MENTAL HEALTH TEST 2

ANXIETY

100

Level of anxiety that occurs in the normal experience of everyday living

*increased awareness, alertness

*Learning enhanced

Mild Anxiety 

200

Level of anxiety feeling something is definitely wrong person becomes nervous or agitated

*decreased alertness/attention span 

*increased HR/RR

Moderate Anxiety 

300

Level of anxiety survival skill take over, defensive responses ensue and cognitive skills decrease

*unable to problem solve

Severe Anxiety 

400

Level of anxiety unable to focus, unable to comprehend, may become violent

Panic

500

A level of Panic that can last 4-6 weeks

Crisis

DEMENTIA

100

Second most common type of dementia, abnormal proteins interfere with cell function of brain

*Rapid Progression* 

Lewy Body Dementia 

200

Stage of Dementia that interferes with working ability, may get lost when driving, decreased ability to plan organize

Stage 3 of Dementia 

300

Stage of Dementia forgetting events, inability to shop, handle finances, deny problems, may need assistance with safety.

*Confabulation*

Stage 4 Dementia 

400

Stage of Dementia inability to perform ADL's, forget address, numbers, names, and easily frustrated

Stage 5 Dementia 

500

Stage of Dementia with severe cognitive decline, can not speak in full sentences, difficulty following 2 step commands, 

*Wandering/Sundowning*

Stage 6 Dementia 

DISORDERS

100

Excessive anxiety or worry about numerous things lasting for 6 months or longer

Generalized Anxiety Disorder

200

Physical symptoms w/o cause 

Anxiety about symptoms

Seeking multiple providers

Symptoms are real to patient

Somatic Symptom Disorder 

300

Rare somatoform disorder when person experiences specific genuine physical symptoms with no physiological basis found (Sudden inability to walk and patient is not phased)

Conversion Disorder

400

2 Types of factitious disorders

Munchausen Syndrome - Patient repeatedly makes up clinically convincing simulations of disease for medical attention

Munchausen by Proxy- Parents make up or produce illnesses in their children 

500

Flashbacks

Repeated upsetting memories of the event, nightmares

Lack of interest in normal activities

Avoiding places, people or thoughts 

Difficulty concentrating 

Agitation / insomnia 

PTSD

NURSING INTERVENTIONS/TREATMENT/MEDICATION

100

*calm safe environment 

*establish trust

*advise exercise

*identify triggers

*use clear and factual knowledge

*administer and monitor medicine  

Nursing Interventions for Anxiety

200

Reassurance of safety

Decrease maladaptive symptoms

Assisting with development of adaptive coping skills

Protect from self-harm 

Nursing interventions for PTSD

300

Protect client from injury 

Promote dignity and quality of life

Decrease stimuli

Allow time to complete tasks

Constant caregivers

Step-by-step instructions 

Display clocks/calendars big print 

Nursing interventions for dementia pateints

400

Acetylcholinesterase (Aricept, Exelon, Reminyl)

Medications for Dementia

500

When should nurse expect client to show relief from antidepressants

1-4 weeks

MISC

100

An abnormal fear of open or public places 

Agoraphobia 

200

PET    B12

CT     LFT/CBC/CMP/RPR

EEG   UA

ECG   CXR/Head X-Ray

HIB

Diagnostics For Neurocognitive Disorders

300

BBW for Delirium Treatment (Antipsychotic Meds)

Increased risk of death in elderly  

400

Sadness without evidence of psychotic symptoms

Depressed more days than not for at least 2 years

Persistent Depressive Disorder

500

Norepinephrine

Serotonin

Dopamine

Neurotransmitters in Depressive Disorder