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CH_MH test3

community and mental health nursing test 3

QuestionAnswer
Angeria (lack of energy)
Anhedonia (loss of pleasure or interest)
Avolition (passive, apathetic, social withdrawal)
Alogia (lack of spontaneity and flow of conversation)
Neologisms new, made up words
Echopraxia echoing/mimicking of movements
clang association rhyming
word salad mixed up, jumble.
Persistent EPS, usually appears after prolonged tx, persists after med stopped. Invol. contractions of: tongue, fingers, toes, neck, trunk, or pelvis. Lip Smacking, chewing, or sucking motion. A) tardive dyskinesia B) Neuroleptic malignant syndrome C) a A)Tardive dyskinesia (TD or TDK):
TX of TD stop med, change to other med, Cogentin No reliable treatment.
What is AIMS scale used for? detection of TD:
Neuroleptic malignant syndrome (NMS):
Acute reduction in brain dopamine activity plays a role in its development. Life threatening medical emergency, fatal in 10% of cases.Reduce consciousness, increased muscle tone, autonomic dysfunction. A) tardive dyskinesia B) Neuroleptic malignant syndro B)NMS
Tx of neuroleptic malignant syndrome TX w/: Parlodel, IV Dantrium, or ECT.
Produces: hyperthermia, hot/dry red skin, agitation, paralytic ileus, delirium, tachycardia, confusion, mental status changes, and worsening of psychotic symptoms and coma. A) tardive dyskinesia B) Neuroleptic malignant syndrome C) anticholinergic toxic C) antihcol. Toxic effect
Genetic Predisposition theory 22q1 deletion syndrome---identified.
Biochemical/neurostructural theory Normal cell communication is disrupted, excessive amount of dopamine
Acute dystonia sustained contraction of muscles—head and neck
Akathisia psychomotor restlessness, such as pacing, fidgeting
Pseudoparkinsonism -temporary combination of symptoms associated with Parkinson’s Disease. These symptoms might include tremors, impaired gait, stiffening of muscles, and reduced accessory movements
classification by biological and genetic characteristics such as color of skin. A) Race B) Ethnicity C) Cultural Diversity A) race
a collection of people who have common origins and a shared feeling of being one people. Represents the identifying characteristics of culture, race, region, national origin, religion. A) Race B) Ethnicity C) Cultural Diversity Ethnicity
when a variety of racial or ethnic groups join a common, larger group and coexist in a designed geographic area. A) Race B) Ethnicity C) Cultural Diversity Cultural Diversity
Self-exam of one’s own beliefs/values; how they influence beh. receptive to learning about culture of client. Recognize that health is expressed differently across cultures. Cultural awareness or cultural knowledge? awareness
Understanding of the client’s culture & their viewpoint Cultural awareness or cultural knowledge? Cultural knowledge
The effective integration of awareness and knowledge to obtain cultural data so they can meet the needs of clients. Cultural knowledge or Cultural skills skills
Cultural Encounter Interactions with people from other cultures, Seek opportunities to engage in cross-cultural interactions
Cultural Desire Nurse’s intrinsic motivation to provide culturally competent care,Cannot be taught – comes from within, May be more likely to have the desire when the organization reflects a philosophy that values cultural competency.
Cultural Preservation Assistive, supportive, facilitative, or enabling nurse actions and decisions that help the clients of a particular culture to retain and preserve traditional values, so they can maintain, promote, and restore health. accupuncture
Cultural Accommodation Assistive, supportive, facilitative, or enabling nurse actions and decisions that help clients of a particular culture accept nursing strategies.
Cultural Repatterning Helps them reorder, change, or modify their cultural practices when the practice is harmful to them.
Cultural Brokering Advocating, mediating, negotiating, and intervening between the client’s culture and the biomedical health care culture on behalf of clients.
Ascribing certain beliefs and beh. about a group to an individual w/o assessing for indiv. differences; May generalize; May be + or - A) prejudice B) stereotyping C)racism B Stereotyping
The emotional manifestation of deeply held beliefs about a group. A) prejudice B) stereotyping C)racism A) Prejudice
Judged by their color to be inferior in intelligence, morals, self-worth A) prejudice B) stereotyping C)racism. C) Racism
Cultural assessement Collect self identifying data, Focused on presenting problem & previous and anticipatory treatments, Identify cultural factors that may influence interventions and education, Requires therapeutic communication skills.
Rural adults are more likely than urban adults to have one or more of the following chronic conditions: heart disease, chronic obstructive pulmonary disease, hypertension, arthritis, rheumatism, diabetes, cardiovascular disease, and cancer.
Urban or rural? ↑ infant and maternal morbidity rates, ↑ motor vehicle crash-related injuries, ↑ health occupational risks, trauma and injuries, Higher rates of suicide. rural
Farmer/ranchers risks Environme-ntal hazards and __________ pesticides
Native Americans –__________, substance abuse, domestic violence Diabetes
African Americans – Diabetes, hypertension,_____________ infectious disease
Migrant farmworkers - Pesticides,________ infectious diseases
Native Alaskans – Infectious diseases,_________ and ________ depression, dental caries
Coal miners –, work-related accidents and trauma., _________ and _______ Depression/substance abuse
________________Blends primary care, public health, and prevention services, which are offered in a familiar and accessible setting community primary care
skin problems, neuromuscular, and respiratory problems. Acute Pesticide Poisoning or chronic pesticide problems? acute
Cancers, Parkinson’s disease, liver damage, infertility. Acute pesticide Poisoning or Chronic Pesticide Problems? chronic
Frequents problems for migrant families nutritional deficiencies for all ages, urinary tract infections, diabetes, dental caries, skin infections, and head lice
male adolescents with an injury death rate _____ as high for boys than for girls. twice
Teens: how much exercise/day? Media/tv time/day? 60 min, 2 hrs
What kinds of Treatment can teens get without parental consent Emergency care, Substance abuse, Pregnancy, Birth control
What is the most common reportable infectious disease? Chlamydia
Chlamydia Infects the ____________ ______and rectum of adults and causes ________and pneumonia in neonates genitourinary tract, conjunctivitis
Gonorrhea is Bacterium that infects the of the ___________ _________ genitourinary tract, rectum, and pharynx mucous membranes
Syphilis single, painless chancre. Primary, secondary or tertiary?? Primary:
Primary, secondary or tertiary. fever, malaise, sore throat, adenopathy, and rash Secondary:
Primary, secondary or tertiary. lesions, CNS involvement, cardiovascular Tertiary
Diagnosis made when person exhibits enduring behavioral patterns that deviate from cultural expectations in two or more of following areas: Ways of perceiving/interpreting self/others/events (cognition), Range, intensity, & appropriateness of emotional response (affect), Interpersonal functioning, Ability to control impulses
Cluster A is which? 1- Odd or eccentric (paranoid, schizoid, and schizotypal) 2-Dramatic, emotional, erratic (antisocial, borderline, histrionic, and narcissistic) 3-Anxious or fearful (avoidant, dependent, obsessive-compulsive 1
Cluster B is which? 1- Odd or eccentric (paranoid, schizoid, and schizotypal 2-Dramatic, emotional, erratic antisocial, borderline, histrionic, and narcissistic 3-Anxious or fearful (avoidant, dependent, obsessive-compulsive 2
Cluster C is which? Odd or eccentric (paranoid, schizoid, and schizotypal 2-Dramatic, emotional, erratic antisocial, borderline, histrionic, and narcissistic 3-Anxious or fearful (avoidant, dependent, obsessive-compulsive 3
Personality disorder: primary feature of distrust and suspiciousness toward others. 1-parnoid 2-schizoid 3-schizotypal 1-Paranoid
Personality disorder: Primary feature of emotional detachment. 1-parnoid 2-schizoid 3-schizotypal 2-Schizoid
Personality disorder: primary feature of odd beliefs leading to interpersonal difficulties. 1-parnoid 2-schizoid 3-schizotypal 3-Schizotypal
Paranoid interventions Approach:formal, business-like manner, refrain from social chitchat or jokes. Involve them in patient care since these patients have the need for control. One of most effective interventions: helping patients learn to validate ideas before taking action.
Schizoid or schizotypal? Pervasive pattern of social and interpersonal deficits marked by acute discomfort and reduced capacity for close relationships; also by cognitive or perceptual distortions and behavioral eccentricities. schizotypal
Schizoid or schizotypal? Aloof/indifferent and appear emotionally cold, uncaring, or unfeeling; Rarely experience pleasure or emotions; Little reactions to beautiful scenery, etc schizoid
Schizoid or schizotypal? Rich and extensive fantasy life but can distinguish fantasies from reality and no disordered or delusional thought processes are evident schizoid
Abnormal maturation of the CNS is considered to be the central factor contributing to this disorder __________ schizophrenia
Eugene Blueler coined term ___________. And identified the 4 A’s. What are they? Schizophrenia. Affect, Autism, Associative looseness, Ambivelence.
Type I Schizophrenia: onset of positive symptoms is? Insidious or acute? is generally acute.
Type I or type II? Respond best to typical neuroleptic medications type I
Type I or type II? better prognosis type I
Clozaril. ↑ risk for __________and agranulocytosis.. Weekly wbc counts for first___ months and then at least monthly. seizures, 6 months.
Conventional or atypical? metabolic syndrome: weight gain dyslipidemia, and altered glucose metabolism. atypical
Created by: kerinska