NSG 322 EXAM 2
• symptoms of PTSD
Answer:
1. re-experiencing symptoms
2. avoidance behavior
3. neg changes in cognition and mood
4. alt arousal and act
• re-experiencing symptoms (PTSD)
Answer:
-Flashbacks
-Bad dreams
-Frightening thoughts.
• avoidance behaviors
Answer:
-Staying away from places, events, or objects that arereminders of the experience
-Feeling emotionally numb
-Feeling strong guilt, depression, or worry
-Losing interest in activities that were enjoyable in the past
-Having trouble remembering the dangerous event.
-Things that remind a person of the traumatic event can trigger avoidance symptoms.
• negative changes in cognition and mood
Answer:
-cognitive distortions about self
-feelings of detachment
• symptoms of hyperarousal
Answer:
-being easily startled
-feeling tense/on edge
-difficulty sleeping
-angry outbursts
• PTSD tx (pharm)
Answer:
-SSRIs (dec anxiety and controls obsessive thinking)
-Prazosin (lessens severity and freq of PTSD related nightmares)
,• PTSD tx (psychotherapy)
Answer:
-exposure therapy
-cognitive restructuring
-stress inoculation training
-EMDR
• cognitive restructuring
Answer:
-helps people make sense of the bad memories.
-the therapist helps people with PTSD look at what happened in a realistic way.
• stress inoculation training
Answer:
-tries to reduce PTSD symptoms by teaching aperson how to reduce anxiety
-helps people look at their memories in a helpful way
• EMDR
Answer: completes processing of trauma by utilizing lateral eye movement whichhelps to
transfer information from the non-hippocampus dependent area in the amygdala to the
Verbally Accessible Memory area in the hippocampus
• depersonalization/derealization disorder
Answer: a dissociative disorder marked bythe presence of persistent and recurrent episodes of
depersonalization, derealization, or both
• dissociative amnesia
Answer:
-psychologically induced memory loss and inability torecall important personal info after
severe stressor
-occurs when a person blocks out certain information, leaving him or her unable to remember
important personal information.
-memories still exist but are deeply buried within person's mind and can't be recalled
• dissociative amnesia with fugue
Answer: disorder characterized by extreme memoryloss that is caused by extensive
psychological stress accompanied by moving andassuming a new identity
• dissociative identity disorder
Answer: disorder occurring when a person seems tohave two or more distinct personalities
within one body
• dissociation
Answer: disconnection between a person's thoughts, memories, feelings,actions or sense of
who he or she is.
, • severe traumatic dissociation
Answer: comes from major trauma
• depersonalization disorder
Answer: Recurrent periods of feeling unreal, detached,outside the body, dreamlike, numb, or
with a distorted sense of time or visual perception.
• derealization disorder
Answer: Recurrent periods of feeling that one's surroundingsare not real or "right".
• dissociative disorders implementation
Answer:
-comm guidelines: gentle, supportive,build rapport
-health teaching/promo: coping skills, stress manage, techniques to interrupt dissociative
episode, journal for triggers
-Milieu therapy: safe, quiet, structured, supportive
-Psychotherapy: most effective tx
• risk factors for depression
Answer:
-Prior hx of depression/Fam hx
-member of certain vulnerable groups
-female
-40+ y.o.
-active subst abuse
-hx of sexual abuse
-postpartum pd
-stressful life events
-hx of other chronic mental/med illness
• Stress-Diathesis Model
Answer: people have vulnerabilities/predispositions for devel-oping depression
diathesis+stress=disorder
• learned helplessness
Answer: condition of human/animal that has learned to behavehelplessly, failing to respond
even though there are opportunities for it to help itself
• cognitive theory-beck's cognitive triad
Answer: negative view of self+ pessimisticview of world + belief that neg reinforcement will
continue
-people acquire psych disposition to depression from early life experiences
• clinical manifestations of depression
• symptoms of PTSD
Answer:
1. re-experiencing symptoms
2. avoidance behavior
3. neg changes in cognition and mood
4. alt arousal and act
• re-experiencing symptoms (PTSD)
Answer:
-Flashbacks
-Bad dreams
-Frightening thoughts.
• avoidance behaviors
Answer:
-Staying away from places, events, or objects that arereminders of the experience
-Feeling emotionally numb
-Feeling strong guilt, depression, or worry
-Losing interest in activities that were enjoyable in the past
-Having trouble remembering the dangerous event.
-Things that remind a person of the traumatic event can trigger avoidance symptoms.
• negative changes in cognition and mood
Answer:
-cognitive distortions about self
-feelings of detachment
• symptoms of hyperarousal
Answer:
-being easily startled
-feeling tense/on edge
-difficulty sleeping
-angry outbursts
• PTSD tx (pharm)
Answer:
-SSRIs (dec anxiety and controls obsessive thinking)
-Prazosin (lessens severity and freq of PTSD related nightmares)
,• PTSD tx (psychotherapy)
Answer:
-exposure therapy
-cognitive restructuring
-stress inoculation training
-EMDR
• cognitive restructuring
Answer:
-helps people make sense of the bad memories.
-the therapist helps people with PTSD look at what happened in a realistic way.
• stress inoculation training
Answer:
-tries to reduce PTSD symptoms by teaching aperson how to reduce anxiety
-helps people look at their memories in a helpful way
• EMDR
Answer: completes processing of trauma by utilizing lateral eye movement whichhelps to
transfer information from the non-hippocampus dependent area in the amygdala to the
Verbally Accessible Memory area in the hippocampus
• depersonalization/derealization disorder
Answer: a dissociative disorder marked bythe presence of persistent and recurrent episodes of
depersonalization, derealization, or both
• dissociative amnesia
Answer:
-psychologically induced memory loss and inability torecall important personal info after
severe stressor
-occurs when a person blocks out certain information, leaving him or her unable to remember
important personal information.
-memories still exist but are deeply buried within person's mind and can't be recalled
• dissociative amnesia with fugue
Answer: disorder characterized by extreme memoryloss that is caused by extensive
psychological stress accompanied by moving andassuming a new identity
• dissociative identity disorder
Answer: disorder occurring when a person seems tohave two or more distinct personalities
within one body
• dissociation
Answer: disconnection between a person's thoughts, memories, feelings,actions or sense of
who he or she is.
, • severe traumatic dissociation
Answer: comes from major trauma
• depersonalization disorder
Answer: Recurrent periods of feeling unreal, detached,outside the body, dreamlike, numb, or
with a distorted sense of time or visual perception.
• derealization disorder
Answer: Recurrent periods of feeling that one's surroundingsare not real or "right".
• dissociative disorders implementation
Answer:
-comm guidelines: gentle, supportive,build rapport
-health teaching/promo: coping skills, stress manage, techniques to interrupt dissociative
episode, journal for triggers
-Milieu therapy: safe, quiet, structured, supportive
-Psychotherapy: most effective tx
• risk factors for depression
Answer:
-Prior hx of depression/Fam hx
-member of certain vulnerable groups
-female
-40+ y.o.
-active subst abuse
-hx of sexual abuse
-postpartum pd
-stressful life events
-hx of other chronic mental/med illness
• Stress-Diathesis Model
Answer: people have vulnerabilities/predispositions for devel-oping depression
diathesis+stress=disorder
• learned helplessness
Answer: condition of human/animal that has learned to behavehelplessly, failing to respond
even though there are opportunities for it to help itself
• cognitive theory-beck's cognitive triad
Answer: negative view of self+ pessimisticview of world + belief that neg reinforcement will
continue
-people acquire psych disposition to depression from early life experiences
• clinical manifestations of depression
