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Psychology NUR 172 > Psych Exam 1 > Flashcards

Psych Exam 1 Flashcards

1
Q

Mental illness

A

loss of ability to respond to environment in accordance with oneself and society.

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2
Q

signs of mental illness

A

depressive episodes, aggressive, delusions, hallucinations, inability to function at work, dependent, lack of self-confidence, unstable relationships, substance abuse

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3
Q

signs of mental health

A

happiness, effective coping mechanisms, socially acceptable, contribute to society/family, effective at work, rational, stable relationships, healthy self-esteem, control over behavior, adaptable

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4
Q

What causes mental illness?

A

diathesis-stress model

mixture of genetic vulnerability and environmental stressors

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5
Q

difference between DSM V and nursing diagnosis

A

DSM V classifies mental health disorders and list criteria which needs to be met do be diagnosed with it.
Nursing diagnoses are use to develop a care plan of what the patient needs to get better

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6
Q

patient rights

A

right to treatment: humane, individualized, quality staff
right to refuse treatment
right to informed consent

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7
Q

When can a patient be withheld involuntarily?

A

danger to self or others, cannot meet own basic needs, in need of tx
generally court ordered: judicial, administration, or agency determination

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8
Q

stages of stress

A

alarm
resistance
exhaustion

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9
Q

eustress

A

“good” stress; helps us reach goals, take tests, critical thinking

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10
Q

distress

A 
prolonged, chronic effects of stress
negative to bodies
physiological and emotional harm
lowers immune system
exacerbates depression and anxiety
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11
Q

illnesses directly tied to stress

A 
depression
cancer
PTSD
heart disease
eczema
colds/flu
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12
Q

short-term effects of stress

A

increased HR, RR
increased triglycerides
increased blood to skeletal muscles
increased muscle tension

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13
Q

long-term effects of stress

A 
decreased immune system
increased resting HR
heart disease
high cholesterol
high BP
chronic muscle tension
obesity
digestive issues
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14
Q

GAS: Alarm

A

fight or flight reaction

SNS stimulation, increased HR, BP

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15
Q

GAS: Resistance

A

body returns to normal

stimulation of PNS, decreased HR, RR, BP

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16
Q

GAS: Exhaustion

A

chronic stress
resources become exhausted
immune system compromised

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17
Q

anxiety

A

fear without a feared object

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18
Q

normal anxiety

A

healthy, natural, motivating

doesn’t interfere with job/social life

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19
Q

acute anxiety

A

threatens one’s sense of security (public speaking)

20
Q

stages of anxiety

A

mild
moderate
severe
panic

21
Q

mild anxiety

A 
increased HR
heightened perception
alert
increased attention
can problem solve
slight discomfort
restless
irritable
fidgeting
nail biting
22
Q

moderate anxiety

A 
narrowed perception
selective inattention
difficulty concentrating
shakiness
short attention span
increased HR, RR
muscle tension
23
Q

severe anxiety

A 
hyperventilation
focuses on one specific detail
feeling of dread
loud, rapid speech
automatic behavior
cannot problem solve
24
Q

panic anxiety attack

A 
state of terror
hallucinations or delusions
disorganized irrational thinking
immobile or severe hyperactivity
dilated pupils
25
Q

Generalized Anxiety Disorder (GAD)

A

chronic psychiatric disorder associated with severe distress different from other anxiety disorders
pervasive cognitive dysfunction, impaired functioning, and poor health-related outcomes

26
Q

sx of GAD

A 
excessive worrying
restlessness
fatigue
poor concentration
irritability
sleep disturbance
muscle tension
27
Q

tx for GAD

A 
buspirone
SSRI
cognitive therapy
behavioral therapy
stress management
relaxation training
aerobic exercise
28
Q

obsession

A

persistent thoughts and impulses

29
Q

compulsion

A

ritualistic behaviors needed to reduce anxiety

30
Q

treatment for Obsessive Compulsive Disorder (OCD)

A

response prevention
thought stopping
deep breathing
fluvoxamine (Luvox) SSRI

31
Q

core features of personality disorders

A

inflexible/extreme thoughts
problematic emotional responses
ineffective impulse control
interpersonal problems

32
Q

Cluster A personality disorders

A

Paranoid
Schizoid
Schizotypical

33
Q

Paranoid personality disorder

A 
distrust
suspicious
reluctant to confide
interpret others' actions as hostile
not good in social situations
34
Q

Schizoid personality disorder

A

detachment from social relationships
restricted range of emotional expression (flat affect)
loner
usually very attached to animals

35
Q

Schizotypal personality disorder

A

magical thinking
odd, bizarre, eccentric
peculiar speech
weird clothing

36
Q

Cluster B personality disorders

A

Antisocial
Borderline
Histrionic
Narcisstic

37
Q

Antisocial personality disorder

A 
deceit
manipulation
no remorse for hurting others
sense of entitlement
egocentric
lying
38
Q

Borderline personality disorder

A 
unstable, frequent mood changes
extremely impulsive
frequent anger
try to split people
recurring suicidal behavior/threats
39
Q

Histrionic personality disorder

A

attention-seeking
instant emotional changes from rage to friendly
exaggerated and rapid shift of emotions
superficial and shallow relationships

40
Q

Narcissistic personality disorder

A 
grandiosity
arrogant
need admiration
lack empathy
self-centered
manipulation
41
Q

Cluster C personality disorders

A

Avoidant
Dependent
Obsessive Compulsive

42
Q

Avoidant personality disorder

A 
social anxiety
feeling inadequate
low self-esteem
hypersensitive to negative evaluation
fear of rejection
avoid social situations
43
Q

Dependent personality disorder

A 
submissive and clingy behavior
need to be taken care of
seek others to dominate and protect them
lack of confidence
need direction
44
Q

Obsessive Compulsive personality disorder

A

preoccupied with orderliness, perfectionism, control
obsessed with rules and details
only one way to do things
usually lack sense of humor and interpersonal skills
financially stingy

45
Q

What do you assess for with personality disorders?

A

suicidal or homicidal thoughts
any related disorders
culture/background
recent trauma/loss

46
Q

Possible nursing dx for personality disorders

A

ineffective coping
impaired social interaction
risk for violence
risk for suicide

47
Q

treatment for personality disorders

A

milieu therapy
cognitive behavioral therapy
set limits for manipulation

Psychology NUR 172 (12 decks)

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