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mental health final
tara's mental health review
| Question | Answer |
|---|---|
| delirium develops | suddendly last 1 week to 1 month usually and can become dementia |
| dementia | chronic |
| causes of delirium | hypoxia, systemic infection, increased cardiac output, s/p, heaptic/renal dx, fluid/electrolyte imbalance, thymine defiency, encephalopathy, withdrawl, head trauma, |
| vascular dementia | can be mini strokes |
| children subject to abuse | causes depression |
| adults subject to abuse | low self-esteem |
| when screening for abuse | make sure you are alone with them |
| if someone abused can't leave | help develop safety plan |
| reasons why women stay in abusive environment | religous conviction, children together, fear of abuser, still in love, optimistic, think it is there fault, |
| crosses all socioeconomic, homo/hetero, sexual and teenage dating all subject to | abuse |
| tend to have a lot of trouble getting out of abusive situations | young girls |
| signs of abuse | child will lie out of fear, visit to emergency room delayed or story not matching injury, |
| elders difficult to tell if abused | because frail, could be scarred into silence, and dementia |
| all abuse must be reported except | domestic |
| autism | withdrawal of child into self fantasy world, temper tantrums, infancy to 3 years old is when you can notice, attachment to one toy |
| autism | lack speech, social skills, and behavior, flat affect, mood swings, repetitive self stimulating movements, |
| autism need | consistency in care |
| no link to vaccines | autism |
| s/s occur before age 7, but dx is after 7 with | ADHD |
| 6 symptoms, over 6 months, in 2 different environments | ADHD |
| with ADHD | give clear simple directions |
| treatments affective for ADHD | behavior therapy, meds, and family |
| ADHD | need consistency |
| ritalin | used for ADHD |
| s/e of ritilin | jittery |
| anorexia | watch while eating and one hour after |
| postpartum depression | last longer then 4 weeks |
| baby blues | mood disorder, not a clinical depression, self limit |
| causes of baby blues | lifestyle changes, financial changes, body image concern, isolation |
| anxiety is a problem when | it impairs your function |
| benzo's | ativan, xanex, can cause addiction |
| anorexia- be skinny and think your fat is called | dysmorphia |
| a client has disturbed body image..outcome criteria would be | percieving ideal body weight |
| bulimia | wght is normal |
| most important with bulimia | oral care |
| loss of knowledge, ability to identify 5 senses without memory loss | agnosia |
| absence of speech, difficulty communicating | aphasia |
| involuntary repetition of words or phrases ex:I had a bad day, bad day | palilalia |
| inability to do something on command even though it is understood | apraxia |
| can function normally, but no memory | amnesia |
| delirium is usually | tactile or visual |
| mood is | what you say you are feeling |
| affect | is how you look to me |
| delirium can last | days to months, usually runs its course in 5-7 days |
| only in females, stop talking, rare, usually around 6-18 months | retz |
| can talk, 0 social/relationship skills | aspergers |
| appropiate outcome for someone with advanced alzheimers | minimal anxiety attacks |
| have to be concerned about their self care with | delirium |
| late stage dementia concerned with | nutrition |
| aricept | med used with alzheimers |
| someone with OCD | try to decrease time spent |
| cause is unknown, hereditary | alzheimers |
| s/s of alzheimers | wondering, agitation, tangles in brain, enlarged ventricles, decreased acetacholyine, plaque in arteries |
| characteristics of abusive partner | low self esteem, poor problem solving and social skills, emotionally immature, jealous and possessive |
| always tell victims of abuse | its not their fault |
| goal of autism | demand consistency and maximize potential |
| tension associated with day to day living | mild anxiety |
| focus on immediate concerns; perceptual field narrowed | moderate anxiety |
| focus on specific detail: perceptual field greatly narrowed | severe anxiety |
| sense of dread of terror: disorganization of the personality | panic |
| nsg interventions for anxiety | slow controlled breathing, distraction such as talking with others, physical activity, preforming repetitive activity |
| recurrent thoughts | obsessions |
| repetitive behaviors | compulsions |
| with OCD if you stop ritual | it will increase anxiety |
| before ADHD dx | rule out any medical dx |
| nsg intervention for ADHD | child safety, simplify directions |
| bulimia is caused by | depression and anxiety |
| psychological issues with anorexia | power and control, slim cultural idea |
| nsg dx for anorexia | disturbed body image, imbalanced nutrition;less then, ineffective coping |
| occurs around the 4th week or anytime within the first year of having baby, more bad days then good | postpartum depression |
| if mother has thoughts of hurting herself or baby | big concern |
| disturbance of cognition with allusions or hallucinations | delirium |
| loss of previous memory function | dementia |
| meaningless imitation of motions made by others | echopraxia |
| nsg goal for delirium | free of injury |
| most common drug for dementia | aricept |
| nsg dx dementia | safety |
Created by:
lmtherrera
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