GAD
What is cognitive behavioral therapy (CBT)?
combines cognitive therapy with behavioral therapies to reduce the anxiety response
excoriation disorder is...
skin picking disorder
Cluster A types
odd or eccentric behavior
ex) paranoid personality disorder
Examples of substance abuse
opioid use, cannabis use, caffeine, hallucinogen, inhalants,
All nurses have a duty to report what?
child abuse!
S/S
excessive worry, sleep disturbance, muscle tension, social impairment, restlessness
S/S
time consuming rituals, compulsions, social impairment,
What is splitting?
primary defense mechanism: inability to view both positive and negative aspects of others, which results in viewing someone as either wonderful or horrible.
S/S of alcohol intoxication
slowed motor performance, decreased thinking ability, altered mood, impaired judgement, euphoria, low alertness, loss of balance, memory blackouts, nausea, vomiting, amnesia, coma, and death
What is the tension-building stage?
minor incidents like pushing and shoving. The abusers rationalize their behavior and the victim often accepts it.
Nursing interventions
SAFTEY, minimize stimuli, calm environment, coping skill education, reinforce reality, speak clear and slow
Nursing interventions
rotate staff every shift, be aware of manipulative behaviors, provide clear boundaries and limits, agreed standard for staff
S/S of alcohol withdrawal
agitation, N/V, insomnia, impaired cognition, mild perceptual changes --> occur 6-8 hours after alcohol is stopped
unconsciousness, delirium, seizures -->8-10 hours after withdrawal
What is the acute-battering stage?
tension peaks and the event is triggered.
SSRI side effects
N/V, sexual dysfunction, dry mouth, insomnia, serotonin syndrome (muscle rigidity, tachycardia, HTN, fever)
TCA side effects
sexual dysfunction, weight gain, constipation, tremor, serotonin syndrome,
don't take with MAOIs and ST John Wort
S/S of Borderline Personality Disorder
patterns of marked mood instability, impulsivity, self-image distortion, mood swings, emotional dysregulation
S/S of alcohol withdraw delirium
Tachycardia, tremors, diaphoresis, fever, anxiety, insomnia, hypertension, delusions, and hallucinations
What is the honeymoon stage?
a period of calm after abuse in which the abuser is apologetic. This stage gets shorter and shorter every cycle.
treatment
SNRIs, SSRIs, Benzos, behavioral therapy, CBT, muscle relaxation, cognitive restructuring
What are obsessions? What are compulsions?
obsessions- recurrent and persistent thoughts, urges, or images that are intrusive and unwanted which cause marked anxiety or distress
compulsions -repetitive behaviors or mental acts that the individual feels driven to perform in response to an obsession
Cluster B types
dramatic, emotional, erratic
ex) antisocial personality disorder
What is the time frame that alcohol withdrawal delirium can occur?
first 72 hours after withdrawal
Nursing interventions for abuse
constantly reinforce that the abuse was not the patients fault, provide emotional supports, therapy, protect them from farther abuse, minimize psychological consequences