Mental health

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What is self-esteem an individuals personal judgment of his own worth obtained by analyzing how well his behavior conforms to his self-ideal.
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
Type of body image disturbances Changes in body size, shape, and appearance ( rapid weight gain or loss, plastic surgery, pregnancy)
Clinical Manifestations of Obesity
- increased incidence of diabetes
- cardiovascular diease
- poor healing
Intervention for Obesity encourage excerise program
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
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
What is the Nursing Managment
1. accept coping mechanisms
2. discuss alterative coping mechanisms and problem solving situations
3. utilize techniques to decrease anxiety
Therapeutic Nursing process: the nurse helps to alleviate the discomfort of the client by
- promoting growth
-satisfying interspersonal relationships
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
a scientifically planned purposeful manipulation in the eviroment aimed at causeing changes in the behavior and personality of the client Milieu
Somatic Therapies ( what you do when talking doesnt work anymore)
Restraints it is important to have a drs order for applying restraints
Seclution
A feeling or state that is experienced as vague, uneasieness, tension, or apprehesion Anxiety
Physiological signs of anxiety
tachycardia
increased b/p
incresased perspiration
diatlated pupils
hyperventilation with difficult breathing
cold, clammy skin
dry mouth
constipation
phycological signs of anxiety
restlessness
agitaiton
tremors
startle reaction
rapid speech
lack of coordination
withdrawal
NURSING MGMT OF MILD ANXIETY HELP CLIENT IDENTIFY AND DESCIBE FEELINGS
OVERWHELMED, INABILITY TO FUNCTION OR COMMUNICATE, POSSIBLE BODILY HARM TO SELF AND OTHERS, LOSS OF RATIONAL THOUGH PANIC
INTERVENTIONS FOR PANIC
-PROVIDE NON STIMULATING, STRUCTURED ENVIROMENT
-AVOID TOUCHING
-STAY WITH CLIENT
- MEDICATE CLIET WITH TRANQULIZERS IF NECC.
AN INTENSE IRRATIONAL FEAR OF SPECIFIC OBJECT, ACTIVITY OR SITUATION PHOBIA
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
RECCURRENT, PERSISTANT, IDEA THOUGHTS OR IMPLUSES THAT ARE NOT VOUNTARY PRODUCED, MOST COMEMON INCLUDE THOUGHT OF VIOLENCE, DOUBT, CONTAMINATION OBSESSION
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
WHAT DO YOU DO WITH SOME ONE WHO HAS PTSD ENCOURAGE VERBALIZATION OF THE TRAUMATIC EVENT
NON THEARPUETIC RESPONSE TO A CLIENTS ANGER ARE
- DEFENSIVNESS
- RETAILATION
-CONDESCENSION
-AVOIDANCE
YOU CAN PREVENT AGGRESIVE CONTACT BY? EARLY RECOGNITION OF CLIENTS INCREASING ANXIETY
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
nursing intevention for violence
-establish eye contact
- avoid asking why instead ask whats bothering you
- listen more then you speak
Nursing interventions for manipulation/acting out
- be consistant and firm with behavior
- avoid involvement and intellectialization
-dont accept gifts or favore or flattery
use of threats, verabal insults, or other acts of degradation that are intended to be injurious or damaging to anothers self esteem emotional abuse
characteristics of victums of emotional abuse
low self esteem and depression
expereinces feeling of dependency, helplessness, or powerlessness
feels responsible for abuse or neglect
nursing intervention for rape encourgae the client to verbalize her feelings regarding the attack
symptoms of alcohol withdrawal
tachycardia
increased bp
diaphoresis
general personality charcteristics of drug abuse and dependence
- inability to cope with stress, frustration, or anxiety
- low self esttem and passivity
narcotic withdrawal symptoms of drugs onset of symptoms approx. 8-12 hrs following the last done
what is the nursing goal of drug tx? assist in medical tx during detox or withdrawal
bipolar can go from manic or depression
can occur at any age major depression
nursing goal for major depression to establish a therapuetic nurse-client relationship
sucidal danger signs
sudice plan
giving away personal items
saying goodbye
change in behavior
depression lifts
withdrawal
Characterisitcs of schizophrenic
-disturbance in though processes
- disturbance of affect
- disturbance of psyhcomoter behavior
-" " in perception
-" " in interpersonal
acknowledge clients experience but point out that you do not share the same experience