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Ch 14, 15, 16, 18

Mental Health Nursing

QuestionAnswer
Antisocial Personality Disorder a pattern of irresponsible, exploitive, and guiltless behavior with tendency to fail to conform to the law and exploit/manipulate others for personal gain. -sociopathic personality
Avoidant Personality Disorder individual with extreme sensitivity to rejection leading to avoidance of social contracts
Boderline Personality Disorder a disorder characterized by a pattern of intense and chaotic relationships with emotional instability and tendency toward self-destructive behavior
Histrionic Personality Disorder associated with extreme dramatic, excessive behaviors in someone who has a pattern of strong emotions
Narcissistic Personality Disorder a disorder that displays exaggerated self-love and self-importance
Obsessive-Compulsive Disorder (OCD) presence of obsessions and compulsions that the individual feels compelled to think about and perform that interfere with daily functioning
Obsessive-Compulsive Personality Disorder characterized by preoccupation with rules, orderliness, and control
Paranoid Personality Disorder consistent pattern of suspiciousness and mistrust that interferes with functioning in society
Personality sum of the behaviors and character traits of a person
Personality Disorder non psychotic, maladaptive behavior that is used to satisfy the self
Schizoid Personality Disorder a pattern of extreme detachment from social relationships and a restricted range of emotional responses
Schizotypal Personality Disorder a personality disorder characterized by odd and eccentric behaviors but not to the degree of schizophrenia
Self-Mutilating Behavior deliberate, self-injurious behavior such as cutting with the intent of causing nonfatal injury to attain the relief of tension
Splitting defense mechanism often used in those with borderline personality disorders when there is difficulty assimilating both positive and negative aspects of a situation
Catatonia rigidity and inflexibility of muscles, resulting in immobility or extreme agitation
Delusions fixed, false beliefs relating usually to persecution or grandeur
Echolalia repetition of phrases, words, or part of a word -often part of catatonia
Echopraxia repeating the movements of others
Extrapyramidal Symptoms (EPS) a variety of responses associated with drugs that antagonize the dopamine receptors outside the pyramidal tract, causing a variety of effects including tremors and rigidity
Hallucinations false sensory perception -can affect any of the 5 senses
Illusions misperceptions of a real external stimulus
Psychosis a mental state in which there is a severe loss of contact with reality
Schizophrenia serious mental health disorder characterized by impaired communication, alteration of reality, and deterioration of personal and vocational functioning
Schizoaffective Disorder a disorder manifested by schizophrenic behaviors with a strong element of mood disorders, including depression or mania
Schizophrenia Spectrum Disorder the gradient of psychopathology seen in schizophrenia from least to most severe
Agnosia loss of ability to recognize objects
Agraphia difficulty writing and drawing
Alzheimer's Disease a form of progressive dementia
Apraxia inability to carry out motor activities despite intact motor function
Chemical Restraint use of medication as a restriction to manage behavior or restrict patient freedom of movement
Delirium acute brain syndrome -rapid onset of cognitive impairments such as loss of memory and disorientation
Dementia gradual progression and deterioration of cognitive functioning that interferes with memory, language, and/or executive functions, such as organizing and abstraction -major neurocognitive disorder
Major Neurocognitive Disorder an acquired decline in mental ability severe enough to interfere with independence and daily life
Mild Neurocognitive Disorder less severe form of cognitive impairment than dementia
Neurocognitive Disorder clinically significant deficits in cognition or memory representing a major change from previous level of functioning
Nocturnal Delirium increased confusion and agitation at dusk
Physical Restraint any physical method of restricting an individual's freedom of movement, activity, or normal access to his/her body that cannot be easily removed
Pseudodementia depression in the elderly that mimics dementia
Vascular Dementia dementia caused by disruption in blood flow to brain, as in strokes
Anorexia Nervosa serious aversion to food, which can lead to malnutrition and death
Binge Eating Disorder recurrent episodes of binge eating that leads to feelings of distress -not associated with purging
Body Image individual's perception of his or her body
Body Mass Index (BMI) an approximation of body fat based on a calculation of weight divided by the square of one's height in adults
Bulimia Nervosa eating disorder in which a person experiences eating binges along with purging
Morbid Obesity condition of being abnormally overweight -weight that is 100 pounds or more above established norms
Obesity a body mass index greater than 30
Purging the act of attempting to rid the body of calories by self-induced vomiting or the excessive use of laxatives or diuretics
Negative symptoms found in those without schizophrenia disorder, but not those with lack of desire/motivation to accomplish goals, to form social relationships, inappropriate social behaviors, blunted affect and emotion
Positive symptoms found in those with schizophrenia but not in those without -excess or distortion of normal functions, delusions, thought disorders, hallucinations
Example of Delusions of grandeur "I am Napoleon Bonaparte"
Example of Delusions of Paranoia "The FBI is following me and wants to kill me"
Example of Delusions of Reference "Those people on the TV show are talking to me"
Example of Delusions of Physical sensations "I have no blood in me"
Example of Delusions of Thought insertion "The devil made me say that"
Depression in the elderly can be confused with dementia with the following symptoms: -forgetfulness -little effort to complete responsibilities -limited communication
What are the official causes of death for people with Alzheimer's disease? -aspiration pneumonias -infections -complications from falls ^all outcomes of immobility, swallowing disorders, and malnutrition
Mild Alzheimer's disease (early-stage) -problems coming up with right word/name -trouble remembering names with new people -challenges performing tasks in social/work settings -forgetting what was just read -losing/misplacing valuable object -increase trouble with planning/organizing
Moderate Alzheimer's disease (middle-stage) -forget events/one's personal history -moody/withdrawn -unable to recall own address/phone number -confusion with location/day -help with seasonal clothing -trouble controlling bladder/bowels -change in sleep pattern (nocturnal) -wandering/lost
Severe Alzheimer's disease (late-stage) -round clock assistance with ADLs -lose awareness of recent experiences/surroundings -changes in physical abilities, walk/sit/swallow -vulnerable to infections, especially pneumonia
Characteristics of Delirium -fluctuating levels of awareness -sudden onset -clouding consciousness -hallucinations/illusions -memory disturbances for recent events -highly distractible -reversibility possible with treatment
Characteristics of Dementia -slow/insidious onset, no fluctuation -deterioration cognitive ability -impaired long/short term memory -personality changes -focus on one thing for long time -usually irreversible
Successful weight loss programs need to include: -behavioral management activities such as setting weight-loss goals -improving diet or nutrition/increasing physical activity -addressing barriers to change/self-monitoring -strategizing how to maintain lifestyle changes
Created by: ahoyyitbeaddi
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