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Mental Health Final
| Question | Answer |
|---|---|
| Situational/external crisis | Crisis develops due to lack of support; divorce, job changes, etc |
| Maturational/internal crisis | crisis where individual must develop new skills; marriage, having a baby, empty nest syndrome. |
| Adventitious crisis | natural disasters, crimes, or national disaster(terrorist attacks). critical for crisis intervention to avoid PTSD. |
| Primary level of management | prevention strategies; providing info and education to at risk populations for suicide. |
| secondary level of management | managing suicide crisis; helping someone who attempts suicide; commitment.. |
| tertiary level of management | post-vention for family/friends of successful suicide. |
| Axis I | mental conditions due to medical condition, schizophrenia, substance related disorders, mood disorders(bipolar), etc... |
| Axis II | personality disorders and mental retardation: OCD, narcisstic, paranoid, borderline, etc.. |
| Axis III | general medical Dx/condition: DM, CHF, cancer |
| Axis IV | psychosocial/environmental problems that impact Dx, Tx, or prognosis: homeless, layer off, accident |
| Axis V | global assessment of functioning. lower the number, less they can do.. |
| Lithium | avoid NSAIDs, diuretics, TCAs, antihistamines. toxicity begins at 1.5 mEq/L |
| ADHD drugs | avoid MAOIs, caffeine, dilantin, warfarin, phenobarb, OTC cold meds, |
| projection-dysfunctional | blaming others for unacceptable thoughts/feelings: "I failed because..." |
| acting out-dys | actions used to manage conflicts rather than self-reflection, "tantrums, hitting the wall, throwing things" |
| dissociation-dys | temporarily blocking memories/perceptions "I can't remember what they were wearing" |
| devaluation-dys | expressing negative thoughts of self or others "I am so fat, ugly, skinny, etc..." |
| idealization-dys | expressing extremely positive thoughts of self/others. "my child never does anything wrong" |
| splitting-dys | inability to reconcile negative/positive attributes of self/others. manipulative. "you are awesome, she is stupid." |
| passive agression-dys | appears to be compliant, but indirectly is aggressive. "of course i will get that job done!!" |
| denial-dys | pretending the truth is not reality (mark hacking case) |
| repression-intermediate | putting unacceptable ideas, thoughts and emotions out of conscious awareness, happens unconsciously. "forgot to go to the dentist... again" |
| reaction formation-int | overcompensating or demonstrating opposite behavior of what is really felt. "you are so sweet and helpful" but really you find them lazy and smelly. |
| somatization-int | physical symptoms that replace anxiety: stomach ache on test day |
| displacement-int | shifting feelings to a less threatening object: kicking the cat |
| rationalization-int | creating a reason for unacceptable behavior: 14 yr old: "i took the car because we needed milk" |
| undoing-int | most common in children, doing something to make up for a previous behavior: child does all their chores without being asked following an argument with a parent. |
| altruism-healthy | always constructive, reaching out to others "may i help you" and meaning it. |
| sublimation-healthy | always constructive, dealing with unacceptable feelings/impulses are replaced unconsciously with acceptable forms of expression. (racquetball too care of frustration and anger) |
| Humor-healthy | positive if you can laugh at yourself and the situation. negative if you are laughing at someone else, and they arent laughing. |
| suppression-healthy | voluntarily denying unpleasant thoughts and feelings "i will deal with that later" |
| alcohol withdrawal | diazapam(valium), lorazepam(ativan), carbamazepine (tegretol), clonidine (catapres) - drugs not given until s/s appear. |
| alcohol abstinence | disulfiram(antibuse), naltrezone(revia)- suppresses craving for and pleasurable effects of alcohol/opioids |
| actual loss | loss of valued person/item |
| perceived loss | loss is defined by individual, and may not be obvious to others |
| maturational loss | due to developmental process-expected |
| situational loss | unanticipated loss, external event causes loss. |
| beneficence | promotes good of others, charity |
| autonomy | respect pts rights to make decisions |
| justice | fair and equal Tx for all - regardless of race, creed, opinion, attitude. |
| fidelity(nonmaleficence) | loyalty, commitment to pt, do no wrong |
| veracity | honesty, communicate truthfully. |
| mild anxiety | normal everyday living, identifiable cause, feelings of mild discomfort, impatiences, apprehension |
| moderate anxiety | leads to slights decrease in perception, clear thinking is slowed but learning and problem solving still occur, difficult to concentrate, fatigue, increased HR and RR, muscle tension, will benefit from direction of others. |
| severe anxiety | distorted perceptions, learning and problem solving does not happen, confusing, impending doom, aimless activities occur, ritualistic behaviors. not able to take direction from others, nausea, dizziness, insomnia, HA, hyperventilation, |
| panic anxiety | markedly disturbed behaviors, unable to process what is occurring, loss of reality, immobility. feelings of extreme fright/horror. may have speech impairment, inability to sleep, delusions and hallucinations. |
Created by:
klevans21
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