Quiz 5: NURS 222 - Mental Health (Latest Update
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Terms in this set (132)
Acute Stress Disorders (ASD) -In the weeks after a traumatic event, a patient may
develop an anxiety disorder.
-Usually occurs within one month of a traumatic
event.
-Lasts at least three days and can persist for up to
one month
-Symptoms are similar to symptoms of PTSD
-Exposure to traumatic events cause anxiety,
detachment, and other manifestations about the
event for at least 3 days but for not more than 1
month following the event.
What causes ASD? Traumatic events that cause intense fear, horror, or
helplessness
-Death
-Threat of death to oneself or others
-Threat of serious injury to oneself or others
-Threat to the physical integrity of oneself or others
,Posttraumatic Stress Disorder (PTSD) -Exposure to traumatic events causes anxiety,
detachment, and other manifesations about the
event for longer than 1 month following the event.
-Manifestations can last for years.
Acute Stress Disorder/PTSD -Aggression
Expected findings -Hypervigilance (state of high alert)
-Decreased focus
-Insomnia
-Suicidal or violent thoughts
Medications for ASD and PTSD 1. Fluoxetine decreases depression and anxiety
2. Venlafaxine decreases depression and anxiety
3. Mirtazapine decreases depression and anxiety
4. Amitriptyline decreases depression and anxiety
5. Prazosin decreases hypervigilance and insomnia
6. Propranolol decreases HR, anxiety, panic
hypervigilance, and insomnia.
Adjustment Disorder -A group of symptoms, such as stress, feeling sad
or hopeless, and physical symptoms that can occur
after you go through a stressful life event.
-The symptoms occur because you are having a
hard time coping.
-Your reaction is stronger than expected for the
type of event that occurred.
-The stressor and effects are less severe than with
ASD or PTSD.
Adjustment Disorder -Depression
Expected findings -Anxiety
-Argumentative
-Dangerous behavior (i.e. erratic driving)
,Diagnostic Procedures for -Primary Care PTSD Screen
ASD/PTSD/AD -PTSD Checklist
-Screening tests for anxiety and depression
-Asking about suicidal ideation
-Mental status examination
Nursing care for ASD/PTSD/AD -Build rapport
-Encourage client to share feelings
-Provide safe environment
-Assess for suicidal ideation
-Use strategies to decrease anxiety
Dissociative disorders -A mental state of disconnection from what is
going on without you.
-Similar to a state of daydreaming
-Becomes a disorder when it is intense and often.
Affects normal functioning in daily life.
-Involve disruptions or breakdowns of memory,
consciousness, awareness, identity, and/or
perception.
Types of Dissociative Disorders 1. Depersonalization/Derealization Disorder
2. Dissociative Amnesia
3. Dissociative Fugue
4. Dissociative Identity Disorder
Depersonalization/Derealization Involves a persistent or recurring feeling of being
Disorder detached from one's body or mental processes,
like an outside observer of their life
(depersonalization), and/or a feeling of being
detached from one's surroundings (derealization)
, Depersonalization/Derealization Depersonalization
Disorder -Feeling of detachment from oneself
Expected findings -Feels like they are watching their own life from the
outside.
Derealization
-Feeling that the world around them is not fully real
-Emotionally/physically numb
-Weak sense of self
-Deadpan speech
-Difficulty forming relationships
Dissociative Amnesia -Affected individuals are separated from their
memories, suffering abnormal memory loss in ways
that significantly affect their lives.
-They may forget a specific event, or they may
forget who they are and everything about
themselves and their personal history.
-The person may or may not be aware of their
memory loss though they may appear confused.
-Someone with dissociative amnesia rarely shows
concern about their condition.
) Review Questions with Verified
Answers | 100% Correct | Grade A.
Save
Terms in this set (132)
Acute Stress Disorders (ASD) -In the weeks after a traumatic event, a patient may
develop an anxiety disorder.
-Usually occurs within one month of a traumatic
event.
-Lasts at least three days and can persist for up to
one month
-Symptoms are similar to symptoms of PTSD
-Exposure to traumatic events cause anxiety,
detachment, and other manifestations about the
event for at least 3 days but for not more than 1
month following the event.
What causes ASD? Traumatic events that cause intense fear, horror, or
helplessness
-Death
-Threat of death to oneself or others
-Threat of serious injury to oneself or others
-Threat to the physical integrity of oneself or others
,Posttraumatic Stress Disorder (PTSD) -Exposure to traumatic events causes anxiety,
detachment, and other manifesations about the
event for longer than 1 month following the event.
-Manifestations can last for years.
Acute Stress Disorder/PTSD -Aggression
Expected findings -Hypervigilance (state of high alert)
-Decreased focus
-Insomnia
-Suicidal or violent thoughts
Medications for ASD and PTSD 1. Fluoxetine decreases depression and anxiety
2. Venlafaxine decreases depression and anxiety
3. Mirtazapine decreases depression and anxiety
4. Amitriptyline decreases depression and anxiety
5. Prazosin decreases hypervigilance and insomnia
6. Propranolol decreases HR, anxiety, panic
hypervigilance, and insomnia.
Adjustment Disorder -A group of symptoms, such as stress, feeling sad
or hopeless, and physical symptoms that can occur
after you go through a stressful life event.
-The symptoms occur because you are having a
hard time coping.
-Your reaction is stronger than expected for the
type of event that occurred.
-The stressor and effects are less severe than with
ASD or PTSD.
Adjustment Disorder -Depression
Expected findings -Anxiety
-Argumentative
-Dangerous behavior (i.e. erratic driving)
,Diagnostic Procedures for -Primary Care PTSD Screen
ASD/PTSD/AD -PTSD Checklist
-Screening tests for anxiety and depression
-Asking about suicidal ideation
-Mental status examination
Nursing care for ASD/PTSD/AD -Build rapport
-Encourage client to share feelings
-Provide safe environment
-Assess for suicidal ideation
-Use strategies to decrease anxiety
Dissociative disorders -A mental state of disconnection from what is
going on without you.
-Similar to a state of daydreaming
-Becomes a disorder when it is intense and often.
Affects normal functioning in daily life.
-Involve disruptions or breakdowns of memory,
consciousness, awareness, identity, and/or
perception.
Types of Dissociative Disorders 1. Depersonalization/Derealization Disorder
2. Dissociative Amnesia
3. Dissociative Fugue
4. Dissociative Identity Disorder
Depersonalization/Derealization Involves a persistent or recurring feeling of being
Disorder detached from one's body or mental processes,
like an outside observer of their life
(depersonalization), and/or a feeling of being
detached from one's surroundings (derealization)
, Depersonalization/Derealization Depersonalization
Disorder -Feeling of detachment from oneself
Expected findings -Feels like they are watching their own life from the
outside.
Derealization
-Feeling that the world around them is not fully real
-Emotionally/physically numb
-Weak sense of self
-Deadpan speech
-Difficulty forming relationships
Dissociative Amnesia -Affected individuals are separated from their
memories, suffering abnormal memory loss in ways
that significantly affect their lives.
-They may forget a specific event, or they may
forget who they are and everything about
themselves and their personal history.
-The person may or may not be aware of their
memory loss though they may appear confused.
-Someone with dissociative amnesia rarely shows
concern about their condition.
