mental health exam 2

Question 1

Separation Anxiety

Answer 1

Excessive fear or anxiety when separated from an individual to which the client is emotionally attached.

Question 2

Separation Anxiety: findings

Answer 2

signs of anxiety and concern when separated from someone they have an emotional attachment, fearing that something tragic will occur resulting in permanent separation.
Disrupts the ability to participate in routine daily activities.
Physical signs of anxiety develop during the separation or in anticipation of the separation and include headaches, nausea and vomiting, and sleep disturbance.

Question 3

Specific Phobia

Answer 3

an irrational fear of a certain object or situation.

Question 4

Types of phobia

Answer 4

Monophobia: Phobia of being alone
Zoophobia: Phobia of Animals
Acrophobia: Phobia of heights

Question 5

Specific Phobia findings

Answer 5

Client reports fear
The client might show fear while thinking of fear
The client might attempt to decrease anxiety through alcohol or other substance abuse.

Question 6

Agoraphobia

Answer 6

Extreme fear of certain places

Question 7

agoraphobia findings

Answer 7

avoiding places might affect employment or participation in routine activities of daily living.
The client’s fear and show of anxiety are out of proportion with the actual danger of the place/situation

Question 8

Panic disorder findings

Answer 8

last about 10min
feeling depersonalization
hot flashes, palpitation, sob, chest pain

Question 9

Social anxiety disorder

Answer 9

Excessive fear of social or performance situations

Question 10

Social anxiety disorder findings

Answer 10

Client report difficulty fear of embarrassment or poor performance
The client reports physical anxiety in an attempt to avoid the social situation or perform.

Question 11

Panic Disorder:

Answer 11

Experience recurrent panic attacks

Question 12

Panic disorder findings

Answer 12

last longer than 10 mins
Four or more of the following: Palpitations, Shortness of breath, choking or smothering sensation, chest pain, nausea, the feeling of depersonalization, Fear of dying or insanity, Chills or hot flashes
Behavior changes and or worries about the next attack.

Question 13

General Anxiety disorder:

Answer 13

uncontrollable, excessive worry for at least 6 months

Question 14

General Anxiety disorder: findings

Answer 14

Excessive worry for more than 6 months
Impairment in one or more areas of functioning
Showing signs of Restlessness, muscle tension, avoidance of stressful activities or events, increase time and effort requires to prepare for stressful activities or events, procrastination in decision-making, sleep disturbance

Question 15

Obsessive-compulsive disorder

Answer 15

Thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors such as repetitive cleaning of a particular object or washing of hands.

Question 16

Obsessive-compulsive disorder findings

Answer 16

attempts to suppress persistent thoughts or urges that cause anxiety through compulsive obsessive behaviors.
Obsessions or compulsions are time-consuming and result in impaired social and occupational function.

Question 17

Hoarding Disorder

Answer 17

Difficulty parting with possessions, resulting in extreme stress and functional impairments.

Question 18

Hoarding Disorder findings

Answer 18

The obsessive desire to save items regardless of value and experiences extreme stress with thoughts of discarding or getting rid of items.
This results in social and occupational impairment and often leads to an unsafe living environment.

Question 19

Body Dysmorphic disorder:

Answer 19

The client has a preoccupation with perceived flaws or defects in physical appearance

Question 20

Body Dysmorphic disorder findings

Answer 20

Attempts to conceal a perceived physical flaw and practice repetitive behaviors (mirror checks or comparison to others) in response to the anxiety experience over the perception. The client might have social and occupational impairment in response to the perceived physical defects or flaws.

Question 21

symptoms of GAD

Answer 21

restlessness, muscle tension, avoidance stressful activity, sleep distrubances

Question 22

Screening tools

Answer 22

Hamilton Rating Scale for Anxiety
Fear Questionnaire
Panic Disorder Severity Scale
Yale-Brown Obsessive Compulsive Scale
Hoarding Scale Self-Report

Question 23

nursing care

Answer 23

Conduct an interview to keep the client focused on the present.
Provide safety and comfort
Remain with a client during anxiety
Determine the risk of suicide.
Milieu Therapy: Structor environment for physical safety, Daily activities that encourage the client to share and be cooperative
Use Therapeutic communication
Have the client participate in decision making
Use relaxation techniques with the client as needed for pain relief
Install hope of a positive outcome
Enhance client self-esteem by encouraging positive statements and discussing past achievements.
Assist the client to identify defense mechanisms that interfere with recovery
Postpone reinforcing health teaching until after acute anxiety subsides.
Identify counseling, group therapy, and other community resources for clients who have anxiety.

Question 24

Acute Stress Disorder

Answer 24

Exposure to traumatic events causing anxiety or detachment for 3 days- 1 month

Question 25

Post-traumatic Stress Disorder

Answer 25

Exposure to traumatic events causing anxiety or detachment for 1 month - years

Question 26

stress disorder prevention

Answer 26

Beware of breaks, rest, adequate water, and nutrition.
Take support
Encourage staff to support one another
Encourage feelings to be expressed Counseling

Question 27

Findings ASD and PTSD

Answer 27

Flashback
Dreams
Memories of the event recur
Avoidance of people, places, events, or situations
Trying to avoid thinking of events
Anger, depression, irritable
detachment from others
Can’t experience positive emotions
Insomnia