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Chapter 13/14
Chapter 14/15
Chapter 16/17
Chapter 17/18 24
Chapter 24/28
100
What is the genetic tie between bipolar disease and first-degree relatives?
The bipolar disorders have a strong heritability It is likely that bipolar disorder is a polygenic disease, which means that a number of genes contribute to its expression.
100
Understand the signs and symptoms related to depression
What is Depressed mood ● Di culty sleeping or excessive sleeping ● Indecisiveness ● Decreased ability to concentrate ● Suicidal ideation ● Increase or decrease in motor activity ● Inability to feel pleasure ● Increase or decrease in weight of more than 5% of total body weight over 1 month
100
S/Sx of PTSD
What is ● Sleep difficulty, nightmares ● Hypervigilance ● Alcohol use ● Irritability ● Withdrawn mood ● Constricted/reduced range of affect ● Feels estranged from wife and children ● Avoidance of news coverage with potential for emergency reports ● Refusal of treatment and safety contract ● Plan for suicide
100
What is body dysmorphic disorder?
What is normal body appearance but with their preoccupation with an imagined defective body part results in obsessional thinking and compulsive behavior levels of insight vary false assumptions about importance of appearance frequently concerned with skin, hair, nose, stomach, teeth, weight, and breasts keep secret for many years chronic response to limited treatment
100
Characteristics of a patient diagnosed with Avoidant Personality Disorder
The main pathological personality traits are low self-esteem that is associated with functioning in social situations, feelings of inferiority compared to peers, and a reluctance to engage in unfamiliar activities involving new people.
200
What type of speech patterns might be seen in patients with Mania?
What is the flight of ideas may give way to clang associations. ● Flight of ideas- is a nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations or plays on words. ● Clang Association- are the stringing together of words because of their rhyming sounds, without regard to their meaning
200
Definition of anhedonia.
What is inability to experience pleasure in activities that usually produce it
200
S/Sx of Dissociative Disorders
What is amnesia or fugue, related to traumatic event, symptoms of depersonalization, feelings of unreality or body image distortions altered consciousness, memory or identity feeling of being out of control
200
Physical manifestations of anorexia nervosa.
What is individuals refuse to maintain a minimally normal weight and express intense fear of gaining weight reduction of intake of food binge eating purging peripheral edema rapid weight decline inability to gain weight severe hypothermia heart rate less than 40 beats per minute systolic BP hypokalemia brittle hair, nails, bones emancipation, dehydration, arrythmias, inadequate risk for injury
200
Schizotypal Personality Disorder
What is ● More common in men than women ● Unusual and debilitating ● Severe social and interpersonal deficits. ● They experience extreme anxiety in social situations and contributions to conversations tend to ramble with lengthy, unclear, overly detailed, and abstract content. ● Paranoia; overly suspicious and anxious ● Tend to misinterpret the motivations of others as being out to get them and blame others for their social isolation ● Odd beliefs (e.g., being overly superstitious) or magical thinking (e.g., thinking of themselves as psychic) are also common. ● Psychotic symptoms seen in persons with schizophrenia, such as hallucinations and delusions, might also exist with schizotypal personality disorder, but to a lesser degree and only briefly. ● A major difference between this disorder and schizophrenia is that people with schizotypal personality disorder can be made aware of their misinterpretations of reality. Schizophrenia results in a far stronger grip on delusions.
300
Why is necessary to have one-on-one supervision when dealing with a patient in acute mania?
What is patient safety increased risk for self harm and destructive behavior
300
Stages of anxiety.
What is mild (normal experiences of everyday life) moderate (selective inattention) severe (perceptual field greatly reduced) panic (most extreme, markedly disturbed behavior)
300
What is somatic symptom disorder and the S/SX?
What is combo of distressing symptoms and an excessive or maladaptive response or associated health concern without. patients suffering is authentic tend to run in families Chest pain, fatigue, dizziness, headache, swelling, back pain, shortness of breath, insomnia, abdominal pain, and numbness. health related quality of life is frequently impaired
300
personal characteristics that a nurse might see in a patient with anorexia nervosa?
What is ○ Based on the patient’s height, a treatment goal is set at 90% of ideal body weight, the weight at which most women are able to menstruate. As patients begin to re-feed, they ideally participate in the unit's milieu. ○ In this setting, the patient should feel accepted and safe from judgmental evaluations. ○ The focus should be on the eating behavior and underlying feelings of anxiety, dysphoria, low self-esteem, and lack of control. ○ Discussions about physical appearance should be approached carefully because comments may be misinterpreted
300
Be able to understand factors affecting domestic violence.
What is ● Perpetrator believe in being in charge and dominant ● Acting out physically makes them feel more in control ● Lack supportive relationships outside their relationship ● May have been abused as a child ● Victim will rationalize the abuse as being caused by drugs, alcohol, or stress.
400
When does dysthymic disorder occurs when feelings of depression persist.
What is A milder form of depression that usually has an early onset, such as in childhood or adolescence, and lasts at least 2 years for adults (1 year for children). Dysthymic disorder contains at least three clinical findings of depression and can, later in life, become major depressive disorder.
400
Definition of repression.
What is unconscious exclusion of unpleasant or unwanted experiences emotions or ideas from conscious awareness
400
characteristics of a patient diagnosed with Narcissistic Personality Disorder
What is LIZ
400
what are the stages in the cycle of violence?
What is serious battering phase, honeymoon phase, tension building phase
500
what is disruptive mood dysregulation disorder and its impact on children
What is relates to children between the ages of 6 and 18 and refers to situations in which a person has frequent temper tantrums resulting in verbal or behavioral outbursts out of proportion to the situation.
500
s/sx of OCD and why sleep is so important
What is PERFECTIONISM and RITUALISTIC Time-consuming rituals that interfere with normal routines, social activities , and other relationships. (hair pulling, skin picking, self-mutilation?). S/S) debilitating anxiety, panic attacks, irrational fears, excessive worrying, uncontrollable rituals, or severe reactions to stress Not only can anxiety and worry cause insomnia, but a lack of sleep can also exacerbate anxious thoughts and feelings. When you’re well rested, it’s much easier to keep your emotional balance, a key factor in coping with anxiety disorders such as OCD.
500
why is somatic symptom difficult to treat
What is ● Doctors are unable to find a medical diagnosis for nurses to care for
500
What is most challenging for nurses when caring with patients with Personality disorders when it comes to dealing with manipulation?
What is ● 1. Try to prevent or reduce untoward effects of manipulation (flattery, seductiveness, instilling of guilt):Set clear and realistic limits on specific behavior.Ensure that limits are adhered to by all staff.Carefully document signs of manipulation or aggression.Document behaviors (give times, dates, circumstances). Provide clear boundaries and consequences. 2. Be aware that antisocial patients can instill guilt when they are not getting what they want. Guard against being manipulated through feelings of guilt. ● Use of manipulation to obtain nurturing relationships with others
500
Describe lorazepam, alprazolam, benzodiazepine, mirtazapine.
What is -lorazepam- anti- anxiety treats acute mania in some pts, resistant to other treatments -alprazolam- relieve anxiety, dizziness, drowsiness, lethargy, confusion, headache -benzodiazepine- reduce akathensia, relives anxiety and insomnia, GABA is inhibited neurotransmitter that puts a brake on excitatory neurotransmitters -may cause insomnia, irritability, nervousness, dry mouth, tremors, convulsions, confusion -mirtazapine- SNDIs, weight gain/appetite stimulation, dizziness, headache, sexual dysfunction, drug induced somnolence exaggerated by alcohol