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Mental Health (Josh) > T3 - Blueprint 2 (Josh) > Flashcards

T3 - Blueprint 2 (Josh) Flashcards

1
Q

What are some reasons an older person may not report pain?

A

Fearing the meaning of pain, diagnosis, or treatment.

They may think pain is normal

Also, different cultures present pain differently

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2
Q

Worden’s Four Tasks of Grieving:

A

Task 1: Accepting reality of loss

Task 2: Using coping mechanisms to experience the emotional pain of the loss

Task 3: Changing the environment to accomodate the absence of the deceased

Task 4: Finding a meaningful connection w/ the lost entity while learning to live again

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3
Q

Which street drug used in Date Rape is called ‘black hole’ ‘kit kat’ and ‘special K’?

A

Ketamine

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4
Q

Somatic symptoms of — are common in elderly and mimic the signs of NCD.

A

depression (pseudodementia)

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5
Q

In what way can Life Review actually produce a negative response in Elderly Client?

A

if after reviewing they believe they have nothing of note accomplished in their life

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6
Q

What is difference b/t Reminiscence and Life Review?

A

Life Review is more directed or guided and constructs their story in an autobiographical way

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7
Q

What are the phases of Rape-Trauma Syndrome?

A

Acute Phase (2 weeks)

Long-Term Reorganization

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8
Q

What are the five categories of the Personality Theory of Aging?

A

Mature Men

Rocking Chair

Armored Men

Angry Men

Self-Haters

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9
Q

Which Aging Personality is strongly independent and presents a strong silent front and rely on activity to express their continuing independence?

A

Armored Men

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10
Q

Maladaptive Responses to Grief

A

Delayed (Inhibited) Grief

Distorted (Exaggerated) Grief

Chronic (Prolonged) Grief

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11
Q

Type of Loss:

loss that is not obvious to others

no one else can see/understand the loss

A

Perceived Loss

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12
Q

Type of Grief:

uncomplicated

usually goes through stages of grief and is accepting by 6 months

A

Normal Grief

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13
Q

Which drugs are used to sedate victims of Date Rape?

A

Gamma-hydroxybutyrate (GHB)

Flunitrazepam

Ketamine

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14
Q

Empathy or Sympathy w/ Borderline PD?

A

Empathy

  • encourage client to solve own problems
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15
Q

Type of Grief:

diffucult progression through the expected changes of the grieving process

work of grief is pronlonged

A

Dysfunctional Grief

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16
Q

— is a complex, eclectic treatment that combines cognitive, behavioral, and interpersonal therapies with Eastern mindfulness practices.

A

Dialectical Behavior Therapy

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17
Q

15% of all suicides are committed by persons –

A

65 or older (especially white men)

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18
Q

Anxiety in Elderly clients usually presnts as –

A

physical symptoms

  • fatigue
  • trembling
  • muscle tension
  • headache
  • nausea
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19
Q

— is similar to PTSD and often occurs to the victim of rape.

A

Rape-Trauma Syndrome

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20
Q

Which type of PD will attempt to split the staff and uses threat of self-harm?

A

Borderline

Class B

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21
Q

With which type of PD is it very important that we set limits?

A

Anitsocial

Class B

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22
Q

Type of Loss:

any loss of a valued person/item

A

Actual Loss

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23
Q

Why is the response to a major stressor more intense with elderly clients?

A

Autonomic Nervous System is more fragile

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24
Q

When would a Obsessive Compulsive PD need meds?

A

if they’re depressed

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25
Q

Schizoid vs. Schizotypal

Which one is the LONER and which one is the ECCENTRIC?

A

Schizoid = Longer

Schizotypal = Eccentric

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26
Q

What is the difference b/t Self-Haters and Angry Men?

A

Self-Haters turn their animosity on themselves instead of others

27
Q

Individual psychotherapy/cognitive behavioral therapy (like completing a project) is helpful w/ which PD?

A

Avoidant

Class C

28
Q

Which methods of drug administration work best w/ elderly?

A

Drugs given IM, SubQ, orally, rectally, are not absorbed as efficiently as drugs inhaled, applied topically, given IV

29
Q

With a schizoid personality, what should we respect?

A

the client’s need for privacy

30
Q

Type of Loss:

part of the cycle of life

anticipated but still intensely felt.

ex: retirement, menopause

A

Necessary Loss

31
Q

Which Theories of Aging are Psychosocial?

A

Personality Theory

Developmental Task Theory

Disengagement Theory:

Activity Theory:

Continuity Theory

32
Q

What should we remember concerning rape victims, even if it’s difficult for the client?

A

don’t shower until forensics have done tests

33
Q

What is the goal w/ Narcissistic PD?

A

place the client’s exaggerated self importance in perspective

help them develop empathy

34
Q

Cognitive functions that change w/ age.

A

BRAIN BEGINS TO SHRINK (atrophy)

Fluid intelligence declines (emotion, creative capability, spatial perceptions, esthetic)

Slower response/reaction time to questions or to danger

Slower reflexes

Slower response to changes in balance

Brain affects the sleep-wake cycle so changes in sleep pattern occur (more frequent awakening)

Loss in smell and taste

Change in gait

Problem solving ability declines

35
Q

Which street drug is called G or Liquid Ecstasy and is used in Date Rape?

A

Gamma-hydroxybutyrate (GHB)

36
Q

Which Aging Personality leans on others for support, disengage, and let most of lief’s activities pass them by?

A

Rocking Chair Men

37
Q

What are the three phases of Cycle of Battering?

A

Phase 1: Tension-building

Phase 2: Acute or Serious Battering

Phase 3: Respite or Honeymoon

38
Q

Who has advanced training in the collection of evidence for suspected or actual cases of sexual assault or other forms of abuse?

A

Forensic Nurse

39
Q

Which street drug used in Date Rape is called ‘roofies’ ‘club drug’ and ‘roachies’?

A

Flunitrazepam (Rohynpnol)

40
Q

In which phase of the Cycle of Battery does the batterer actually batter the victim?

A

Phase 2: Acute or Serious Battery

41
Q

What are physiological issues that cause increased drug S/E in elderly?

A

Decreased intracellular fluid

Increased gastric pH

Decreased gastric blood flow and motility

Reduced cardiac output and circulation

Decreased liver function

Slower metabolism

42
Q

Which anxiety disorder is strongly co-morbid with depression in elderly clients?

A

GAD

43
Q

Type of Grief:

letting go before the actual loss

A

Anticipatory Grief

44
Q

— has been shows to diminish self-destructive behaviors in clients with borderline PD.

A

Dialectical Behavior Therapy

45
Q

Which Aging Personality is bitter about life and have always shown some instability in their work and personal lives, and now feel extremely threatened by old age?

A

Angry Men

46
Q

Type of Grief:

loss that cannot be publicly shared or is not socially acceptable

ex: loss through suicide

A

Disenfranchised Grief

47
Q

Which maladaptive response to grief can lead to disabling behaviors preventing ADLs?

A

Chronic (Prolonged) Grief

48
Q

What are risks for cognitive decline w/ age?

A

Reduced efficiency of nerve transmission affecting response time and coordination

Decrease in neurotransmitters

Reduced brain weight due to loss of neurons – 10% loss in brain weight by age 90

Cerebral blood flow reduced 20%

Some changes in brain structures with aging – atrophy in frontal, temporal, parietal lobes; widening of the sulci; ventricular enlargement

49
Q

T/F: Provide nonjudgmental and sympathetic care to rape victims.

A

FALSE

nonjudgmental and EMPATHETIC care

50
Q

Men who batter are usually characterized as persons with —

A

low self-esteem

51
Q

Type of Loss:

unanticipated loss caused by an external event

ex: loss of job

A

Situational Loss

52
Q

Why are elderly clients more sensitive to Opioids?

Does this mean we don’t use them?

A

body doesn’t metabolize or excrete them as efficiently

we STILL give them for pain relief

53
Q

Mnemonic to remember Worden’s Four Tasks of Grieving

A

TEAR

To accept

Experience pain of loss

Adjust to new environment

Reinvest in the new reality

54
Q

Which phase of the Cycle of Battering is the abuse loving, attentive and contrite?

A

Phase 3: Respite or Honeymoon

55
Q

Does learning ability normally change w/ age?

A

no, it just takes longer to process info

56
Q

Can minor battering incidents occur during Phase 1 of the the Cycle of Battery?

A

Yes

victim will accept the abuse as deserved

57
Q

What are the three D’s that affect cognitive status as we age?

A

Delirium

Depression

Dementia (NCD)

58
Q

What is a SANE?

A

Sexual Assault Nurse Examiner

clinical forensic RN who has received specialized training to provide care to the sexual assault victime

59
Q

What is the primary task for Erikson’s Integrity v. Despair stage?

A

primary task of old age is to see one’s life as having been lived w/ integrity

in the absence of achieving that sense of having lived well, the older adult is at risk for becoming preoccupied w/ feelings of regret or despair

60
Q

What is Battering?

A

a pattern of coercive control founded on and supported by physical and/or sexual violence OR threat of violence of an intimate partner

61
Q

Two myths about aging and depression:

A

Myth 1: Pain is expected with aging

Myth 2: If patient doesn’t complain of pain, they’re not in pain

62
Q

Type of Loss:

losses normally expected due to the developmental processing of life

ex: not being able to move around like normal

A

Maturational / Developmental Loss

63
Q

Which Theories of Aging are Biological?

A

Genetic Theory

Wear and Tear Theory

Environmental Theory

Immunity Theory

Neuroendocrine Theory

64
Q

What are the Theories of Aging?

A

Genetic Theory

Wear-and-Tear Theory:

Environmental Theory:

Immunity Theory:

Neuroendocrine Theory

Personality Theory

Developmental Task Theory:

Disengagement Theory:

Activity Theory:

Continuity Theory

Mental Health (Josh) (26 decks)

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