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48 Cards in this Set
- Front
- Back
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Describe somatic symptom disorder |
physical pain such as chest pain. fatigue, dizziness, headache, swelling, back pain, insomnia, shortness of breath, abdominal pain, and numbness. |
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Explain illness anxiety disorder |
hypochrondism- thinking your sick with everything. |
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Explain conversion disorder |
having neurologicl problems associated with mental health issues. - paralysis, blindness, movement disorder, gait disorder, paresthesia, loss of hearing, and seizures. |
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Who suffers most from somatic symptom disorder |
women- adolecents to 30 yrs |
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Who suffers from conversion disorder? |
any age- twice as many women then men |
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Who suffers most from illness anxity disorder? |
20-30 yrs- any gender. |
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what type of nursing interventions do we do for people with somatic disorders? |
Refer patients to community suppirts teaching more effective coping skills focusing on patients strenghs- enhance all ready exsiting coping skills. |
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what are some meds for somatic disorders |
SNRI- effexor, cymbalta Noradrenergic and pecfic serotoniergic antidepressent- mirtazapine Tricyclic SSRI |
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what are factitious disorders. what are the 3 types? |
Where people fake an illness to get attention. 1. Non-doctor shopping- self directed. Sees same person- dramatically describes symptoms. 2. Munchausen's syndrome- self directed- doctor shopping. Self injections, and exploritory surgery. 3. Other directed. Caregiver dramatically explains loved ones symptoms. |
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what is malingering? |
seeking medical treatment for personal gain. Seeking workers comp, selling drugs.. |
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why do people have dissocative disordes? |
people think its a protective response to trauma. People will fragment or compartmentalize traumatic memories. |
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describe depersonalization/ derelization disorder? |
out of body experience that may come and go or be permanent. or feeling like the outside world doesnt exist |
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describe dissociative amnesia. What is dissociative fugue |
not remembering a part of a memory or not accessing memories perhaps due to trauma. Dissociative fugue- person forgets who they are. They may take on a new identity. |
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describe dissociative identity disorder? |
having two different personalities which take control of behavoir. people who expirenced severe trauma as a child are more likely to expirence DID. |
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what are some nursing interventions for dissociative disorders? |
miliau managment, health teaching/promotion |
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describe delerium |
inattention, disorganized thinking, and flucuating mental status. LIFE THREATENING, Sudden onset. Rapid emotion swings |
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in dementia, is level of consicensous impaired? |
nope |
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emotional state of dementia |
flat, delusions. |
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speech of dementia |
slow rambaling, inchoherent |
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whats the main difference between dementia and depression. |
Cause, activity level, reversible, emotional state |
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what is sun-downing |
symptoms get worse in evening. Happens with delerium and dementia |
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what is secondary dementia? |
dementia due to pathological reasons |
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4 drugs for AD |
Donepezil- aricpet- Rivastigime- exelon Galantamine (reminyl) memantine (ebixa) All cholinisterase inhibitors |
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describe anorexia nervosa |
Refuse to maintain normal weight. Intense fear of gaining weight. Restrict food intake or participate in binge eating and purging. Preoccupation with food. self worth based on weight. |
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describe bulimia nervosa |
repeted episodes of binge eating with compensetory mesures. Ie using laxitives, puking, exersize. |
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Describe binge eating disorder |
where you binge eat and are really distressed after! No compensentory meausres |
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what are eating disorders not specified? |
any eating disorder that does not meet the critera of the otherones. |
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when do eating disorders begin? |
early teen to 20s |
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what are 2 co-morbid conditions with eating disorders? |
depression and anxiety, |
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what are some symptoms of anorexia |
low weight, yellow skin, lanugo (really fine hair), cold extremities, periphrel edema, muscle weakening, consipation, low thyroxine, hypotension, bradycardia, impaired renal, hypokalemia, decreased bone density. |
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what are some interventions for anoriexa |
medical stabilzation then weight restoration program, and milau treatment- strict monitoring and scheduale of food. (chaniging perceptions) |
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When someone is bulemic what do they look like? |
normal! Although they have dental erosion, and calusis on thier fingers (russels sign)r. enlarged parotid glands |
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what interventions do we use for people with bulemia? |
antidepressents and CBT |
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what is temperment? |
how you behavoirly adapt to your surroundings. Temperment is shaped by culture and socialization |
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what is the biggest risk factor for suicide in youth? |
past attempts |
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What is behavorir therpy in youth? |
Rewarding good behavoir |
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do we use meds with kids for psych stuff? |
Not as first line |
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What are 3 main charecterics of austism |
Impairment of communication and imanginative activity Impairment in social interaction Rigid patterns of behavior, interst and activites |
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describe sterotypic movement disorder |
repetive sterotypical movemement- rocking back and forth, hand waving. |
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how do we treat sterotypical movement disorder? |
promote saftey- wear helmets meds |
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describe Tourettes disorder (TD) |
motor tics and vocal tic |
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how to do we treat TD |
Behavorial therpy- challenges tics Not drugs |
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what are the 3 signs of ADHD |
Inattention Hyperactivity Impulsivity |
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what drugs do we use to treat ADHD. side effects? |
psychstimulants- ritalin- insomnia, abuse SNRI- Strattera |
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Describe oppositional definat disorder |
really disobedient towards authority |
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describe conduct disorder |
no concern for others, disregard for societal norms or rules |
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what are the 4 types of conduct disorders? |
agression towards others Property distruction theft serious violations of rules. |
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describe serpartion anxiety disorder? |
being really distressed when seprerated from care giver |
