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mental health test 3
test 3
| Question | Answer |
|---|---|
| What are 2 types of cognitive disorders? | Delirium & dementia |
| What means pertaining to thinking and the thought process? | Cognitive |
| Delirium & dementia are considered___________,that there is a known or presumed underlying cause. | Organic |
| Organic illness has been divided into.... | organic mental syndrome & organic mental disorders |
| What are the two most frequently occuring forms of organic mental disorders? | Dementia & delirium |
| __________ is usually reversible | Delirium |
| __________ is usually irreversible | Dementia |
| ________________ is an organic mental disorder | Alzheimer's Type Dementia |
| Delerium caused by a medical condition could result from... | Anesthesia, medications, pain or unfamiliar surroundings |
| What age group does delerium caused by a medical condition occur in? | any age group but sometimes it's more difficult for younger than older to recover from the disorientation |
| Fogging of consciousness-incoherent or slurred speech, perceptual disturbances, sleep cycle disturbances, increase or decrease in psychomotor activity, disorientation, memory impairment, symptoms that develop within several hrs to 2 days | Delirum |
| Feeling of depression, anger and freustration, forms of delirium(hallucinating, confusion, forgetting), forms of dementia(forgetting common info,inability to anser questions or process info) | HIV-Related Dementia |
| Trama to the brain, which is sometimes reversible and sometimes irreversible, may display signs of delirium or dementia or both | Dementia related to head injury |
| Alzheimer's is considered an _________________ | Organic mental disorder |
| What is progressive and irreversible; it worsens in time and at this point is not curable? | Alzheimer's |
| What age is the onset for Alzheimer's? | 30s and 40s |
| 1 in 10 people over the age of 65 have__________? | Alzheimer's |
| How many stage sof progression for Alzheimer's is there? | 4 stages |
| Slight memory loss, may wander and becomelost & disoriented to time and place is what stage? | stage 1 |
| Memory worsens, losses ability to make sound judgement, neglects personla hygiene, gromming and health | stage 2 |
| Forgetting worsens, may not identify own name or reconize family & close friends, may display inappropriate behaviors such as screaming, lose control of bowel & bladded & may become unsteady walking alone | stage 3 |
| Unable to care for self, unable to walk well if at all, incoherent, totally incontinent & may have seizures | stage 4 |
| Aricept is a medication approved for the treatment of Alzheimer's -type dementia. Nurses must be alert to what side effect? | bradycardia |
| Which statement is not true about alzheimer's disease A) It is a disorder B) It may occur in middle to late life c) It is a chronic disease D) It is caused by the aging & hardening of the arteries | D) It is caused by the aging & hardening of the arteries |
| Which of the following would you expect to see in a pt who been diagnosed with organic mental disorder A) Intact memory B) Appropriate behavior C) Disorganization of thought D) Oriented to person,place & time | C) Disorganization of thought |
| What are conditions in which there are physical symptoms with no organic cause and that physical symptoms are connected to a psychological conflict & these pts cannot control their symptoms,the symptoms are considered to be caused by unconscious mechanism | somatoform disorders |
| A nurse working with patients who have somatoform illnessess underestand the symptoms will be primarily... | Body related |
| Somatoform disorders are those with? | pHYSICAL SYMPTOMS WITH NO ORGANIC CAUSE |
| A pt has lost functional use of his rgt arm,there is no confirmation of organic illness, he seems willing to help himself,except for the inability to move his arm, he may be experiencing what? | conversion disorder |
| A major symptom of hypochondriasis is | Belief that an illness exists for which the patient cannot be helped |
| The best nursing action for a patient with hypochondriasis is to? | Assist the patient to focus on his or her abilities & strengths |
| No known or presumed underlying cause | Organic |
| 2 types of potential causes for organic are | Psychoanalytic theory & biological theory |
| What are some examples of psychoanalytic theory? | effects of fear, depression or anxiety |
| What are some examples of biological theory? | related to age, severe alterations in temperature, systemic illness, physical trauma & chemical trauma |
| This has more research to support the causes than psychoanalytic, it mimics treatable conditions and you need a complete physical exam & patient hx to rule out other medical.metabolic disorders | Biological Dementia |
| this is caused by a medical condition "Alzheimer's Disease" | Delirium |
| This is caused by HIV or by a head injury | Dementia |
| What is temporary, caused by anesthesia, meds, pain & unfamiliar settings, can affect any age group some times more difficult for very young than old to recover from | delirium caused by a medical condition |
| donepezil (Aricept) galantamine (Reminyl) rivastigmine (Exelon) are used to treat what? | Alzheimer's type of dementia |
| A reaction that converts anxiety into a physical symptom | Conversion Disorder |
| When is the onset for conversion disorder? | Adolescence or young adulthood |
| Decrease or loss with physical functioning, paralysis & blindness are most common & no supportive organic disease? | Conversion disorder |
| What is when anxiety is relieved by the dysfunction? | Primary gain |
| What is the benefit a person may acquire as a result of staying ill? | Secondary gain |
| What is a personal gain by faking symptoms? | Malingering |
| Professional patients and "worried about getting it" | Hypochondriasis |
| What is the onset of teens to 30's & is imagined defect in appearance:example facial appearance or ocd | Dysmorphophibia/body Dysmorphic Disorder |
| Onset of age 30; 13-35 systems & have unnecessary surgery | Somatization Disorder |
| Onset is at any age, more frequent in women than men | somatoform pain disorder |
| Examples of Somatoform pain disorder would be | psychalgia, pain that is usually not consistent and pain that doesn't change location |
| What is the apparent lack of concern for a disease (blindness) called? | La Belle Indifference |
| What would be the best nursing action for a patient with hypochondriasis? | Assist the patient to focus on his or her abilities and strengths |
| The somatoform disorder that has the symptoms of free-floating anxiety and pain that changes location is frequently called? | Somatization disorder |
| What are chemicals that alter a mood perception, mental functioning and or behavior? | Psychoactive drugs |
| What means the physical dependence on a substance? | Addiction |
| The ability to endure the effects of a drug or the need for higher amounts of the drug to produce the high is called | tolerance |
| the unpleasant physical, psychological or cognitive effects that result from decreasing or stopping the use of the chemical after regular use | withdrawal |
| This is a condition in which a person has had 3 or more of the following symptoms for 1 month or longer.... | substance dependency |
| The desired effects of Antabuse is? | Nausea, vomiting & palpitations |
| The defense mechanism most frequently demonstrated by the chemically dependent person is? | Denial |
| The best nursing action for people who are in active withdrawal is to? | Maintain safety for the patient |
| Nurses know that alcohol finctions as a... | CNS depressant |
| The patient who is experiencing delirium tremens is most likely to exhibit what type of hallucinations? | Visual |
| One of the major skills a chemically dependent family can learn during treatment is | Honest communication |
| Acampresate, Naltrexone (Revia) | New Generation of meds for alcohol-related diagnosis |
| Unpleasant physical, psychological or cognitive effects that result from decreasing or stopping the use of a chemical | Withdrawal |
| Physical dependency on a substance | addiction |
| Produe 3 times the amount of carbon monoxide, tar & nicotine of traditional cigarettes | Bidis |
| This is becoming the drug of choice;made from common household items | Methamphetamine |
| Dishonesty & inability to discuss the situation are strong components | Dysfunctional relationship |
| Improper use of alcohol & impaired social or occupational functioning;leading to signs of tolerance or withdrawal | Alcohol dependency |
| Conditions arising when well-meaning significant others actions take away the oppertunity for the user to become responsible for his or her own actions | Codependency |
| The ability to endure the effects of a drug or the need for higher amounts of the drug to produce the desired effects | Tolerance |
| Pattern of compulsive use of alcohol | Alcohol abuse |
| What are the 3 types of eating disorders? | anorexia, bulimia and morbid obesity |
| The eating disorder that is characterized as an aversion to food is called? | Anorexia Nervosa |
| The group of americans that appear to have the highest percentage of obesity is? | African Americans |
| An appropriate nursing diagnosis for a patient with anorexia might be? | Altered nutrition;less than required amount, as evidence by disinterests in eating |
| A key nursing intervention to help patients with eating disorders is? | Encourage the patient to express underlying feelings about food, body image and self worth |
| Bulimia nervosa is characterized by all the following except..A) Binging food B) Purging food after eating it C) Being able to control eating pattern D) Obession with body shape and size | C) Being able to control eating patterns |
| Excessive weight loss, intensive fear of being fat, excessive exercising, absence of period, sleeping very little & disorted body image is | Anorexia Nervosa |
| What disorder is where pt's abuse laxatives, diuretics, chew & then spit, vomit & abuse insulin | Anorexia Nervosa |
| What can cause low blood pressure, stunt growth, weekened pulse, tooth decay & even death | Anorexia Nervosa |
| What is binge eating; they consume huge amounts of food(50,000 cals per day) then is followed by forced vomiting? | Bulimia |
| Extreme dieting, abuse use of laxatives or ipecac syrup,diuretics, obession with food & eating, sensitive to body shape & weight, poor self concept, possible suicide, depressed,gulity & worthless and tooth decay | Bulimia |
| A disease in which the excess weight begins to interfere with basic physiological functions such as breathing & walking. Generally it can be defined as weighing 100 pounds more than you rideal weight & your bmi is 40 or greater | Morbid obesity |
| What are the biological reasons for morbid obesity | Number of fat cells in the body, hypothyroidism & diabetes |
| A nursing intervention that is appropriate for a patient who is suicidal | Teach heathier problem-solving skills |
| A person is more likely to commit sucide when he or she | is apparently feeling "better" |
| What is the sudden ability to recall personal information as a result of some physical or psychological trauma;it is not organic;it goes beyong ordinary forgetfulness & is not the kind of memory dysfunction found in dementia. | Psychogenic Amnesia |
| Who is Psychogenic amnesia more commmon in? | adolescents and young women |
| Wandering, confusion & disorientation and is usually temporary is s/s of... | Psychogenic Amnesia |
Created by:
jmbosworth1972
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