Exam 2: NUR25 3/ NUR 25 3 (Latest 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100 % Correct - Galen Q: Pharmacological Interventions for Anxiety Answer: Antidepressants •SSRI's considered first line which block reuptake of serotonin levels in the brain •Examples Paxil, Prozac, Lexapro, Luvox, and Zoloft Anti-anxiety drugs •Benozodiazepines are most common b/c of quick onset •Use for short periods b/c of dependence •Monitor for SE such as sedation, ataxia, and decreased cognitive function Q: Maturational Crisis Answer: - When new developmental stage is reached (Erickson) - Old coping skills no longer effective - Leads to increased tension and anxiety Examples - •Leaving home for the first time •Marriage •Birth of a child •Retirement •Death of a parent Q: Situational Crisis Answer: Arise from events that are: •Extraordinary •External •Often unanticipated Examples - •Loss or change of job •Death of a loved one •Abortion •Change in financial status •Divorce •Mental illness Q: Adventitous Cirisis Answer: caused by nature or humans and are not usual parts of everyday life ->natural disaster, a national disaster, or a crime of violence. Examples - hurricane, plane crash, school shooting, physical/sexual assault -> often results in acute stress disorder, PTSD , major depressive disorder Q: Phase 1 of crisis Answer: ·Conflict or problem arises ·Self -concept threatened ·Increased anxiety ·Use of problem -solving techniques and defense mechanisms (sometimes resolves the problem) Q: Phase 2 of Crisis Answer: Defense mechanisms fail Threat persists Anxiety increases Feelings of extreme discomfort Functioning disorganized Trial -and-error attempt to solve problem and restore normal balance Q: Phase 3 of Crisis Answer: Trial -and-error attempts may fail Anxiety can escalate to severe level or panic Automatic relief behaviors mobilized (i.e., withdrawal and flight) Some form of resolution may be devised(i.e., compromising needs or redefining situation) Q: Phase 4 of Crisis Answer: Problem is unsolved and coping skills are ineffective Overwhelming anxiety Possible serious personality disorganization, depression, confusion, violence against others, or suicidal behavior Q: Modalities of Crisis Treatment Answer: Emergency rooms 24/7 Telephone hotlines Peer crisis services Crisis intervention teams (CITs) Crisis stabilization beds Short -term residential services Mobile Crisis Teams Q: Assessment of crisis pt Answer: General assessment: •Important to assess for suicidal ideations and ask what can be done to make sure the client feels safe - Assessment of perception of precipitating event
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Exam 2: NUR253/ NUR 253 (Latest 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen
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Exam 2: NUR253/ NUR 253 (Latest 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen Q: Pharmacological Interventions for Anxiety Answer: Antidepressants •SSRI's considered first line which block reuptake of serotonin levels in the brain •Examples Paxil, Prozac, Lexapro, Luvox, and Zoloft Anti-anxiety drugs •Benozodiazepines are most common b/c of quick onset •Use for short periods b/c of dependence •Monitor for SE such as sedation, ataxia, and decreased cognitive function Q: Maturational Crisis Answer: - When new developmental stage is reached (Erickson) - Old coping skills no longer effective - Leads to increased tension and anxiety Examples - •Leaving home for the first time •Marriage •Birth of a child •Retirement •Death of a parent Q: Situational Crisis Answer: Arise from events that are: •Extraordinary •External •Often unanticipated Examples - •Loss or change of job •Death of a loved one •Abortion •Change in financial status •Divorce •Mental illness Q: Adventitous Cirisis Answer: caused by nature or humans and are not usual parts of everyday life ->natural disaster, a national disaster, or a crime of violence. Examples - hurricane, plane crash, school shooting, physical/sexual assault -> often results in acute stress disorder, PTSD, major depressive disorder Q: Phase 1 of crisis Answer: ·Conflict or problem arises ·Self-concept threatened ·Increased anxiety ·Use of problem-solving techniques and defense mechanisms (sometimes resolves the problem) Q: Phase 2 of Crisis Answer: Defense mechanisms fail Threat persists Anxiety increases Feelings of extreme discomfort Functioning disorganized Trial-and-error attempt to solve problem and restore normal balance Q: Phase 3 of Crisis Answer: Trial-and-error attempts may fail Anxiety can escalate to severe level or panic Automatic relief behaviors mobilized (i.e., withdrawal and flight) Some form of resolution may be devised(i.e., compromising needs or redefining situation) Q: Phase 4 of Crisis Answer: Problem is unsolved and coping skills are ineffective Overwhelming anxiety Possible serious personality disorganization, depression, confusion, violence against others, or suicidal behavior Q: Modalities of Crisis Treatment Answer: Emergency rooms 24/7 Telephone hotlines Peer crisis services Crisis intervention teams (CITs) Crisis stabilization beds Short-term residential services Mobile Crisis Teams
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