Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nurs 327 > Week 2- anxiety/mood/affect/ de-escelation techniques > Flashcards

Week 2- anxiety/mood/affect/ de-escelation techniques Flashcards

1
Q

types of

adverse childhood experiences

ACEs

A
  • abuse
  • neglect
  • household dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

impact of ACE’s on health through lifespan

order at which it occurs-7 steps

A

adverse event –> disrupted neurodevelopment –> cognitive impairment –> health risk behavior –> social problems/disease –> early death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

trauma informed approach

emphasis on

A
  • heavy emphasis on safety and choice/collaboration
  • not problem focused but strength focused
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

core principles

trauma informed care

A
  • safety
  • transparency
  • peer support
  • collaboration
  • empowerment
  • humility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

trauma informed care

what to do vs not do

A

avoid medicalized jargon, be careful with labels, education about trauma and management is NOT the first priority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

recovery oriented care

definition

A

the process through which people find ways of living meaningful lives with or without symptoms of their condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

recovery model

A
  • what is needed for well being
  • individual focused
  • promote personal recovery
  • share control
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

recovery orient care

components

A

expect periods or relapse or difficulty and know that mental health problems can be lifelong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

relapse

if it occurs you should

A

learn (triggers), review (careplan), renew (action plan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

anxiety

A

most common mental illness defined as the fight, flight, or freeze response or reaction that occurs in response to perceived threat
- often begins in childhood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

GAD

generalized anxiety disorder

A

general feeling of dread linked to perception of unpredictability of situations
- will seek constant reassurance
- difficulty focusing
- difficulty sleeping
- irritability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

panic disorder

A

fear of panic attacks or consequences
- will avoid activities linked to strong sensations
- avoids places where prior attacks have occured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

OCD

obsessive compulsive disorder

A

fear of unwanted thoughts, image, or urges
- constant worries about germs
- worry about harming others
- ritualized activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

compulsions

A

any behavior performed to help make the anxiety go away

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

PTSD

post traumatic stress disorder

A
  • symptoms will begin in first 3 months after trauma but can be delayed
  • can affect anyone experiencing trauma
  • associated with SI
  • intrusive memories
  • substance use may be common for coping

not an anxiety disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

mild anxiety

peplaus levels of anxiety

A

enhanced learning and optimal function
- some anxiety can be good

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

moderate anxiety

peplaus levels of anxiety

A

decreased concentration and decreased problem solving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

severe anxiety

peplaus levels of anxiety

A

serious impairment in cognition, physical and emotional symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

panic anxiety

peplaus levels of anxiety

A

complete loss of focus, marked functional impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

typical presentation of anxiety in children

A

will focus more on somatic such as headache, body pain, sore tummy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

typical preentation of anxiety in adults

A

may go unrecognized such as disturbed sleep and any physical symptoms will be seen as other illnesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

euthymia

definition

A

the “normal” or tranquil mental state/mood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

euthymia

mood/energy/cognition

A

healthy fluctuations in energy, mood, and cognition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

mild to severe melancholy

mood/energy/cognition

A

low to no feelings of energy or mood, no information processing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

mild to severe mania

mood/energy/cognition

A

little to no information processing and mood and energy will be very high or none at all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

major depressive disorder

A

depressed mood most of the day nearly every day
- vegetative shift
- will cause significant disruption in life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

depressive state

symptoms associated

A

decreased: appetite, energy, libido
increased: sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

manic state

symptoms associated

A

decreased: sleep
increased: appetite, energy, libido

29
Q

risk factors for mood disorders

A
  • stress
  • trauma
  • neglect
  • abuse
  • genetics
  • medical issues
  • social issues
30
Q

bipolar disorder I

A

usually presents as major fluctuations between major depression and severe mania

31
Q

cyclothymia

A

fluctuations in mood but not to the extent of bipolar

32
Q

bipolar disorder II

A

fluctuates from mild mania to major depression

33
Q

impacts/consequences of bipolar disorder

A
  • financial
  • impulsivity
  • sexual
  • physical harm
  • substance use
  • violence
34
Q

primary prevention

anxiety and mood disorders

A

reduce poverty, racism, violence, stress, social inequity and exclusion

35
Q

secondary prevention

anxiety and mood disorders

A

screening aimed at early detection but that is not a diagnosis
- PHQ-2
- GAD-7
- BDI
- GDS
- Ham-D

36
Q

physical signs to assess for anxiety and mood disorders

A
  • thyroid palpation
  • cranial nerves
  • lab tests (TSH, CBC, electrolytes)
  • GI or sleep disturbances
37
Q

highest risk for suicide

signs

A

low mood, high energy, elevated cognitive capacity
- sometimes people with severe mania

38
Q

escelating risk of suicide

signs

A

low mood, energy and cognition cycling up
- moderate depression

39
Q

decreasing risk of suicide

signs

A

low or “suicidal” mood, energy and cognition cycling down
- mild state of mania to mild state of depression

40
Q

common nursing priorities

A

ineffective coping/role performane, insomnia, imapired communication, social isolation, risk of trauma or harm

41
Q

interventions

anxiety

A

calm and simple instructions, clear statements, disrupt negative thibking and distortions

42
Q

interventions

for panic

A

direct to breathing and different types
- pursed lip or alternate nostril breathing is best

43
Q

basic care

A
  • establish routine
  • high calorie meal replacements (finger foods for manic patients)
  • establish healthy sleep
  • break down tasks into smaller steps
44
Q

goal setting

A
  • start small and then expand to higher level
  • should be obtainable
  • provide positive reinforcement
45
Q

intervening for safety

mania

A
  • use activities to expand energy
  • observation levels
  • distraction techniques
  • positive reframe
46
Q
A
47
Q

SSRI’s

A

first choice for anxiety and depression

48
Q

novel antidepressants

A

bupropion, mitrazapine, trazadone

49
Q

MAOIs

A

not 1st choice but can also be helpful for OCD

50
Q

benzodiazepines

A

used for panic or mania
- high risk for addiction

51
Q

mood stabilizers

A

used for bipolar disorder
- anticonvulsants, abilify
(3rd gen antipsychotic)
- need blood monitoring

52
Q

atypical antipsychotics

A

used for severe OCD, PTSD, or psychotic symptoms

53
Q

lithium

therapeutic range

A

very narrow therapeutic range; 0.6-1.2

54
Q

lithium toxicity

symptoms

A

blurred vision, tinnitus, thirst, polyuria

55
Q

behavioral incident

interviewing strategy

A

helps obtain concrete data to get around those who hide SI
- questions should recreate behavior in running narrative

56
Q

symptom amplification

interviewing strategy

A

assumes behavior occured and uses overestimation so the patient will provide true estimate

57
Q

gentle assumption

interviewing strategy

A

the behavior is assumed
- go back to broad if gentle assumption questions dont work

58
Q

normalization

interviewing strategy

A

gives permission for patient to feel or act a certain way

59
Q

aggression

A

emotion that results in verbal or physical attack

60
Q

violence

A

includes the intent to harm

61
Q

impulsive aggression

A

is externally provoked

62
Q

psychotic aggression

A

is related to symptoms of illness

63
Q

organized aggression

A

is driven by a motive or goal

64
Q

trigger

stage of crisis development

A

early signs of escelating behavior

65
Q

escelation

stage of crisis development

A

begining to lose ability to behave rationally

66
Q

outburst

stage of crisis development

A

behavior poses a risk to self or others
- loss of control

67
Q

recovery

stage of crisis development

A

decrease is physical and emotional energy

68
Q

steps for de-escelation

A
  1. identify issue
  2. validate
  3. provide opportunity to talk
  4. offer choices (no more than 2)
  5. give time to make choice
  6. reinforce positive outcomes
  7. prepare for restraints
  8. control environment

Nurs 327 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions