancreatitis, hypertension, stroke, sleep disturbances, malnutrition, peripheral neuropathies, cognitive impairment, leukopenia (decreased wbcs), thrombocytopenia (decreased platelets), and chronic infection

Front 14

when do withdrawal symptoms occur in alcoholics?

Back 14

as early as 6 to 12 hours

Front 15

what are progressive symptoms of alcohol withdrawal?

Back 15

increased BP, increased pulse, tremors, N/V, diaphoresis, delirium tremens (DTs), hallucinations, and seizures

Front 16

when may major alcohol withdrawal symptoms occur?

Back 16

2-3 days after the last drink

Front 17

how long may major alcohol withdrawal symptoms last?

Back 17

3 to 5 days

Front 18

to diagnose alcohol dependence what must be present?

Back 18

presence of withdrawal, significant impairment in family relationships and occupational productivity, blackouts, drinking in spite of serious consequences to health or occupation, and evidence of tolerance

Front 19

what is detoxification?

Back 19

the process of ridding the body of the abused substance, without causing harmful ill effects

Front 20

what does CIWA indicate?

Back 20

severity of the withdrawal and suggest whether admission to the hospital is warranted, or if outpatient treatment is adequate

Front 21

once a pt is stable and able to participate in a treatment program what does therapy consist of?

Back 21

confronting the pt's denial and encouraging self-diagnosis

Front 22

what is Disulfiram (Antabuse)?

Back 22

a drug that causes unpleasant reactions if the pt decides to return to drinking

Front 23

what is Naltrexone (ReVia)?

Back 23

can be used to block the craving for alcohol and to prevent relapse in recovery phase

Front 24

what is Nalmefene (Revex)?

Back 24

similar to ReVia, but lasts longer and is more potent

Front 25

what is magnesium sulfates antedote?

Back 25

calcium gluconate

Front 26

what is thiamine for?

Back 26

contributes to enzyme production for carbohydrate metabolism

Front 27

what is Wernicke's encephalopathy?

Back 27

a condition that is reversible with treatment

Front 28

what is Korsakoff's syndrome?

Back 28

(substance induced persisting dementia), which is irreversible

Front 29

what are symptoms of Wernicke's encelphalopathy?

Back 29

confusion, ataxia, and significant memory loss