H360 Exam 1

mental wellbeing

each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively, and make a contribution to the community.

nutrition, exercise, sleep, trauma, social habits, genetics, supportive environment, spiritual wellness

8 subcategories of physical and mental health

diagnosis

Mental illness refers to all psychiatric disorders that have definable _______________

genetic, neurobiological, psychological, environmental

4 etiologies of mental illness

physiological, safety

what are the 2 basic needs in the Maslows hierarchy of needs

belongingness, esteem

what are the 2 psychological needs in the Maslows hierarchy of needs

trust vs mistrust

what is the first stage of Ericksons theory of psychoological development, happens during infancy

dsm5

what manual gives you "what defines a mental illness"

Milieu Therapy

A psychiatric philosophy that involves a secure environment (including people, setting, structure, and emotional climate) to effect positive change. Therapy relates more to the patient's environment. thinks about SAFETY

patricia benner

Caring as a foundation for nursing

Care and comforting interventions

Nurse-patient relationship

(person)

dorothea orem

Goal of self-care as integral practice of nursing

Promoting self-care activities of the patient

(person)

cognitive behavioral therapy

common short term therapy that does an Evaluation and modification of thoughts and behaviors

Therapist role: Active, directive and challenging

depression, eating, anxiety

what 3 mental illnesses use cognitive behavioral therapy

behavioral therapy

short term therapy that involves a correction of learned maladaptive behavior

Therapist role: Active, directive teacher

ptsd, ocd, panic disorder

what 3 mental illnesses use behavioral therapy

acute continuation maintenance

levels of intervention:

____________ phase -Prevent injury (usually put in hospital or therapy center)

_____________phase -Relapse prevention

______________ phase- Limit severity and duration of future episodes

mental status exam

Focuses on the patient's current state in terms of thought, behavior and feelings

Categories help organize a summary of the information gathered

problem, health promotion, risk

what are 3 types of nursing diagnosis

problem focused

what type of diagnosis would the following be?

Anxiety r/t losing employment and financial burdens aeb stating "I can't concentrate", crying, restlessness, and insomnia

health promotion

what type of diagnosis would the following be?

Readiness for enhanced coping aeb seeking social support and knowledge of new strategies.

risk focused

what type of diagnosis would the following be?

Risk for self-mutilation aeb impulsivity, inadequate coping, isolation, and unstable self-esteem

sensory perception

the ability to receive sensory input and, through various physiologic processes in the body, translate the stimulus or data into meaningful information.

sensory overload

what occurs when one or more body senses experience over-stimulation from the environment?

sensory deprivation

what occurs when there is a loss of stimuli to one or more senses. Can be extremely anxiety provoking.

hypothalamus

what part of the brain stem controls basic drives and link between thought and EMOTION and function of internal organs

core

what part of the brain stem regulates internal organs and vital functions

brainstem

where is the processing center for sensory information

cerebellum

what part of the brain regulates skeletal muscle, Maintains equilibrium

cerebrum

what part of the brain regulates Mental activities

Conscious sense of being

Emotional status

Memory

Control of skeletal muscles—movement

Language and communication

ct, mri

what 2 Structured imaging techniques visualize the brain

pet, spect

what 2 Functional imaging techniques visualize the brain

benzos

what type of drug works by Keeping the channel open, resulting in hyperpolarization of the neurons

anti depressant

what type of drug works by Preventing reuptake, increasing the amount of NT in synaptic gap

cholinesterase inhibitors

what type of drug works by destroying neurotransmitters in gap

mood stabilizers

what type of drugs Works on the electrical activity of the neuron, slowing the charge. Some block neuron transmission

anti psychotic

what type of drugs work by Blocking the receptors

norepinephrine

what neurotransmitter is a stress hormone- fight or flight

serotonin

what neurotransmitter deals with mood regulation, GI functioning, hunger, pain

dopamine

what neurotransmitter deals with reward/pleasure- mood, energy, motivation, addictions

glutamate

what neurotransmitter deals with excitatory- learning, memory, restlessness

gaba

what neurotransmitter reduces neuron activity, calming, also known as γ-Aminobutyric acid

neuropeptides

what neurotransmitter helps communication between neurons/receptors

acetylcholine

what neurotransmitter deals with muscle strength, pain, sleep, endocrine

suicide

Intentional act of killing oneself by any means

suicidal ideation

Thinking about killing oneself

completed suicide

Suicide successfully resulting in death

nonsuicidal self injury

Self-injury directed to the surface of the body to induce relief from a negative feeling/cognitive state or to achieve a positive mood state

roman catholic

what religion has the lowest risk for suicide

male, caucasian, older

what are 3 nonmodifable risk factors for suicide (along with physical health and psychiatric disorders)

sexual minority youth

who were more likely to report suicide ideation

suicide behavior disorder

DSM-V would diagnose what disorder with the following characteristics?

Attempt within last 24 months

Attempt was not initiated in delirium or confusion

Attempt was not undertaken for a religious or political objective

overt

__________ statements "I cant take it any more"

covert

__________ statements "I won't be a problem much longer"

prevention

what level of intervention is activities that provide support, information, and education to prevent suicide

treatment

what level of intervention is treatment of the actual suicidal crisis

postvention

what level of intervention is interventions with a circle of survivors left by individuals who completed suicide to reduce the traumatic aftereffects

younger

nonsuicidal self-injury has an increase prevalence in ____________ generations

depression, anxiety, personality disorders, substance use

what are 4 risk factors for nonsuicidal self-injury

anger

An emotional response to frustration of desires, threat to one's needs (emotional or physical), or a challenge

aggresion

Action or behavior that results in verbal or physical attack

psychiatric, geriatric, emergency departments

In the hospital, what 3 areas is violence most frequent in

seclusion

Involuntary confinement alone in a room that the patient is physically prevented from leaving

restraints

Any manual method, physical or mechanical device, material, or equipment that restricts freedom of movement

gaba

what neurotransmitter is affected by Antianxiety and hypnotic drugs

norepinephrine, serotonin

what 2 neurotransmitters are affected by Antidepressant drugs

acetylcholine

what neurotransmitter is affected by Cholinesterase inhibitors

glutamate

what neurotransmitter is affected by Mood stabilizers

dopamine, serotonin

what 2 neurotransmitters are affected by Antipsychotic drugs

snri 2-4 sexual suicidal alcohol

SSRIs and _________s

___________ weeks for clinical response

GI sx, HA, __________ Dysfunction

Do NOT stop abruptly; May increase ____________ thoughts

Avoid ___________

tricyclic 2-4 hypotension lethal night

____________ Antidepressants

_________ week clinical response

Can cause sedation and orthostatic _____________

OTC Drugs can interfere

Do NOT stop abruptly

Highly __________ in overdose

Take it at _________

2-4 rarely fatal tyramine

MAOIs

___________ week clinical response

___________ used, requires close monitoring

Potential ____________ drug and food interactions

___________-Restricted Diet

gaba fall long

Benzodiazepines

connected to the ___________ neurotransmitter

increase ___________ risk

not used __________ term

avoid alcohol use

benzo

what drug is typically the first line/choice drug if a pt comes in appearing to be manic (answer is the shortened name version)

lithium 10-21 meals polyuria dehydration

_________- Main drug of choice for mood stabilizers

__________ days response time

Take with ________ due to nausea

Common, fine hand tremors, nausea, _________

Can cause ____________

Levels must be checked

anticonvulsants

Valproate, Carbamazepine, Lamotrigine, and Gabapentin are all mood stabilizers that fit into what category?