mental health. exam 3 Flashcards


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1

Anxiety

  • a feeling of uneasiness, uncertainty, and helpless
  • a normal emotional response to a real or imagined threat stressor

2

anxiety serves several purposes

  • a warning of impending danger
  • mild anxiety can increase learning by enhancing concentration and focus
  • uncontrolled anxiety often leads to ineffective and maladaptive behavior
  • a normal part of survival and growth

3

physical symptoms of anxiety

  • muscle tension
  • fidgeting
  • headache
  • problems with sleep
  • flight or fight reaction

4

anxiety in adolescents

ineffectively cope with anxiety often express themselves inappropriately

5

anxiety in adulthood

similar to younger counterparts, adults handle anxiety by using earlier established coping mechanisms

6

generalized anxiety disorder

individuals anxiety is broad, long lasting , and excessive: worried and anxious more often more often than not

7

panic disorders

  • more common than once thought
  • two types of panic disorders
  • associated with a agoraphobia
  • not associated with agoraphobia

8

phobic disorders

  • a phobia Is an internal fear reaction
  • phobias differ from common fears
  • phobias are obsessive in nature
  • people with phobias handle their anxieties ineffectively
  • characteristics of phobias vary with the culture

9

obsessive- compulsive disorder

  • specific behaviors must be performed to reduce anxiety
  • most common obsessions are related to cleanliness, dirt, and germs; aggressive and sexual impulses; health concerns; and sexual impulses; health concerns; safety concerns; and order and symmetry

10

behavioral addictions

addictive behaviors such as gambling, working, shopping, or excessive sexual activity

11

Mild anxiety can increase learning by enhancing concentration and focus

(t/f)

true

12

risk factor for anxiety

anxiety is greater in females

13

should all medical problems be ruled out prior to diagnosing ?

yes, they should be ruled out before diagnosing with any mental health problems

14

signal anxiety

learned response to an anticipated event

15

anxiety state

coping ability becomes overwhelming

16

anxiety trait

learned competent of the personality

17

mild anxiety

everything will be minimal

18

moderate anxiety

vital signs can be normal or slightly elevated

19

severe anxiety

fight or flight response kicks in and elevates

20

panic attack

more severe symptoms (tachycardia, chest pain)

21

anxiety in childhood

  • related to a Childs development level
  • problems associated with anxiety in childhood compulsions (phobias,seperation anxiety disorder, overanxious disorder, avoidant behavior)

22

schizophrenia can be _______

hereditary

23

what symptoms do older adults present with?

confusion, irritability or sleep changes

24

Generalized anxiety disorder

anxiety is broad, long lasting, and excessive : worried and anxious more often than not

-persistant worry >6 months, muscle tension, poor sleep

25

what is agoraphobia?

afraid to go outside & see people

26

what is obsession ?

the thought and compulsion is the action

27

PTSD

can reside from any trauma

-relieving of traumatic events or situations

28

cognitive behavior therapy

reframing distorted thoughts

29

what is depression ?

a mood defective disorder ranking high amount causes of disability

30

MOOD

prolonged emotional state that influences ones personal state and functioning

-they can be a communality with anxiety and lead to high risk suicides

31

sadness is not a clinical depression

clinical depression includes :

  • functional impairment
  • duration >2 weeks
  • sleep/appetite changes
  • suicidal ideation

32

what are some causes of mood disorders?

  • genetics
  • biochemical imbalances
  • environmental
  • other stressors
  • childhood experiences

33

situational depression

acute; depressive responses in children are tied to a specific event or situation

34

emotions in adolescence

  • depression in adolescence usually is related to 4 factors; self esteem, loneliness, family strengths, parent, and teen communications

35

emotions in adulthood

  • depression is very common in older adults
  • depression can be treated

36

how to detect depression in older adults

  • active listening
  • gentle questioning
  • alert assessment

37

mania

emotions that are elevated, explosive, and irritable accompanied by loss of identity, increased activity, and grandiose thoughts and actions

38

anhedonia

dont find pressure in what they are used too

39

mild depression

short lived- triggered by life events

40

moderate depression

persists over time & symptoms will interfere with daily living/ no energy to do anything

41

major depression

when depression is severe and lasts longer then 2 weeks

-symptoms range from paralysis to agitation

42

bipolar 1

episodes of depression alternate with episodes of bipolar illness

-more severe form of bipolar illness

43

bipolar 2

major episodes of depression alternate with periods of hypomania

-mood swings less dramatic

44

depression is what?

a whole body illness, it involves emotional, physical, intellectual, social, and spiritual issues

45

lithium is used in what?

bipolar disorder

46

normal lithium levels

0.6-1.2

NO TABLE SALT

47

interaction with table salt and lithium can do what to the body?

patient can go into a hyponaterimia state

48

low sodium levels is a high risk for what?

having seizures

49

lithium side effects

increased thirst, frequent urination, fine hand tremors, nausea , diarrhea, and weight gain

50

low sodium=

lithium toxicity

51

interventions

safety, medication adherence, building therapeutic support, encouraging small manageable goals

52

priority

assess suicidal ideation directly

53

which body system experiences more of the stress response ?

the GI tract

54

somatization

feeling the physical symptoms in the absence of disease or out of proportion to an aliment

55

another name for somatization

briquets syndrome or histaria

56

conversion disorder

considered to be a somatoform disorder in which the individual presents problems related to sensory or motor functions

57

la belle indifference

lacks concern or indifference about signs and symptoms

58

a samatoform disorder

where one has an intense fear of or preoccupation with having a serious disease or medical condition based on misinterpretation of body signs and symptoms

59

factitious disorder

involves intentionally producing s/s in another person

60

malingering

individual produces and symptoms to meet a recognizable goal

61

anorexia disorder

electrolyte imbalance biggest worry for cardiac dyssrythmias

62

description of a person with anorexia nervosa

  • tense
  • alerrt
  • hyperactive
  • rigid
  • young women

63

mortality rate for anorexia is due to

  • complications fo starvation
  • cardiac arrest
  • suicide

64

refeeeding syndrome

occurs when severely anorexic individuals resume eating

65

bulimia

binge eating

-treated with antidepressant

66

pica

persistent eating of nonfood items that lasts for longer than 1 month

-can be treated with a vitamin, mineral

67

insomnia

disorder of falling asleep or maintaining a sound sleep

68

primary hypersomnia

excessive sleepiness that usually begins at between 15 and 30 years of age

69

narcolepsy

a condition in which an individual has repeated attacks of sleep

70

obstructive sleep apnea syndrome

periods of apnea that repeatedly awake the individual

71

Ricardian rhythm sleep disorder

persistent pattern of sleep disruption that results from a mismatch between personal body rhythms and environmental demands

72

restless legs syndrome

disagreeable sensations that occur while an individual is falling asleep or is asleep

73

nightmare disorder

repeated frightening dreams that leas to abrupt awakenings

74

sleep terror disorder

repeated nightmares and abrupt awakenings accompanied by a panicky cry or scream and intense fear

75

sleepwalking disorder

episodes of complex motor movement during sleep

76

myths about suicide

suicide has always been present in society, but little effort was made to understand its nature until the beginning of the twentieth century

  • people who talk about it will not commit suicide
  • one does noted to take suicide threat seriously
  • only psychotic or depressed people commit suicide

77

suicide risk factors

  • hereditary or genetics
  • abuse/neglect
  • pressure on children
  • chronic or terminal illness
  • substance abuse
  • previous suicide attempts

78

factors in adolescence suicide

  • depression
  • poor impulse control
  • emotional isolation
  • dysfunctional or disrupted family

79

suicide in adults

loneliness

  • do not hesitate to ask patient about suicide
  • stay away and keep to themselves
  • few friends and family
  • dwell on the past