Name that Disorder
I am the most common of all of the mental illnesses. 25% of the American population may have be at some time in their lives.
What is anxiety?
Jill often feels empty and defeated and rages at her friends when she believes they are "being mean." Her boyfriend recently broke up with her and she cannot believe he has once again abandoned her but she really doesn't have any need for him.She often cuts herself on the inside of her thighs and impulsively shops when she feels misunderstood.
What is borderline personality disorder?
Identify 3 potential protective factors when assessing suicide risk.
What is:
1. Social support system
2. Access to care
3. Positive view of the future
4. Cultural or religious beliefs.
5. Problem solving capabilities.
6. Ability to regulate emotions.
The B vitamin that is depleted in as little as three months in someone with chronic alcohol use.
What is thiamine.
Difficulty finding the right word is often associated with aging and dementia. This is referred to as:
What is aphasia?
I have the potential to knock out the midbrain causing you to loose control over your emotions and maybe even black out.
What is alcohol use?
Identify 3 potential approaches/interventions to utilize with someone diagnoses with paranoid personality disorder.
What is....
1. Avoid personalizing patient's remarks
2. Present with a calm, quiet demeanor to help the patient feel safe and secure.
3. Avoid laughing or whispering within the patient's hearing or line of vision.
4. Maintain safety precautions at all times.
5. Recognize s/s of paranoia: guarding, hypersensitivity.
Suicide risk factors often observed in college students.
What is:
1. Loneliness and loss of a social network
2 isolation and alienation
3. Lack of coping skills
4. Experiments with drugs/alcohol
5. Emergence of s/s of a mental illness
6. Pressure socially, academically, spiritually.
7. Loss of a safety net
Symptoms of alcohol withdrawal reflect the over-activity or dysregulation of the autonomic nervous system. Identify at least 6 s/s of alcohol withdrawal and determine when they might first appear.
What are:
Tremors
Increased B/P
Rapid pulse
Rapid breathing
Nausea/vomiting/diarrhea
Irritability
Insomnia
Sweating
Anxiety
Nightmares, vivid dreams
Symptoms will usually begin in 3-10 hours.
What is....
Aricept
Razadyne
Exelon
They reduce cognitive symptoms and potentially temporarily reduce the rate of cognitive decline
I often disregard the rights of others. I love to lie, manipulate and exploit others. I can also be seductive and engage in acts that may end in an arrest.
What is antisocial personality disorder?
The hallmarks of an individual with antisocial personality disorder are (list at least 3):
What is:
1. Charming,
2. Treats people as objects, rather than human beings.
3. Central desire is to control others.
4. Tends to be self rather than other oriented.
5. Enjoys instigating/manipulating others to engage in disagreements, arguments etc.
6. Generally irresponsible.
7. Ignores rules
8. Lacks remorse.
What is the primary goal/outcome when developing a plan of care for an individual admitting to thoughts of killing themselves?
What is: keeping the individual from harming themselves.
What are the drugs of choice for alcohol withdrawal and what symptoms do they target?
What are benzodiazepines including:
Diazepam (Valium),
Chlordiazepoxide (Librium),
Lorazepam (Ativan).
Used to prevent seizures, DT's as they magnify the effects of GABA on the brain (similar to alcohol) reduce cravings to drink
The most common mental health disorders in older adults includes (name 3).
What is:
depression
anxiety
dementia
I am not currently listed as a disorder per se, but I might be soon. I may be withdrawn or aggressive and have dramatic mood swings. I may be impulse and reckless, but you don't see the pain in my eyes. Sometimes, I just want to give up.
What is suicidal?
This defense mechanism is often used with people diagnosed with Cluster B Personality Disorders as they label people as ALL GOOD or ALL BAD.
What is splitting
What is a key question to ask an individual who has recently made a serious suicide attempt (yesterday), but now claims they are no longer suicidal and just "need to go home."
What is:
What has changed?
What are the medications of choice (name the classification and three meds) for an individual diagnosed with an anxiety disorder like Generalized Anxiety Disorder?
What are SSRI's?
Celexa, Lexapro, Prozac, Paxil, Zoloft
What are TCA's
Tofranil, Aventyl, Elavil
What are benzodiazepines?
Klonopin, Ativan, Valium, Xanax
What are beta blockers?
Propranolol
Metropolol
With this disorder, you may see a gradual onset of: maladaptive cognitive response, loss of cognitive ability that interferes with pt. ‘s usual social or occupational activities, impairment in memory, judgment and abstract thought, personality changes occur and a continual and irreversible decline in mental function and behavior.
What is dementia?
I am disoriented in a 3 spheres. My thoughts are often disorganized and my judgement is poor. It's probably not a good idea to let me make a decision about anything. The funny thing is, this all came on me so quickly.
What is delirium?
Individuals with borderline personality disorder often engage in self-destructive behaviors.
Identify one way to help them reduce the need to harm themselves.
What is learning to verbally express their needs rather than acting out.
One method: Ask them how they were feeling right before they became harming themselves.
What environmental hazards on an inpatient unit should the nurse remove from a patient admitting to suicide thoughts and a desire to die? List at least 4 items.
What are:
Sharps
Belts
Shoelaces
Underwire bras
Meds
Weapons
Ties in sweat pants
More than 2 towels/sheets
Mirrors
Dental Floss
Razors
Hairpins/barrettes/combs
Pens/pencils
Identify an effective intervention to utilize when an individual experiences a panic attack.
What is:
1. Grounding: ice cube, frozen orange, feet on ground, what do I see, what do I feel, what do I hear, what do I touch.....
2. Distraction
3. Deep breathing
4. Maintain eye contact
Remain with them.
True or false:
Normal aging is associated with some physical decline in intellectual functioning, capacity for change, and productive engagement with life.
What is false?