NUR N253 Mental Health Nursing – Study Guide and Exam Review

nur 253 Mental health Exam 3 N N N N N




Different ways to diagnose/treat people - CORRECT ANSWER-• Admit to hospital
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• Partially hospitalized
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• In day treatment settings
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Milieu management is a significant part of treatment - CORRECT ANSWER-o Goal is to manage
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pt affect in group context
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N Community meetings N




N Coping skills group
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N Socialization groups N




• When behaviors emerge - CORRECT ANSWER-o Calmly review therapeutic goals
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o boundaries of treatment
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o avoid rejection and rescuing
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• Assess for suicide intentions
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Dependent Personality Disorder - CORRECT ANSWER-thought to be a result of chronic physical
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illness, punishment, indecent behavior or independent behavior in childhood, inherited trait of
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submissiveness,
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dependent personality disorder-• What is important when planning their care? - CORRECT
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ANSWER-o Empathy
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o Independence
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dependent personality disorder-characteristics - CORRECT ANSWER-o Clingy
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,o Submissive
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o Fear of separation
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o Difficulty making everyday decisions
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o Dependent on other people to do things for them
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o Need others to assume responsibility for the major areas in their life
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o Do not express any kind of disagreement
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o Difficulty in initiating projects or doing things on their own
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o Helpless or uncomfortable being alone
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N Due to fears of being unable to care for themselves
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Borderline Personality Disorder- - CORRECT ANSWER-Thought to be a result of early
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abandonment which results in an unstable view of self and others
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Borderline personality disorder-important in planning care - CORRECT ANSWER-• Importance of
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maintaining a calm and matter of fact response
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• Don't give in to the persuasion of these patients trying to manipulate
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• Give rules, don't sugar coat, and be consistent
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o Behavioral contracts
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• Goal is to get these patients to verbalize when they want to hurt either themselves or others.
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Borderline personality disorder-characteristics - CORRECT ANSWER-o Dramatic
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o Instability in emotional regulation and interpersonal relationships
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o Impulsiveness
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N Spending money N




N Binge eating
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N Sex

N Substance abuse N

, N Reckless driving N




o Identity of self-image distortions
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o Unstable mood and affect
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Borderline personality disorder-Ineffective and harming self-soothing habits - CORRECT
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ANSWER-Cutting
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N Promiscuous sexual behavior N N




N Numbing with substance abuse (most common)
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Splitting (primary defense mechanism coping style): cannot incorporate positive and negative
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aspects of one's self or others into one image. Idealize a person at start of a new relationship
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and hoping this person can meet all their expectations. With the first frustration comes
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immediate hatred of the same person.
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N Suicidal behaviors N




• Will make gestures and threats
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N Feelings of emptiness N N N




N Inappropriate and intense flashes of anger that are uncontrollable
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Histrionic Personality Disorder- - CORRECT ANSWER-Earliest as 3-5 yrs of age with an overly
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intense attachment to parent of opposite sex parent which results in fear of retaliation of same
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sex parent
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Histrionic Personality Disorder- Know characteristics one might exhibit - CORRECT ANSWER-o
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Uncomfortable in situations where self is not the center of attention
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o Interactions with others is often characterized by inappropriate sexual seductive and
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provocative behavior
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o Consistently using physical appearance to draw attention to self
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o Self-dramatic, theatrical
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N Exaggeration of expression and emotion N N N N