NSG3450 - Mental Health Final Exam Review
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QUESTIONS
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NSG3450 - Mental Health Final Exam Review
- An emotional response to frustration of desires
- A threat to one's needs (emotional or physical), or a challenge
- A normal emotion that can even be positive when it is expressed in a healthy
way
- Can be channeled into productive pursuits such as exercise, art, or a project
- Can be a motivator to try harder or an aid in survival, when fighting is the last
and only resort
Anger
- An action or behavior that results in a verbal or physical attack
- Tends to be used synonymously with violence
- Not always inappropriate and is sometimes necessary for self-protection
Aggression
- Always and objectionable act that involves intentional use of force
- Force that results in, or has the potential to to result in, injury to another
person
Violence
- Ineffective coping
- Stress overload
- Risk for self-directed violence
- Risk for other-directed violence
Nursing diagnoses
- Maintain patient's self-esteem, dignity
- Assess the situation
- Remove other patients from the area
- Remain honest, calm and avoid arguing
- Be assertive, not aggressive
- Directives -> clear and simple
- Avoid invading a patient's personal space
De-escalation techniques
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- Antianxiety meds
- Antipsychotics
- Help to identify and develop healthy coping mechanisms
- Team approach
Pharmacological interventions
A history of violence is the single best predictor of .....
Future violence
Involuntary confinement alone in a room that the patient is physically
prevented from leaving.
Seclusion
Any manual method, physical or mechanical device, material, or equipment
that restricts freedom of movement.
Restraints
Rape is classified into two categories:
Attempted rape & completed rape
Threats of rape or inattention to rape that is unsuccessful.
Attempted rape
Any penetration, no matter how slight, of the vagina or anus with any object or
body part, or oral penetration by a sex organ of another person, without the
consent of the victim.
Completed rape
- Often combined with alcohol
- Victim loses the ability to fight off the perpetrator
- Develop amnesia and become unreliable witnesses
- Symptom's mimic those of alcohol consumption so the victim is often not
screened
Date rape drugs
- Intrusive symptoms - flashbacks, memories
- Negative thoughts/mood
- Dissociative symptoms - depersonalization, derealization
- Avoidance
- Arousal symptoms - hyperactive reflex response
Acute Stress Disorder