Exam 3

Question 1

Acute stress disorder

Answer 1

Sx less than a month
Intrusive sx, avoidant, neg cognitive sx, self-blaming, thinking neg about themselves

Question 2

PTSD

Answer 2

Sx last longer than a month
Disassociation from themselves or something from PTSD
Flash backs, intrusive thoughts, exaggerated startle reflects
Avoids anything that reminds them of the trauma

Question 3

Dissociative amnesia

Answer 3

Forgets part of event or pieces

Question 4

Dissociative fugue

Answer 4

Forgets everything about themselves
Forgets their identity
Sudden move to a different state and forget their previous identity

Question 5

Depersonalization

Answer 5

When someone doesn’t feel connected to themselves
Watching from outside their body

Question 6

Derealization

Answer 6

Person feels disconnected from their reality
Feels like they’re in a dream and nothing is real around them

Question 7

Dissociative identity disorder

Answer 7

2 or more distinct personalities present
Associated with extensive childhood trauma
Primal defense mechanism

Question 8

Somatic symptom disorder

Answer 8

Symptoms with no physical cause to why
Sx are involuntary and aren’t faking
No secondary gain

Talk about stressful events

Question 9

Conversion disorder

Answer 9

Physical Sx with no cause but sx are neurological (paralysis, deafness, blindness, numbness)

Talk about stressful events in their life

Question 10

La Belle indifference r/t conversion disorder

Answer 10

Pts aren’t as worried as they should be

Question 11

Factitious disorder

Answer 11

Voluntarily or intentionally causing their sx
Secondary gain (seeking attention)

Question 12

Factitious by proxy

Answer 12

Causing somebody else who is vulnerable to have symptoms for secondary gain

Question 13

Malingering

Answer 13

Voluntarily causing Sx or faking sx for secondary gain
Ex. disability checks when not really hurt, avoiding jail time and saying they’re suicidal

Question 14

Delirium

Answer 14

Medical emergency
Something else usually causing it
Fast onset
Find cause and treat
May experience hallucinations or illusions

Question 15

Dementia

Answer 15

Progressive and chronic
No cure
Avoid arguing with patient, limit choices
Do calm paint colors

Question 16

Who is highest risk for suicide

Answer 16

Older adults

Question 17

Dysgraphia

Answer 17

Impaired handwriting, spelling, or both

Question 18

Tourette’s syndrome

Answer 18

Ticks begin in childhood before 18 and diminish as they get older
Stimulants may increase tick severity

Question 19

Oppositional defiant disorder

Answer 19

Person seen as difficult and a troublemaker
All they want to do is argue and challenge authority

Question 20

Conduct disorder

Answer 20

Oppositional defiant disorder but more severe
Extremely violent and violate others
No empathy
Bullies
May be violent with animals, property and humans

Question 21

Cluster A personality disorders

Answer 21

Paranoid, schizoid and schizotypal

Question 22

Paranoid personality disorder

Answer 22

Patterns of distrustful behaviors
SUS of behaviors of others
May think others are trying to harm them
Hold grudges
May think spouse is unfaithful
Threatening and act out aggressively

Be straight to the point

Question 23

Schizoid personality disorder

Answer 23

Wants to be alone forever
Quite and restricted
Emotionally detached and monotone
May appear humorless or cold
Avoid being overly nice and don’t want to force them to do group therapies/socialize

Question 24

Schizotypal personality disorder

Answer 24

Paranoid and extreme social anxiety
Few intimate relationships
Unusual speech patterns
Dress in unusual ways
Unusual thoughts
Think they have special powers that can influence their thoughts

Don’t force them to group therapy

Question 25

Cluster B personality disorders

Answer 25

Histrionic, narcissistic, borderline, antisocial

Question 26

Histrionic personality disorder

Answer 26

Drama queen Everything exaggerated, attention seekers, self centered, flirtatious Relationships don’t last no insight why they are the way they are Set limits

Question 27

Narcissistic disorder

Answer 27

Entitled Exaggerated self worth Not empathetic and can’t put themselves in other peoples shoes Hate criticism and keep things professional

Question 28

Borderline personality disorder

Answer 28

Dramatic Severe impairment of functioning Impulsivity Self image distortion Unstable mood and relationships Extreme mood changes Splitting (can’t see good and bad- only one or the other) Manipulative

Question 29

Nursing management for borderline personality disorder

Answer 29

Establish very good boundaries If self mutilation present, don’t ask about it Straight forward communication

Question 30

Antisocial personality disorder

Answer 30

Violates rights of others Deceitful and manipulative for personal gain Impulsive Risk taking Hostile if needs are blocked Can be charming Extremely difficult to achieve positive outcome

Question 31

Cluster C personality disorder

Answer 31

Avoidant, dependent and obsessive-compulsive

Question 32

Avoidant personality disorder

Answer 32

Extremely sensitive to rejection Feel inadequate Socially inhibited Avoid contact with fears, rejection, criticism, shyness and avoidance

Question 33

Nursing interventions for Avoidant personality disorder

Answer 33

Kind, accepting and reassuring Don’t push into social situations =severe anxiety

Question 34

Dependent personality disorder

Answer 34

Fear of separation and abandonment Very clingy and submissive Low self esteem Overwhelming need for someone else to take care of them

Question 35

Nursing interventions for Dependent personality disorder

Answer 35

Help with assertiveness Make decisions about wants and needs Be aware of countertransference

Question 36

Obsessive compulsive personality disorder

Answer 36

Limited emotional expression Stubbornness Indecisiveness Perfectionist/perseverance Rehearse social interactions