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NUR 205

QuestionAnswer
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
Created by: Sarabowden1
 

 



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