Vocab
What is a Phobia?
It is “An irrational fear”. Person may know that they have fear but behaviors/thoughts persist. Over 700 kinds! Snakes, spiders, enclosed spaces, and the number 13 are the top.
Kate is really suspicious of everyone even her family members, some describe her as secretive, rude because she doesn't make eye contact, Hates the hospital, and really independent. What disorder may she have?
Paranoid personality disorder
An agreement made among a group of people (often adolescents) to kill selves together.
What is a 72 hr hold?
It is an involuntary psychiatric commitment cannot extend beyond 72 hours without a formal hearing.
What is Mood?
An individual’s sustained emotional tone which influences behavior, personality, and perception.
What is hypomania?
It is a less severe form of mania in which a person may be highly productive and not obviously symptomatic.
Janine hates to be alone. Ever since she was little she has been afraid to sleep alone. She has also struggled with CP but has some capabilites. In her current relationship she is very clingy and does as much financially for her partner so that they don't leave her. What disorder may she have?
Dependent personality disorder
What are some Extrapyramidial side effects?
Dystonia: muscle rigidity/ torticolis, Pseudoparkinsonianism or dyskinesia: stiffness, tremors, shuffling gait. Akathisia: restlessness, inability to sit still. Oculogyric crisis: uncontrolled rolling back of eyes.
Tardive dyskinesia: Late onset of lip smacking, grimacing, or tongue protrusion.
Who is most at risk for suicide?
Those with depression, PTSD, Bipolar, anxiety disorders, substance abuse issues, those close to anyone who has committed suicide, and those with psychosis.
White males are the highest risk for suicide.
What is Eustress?
It is the stress from positive experiences, such as getting married, receiving a promotion, any good thing. Good Stress
What is Free Floating Anxiety?
A persistent feeling of impending doom from any trigger, person may not even know trigger. “Feeling like a bad thing could happen at any time.”
Jamie has trouble with social relationships. She could be described as Introverted, cold, Intellectual but appears indifferent. She wants help because she has trouble developing friendships. What disorder may she have
Schizoid Personality Disorder
What are some anticholinergic Effects?
Can cause dry mouth, orthostatic hypotension, constipation, urinary retention, dry eye.
What are some risk factors for suicide?
ETOH use, prior suicide attempt, Fhx of mental disorder/substance abuse/family violence/sexual abuse/ or suicide. Poor support system, grief from recent loss, untreated sx from terminal illness.
What is secondary gain?
The extra benefits one may acquire because of being ill. For example receiving emotional support, financial benefits, love, etc.
What is Survivors guilt ?
It is when someone survives a traumatic event then are hunted by feeling of “Why did they survive over others.” R/t PTSD (soldier's remorse over watching fellows die).
Jaques has to wash his hands 5x every hour so he does not have dirty hands no matter if they were clean. He has a big project coming up but has an intense focus on one little part that no one will even see that is holding him up from getting it done. What disorder may Jaques have?
Obsessive compulsive disorder
What are the Physical adaptation responses to stress?
Can cause Lowered immunity, Migraine/cluster/tension HAs, HTN, CAD, CA, and Asthma.
What are some general nursing interventions to use for suicidal patients?
Frequent monitoring, Safety, Communication, Contract, proper discharge planning.
What is a Suicide contract?
It is when the Tx team and PT make a written agreement in which the PT agrees to inform the team before taking any action to harm self. i.e. "I will call team if I feel like i will harm myself."
What is Manic?
It is characterized by a distinct period of abnormality and persistently elevated, expansive, or irritable mood. Extreme mania can include psychotic behavior such as hallucinations and delusions. Sx: Easily distracted, little sleep, poor temp control, reckless behavior, very elevated mood, over involvement in activities.
James notes that he doesn't care about how his actions make others feel. He doesn't care about lying, stealing, or making others cry. He describes his parents as dysfunctional and very chaotic, sometimes abusive. He has been known to hurt neighborhood pets. What disorder may he have?
Antisocial personality disorder
What are the differences between negative and positive symptoms of schizophrenia?
Negative symptoms: those found among people who do not have the disorder but are missing or lacking among individuals with schizophrenia and reflect a less threatening or loss of normal functions. i.e. avolition, lack of desire to have friends, innappropriate social behaviors, blunted affect. just trouble maintaining day to day but can do it.
Positive Symptoms: Those found in people with schizophrenia but not present in those that do not have disorder. Reflect distortion of normal functions, delusions, though disorders, hallucinations, hearing voices , magical thinking, neologisms, loose associations, echolia.
Positive Sympotoms:
What are the warning signs of suicide? acronym
IS PATH WARM
Ideation
Substance abuse
Purposelessness
Anger
Trapped
Hopelessness
Withdrawal
Anxiety
Recklessness
Mood
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