ANXIETY, CRISIS INTERVENTION, AND PSYCHOPHARMACOLOGY A+ VERIFIED LATEST VERSION
1. Distress: bad stress negative , draining energy resulting in anxiety , depression , Confusion helplessness , &
fatigue
2. Eustress: Good/Normal Stress
3. Effects of stress on the body: Increased BP & HR & blood glucose
Increased risk of MI & CVA
Decreased Immune Response
Increased or decreased appetite
4. Stress Busters: Biofeedback
Guided Imagery
Progressive Relaxation
Meditation
Cognitive reframing
Journaling
Humor
Sleep
Exercise
Decreased or stop catteine intake
Music
Pets
Massage
5. Schizophrenia Risk Factors: Genetics *Ask about family hx*
Neurobiological
Brain structure abnormalities
Prenatal Stressors
Environmental factors
6. Prodromal: Mild changes to thinking & mood but does not meet criteria
Odd or Eccentric
Concentration, school or job performance & social functioning can deteriorate
7. Acute: Sx vary from few/mild to many & disabling
Functioning is impaired
Needed increased support & possible hospitalization
8. Stabilization: Sx stabilize & return to level of functioning if possible
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, NUR 253 EXAM 2 – MENTAL HEALTH NURSING STUDY GUIDE ON SCHIZOPHRENIA, BIPOLAR DISORDER,
ANXIETY, CRISIS INTERVENTION, AND PSYCHOPHARMACOLOGY A+ VERIFIED LATEST VERSION
9. Maintenance & Residual: Stabilized
New baseline established
10. Anosognosia: denial of illness
11. Positive Symptoms: Presence of sx that should not be present
-hallucinations, delusions, disorganized speech, bizarre behaviors
12. Associative Looseness: haphazard and illogical thinking where concentration is poor and individuals
loosely associate their thoughts
13. Clang: A rhyme used by some persons with schizophrenia as a guide to forming thoughts and statements.
14. Neologism: Words that have meaning but a ditterent or nonexistent meaning to others
15. Negative Symptoms: Absence of qualities that should be present
Blunted attect, anhedonia, avolition, apathy
16. Types of Delusions: Persecutory- singled out
Referential- belief that events with no connection are related to you
Grandiose
Erotomanic
Nihilistic
Somatic
Control
17. Psychosis Risks: Poor Hygiene
Resistance to tx
Checking Meds
Anosognosia
Avoiding peers
Depression
Poor self esteem
Fall risk- Orthostatic hypotension
Chocking
Restlessness
18. Delusional Patient: Build trust
Never debate
Promote reality testing
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