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study Guide
mental heath & substance abuse
Question | Answer |
---|---|
patients w/ chronic progressive illness are more prone to ? | depression & suicide |
REBT therapy states that ppl are accepted ? | Unconditionally |
________ therapy enforces that we can't change the past & nee to develop socially acceptable behavior | Reality |
the major concern for psychiatric patients is ? | safety |
_____ being easily _____ & having flashbacks care common in ________ | Hypervigilence /startled/ PTSD |
phobia of open spaces | Agoraphobia |
frequently associated w/ self-injury | boarder line personality disorder |
personality disorder lack empathy, have a need for admiration & have a sense of entitlement | narcissitic |
lack social relationships & a range of emotions | Anit-social / Schizoid |
could include racing thoughts & forced speech | mania |
displays a depressed mood for 2 yrs | dysthymia |
patients w/ disturbed sleep, depressed mood & thoughts of death may be suffering from | major depressive disorder |
psychiatric syndrome | Axis l |
personality disorders & mental retardation | Axis ll |
general medical conditions | Axis lll |
psychological & environmental prolems | Axis lV |
global assessment of functioning | Axis V |
patient refusing to discuss an issue is using __________ as a defense mechanism | avoidance / repression |
patients taking neuroleptics may develop ticks such as lip smacking... know as? | Tardive Dyskinesia |
personality disorder engages in attention seeking behavior | historionic |
patient w/________personality disorder has a history of unstable relationships | boarder line personality |
personality disorder characterized by discomfort w/interpersonal relationships | schiziod |
patient w/social inhibitions, feelings of inadequacy,& hypersensitivity to negative evalution may be diagnosed w/_________ | advoident personality disodered |
______ are ritualistic or repetitive behaviors that a person carries out continuously | compulsion |
occurs when a person inflicts illness or injury on someone else to gain attention | Munchhausen by proxy |
uncontrolled repeating of another persons words | echolalia |
The involuntary imitation of the movements of another person | echopraxia |
refusing to speak, unable to speak in certain social situations | mutism |
fixed body posture, statue like | catalepsy |
loss of interest in pleasurable activites | anhedonia |
manic patients may benefit from a reduction in environmental | stimulants |
life-threatening reaction , related to neuroleptic medications, exhibited by rigidity,fever,diaphoresis & altered LOC | NMS |
reaction formation involves using ______ behavior from what would be expected for a given situation | opposite |
clients suffering from mental illness have a higher incidence of_______& the nurse should watch for ______ symptoms upon admission | substance abuse / withdrawal |
Frantic and compulsive behavior unable to control ones self, associated with meth | tweaking |
tactile hallucination, is an abnormal skin sensation similar to that of insects crawling over or within the skin. | formication |
sensations that appear real but are created by your mind. They can affect all five of your senses. | hullucinations |
severe form of alcohol withdrawal that involves sudden and severe mental or nervous system changes./ the shakes etc... | delirium tremens |
______ usually family , spouses may have a difficult time accepting that the disease of abuse is bad but not the addict him self is bad | enablers |
tremors are part of the autonomic ________ process during withdrawal | hyperactivity |
______is the legal limit for alcohol blood level | 0.08 |
always position patients on their _____ due to possible N/V associated w/withdrawal | side |
detox & depressed patents have a high risk for | suicided |
knowing what time the patient's ______was will help to monitor withdrawal | last drink |
treating pain of the drug or alcohol abuser is more difficult b/c they have built up_________ to many pain meds | tolerance |
if no one ______, addiction continues | intervenes |
chemical dependency can lead to | mental disorders |
a stage 3 withdrawal sign of severe intoxication | delirium tremens |
during the first stage of withdrawal the nurse may notice_______ in the hands | tremors |
the onset of withdrawal symptoms for an alcoholic will usually start_______from the last drink | 12-18 hrs |
a drug that can be given for alcohol withdrawal & other substances containing alcohol should be | antabuse / avoided |
the two most important nursing observation when a patient arrives to the ER intoxicated are | Resp status & LOC |
monitoring ______ is important during detox | liver function |
the most commonly used drug for tremors & seizures during detox | ativan |
both the family & patients need ______ for addiction | counseling |
a________ is usually hung for a client admitted for alcohol abuse to maintain nutrition | banana bag |