Abuse/Violence
Failure to provide proper care to someone
What is neglect?
An ego defense mechanism where pretending the truth is not a reality to manage unpleasant anxiety-causing thoughts or feelings
What is denial?
Ex: A parent who is informed that their child was killed in combat tells everyone one month later that the child is coming home for the holidays.
Identifying coping strategies and ways to decrease anxiety
What are interventions for adjustment disorder?
Ex: yoga, deep breathing, music, exercise
This medication is a deterrent for alcohol abuse
What is Disulfiram (Antabuse)?
Central nervous system cues or symptoms of neonatal abstinence system
What are high-pitched or shrill cry, incessant crying, irritability, tremors, hypertonicity, hyperactivity with increased Moro reflex, increased muscle tone, decreased amount of sleep, convulsions?
True or False: There are civil and criminal penalties that can be filed against nurses as a result of not reporting suspected abuse against a child or vulnerable adult.
What is True?
Nurses are mandated reporters
True or False:
The use of ego defense mechanisms is always a negative experience
What is False?
Using ego defense mechanisms can be adaptive or maladaptive
Uses bilateral stimulation, such as guided eye movements, to help a person reprocess distressing memories to alleviate emotional distress associated with a stressful event
What is eye movement desensitization and reprocessing (EMDR)?
An antidote medication for opioid overdose is
What is Naloxone (Narcan)?
Respiratory, metabolic and gastrointestinal cues or symptoms of neonatal abstinence syndrome
What are tachypnea, retractions, poor feeding, constant or uncoordinated suck, regurgitation, yawning, sneezing, sweating?
Type of abuse that makes others feel worthless, humiliated, intimidated, or ignored
What is emotional abuse?
An ego defense mechanism where someone creates a reasonable and acceptable explanation for unacceptable behavior
What is rationalization?
Ex: An adolescent says, "They must already have a boyfriend" when rejected by another adolescent.
The time criteria for a diagnosis of adjustment disorder
What is within 3 months of the stressful event that lasts less than 6 months?
If adjustment disorders do not resolve, it will lead to more serious mental health conditions -- major depression, anxiety, misuse of drugs or alcohol.
Symptoms of alcohol withdraw can be expected during this time frame
What is 4 to 12 hours?
Pharmacological medications that may be used in the treatment of neonatal abstinence syndrome
What are morphine (Opiate) and Phenobarbital (Anticonvulsant)?
Numerous bruises or injuries at varying healing stages
What are signs of physical abuse?
An ego defense mechanism with sudden use of childlike or primitive behaviors that do not correlate with the person's current developmental level
What is regression?
Ex: A person who has a disagreement with a co-worker begins throwing things at their office
Something to ask a person diagnosed with adjustment disorder
What is "How are you feeling today?"
Withdrawal symptoms for opioids include
What is diaphoresis, rhinorrhea, piloerection, tremors, irritability, nausea/vomiting, and pain?
Cognitive impairments, attention deficit disorder, language abnormalities, delayed growth & development, feeding problems, and poor maternal bonding?
What are potential long-term complications of neonatal abstinence syndrome?
Assisting a client develop a safety plan
What is an intervention for a victim of abuse?
An ego defense mechanism where someone attributes unacceptable thoughts and feelings onto another who does not have them
What is projection?
Ex: A married client who is attracted to another person accuses their spouse of having an extramarital affair
Causes of adjustment disorder
What are loss of a loved one, loss of a relationship, work problems, stressful move, etc?
This classification of anti-anxiety medications can be easily abused and lead to dependency
What are Benzodiazepines?
Ex: Diazepam (Valium) & Alprazolam (Xanax)
Non-pharmacological care techniques for neonates with neonatal abstinence syndrome
What are decrease environmental stimulation, swaddling, non-nutritive sucking, small & frequent feedings?