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Test 3 mental Health
Term | Definition |
---|---|
Bipolar Disorder Causes | altered levels of serotonin, dopamine and norepinephrine will have an effect on mood. Increased levels- present in manic episodes and decreased in depressive ones – Genetics , stressful life events, medical conditions and medications can trigger an episo |
Bipolar 1 Bipolar 1 | - A full syndrome of manic symptoms and may have depression |
Bipolar 2Bipolar 2 | recurrent bouts of major depression with the episodic occurrence of hypomania- this patient may never have experienced a full episode of mania |
Manic state | The manic phase may last from days to months and cause marked disruption of occupational and social functioning. It can include psychotic features. |
Bipolar s/s | - Racing thoughts, flight of ideas,Talking a lot Very high self-esteem (false beliefs about self or abilities) Poor temper control, easily agitated and irritable Reckless behavior and lack of self-control Little need for sleep,Easily distracted |
Lithium | mood stabilizer |
Lithium normal levels | 0.5-1.2 ml |
Toxicity signs & symptoms | blood level can become elevated in dehydration, profuse sweating and chronic diarrhea, toxicity can cause tremors, confusion, seizures, coma and even death |
Lithium education | early signs of Toxicity include nausea vomiting and sedation |
Depressive Disorders causes | • Altered levels of serotonin/ norepinephrine will effect on mood • Genetics • Gender (2x of much more women report depressed • Self-concept and sense of helplessness may affect mood • Loss of grief may affect mood |
Types Of Disorder | • Major Depressive disorder,Dysthymic disorder Postpartum onset depression,Major Depressive disorder with Seasonal pattern,Substance-induced depressive disorder Premenstrual dysphoric disorder,Depressive disorder associated w/ another medical condition |
S/S of Depressive Disorder | Sad mood, Sleep pattern disturbances,Increased fatigue,agitation,Feelings of guilt or worthlessness,Weight loss /gain, Decreased interest in pleasurable activities,Decreased ability to think, remember, concentrate,Recurrent thoughts of death or suicide |
Depressive Disorder Treatments | • Antidepressants- REQUIRE SEVERAL WEEKS TO SHOW EFFECTS • Psychotherapy • Electroconvulsive therapy ECT • Transcranial magnetic stimulation- TMS |
Depressive Disorder Nursing Interventions | • Patience!!! • Promote honest/therapeutic communication • Provide consistent care • Healthy nutrition • Appropriate activity • Promote self-esteem • Small achievable goals |
Suicide Warnings Signs | verbal threats, expression of hopelessness, prior suicide attempts, risk-taking behaviors, talking about suicide, access to lethal methods |
Suicide Therapeutic communication | honest confrontational communication |
Suicide Nursing Interventions | threatens or talks about suicide must be taken seriously, monitor 10-15 minutes in the hospital facility, go home stay on the phone if not in a facility, maintain safety, remove all potential weapons, medications, crisis intervention per facility policy |
Generalized Anxiety Disorder cause | STRESS |
S/S Generalized Anxiety Disorder | restlessness, fatigue, difficulty focusing or not being able to think momentarily, irritability, tensed muscles, sleep difficulties, |
GAD Treatments | Maintain a calm milieu • Maintain open communication • Observe for signs of suicidal thoughts • Document any changes in behavior • Encourage activities |
GAD Treatments | Psychopharmacology Individual psychotherapy Group therapy Systematic desensitization Hypnosis, imagery, relaxation exercises, and biofeedback |
Panic Disorder-panic attack what is it? | recurrent condition is an abrupt surge of extreme fear or discomfort that cannot be controlled and that reaches a peak in a short period of time- can lead to intense fear and worry about happening again. |
S/S of Panic Disorder | fear of losing control of oneself, fear of dying, nausea, gastrointestinal upset, diaphoresis, chest pain, palpitations, shaking or tremors, numbness or tingling, unable to catch a breath |
acrophobia | fear of heights |
ailurophobia | fear of cats |
carcinomatophobia | fear of cancer |
decidophobia | fear of making decisions |
nyctophobia | fear of darkness |
odontophobia | fear of teeth or dental surgery |
scoleciphobia | fear of worms |
Thanatophobia | fear of death |
Agoraphobia | fear of being in open spaces |