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mental health exam 2

QuestionAnswer
1. How is anxiety defined? 271
2. Compare and contrast mild anxiety, moderate anxiety, severe anxiety, and panic in terms of symptoms, how the patient acts, and the patient’s ability to think, reason, and learn while in that level. 217, 272 217, 272
3. What are defense mechanisms and how may they be beneficial or harmful? 271, 272 271, 272
4. Review Table 15.2 well, focusing on the defense mechanisms we discussed in class 274
5. What is a specific phobia and what does the patient with this disorder experience? 275 275
6. What characterizes Social Anxiety Disorder? 275 275
7. Describe the possible symptoms of a panic attack? 275 275
8. What is a key aspect of panic disorder? 275 275
9. Review possible symptoms of panic disorder from the DSM-5. How many would need to be present for the DSM-5 Diagnostic criteria to be met? 276 276
10. What else is listed in the DSM-5 that must follow at least one of the panic attacks for one month or more? 276 276
11. Define agoraphobia. 277 277
12. What makes it especially hard for an individual with agoraphobia to get help? Lecture and YouTube video from PPT Lecture and YouTube video from PPT
13. Define GAD? 277 277
14. From the DSM 5 criteria for GAD, how long must anxiety and worry be present and how frequently, before diagnostic criteria are met? 277 277
15. Review the six possible symptoms of GAD. How many should be present for a diagnosis to occur? 277, 278 277, 278
16. What issues or themes are common in patients who experience OCD obsessions? 279 279
17. How are obsession defined by the DSM-5? 279 279
18. How are compulsions defined by the DSM-5? 279 279
19. How long would obsessions or compulsions occur and/or what must they interfere with in order to meet the diagnostic criteria of DSM-5. ?
20. What is the mindset of an individual with Body Dysmorphic Disorder? 280 280
21. What causes anxiety in individuals who hoard? 280 280
22. What is trichotillomania disorder? 280 280
23. What is excoriation disorder? 280 280
24. What does pull out one’s hair or picking their skin do for those who have these disorders? 280 280
25. What are the risk factors for anxiety disorders? 281, 280. 280
26. What neurotransmitters regulate anxiety? 281 281
27. Review Table 15.8 27. Review Table 15.8
28. Compare and contrast nursing interventions between mild to moderate levels of anxiety and severe to panic levels of anxiety. 284, 285 and Tables 15.9 and 15.10 284,285
29. What are the basic interventions for patients with anxiety? 285 285
30. What is the first pharmacological line of defense for anxiety and OCD disorders? 287 287
31. Exactly how do benzodiazepines work in the body to help with anxiety? 49 49
32. Why are benzodiazepines generally only used for short periods of time to treat anxiety? 288 288
33. Why are benzodiazepines not recommended for the elderly? 288 288
34. Which two benzodiazepines are more commonly used because they do not induce sleep? 49 49
35. Know the common SSRI’s. 52 52
36. The review questions at the end of Chapter 15 are good. ?
37. What psychiatric disorders fall under the DSM-5 trauma umbrella? 295 295
38. In the DSM-5 Criteria for PTSD in ages older than 6 years to adults, what ways can exposure to actual or threatened death, serious injury, or sexual violence occur? 296 1. A. 1-4 296 1. A. 1-4
39. In the DSM-5 Criteria, what intrusive symptoms may be associated with traumatic events? 296 B. 1-6 296 B. 1-6
40. In the DSM-5 Criteria, what provides evidence of persistent avoidance of stimuli? 296 C. 1-2 296 C. 1-2
41. In the DSM-5 Criteria what negative alterations may be seen in mood and cognition associated with the traumatic event(s)? 296 D. 1-7 296 D. 1-7
42. In the DSM-5 Criteria what evidence of marked arousal or reactivity may be associated with the traumatic event(s)? 296 E. 1-6 296 E. 1-6
43. How long must symptoms of PTDS be present to meet the criteria for PTSD? 296 F. 296 f
44. What is depersonalization? 296, 307 296, 307
45. What is derealization? 296, 297? 296, 297
46. How may spontaneous or intrusive memories be different in children under 6 years old? II. Notes 297 297
47. Which gender is more likely to experience PTSD? 297, 303 297
48. What is dissociation and what is occurring physiologically in response to trauma when it occurs? 298 (Note this question is not asking about polyvagal theory.) 298
49. What is resilience as it relates to mental health? 299 299
50. What is an Adverse Childhood Experience (ACE)? PPT and links within PPT ?
51. In what ways are children with potential trauma or stress disorders assessed? 299 and PPT 299
52. What is the essential assessment data when looking at potential PTDS and trauma? 300 300
53. Review Box 16.1 301 Trauma interventions for children with PTSD. 301
54. What is EMDR and how may it help with trauma or PTSD? 301, PPT 301
55. Compare and contrast reaction attachment disorder and disinhibited social engagement disorder. 302 302
56. What are the possible triggering events for PTSD in adults? 302 302
57. What comorbidities may be seen with PTSD in adults? 302 302
58. Review the Severity of Post-Traumatic Stress Symptoms Scale. 304 304
59. What psychoeducation may be useful for patients with PTSD? 304 304
60. What drug class is evidenced-based for use in PTSD symptoms? 304 304
61. Which two drugs within the above class are FDA approved specifically to treat PTSD? 304 304
62. What FDA off-label drug classes may help with PTSD symptoms? 305 305
63. What is Acute Stress Disorder and how does the time frame for symptoms differ from PTSD? 306 306
64. How is adjustment disorder different from Acute Stress Disorder? 307 307
65. When do Dissociative Disorders typically occur and what purpose do these serve for the patient? 307 307
66. What is a dissociative fugue? 308 308
67. What are the risk factors for DID? 308, 309 308
68. What are several assessment questions a nurse may ask if a dissociative disorder is suspected? 309 309
69. What are general guidelines for assessing a patient with a dissociative disorder? 310 310
70. Review Table 16.2 311 ?
71. What is Prolonged Exposure Therapy (PET) and how may it help those with PTSD? PPT-YouTube ?
72. Review Key Points in the chapter. 312 312
73. Define somatization and explain what purpose manifesting symptoms physically, may serve for the patient. 316 316
74. What characterizes Somatic Symptom Disorder (SSD)? 316 316
75. A nurse is working in a primary care office and vents her frustration in dealing with “these faker SSD patients”. What doesn’t she understand about patients with SSD? 316 316
76. In the DSM-5 Criteria Box for SSD, how do symptoms impact a patient’s life? 316 316
77. In the DSM-5 Criteria Box for SSD, how might excessive thoughts, feelings, or behaviors be manifested? 316 316
78. In the DSM-5 Criteria Box for SSD, how long should symptoms be present to meet diagnostic criteria? C. 316 316
79. What symptoms are more common with SDD? 316 316
80. What is the old name for Illness Anxiety Disorder (IAD)? 317 317
81. In the DSM-5 Criteria Box for IAD, what are patients preoccupied with? 317 317
82. In the DSM-5 Criteria Box for IAD, what excessive behaviors might be seen? 317 317
83. What time duration of symptoms is required for IAD diagnostic criteria to be met? 317
84. What is conversion disorder also known as? 317 317
85. What is the difference between a functional and an organic disorder? Lecture lecture
86. What is “la belle indifference” and how might it be expressed in a patient with Conversion Disorder? 317 317
87. Review assessment guidelines for SSD. 321 321
88. Are symptoms of Conversion Disorder under the control of the patient? 321 321
89. What do patients with somatic disorders have difficulty with? 321 321
90. What are secondary gains and what questions help determine the presence of secondary gains? 322 322
91. Why might learning new coping skills help patients with somatic symptoms? 326 326
92. What has been shown to positively affect the recovery of patients with somatic disorders? 325 Bullets 325
93. What are the general recommendations for health care providers working with patients with symptomatic disorders? 325 # 1-6 325
94. Review Table 17.4 326 326
95. Why is doctor shopping prevalent among patients with SSD? 326 326
96. What are possible Advanced Practice Nursing treatments for SDD? 96. What are possible Advanced Practice Nursing treatments for SDD?
97. Compare and contrast Factitious Disorder and Factitious Disorder imposed on another? 327, 328 327
98. What is malingering and why might it be confused with SSD? 328 328
99. What are process addictions? 408, 409 408
100. Define Addiction, Intoxication, Tolerance, and Withdrawal. 409 409
101. What percent of our population is estimated to have a Substance Use Disorder (SUD)? 409 409
102. Which psychiatric disorders are twice as likely to also involve a substance use disorder (SUD)? 412 412
103. By what percent does inheritance factor into Alcohol Use Disorder (AUD)? 412 412
104. Which major neurotransmitter is involved in developing SUD’s? 413 413
105. How does naloxone reverse opioid overdose? 413 413
106. How should PCP intoxication be treated 415 415
107. What age groups are most likely at risk for inhalant use disorder? 413 413
108. What are the potentially serious outcomes of inhalant use? 414 414
109. What behaviors and signs may we see with opioid intoxication? 416 416
110. What three symptoms are strong indicators of opioid overdose? 416 416
111. What is methadone -Methadone and how is it used to treat opioid addiction? 417 417
112. What is buprenorphine-Suboxone and how is it used to treat opioid addiction? 417 417
113. What is naltrexone- Vivitrol and how is it used to treat opioid addiction? 417 417
114. What is the overdose treatment for Sedative, Hypnotic and Anxiety Medication intoxication? 417 417
115. Review the DSM-5 Criteria for AUD and what two criteria are needed within 12 months? A #1-11 419 419
116. How do the DSM-5 criteria for AUD define tolerance and withdrawal? 419 419
117. Review and know well Table 22.3 419 419
118. Define binge drinking 419. 419
119. What equals a standard drink? 420 420
120. What are the signs and symptoms of alcohol withdrawal? (Do not memorize time frames) 420 420
121. What class and also names of medications may treat alcohol withdrawal? 420 420
122. Heavy drinkers are at risk for what medical complications, why does each occur, and what does each do to the body? 420-422 422
123. What is SBIRT? ?
124. Review Table 22.4 ?
125. Review Care Continuum for Substance Use Disorder? 427 427
126. Complete Chapter Review questions? 426-427 426-247
Created by: haalii
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