Mental Health Test Part 2

Disorders

100

Name this personality disorder- believe everyone is out to get them, everyone is against them.

Paranoid personality disorder –

200

Name this personality disorder- It is all about them. Very self-centered.

Narcissistic personality disorder –

300

Name this personality disorder- inability to make decisions

Dependent personality disorder

400

Name this disorder- Unable to build relationships, difficult to communicate feelings, superficial relationships only

Reactive attachment disorder –

500

Name this disorder- Can be triggered by any of the five senses. Dealing with anxiety associated with a trauma by separating self from it. With treatment they can get back to her previous level of functioning.

Post-Traumatic Stress Disorder (PTSD)

Eating disorder/meds

100

Bulimia and Anorexia Nervosa what is the real problem?:  

What should treatments focus on? 

 

Remember that the real problem is not food, the problem is poor coping mechanisms with a psychosocial origination. The symptoms are food and weight related.

Safety and coping

200

Daily weights with eating disorders?

We never order daily weights for these clients as it is not about the weight.

300

Major complication of eating disorders? 

fluid and electrolyte imbalances leading to cardiac arrest or major cardiac symptoms.

400

Name symptoms of anorexia/bulimia?

• Symptoms can include: low calcium, weight loss, skin trauma on knuckles (due to purging), cessation of menses (anorexia), poor teeth enamel / dentation (bulimia), osteoporosis, fractures, follows strict rules and regulations (anorexia), impaired immune system due to poor nutrition / protein intake (risk for infections).

500

Lithium is used to treat?

watch for toxicity?

Used for Bipolar – 

 (blurred vision, ringing in ears, monitor electrolytes

Disorders continued/therapies/meds

100

Name this disorder- Two or more fully developed, distinct, and unique personalities exist within the client. May have multiple personalities which are not aware of other personalities. To get back to the host personality – call the person by name. Assess safety as many times one or more personalities may be aggressive or protective of host

What is this disorder- client blocks out all memories about a specified period.

Dissociative Identity Disorder –

Dissociative Amnesia -

200

• What is bipolar disorder? Name two major symptoms

• BiPolar Disorder – depression / mania. Clients tend to experience more depression symptoms or more mania symptoms.
• Mania – weight loss, impulsive, over spending on purchases, fast talk, fast movements, pacing, rapid thoughts, confabulation (make up words), disorganized thought, verbosity (speaking many words). Decompensation of cardiac system due to poor nutrition, fluid, and electrolyte balance.

300

This procedure needs written signed consent, commonly used for client with what disorders (depression – most common, schizophrenia, bipolar).

Electroconvulsive therapy (ECT) –

400

Name this class of meds-benzodiazepines (addictive),  alprazolam (Xanax); buspirone (Buspar); 

diazepam (Valium)  also used to treat?  

Ativan used to treat? status epilepticus– also used to treat an active seizures

Anti-anxiety medications:

• diazepam (Valium) – also used to treat status epilepticus; lorazepam (Ativan) – also used to treat an active seizures

500

Side effects of antipsychotics?

• Can cause weight gain, insomnia, dizziness…., can cause extrapyramidal symptoms (reversible if addressed early – symptoms of uncontrolled movement of lips, mouth, arms…. and lead to tardive dyskinesia (irreversible) – (sticking out tongue, smacking lips, jerky movements), or neuroleptic malignant syndrome (muscle rigidity, autonomic dysfunction…);

Treatment Therapies

100

• activities like “Anonymous Groups” like AA, NA, Overeaters anonymous, and Gamblers anonymous – All developed to bring about personal change.

Self-help

200

•  cause the patient to associate the stimulus with unpleasant sensations with the intention of discouraging the targeted (sometimes compulsive) behavior.

Aversion therapy -

300

 teach patients coping strategies to manage symptoms and reduce stress.

Stress-reduction therapy -

400

 form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions, behaviors, and thoughts

Cognitive-behavioral therapy -

500

Name this therapy- typically, within 6 to 8 sessions clients get help relinquishing unpleasant or negative emotions, which are sustained by certain unidentified thought patterns and core beliefs.

Short-term classical analysis therapy (psychotherapy)

Meds

100

 Needs close monitoring can cause sleepiness. Work more effectively than some over the counter herbs like melatonin?

hypnotics

200

What class of meds- isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam), tranylcypromine (Parnate)

-Avoid what foods

MAOIs – More side effects than newer drugs; avoid tyramine foods

300

Name this class of medications

escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft)

Can also be used for what?

Selective serotonin reuptake inhibitors (SSRIs)- also effective treatment for anxiety disorders

400

Name this class of medications-clomipramine (Anafranil), imipramine (Tofranil);  amitriptyline (Elavil)

Tricyclics -

500

risperidone (Risperdal) common uses

• fluphenazine (Prolixin)- should not be given with?Avoid taking with what beverage?
• haloperidol (Haldol) – Antipsychotic – side effects –

– commonly used with schizophrenia, bipolar disorder, and autism

• should not be given with clients diagnosed with dementia – could lead to death, do not take with carbonated beverages.
• worsening confusion, toxicity, sleepiness, inability to stay asleep, dystonia reactions (emergency), tardive dyskinesia (need to address immediately).