Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
mental health
personality and sexual disorders
| Term | Definition |
|---|---|
| risk factors for development of personality disorders | o Significant challenges in self-identity or self-direction o Have problems with intimacy within their relationships |
| cluster A | paranoid PD, schizoid PD, schizotypal PD |
| cluster B | antisocial PD, borderline PD, histrionic PD, Narcissistic PD |
| cluster C | avoidant PD, OCPD, dependent PD |
| paranoid PD | - longstanding distrust and suspiciousness of others based on the belief, unsupported by evidence that others want to exploit, harm or deceive the person, jealousy and controlling behaviors |
| schizoid PD | social withdrawal, restricted range of emotional expression, odd or eccentric because of discomfort with social interaction |
| schizotypal PD | behavior or appearance is odd, eccentric or peculiar, odd elaborate style of dressing, speaking and interacting |
| common interventions for cluster A | avoid being too kind, respect need to be alone, set limits and be consistent, focus on anxiety |
| antisocial PD | pattern of disregard for the rights of others and frequent violation of these rights, exhibit antagonist behaviors such as being manipulative for personal gain, or very hostile if one’s needs are blocked |
| borderline PD | - marked instability, impulsivity, identity or self-image distortions, unstable mood, unstable interpersonal relationships, marked emotional dysregulation |
| histrionic PD | extroversion and flamboyance, emotional, attention-seeking behaviors, very impulsive and flirtatious |
| narcissistic PD | - feelings of entitlement, exaggerated belief in one’s own importance, lack of empathy, poor self-esteem, hypersensitive to criticism |
| common interventions for cluster B | remain neutral, promote therapeutic relationships, model health behaviors and communication, healthy coping |
| avoidant PD | extreme sensitivity to rejection, feeling inadequate, socially inhibited |
| dependent PD | pattern of submissive and clinging behavior, intense fear of separation, have a need to be taken care of |
| obsessive compulsive PD | limited emotional expression, stubbornness, perseverance and indecisiveness, adhere to very strict standards and exhibit goal seeking behavior, perfectionism |
| common interventions for cluster C | be friendly and accepting, avoid power struggles, help identify stressors, allow for habits, monitor anxiety |
| splitting | - inability to view both positive and negative aspects of others as a part of a whole- results in viewing someone as a perfect person or terrible person |
| gender dysphoria | psychological stress that results from incongruence between one’s sex assigned at birth and one’s gender identity |
| paraphillic disorder | acts or sexual stimuli that are outside of what society considered normal but are required by some individuals to experience desire, arousal or orgasm |
| sexual dysfunction disorder | - disturbance in the desire, excitement, or orgasm phase of the sexual response cycle |
| risk factors for sexual disorders | o Cognitive factors- misinformation or ignorance regarding sexual and social interaction, unconscious guilt and anxiety regarding sex, anxiety related to performance, poor communication between partners |
| interventions and teaching for sexual disorder | Be empathetic, accepting and nonjudgemental Practice intentional self-reflection Maintain and reinforce appropriate interpersonal boundaries Assist the patient to connect with supportive peers and professionals Stress management skills |
| intoxication | Occurs when the individual uses a substance to excess |
| tolerance | occurs when a person is no longer responding to a drug in the way the person initially responded |
| withdrawal | a set of physiological symptoms that occur when a person stops using a substance |
| schedule I drugs | high potential for abuse and have no acceptable medical use- heroin, LSD |
| schedule II | high potential for abuse, are considered dangerous and are available only by prescription- methadone, meperidine |
| schedule III | low to moderate potential for misuse and are available only by prescription- testosterone, acetaminophen/codeine |
| schedule IV | low risk drugs and are available by prescription- Xanax, Ativan |
| schedule V | limited quantities of certain narcotics for treatment of diarrhea, coughing and pain- Lomotil, available over the counter (robitussin) |
| neurobiologic causes of addiction | o The dopaminergic neurons in the VTA are particularly implicated in the development of substance use disorders |
| risk factors for development of substance abuse | o Genetics o Neurochemical Individuals with too little natural opioid activity or too much opioid antagonism may be at an increased risk of misuse and abuse |
| hallucinogen intoxication | paranoia, impaired judgement, intensification of perceptions, pupillary dilation, tachycardia, sweating, blurred vision PCP is emergency |
| hallucinogen withdrawal | no official withdrawal diagnosis or pattern |
| inhalants intoxication | disinhibition and euphoria, fearfulness, auditory and visual hallucinations, distorted body image |
| inhalants withdrawal | no official withdrawal diagnosis |
| opioid intoxication | psychomotor retardation, drowsiness, slurred speech, altered mood, impaired memory and attention |
| opioid withdrawal | mood dysphoria, nausea, vomiting, diarrhea, muscle aches, fever, pupillary dilation |
| sedative, hypnotic and antianxiety intoxication | Slurred speech, incoordination, unsteady gait, nystagmus, impaired thinking and coma |
| sedative, hypnotic, and antianxiety withdrawal | autonomic hyperactivity, tremor, insomnia, anxiety, grand mal seizures |
| tobacco withdrawal | irritability, anxiety, depression, difficulty concentrating, restlessness, and insomnia Increase in weight, HR drops |
| stimulant use intoxication | feelings of elation, euphoria, increased sociability, hypervigilant, angry, tense, chest pain, high or low bp, weight loss, confusion |
| stimulant use withdrawal | - tiredness, vivid nightmares, increased appetite, insomnia or hypersomnia, agitation, depression and suicidal thoughts |
| overdose of opioids | - unresponsiveness, slow respirations, coma, hypothermia, hypotension, bradycardia |
| treatment of opioid overdose | aspirating secretions, insert airway, Naloxone (Narcan) |
| sedative, hypnotic, and antianxiety medication overdose | Coma, unresponsiveness, slow respirations |
| treatment for sedative and hypnotic overdose | Gastric lavage, activated charcoal, careful VS monitoring, IV fluids, endotracheal tube, mechanical ventilation |
| alcohol withdrawal | shakes or jitters, agitation, lack of appetite, N/V, insomnia, blood pressure increases, temp increases |
| CIWA | N/V, tremors, sweating, anxiety, agitation, auditory and visual disturbances, headache or fullness in head, tactile disturbances, orientation and clouding of sensorium |
| Wernicke | Characterized by altered gait, vestibular function, and ocular motility abnormalities |
| Korsakoff's Syndrome | chronic condition |
| treatment of Wernicke-Korsakoff syndrome | thiamine replacement |
| fetal alcohol syndrome | alcohol during pregnancy inhibits intrauterine growth and postnatal development Results in microcephaly, craniofacial malformations and limb and heart defects |
| CAGE | Have you felt you needed to cut down on your drinking Are people annoyed by your drinking Have you felt guilty about your drinking Have you ever had a drink in the morning (eye opener) |
| AUDIT | How often do you have a drink containing alcohol How many drinks containing alcohol do you have on a typical day How often do you have 6 drinks or more |
| disulfiram (Antabuse) | causes intense nausea and vomiting, sweating, and flushed skin with alcohol consumption |
| naltrexone | causes intense nausea and vomiting, sweating, and flushed skin with alcohol consumption |
| withdrawal medications for alcohol | Acamprosate Benzodiazepines (lorazepam) Diazepam Anticonvulsants Phenobarbital Clonidine |
| o Treatment of opioid use disorder | methadone, buprenorphine, naltrexone Overdose- Narcan |
| detoxification | medically managed inpatient program with 24-hour medical coverage |
| rehabilitation | typically includes 24-hour medical staff, provides intensive and specialized care |
| halfway house | - offer residential treatment in substance-free communal or family environment Focus is to extend period of sobriety following residential treatment |
| partial hospitalization | - provide a structured setting 3-5 days per week |
| outpatient | may be a mix of individual and group settings |
Created by:
ellabrewer3
Popular Nursing sets