UPDATE QUESTIONS AND WELL-ELABORATED
ANSWERS!!PASS+
, Bipolar - mania interventions - DETAILED ANSWER-use firm calm approach;
provide frequent high-calorie foods;
maintain low-level of stimuli; - no group therapy;
provide frequent rest periods;
use short statements - no long explainations
Borderline personality disorder - DETAILED ANSWER-apervasive pattern of unstable
interpersonal relationships and impulsivity or recklessness
Dissociative disorders - DETAILED ANSWER-feature disruption or breakdown of
memory, identity, or perception
Depersonalization - DETAILED ANSWER-rapid-onset; client's experience of the self or
perception of the reality of the self or environment is changed
, Dissociative amnesia - DETAILED ANSWER-results in a sudden identity disturbance
owing to client's inability to recall significant info
Dissociative fugue - DETAILED ANSWER-results in an identity and memory
disturbance manifested by sudden travel away from home or work environment along
w/confusion about personal identity; Walter in Breaking Bad faked a fugue state
Dissociative identity disorder
[previously known as multiple personality disorder] - DETAILED ANSWER-2 or more
distinct personalities, each with its own behavior and attitudes; host is not aware of alters;
*SIGNS*: depression, loss of time, unremembered behaviors, use of different voices
Hypochondriasis - DETAILED ANSWER-exaggerated preoccupation w/physical health;
symptoms not based on organic disorders of pathology
Somatoform disorders - DETAILED ANSWER-presence of physical symptoms that
suggest a medical condition w/o organic basis for a medical condition; may unconsciously be
used for secondary gains such as increased attention or decreased responsibility
, OCD vs psychotic disorder - DETAILED ANSWER-With OCD the client is aware that
the behavior is irrational or unnecessary; whereas with psychotic disorders they are unaware
somatization disorder - DETAILED ANSWER-client manifests physical complaints that
suggest physical disorders w/o a disease or physical basis to to account for them; characterized
by unconscious *repression* of the anxiety feelings which are then manifested as a physical
illness
Malingering vs somatic symptom disorder - DETAILED ANSWER-Malingering
involves consciously fabricating symptoms for personal gain; in somatic symptom disorders
clients believe their symptoms are real and they feel real to them despite negative results from
diagnostic tests; symptoms serve to unconsciouly reduce anxiety - RN should convey
understanding that the physical symptoms are real to the client and not try to convince them
otherwise
Separation anxiety - DETAILED ANSWER-normal between ages 8 months and 3 yrs;
three stages: protest, despair, detachment; diagnosed as a disorder in children over age of 6 -
child experiences panic or excessive worrying about losing primary caregiver - interferes
w/school
*DEFENSE MECHANISMS* - DETAILED ANSWER-