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Rasmussen College: NUR 2459 Mental Health Final Exam Blueprint_ LATEST 2021/2022,100% CORRECT
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Mental Health Final Exam Blueprint
- Obsessive-Compulsive Disorder o Types ▪ Checking ▪ Contamination/mental contamination ▪ Symmetry and ordering ▪ Ruminations/intrusive thoughts ▪ Hoarding o Schedule changes may make them more anxious o Difficulty getting rid of things o Trouble relaxing - Borderline Personality Disorder o Staff splitting o Staff make sure to be consistent with these patient’s o Ensure safety! o Afraid of being alone o Personality disorders and medications (quick treatment? no!) o Borderline Personality Disorder patient’s trying to pin staff against each other “the other nurse said you don’t know what you’re doing” let the patient know you and the other nurse talk directly to one another o Conduct disorder – more severe in children/adolescents. They violate rights of others. - 18 or older = antisocial personality disorder - Overall outcomes - Help control thoughts and behaviors - Assist families to function more adaptively
o Let them talk about their pain, but then refocus to discussing coping skills to dealing with their stress
- Somatization Disorder o Extreme focus on physical symptoms o Causes major emotional distress and problems functioning - ADHD o Strategies ▪ Therapy - Behavioral psychotherapy - Psychosocial interventions - Cognitive therapy for adults with ADHD ▪ Pharmacologic - Stimulants - Atomoxetine (nonstimulant) - Tricyclics ▪ Use simple and direct instructions ▪ Implement scheduled routine everyday ▪ Avoid stimulating/distracting settings ▪ Positive reinforcement ▪ Encourage physical activity
▪ Parent training ▪ Parent-child interaction therapy ▪ Family therapy ▪ Anger management o Depakote: shown to reduce aggression and irritability ▪ Sodium valproate ▪ Anticonvulsant
- PTSD vs. Acute Stress Disorder o Acute Stress: stress response begins to resolve after the traumatic event o Acute Stress Disorder (ASD) – exposure to traumatic events manifestations for at least 3 days but for not more than 1 month following the event. o PTSD – exposure to traumatic events manifestations longer than 1 month. Can last for years. - Panic Attacks vs. Dissociative Disorders o Panic attacks ▪ Last 15-30 minutes ▪ 4 or more manifestations are present - Palpitations - SOB
- Factitious Disorder Imposed on another o When someone falsely claims that another person has physical or psychological signs or symptoms of illness or causes injury or disease in another person with the intention of deceiving others. - Erikson’s Theory of Psychological Adjustment and stages o Trust vs. Mistrust - Poor relationships and suspicious of others
- Believing in caregivers - Trusting that the world is safe - Knowing that needs will be met
- Distrusting caregivers - Fearing the world - Unsure that needs will be met
- Depression - Obesity - Panic disorder - Social anxiety - Chronic pain - Substance abuse
- Improving social skills - Anger management - Shyness, loneliness, and low self-esteem o What are the benefits?
difficult decision or life challenge
- Nursing interventions with sexual assault o Safety! - Abuse: