Mental health

Total Flash Cards » 41
 
1. 

What is self-esteem

 

an individuals personal judgment of his own worth obtained by analyzing how well his behavior conforms to his self-ideal.

 
2. 

Nursing interventions for low self-esteem (2)

 

1. Work and expand on whatever ego strenth the client possesses.

2. Mazimize the clients participation in the therapuetic relationship

 
3. 

Type of body image disturbances

 

Changes in body size, shape, and appearance ( rapid weight gain or loss, plastic surgery, pregnancy)

 
4. 

Clinical Manifestations of Obesity

 

- increased incidence of diabetes

- cardiovascular diease

- poor healing

 
5. 

Intervention for Obesity

 

encourage excerise program

 
6. 

What is the Psychosocial data assessment

 

- Family history = have any immediate family members sought psychiatric treatment or counceling

- Personal history = infor concering clients birth, growth and development, illness, occupation, marital histor, religous practices, use a tabacco , alcohol, and drugs

 
7. 

3 Coping or Defense Mechanisms

 

Denail= avoidance or disagreeable realities by ignoring or refusing to recognize them, probably simplest and most primative

Intellectualization= excessive reasoning or logic is used to avoid experiencing disturbing feelings

Regression= retreat in face of stress to behavior characteristic of any earlier level of development

 
8. 

What is the Nursing Managment

 

1. accept coping mechanisms

2. discuss alterative coping mechanisms and problem solving situations

3. utilize techniques to decrease anxiety

 
9. 

Therapeutic Nursing process: the nurse helps to alleviate the discomfort of the client by

 

- promoting growth

-satisfying interspersonal relationships

 
10. 

Phases of Therapeutic Communication

 

Intial phase - goal is to build trust

Working phase - goal is to established objectives or working agreement (a contract)

Termination phase - goal is to evaluate goals and set forth and terminate relationship

 
11. 

a scientifically planned purposeful manipulation in the eviroment aimed at causeing changes in the behavior and personality of the client

 

Milieu

 
12. 

Somatic Therapies ( what you do when talking doesnt work anymore)

 

Restraints it is important to have a drs order for applying restraints

Seclution

 
13. 

A feeling or state that is experienced as vague, uneasieness, tension, or apprehesion

 

Anxiety

 
14. 

Physiological signs of anxiety

 

tachycardia

increased b/p

incresased perspiration

diatlated pupils

hyperventilation with difficult breathing

cold, clammy skin

dry mouth

constipation

 
15. 

phycological signs of anxiety

 

restlessness

agitaiton

tremors

startle reaction

rapid speech

lack of coordination

withdrawal

 
16. 

NURSING MGMT OF MILD ANXIETY

 

HELP CLIENT IDENTIFY AND DESCIBE FEELINGS

 
17. 

OVERWHELMED, INABILITY TO FUNCTION OR COMMUNICATE, POSSIBLE BODILY HARM TO SELF AND OTHERS, LOSS OF RATIONAL THOUGH

 

PANIC

 
18. 

INTERVENTIONS FOR PANIC

 

-PROVIDE NON STIMULATING, STRUCTURED ENVIROMENT

-AVOID TOUCHING

-STAY WITH CLIENT

- MEDICATE CLIET WITH TRANQULIZERS IF NECC.

 
19. 

AN INTENSE IRRATIONAL FEAR OF SPECIFIC OBJECT, ACTIVITY OR SITUATION

 

PHOBIA

 
20. 

WHAT DO U NOT DO WITH A PERSON WITH A PHOBIA?

 

NOT FORCE THEM TO COME IN CONTACT WITH THE FEARED OBJECT OR SOURCE OF ANXIETY

 
21. 

RECCURRENT, PERSISTANT, IDEA THOUGHTS OR IMPLUSES THAT ARE NOT VOUNTARY PRODUCED, MOST COMEMON INCLUDE THOUGHT OF VIOLENCE, DOUBT, CONTAMINATION

 

OBSESSION

 
22. 

REPETITIVE, RITUALISTIC BEHAVIORS THAT ARE PERFORMED IN A CERTAIN FASHION TAHT RELIEVE AN UNBEARABLE AMOUNT OF TENSION, MOST COMMON INCLUDE HANDWASHING , COUNTING OR CHECKING

 

COMPULSION

 
23. 

WHAT DO YOU DO WITH SOME ONE WHO HAS PTSD

 

ENCOURAGE VERBALIZATION OF THE TRAUMATIC EVENT

 
24. 

NON THEARPUETIC RESPONSE TO A CLIENTS ANGER ARE

 

- DEFENSIVNESS

- RETAILATION

-CONDESCENSION

-AVOIDANCE

 
25. 

YOU CAN PREVENT AGGRESIVE CONTACT BY?

 

EARLY RECOGNITION OF CLIENTS INCREASING ANXIETY

 
26. 

What do you use or do to reestablish self control of the client who is hostil or aggesive

 

distract or remove the client from the immendiate enviroment

 
27. 

nursing intevention for violence

 

-establish eye contact

- avoid asking why instead ask whats bothering you

- listen more then you speak

 
28. 

Nursing interventions for manipulation/acting out

 

- be consistant and firm with behavior

- avoid involvement and intellectialization

-dont accept gifts or favore or flattery

 
29. 

use of threats, verabal insults, or other acts of degradation that are intended to be injurious or damaging to anothers self esteem

 

emotional abuse

 
30. 

characteristics of victums of emotional abuse

 

low self esteem and depression

expereinces feeling of dependency, helplessness, or powerlessness

feels responsible for abuse or neglect

 
31. 

nursing intervention for rape

 

encourgae the client to verbalize her feelings regarding the attack

 
32. 

symptoms of alcohol withdrawal

 

tachycardia

increased bp

diaphoresis

 
33. 

general personality charcteristics of drug abuse and dependence

 

- inability to cope with stress, frustration, or anxiety

- low self esttem and passivity

 
34. 

narcotic withdrawal symptoms of drugs

 

onset of symptoms approx. 8-12 hrs following the last done

 
35. 

what is the nursing goal of drug tx?

 

assist in medical tx during detox or withdrawal

 
36. 

bipolar can go from

 

manic or depression

 
37. 

can occur at any age

 

major depression

 
38. 

nursing goal for major depression

 

to establish a therapuetic nurse-client relationship

 
39. 

sucidal danger signs

 

sudice plan

giving away personal items

saying goodbye

change in behavior

depression lifts

withdrawal

 
40. 

Characterisitcs of schizophrenic

 

-disturbance in though processes

- disturbance of affect

- disturbance of psyhcomoter behavior

-" " in perception

-" " in interpersonal

 
41. 

acknowledge clients experience but point out

 

that you do not share the same experience