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NUR 205
| Question | Answer |
|---|---|
| Somatization | The process of transforming emotional distress. anxiety, or phychological conflict into physical symptoms. |
| Somatic Symptom disorder | Clients become excessively focused on symptoms and frequently seek medical care. |
| Illness Anxiety Disorder | Persistent fear of having a serious disease despite minimal or absent physical symptoms and negative diagnostic results. |
| Examples of Common Behavioral Illness Anxiety Disorder | Excessive internet searching (googling symptoms) Frequent body checking Reassurance seeking Anxiety about medical conditions |
| Functional Neurological Symptom Disorder | Involves sudden neurologic symptoms without an identifiable neurologic cause. |
| Possible Symptoms of Functional Neurologic Symptoms | Paralysis Blindness Deafness Seizure-like activity Loss of sensation Difficulty walking |
| Malingering | Intentional production or fabrication of symptoms for external gain. (Intentionally fakes or exaggerates symptoms for external gain) |
| Factitious Disorder | Intentional production of symptoms for emotional attention or to assume the "sick role" |
| Factitious Disorder Primary Goal | Attention Nurturing Sympathy Emotional support Being viewed as ill or injured |
| Factitious Behaviors | Fake symptoms Alter laboratory samples Lie about medical history Tamper with wounds Cause self-injury Take substances to induce self injury Frequently change providers/hospitals |
| Munchausen Syndrome | Severe, chronic form of factitious disorder. Repeatedly seeks hospitalization and intentionally produces illness behaviors over many years. |
| Characteristics of Munchausen Syndrome | Use fake names Travel between hospitals Leave abruptly when questioned Seek repeated admissions |
| Behaviors of Munchausen Syndrome | Self harm Faking seizures Causing bleeding Tampering with IV lines Self induced infections |
| Munchausen Syndrome (Proxy) | A caregiver intentionally causes, exaggerates, or fabricates illness in another person (Usually a child) to receive attention, sympathy, or praise. **CHILD ABUSE** |
| Common behaviors of Munchausen (Proxy) | Poison the victim Withhold food/medication Cause infection Suffocate the child briefly Alter lab samples Falsify temperatures or symptoms |
| Anorexia Nervosa | Life threatening eating disorder (Can be extremely thin, but think they're fat) |
| Characteristics of Anorexia Nervosa | Severe calorie restriction Intense fear of weight gain Distorted body image Refusal to maintain normal body weight |
| Types of Anorexia Nervosa | Restricting type ( extreme dieting, starvation, excessive exercise) Binge-eating/purging type (Binges, vomits, laxatives/diuretics) |
| Bulimia Nervosa | Involves recurrent binge eating episodes followed by compensatory behaviors designed to prevent weight gain. |
| Compensatory Behaviors for Bulimia Nervosa | Vomiting Laxative abuse Diuretics Excessive exercise Fasting |
| Physical Problems for Bulimia Nervosa | GI effect ( Gastric reflux, esophageal irritation, salivary gland swelling) Dental problems (Tooth enamel erosion, dental caries, chipped teeth) Metabolic problems (Hypokalemia, dehydration, electrolyte imbalance, dysrhythmias |
| Orthorexia Nervosa | Involves an unhealthy obsession with "pure" or healthy eating. |
| Eating disorders can cause | Cardiac dysrhythmias Severe electrolyte imbalance Malnutrition Suicide risk Organ damage |
| Substance use disorders | Involve maladaptive patterns of substance use causing impairment in social, occupational, or physical functioning. |
| Intoxication | Behavioral and physical effects occurring during substance use. |
| Withdrawal | Physical and psychological symptoms after stopping substance use. |
| Detoxification | Medical process of safely withdrawing from substances. |
| Tolerance | Needing more substance to achieve same effect. |
| Blackouts | Periods of memory loss during intoxication. |
| Misused Substances | Alcohol Opioids Cannabis Cocaine Methamphetamine Sedatives Hallucinogens Inahlants |
| Alcohol Use Disorder | Most commonly abused substance in the U.S. (Continues drinking even when it causes problems in their life.) |
| Alcohol Intoxication Symptoms | Slurred speech Poor coordination Impaired judgement Unsteady gait Blackouts |
| Severe Overdose (Alcohol) | Respiratory depression Hypotension Coma Death |
| Alcohol Withdrawal | Begins 4-12 hours after last drink. |
| Alcohol Withdrawal Symptoms | Tremors Sweating Anxiety Insomnia Nausea SEVERE SYMPTOMS ( Hallucinations, seizures, delirium tremens (fatal) ) |
| Alcohol Treatment Medications | Lorazepam Diazepam Chlordiazepoxide LONG TERM (Disulfiram, acamprosate, naltrexone) |
| Opioids | Opioids relieve pain and create euphoria but can rapidly lead to dependence. |
| Examples of Opioids | Heroin Fentanyl Morphine Oxycodone |
| Opioid Intoxication | Respiratory depression Pinpoint pupils Sedation Coma |
| Overdose Treatment for Opioids | Naloxone (Narcan) |
| Opioid Withdrawal Symptoms | Muscle aches Vomiting Anxiety Sweating Cravings |
| Stimulants | Drugs that speed up the central nervous system (CNS) Cocaine, Meth, Amphetamines. |
| Effects of Stimulants | Euphoria Hyperactivity Hypertension Hallucinations Tachycardia |
| Stimulant Withdrawal | Depression Fatigue Suicidal thoughts |
| Cannabis | Marijuana, weed, hemp. THC CBD |
| Cannabis Effects | Increased appetite Relaxation Dry mouth Red eyes Impaired coordination |
| Hallucinogens & Inhalants | Distort perception and may cause psychosis-like symptoms. LSD, PCP, ECTASY, PSILOCYBIN |
| Hallucinogens & Inhalants Symptoms | Hallucinations Panic Aggression Delusions Hyperthermia |
| PCP | Can cause: Violent behavior Seizures Hypertension Respiratory depression |
| Inhalants | Common household products inhaled for intoxication Glue, paint thinner, gasoline |
| Inhalant Effects | Dizziness Slurred Speech Brain damage Cardiac dysrhythmias |
| Dual Diagnosis | Substance use disorder + Mental illness |