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Mental Health Disorders and Treatments, Exams of Nursing

This document covers a wide range of mental health topics, including psychotic disorders, somatoform and factitious disorders, personality disorders, eating disorders, and substance abuse. It provides detailed information on symptoms, diagnostic criteria, and treatment approaches for these conditions. The text delves into various psychotic disorders, somatoform disorders, factitious disorders, personality disorders, eating disorders, and substance abuse, discussing their management through medications, therapies, and monitoring.

Typology: Exams

2023/2024

Available from 08/12/2024

johnrays
johnrays 🇬🇧

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FINAL EXAM- MENTAL HEALTH (ATI)
2024
___ is a thought disorder that interferes with one's ability to recognize and to deal with
reality - ANS PSYCHOSIS
What manual can you find diagnosis for psychotic disorders - ANS DSM-5
What are examples of positive symptoms in psychotic patients - ANS o Hallucinations
o Delusions
o Bizarre behavior
o Alteration in speech
A psychotic patient will be experiencing __ and __ - ANS o hopelessness
o suicidal ideation
__ are false fixated beliefs that cannot be corrected by reasoning - ANS Delusions
If a patient states, "I am Zeus", he is experiencing an alteration in thought known as __
- ANS Grandeur
If a psychotic patient states, "My legs and arms are getting shorter", he is experiencing
alteration in thought known as ___ - ANS Somatic delusions
__ are projections that effect the sensory system in patients - ANS Hallucinations
What type of hallucination requires one-on-one communication with the patient? - ANS
Command auditory hallucinations
*Commands could be to harm their selves or others*
The nurse should provide a __ environment for the client in order to decrease anxiety
and to distract them from constant thinking about hallucinations - ANS SAFE
___ is a frightening and/or disturbing experience of not being within one's body or of
being in immediate danger of vanishing and or separating from reality - ANS
DEPERSONALIZATION
___ is an alteration in the perception or experience of the external world so that it
seems unreal - ANS DEREALIZATION
REPEATS WORDS - ANS Echolalia
Words only that the psychotic person understands - ANS Neologisms
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FINAL EXAM- MENTAL HEALTH (ATI)

___ is a thought disorder that interferes with one's ability to recognize and to deal with reality - ANS PSYCHOSIS What manual can you find diagnosis for psychotic disorders - ANS DSM- What are examples of positive symptoms in psychotic patients - ANS o Hallucinations o Delusions o Bizarre behavior o Alteration in speech A psychotic patient will be experiencing __ and __ - ANS o hopelessness o suicidal ideation __ are false fixated beliefs that cannot be corrected by reasoning - ANS Delusions If a patient states, "I am Zeus", he is experiencing an alteration in thought known as __

  • ANS Grandeur If a psychotic patient states, "My legs and arms are getting shorter", he is experiencing alteration in thought known as ___ - ANS Somatic delusions __ are projections that effect the sensory system in patients - ANS Hallucinations What type of hallucination requires one-on-one communication with the patient? - ANS Command auditory hallucinations Commands could be to harm their selves or others The nurse should provide a __ environment for the client in order to decrease anxiety and to distract them from constant thinking about hallucinations - ANS SAFE ___ is a frightening and/or disturbing experience of not being within one's body or of being in immediate danger of vanishing and or separating from reality - ANS DEPERSONALIZATION ___ is an alteration in the perception or experience of the external world so that it seems unreal - ANS DEREALIZATION REPEATS WORDS - ANS Echolalia Words only that the psychotic person understands - ANS Neologisms

Imitation of others is known as __ - ANS Echopraxia The characteristics of this schizophrenia are having delusions and hearing things that are not real - ANS PARANOID SCHIZOPHRENIA Schizophrenia that is marked by thoughts, speech, and behavior that are inappropriate and don't make sense - ANS DISORGANIZED SCHIZOPHRENIA Schizophrenia that may cause a patient to talk and behave in a bizarre, hyperactive way - ANS CATATONIC SCHIZOPHRENIA T r F Continuity of care is helpful for patients that are psychotic - ANS TRUE ___ is characterized by a past history of at least one episode of schizophrenia, but the person currently has no positive symptoms - ANS RESIDUAL SCHIZOPHRENIA What is the goal of treatment with antipsychotic medications - ANS To effectively control signs and symptoms at the lowest possible dosage Name the three generations of Neuroleptic Medications to treat psychotic disorders - ANS 1. Conventional or Typical Antipsychotics

  1. Atypical Antipsychotics
  2. Third Generation ___ medications are strongly associated with the development of Tardive Dyskinesia Some common meds used - ANS Typical (First Generation) Psychotic Medications o Haloperidol, Thorazine Which neuroleptic medications are the latest to be developed and are the most costly? The cheaper? - ANS Third Generation Typical (First Generation) What type of anxiolytics can be given to psychotic patients - ANS Benzodiazepams T or F You must continue to take neuroleptic medications because symptoms can return - ANS TRUE

___ disorders are mental illnesses that cause bodily symptoms, including pain, but can't be traced back to any physical abuse - ANS Somatoform __ symptoms of somatoform disorders resemble those of medical illnesses, but no medical illness can be identified - ANS Physical ___ disorder is characterized by a sudden loss of motor or sensory function, such as paralysis or deafness after a stressful event or experience - ANS Conversion __ disorder is when a pt experiences pain in one or more areas of the body that cannot be linked with any medical conditions - ANS Pain Obsessed with the idea that some features of their body is flawed - ANS Body Dysmorphic Disorder Obsession with the idea of having a serious but undiagnosed medical condition. - ANS Hypochondriasis T or F People with factitious disorders are even willing and sometimes eager to undergo painful or risky tests and operations - ANS TRUE __ is when people claim to have symptoms related to a physical illness such as chest pain or stomach problems ONLY for the sympathy of others - ANS Munchhausen syndrome __ is when people produce or fabricate symptoms of illness in another person under their care to receive attention - ANS Munchhausen syndrome by proxy __ is fabricating or exaggerating symptoms of mental or physical disorders for a variety of "secondary gains" - ANS Malingering Personality Disorders - ANS Characterized by mistrust and suspicion of others - ANS Paranoid Personality Disorder Emotionally detached and disinterested in others; uninterested in praise or criticism - ANS Schizoid Personality Deceitful, manipulative, and unlawful, does not take responsibility for actions - ANS Antisocial Personality Emotional with unstable identity and relationships - ANS Borderline These people need to be the center of attention - ANS Histrionic

Grandiosity need for admiration and lack of empathy - ANS Narcissistic These people evades all social situations and fears rejection - ANS Avoidant Excessive need to be taken care of which leads to submissive and clinging behavior and fears separation - ANS Dependent Preoccupied with perfectionism, mental and interpersonal control - ANS Obsessive- Complusive What medications can be given for psychotic patients? - ANS o Antidepressants o Antipsychotic o Antianxiety o Mood Stabilizers Name the three eating disorders recognized by DSM-5 - ANS o Anorexia Nervosa o Bulimia Nervosa o Binge-eating disorder An eating disorder causing people to obsess about weight and what they eat and along with refusal to eat - ANS Anorexia Nervosa This pt eats large amounts of food and then vomits, therefore they are experiencing ___ - ANS BINGE-EATING/ PURGING-TYPE ANOREXA This pt restricts food and does not binge or purge - ANS RESTRICTED TYPE ANOREXIA A serious eating disorder marked by binging, followed by methods to avoid weight gain such as laxatives and excessive exercise - ANS BULIMIA NERVOSA Yet they maintain normal body weight A serious eating disorder in which you frequently consume unusually large amounts of food and feel unable to stop eating - ANS Binge eating disorder T or F Nurses should closely monitor pts with eating disorders after they eat to ensure they are not purging - ANS TRUE Establish a behavior contract When are medications give to pts with eating disorders - ANS You give them only if they are depressed and you will administer SSRI's

The pt becomes violently ill (even if taken with cough syrup, listerine, etc) What type of medications are given for Nicotine withdrawal? - ANS o Bupropion (Wellbutrin) o Chantix o Nicotine replacement -Gum -Patch -Nasal Spray With the nicotine gum, the nurse should advise the pt___ - ANS o Chew gum slowly for 30 min o Avoid eating or drinking 15 min prior to and while chewing the gum o Do not use it longer than 6 months What medication can be given to reverse opioid overdose - ANS NARCAN