Psychiatric Nursing - CONCEPTS / DIAGNOSIS Flashcards
(19 cards)
It is a RESPONSE to IMMEDIATE DANGER.
Fear
It is an APPREHENSION over an ANTICIPATED PROBLEM.
Anxiety
Severe ANXIETY and FEAR are manifestations of?
Phobia
John is persistently and excessively afraid of snakes. Whenever he sees one, he feels intense anxiety and thus AVOIDS SNAKES AT ALL COST. John realizes, however, that this fear is unrealistic. John most likely has:
Specific phobia
Ted is fearful of INTERACTIONS with others and AVOIDS EATING IN PUBLIC. Ted most likely has?
Panic disorder with agoraphobia
A client is prescribed ALPRAZOLAM (XANAX) for ACUTE ANXIETY. What client HISTORY should cause a nurse to question this order?
Alcohol dependence
Which NURSING DIAGNOSIS would best describe the problems evidenced by the following client symptoms: avoidance, poor concentration, nightmares, hypervigilance, exaggerated startle response, detachment, emotional numbing, and flashbacks?
Post-trauma syndrome
Client has recurrent, distressing FLASHBACKS. What MEDICAL DIAGNOSIS does the patient have?
Post-traumatic stress disorder (PTSD)
A male client is admitted to a psychiatric facility by court order. This client has a long history of initiating fights and abusing animals and recently was arrested for setting the neighbor’s dog on fire. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since. His history suggests maladaptive coping. What does the patient have?
Antisocial Personality Disorder
A female client with BORDERLINE PERSONALITY DISORDER is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s WRISTS ARE SCRATCHED from a recent suicide attempt. Based on this finding, the nurse should formulate a NURSING DIAGNOSIS of?
Risk for violence: Self-directed related to impulsive mutilating acts
Kevin was diagnosed with ANTISOCIAL PERSONALITY DISORDER. The nurse noted BEHAVIORAL CUES of RIGID POSTURE, RESTLESSNESS, and GLARING which are cues of?
Potential for violence
A highly emotional client presents at an outpatient clinic appointment wearing FLAMBOYANT ATTIRE, SPIKED HEELS, and THEATRICAL MAKEUP. Looking at a slightly bleeding paper cut, the client screams, “Somebody help me, quick! I’m bleeding. Call 911!” A nurse should identify this behavior as characteristic of?
Histrionic personality disorder
Clients who has a dysfunctional DESIRE of INTIMACY but FEAR IT, have a diagnosis of?
Avoidant personality disorder
Dysfunctional clients who PREFER TO BE ALONE, are diagnosed with?
Schizoid personality disorder
A client at the psychiatric ward told the nurse, “I am getting a message from the beyond that we have been involved with each other in a previous life.” The nurse noted the client’s belief in SUPERNATURAL PHENOMENA. What does the client have?
Schizotypal personality disorder
The client demonstrates INFLEXIBILITY and LACK OF SPONTANEITY when dealing with others. What does the client have?
Obsessive-compulsive personality disorder
Clients who compulsively check their appearance and spend countless hours STARING at
themselves in the MIRROR due to preoccupation with an IMAGINED DEFECT in APPEARANCE will likely be diagnosed as having?
Body dysmorphic disorder
Closely resembles sitting in a lecture and “tuning out.”
Dissociation
It is characterized by the existence of two or more SUBPERSONALITIES, each with its own patterns of thinking.
Dissociative identity disorder
