Mental Health Final Exam

Clinical Interview of a Child

Separate child & parent interviews

• will provide different information to create the final care plan

Atomoxetine

ADHD medication

• Sleep component

  • Allows them to sleep more effectively while still receiving their ADHD med

    • Med does not have the stimulant

    • For patients with sleep disturbances

Risk assessment for older adults

Depression

• potential SI

• Past suicide attempt?

• family history of suicide

• firearms in the home

• Alcohol use

• burden to family

• chronic medical condition

• social isolation

aphasia

alterations in language

apraxia

impaired ability to execute movement

agnosia

failure to recognize or identify objects

personality disorder. pt has intense emotions that mimic soap operas, leading to a pattern of interpersonal relationships and self-image

borderline personality disorder

• what other people think of them are what they are going to try and accomplish

• see the world in extremes

  • positive and negative

• ch. 30

Two examples of an antianxiety medication

• ativan

• buspar

rate

the porption of the cases in the population when compared with the total population

prevalence

total number of people who have the disorder within a given population at a specified time regardless of how long ago the disorder

point prevalence

a basic measure that refers to the proportion of individuals in the population who have the disorder at a specified point in time

incidence

a rate the includes only NEW cases that have occured within a clearly defined time period

recovery definintion

process of change through which pts. improve their health and wellness and they live a self-directed life

• striving for full potential

self determinism

making choices for oneself

Not guilty by reason of insantity

• unable to distinguish between right and wrong

• unable to control their actions at the time of the crime

• unable to leave hospital grounds without court approval

• not, guilty, committed to the mental health system

Ch. 4

Guilty but mentally ill

• the person is able to distinguish right from wrong

• criminal conviction sent to the correctional system

• will be subject to parole upon release

Ch. 4

aphasia

alterations in language

apraxia

impaired ability to execute movement

agnosia

failure to recognize objects

fidelity

being faithful to ones obligations and duties toward others

autonomy

each person has the right to make voluntary decisions

beneficence

act in a beneficial manner & cause no harm

veracity

one’s duty to tell the truth

maslow’s hierarchy of needs

self-actualization

esteem

love and belongings

safety needs

physiological needs

recovery model

A framework for all mental health disorders

• recovery is possible!

• ex. those with personality disorder

affect is defined as showing little or slow-to-respond to facial expression

blunted

flat

no facial expression

restricted

display one type of expression

inapporaitate

facial expression that is not congruent with the situation

cultural identity

• parts of the culture that shape who you are

• including language, traditions, and values.

cultural competence

knowing and being able to interact with those of a different culture

aranulocyosis - pt taking clozapine. what are some adverse reactions

Aranulocytosis = low WBC

• high fever

• sore throat

• mouth sores

Clozapine side effects

• stop immediately if are you start showing signs of Aranulocyosis

cognitive behavioral therapy

• building trust

• therapeutic relationship

• help pts focus on solving their own problems by changing the way they think and behave

methadone

aganosist medication

minuchin family model

• boundaries

• subsystems

• structure

bowen family model

• emotional

• cutoff

calgary family model

COMPLETE CARD

nursing interventions for an older adult with problems with their working memory

• written reminders

• speaking clearly & slowly

• using simple words

Ch. 18

the most commonly abused drug

alcohol

• impaired memory & concentration

• can lead to dementia disorders

• NOT a stimulant of the CNS

type D personality

type C peronsality

type B personality

type A personality

• wants the assessment to be over as quickly as possible

reasons for restraints

• direct threat to themselves or others

crisis definition

• inability to function like they normally do

• cannot be solved using normal methods

Ch. 21

parasuicide (or suicidal gesture)

a voluntary attempt without death

schizoaffective disorder

• have been diagnosed with a mood disorder

  • ex. depression, anxiety

• have occasional schizo symptoms

paranoid schizophrenia

• intense paranoia

• delusions

• auditory hallucinations

undifferentiated schizophrenia

• reduced emotional expression

brief psychotic disorder

• psychotic break

• sudden onset of emotional turmoil

• intense shift of affect lasting 1 day to 1 month at a time

kindling theory

exposure to repetitive sub-threshold stressors at vulnerable times

somatic symptom disorder

• go from provider to provider

• nothing to attach to their symptoms

ADHD with a sleep disturbance medication

• strateria