VN 42 Mental Health Test 9 Flashcards
- Define Personality Disorder (PG.202)
nonpsychotic, maladaptive behavior used to satisfy the self.
- Describe the manifestations of a client with Borderline Personality Disorder (PG.211)
(FDUMBASSSS)
* Moods unstable and changeable
* Uncertainty regarding self-concept
* Substance abuse
* Suicide attempts
* Anhedonia
* Difficulty handling strong emotion
* Bored & empty feelings
* Fear of being alone
* Self-destructive behaviors
* Self-mutilation (cutting)
* Manipulative
- Describe the characteristics of a Paranoid Personality (PG.209)
*may experience jealousy
* Suspicious and mistrustful of other people
* May seem “normal” in speech and activity
* Believe that people treat them unfairly
* Hypersensitive to activity in the environment
* Difficult to maintain focused eye contact
* Not easily able to laugh at themselves
* Take themselves very seriously
* May not show tender emotions
* May seem cold and calculating in their relationships
* Tend to take comments, events, situations personally
* Few social interactions
* Loners
* Appear to be shy and introverted
- How does the client with a Narcissistic personality behave? (PG.209)
(LAACEEE)
* Exaggerated self-image
* Appears self-centered
* Lacks empathy for others problems
* Expresses need for self-importance
* Appears to take criticism lightly but in reality represses feelings of anger and resentment
* Expresses sense of entitlement
* Cheerful, carefree mood which can quickly change to distress if criticized
6.Describe OCD. What are compulsions and obsessions? (PG.208)
- disciplined and rigid to an extreme
- meticulous, perfectionistic, and demand accuracy and discipline in others.
- Compulsions: repetitive acts that may appear purposeful
- Obsessions: repetitive thoughts, urges or emotions
- What is the purpose of the compulsions in OCD?
- Helps reduce negative thoughts/feelings.
8 What does the Antisocial Personality require? (PG.209)
- Requires immediate self-gratification
9.Name the nursing interventions for clients with Personality Disorders. Include what must be consistently done (PP slide 17)
- Promote trust
- Set limits
- Use effective therapeutic communication
- Confront behavior as necessary
- Model positive behaviors
- Maintain calm & safe milieu
- What are Delusions? Hallucinations? Illusions? (PG.216)
- Delusions: fixed, false beliefs
- Hallucinations: false sensory perceptions
- Illusions: a misperception of a real external stimulus
- Describe Schizophrenia. (PG.216)
- Is a serious, chronic psychiatric disorder characterized by impaired reality testing, hallucinations (false sensory perceptions), delusions (fixed, false beliefs), limited socialization, flat affect, autism, ambivalence & loose associations.
- What is Echolalia? Echopraxia? Anhedonia?
- Echolalia: repeating words or phrases over & over
- Echopraxia: repeating the movements of others
- Anhedonia: inability to experience pleasure
- What is the first Nursing Intervention for a pt with Schizophrenia? (PG.223)
- Nurse must set limits also with personality disorders.
- Describe Delirium manifestations (PG.229)
- tends to manifest in the awakening hours
- Disturbance in attention & orientation to the environment (may need questions repeated or repeated orientation to situation)
- Memory deficit
- Language disturbance & or perceptual disturbance
- Alterations in sleep-wake cycle including hypervigilant state to stupor
- What is “Sundowners”, and what is the most appropriate nursing action?
Sundowners: from late afternoon into the night – increased confusion, anxiety/agitation, difficulty sleeping, pacing/wandering & disorientation
- Nursing Action: Keep lights on at night
- Describe the most important Nursing action for a pt who has Dementia and is in danger of causing harm to himself because he climbs out of bed and wanders (PG.238)
- Request restraint orders (last resort)
- Provide a safe environment where patient can walk or pace
- Distract the patient w/other activities
- Putting up large signs in the area reminding patient of his room or areas off limits
- Using alarms either on the patient or on doors to off-limit areas (e.g., exit door to stairwell). GPS tracking devices that patients can wear are now available as well.
- Engaging family and volunteers to closely watch the patient’s movements
