Mental health

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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