NUR 253 - Mental Health Exam 3 Questions With Complete
Solutions
Pervasive pattern of disregarding and violating the right of
others.
Anti-social
Fear of abandonment, self mutilation
Borderline
Pervasive pattern of clinging behavior, with fears of separation
Dependent
Pervasive pattern of grandiosity, need for admiration, and lack
of empathy for others
Narcissistic
Pervasive pattern of excessive emotionality and attention-
seeking behavior
Histrionic
Pervasive pattern of preoccupation with orderliness,
perfectionism, and mental control
Obsessive Compulsive
Pervasive pattern of distrust and suspiciousness
Paranoid
Pervasive pattern of detachment fromsocial relationships and
restricted affect
,Schizoid
Pervasive pattern of social deficits and eccentricities
Schizotypal
Trauma Informed Care
-Realizes the widespread impact of trauma and understands
potential paths for recovery;
-Recognizes the signs and symptoms of trauma in clients,
families, staff, and others involved with the system;
-Responds by fully integrating knowledge about trauma into
policies, procedures, and practices; and
- Resist re-traumatizing the patient, family and all involved.
PTSD Sx in Children
Intrusion SX - Repetitive play w/ aspects of trauma, trauma
reenactment in play, nightmares, self-blame, detachment,
estrangements, loss of interest in significant activities, hyper-
vigilance, loss of concentration.
Avoidance
Alterations in cognition and mood (somatic sx)
Alterations in reactivity and arousal.
Clinical Picture of PTSD in Children
PTSD in preschool children may manifest as reduction in play.
Play that includes aspects of the traumatic event, social
withdrawal, and negative emotions such as fear, guilt, anger,
horror, sadness, shame or confusion.
, Children may blame themselves for the traumatic event
PTSD in adults
persistent re-experiencing of a highly traumatic event, involves
actual or threatened death or serious injury to self or others,
responses of fear, helplessness, or horror are felt
PTSD Sx in Adults
Flashbacks, re-experiencing the trauma (involuntary memories),
hypervigilance, alterations in mood, and avoidance of stimuli
associated with trauma. Sensation of terror in the stomach, heart
palpitations, muscle tensing occur.
PTSD in adults psychoeducation
Relaxation techniques
Improve coping
Self-care
Recognizing problems
Each alternate personality has its pattern of perceiving, reacting
to, and thinking about the self and environment. The host is not
aware of alters and perplexed by lost time. Switching occurs
during times of stress and may be dramatic or not noticeable.
Dissociative Identity Disorder
R/F for dissociative disorders
Childhood sexual, physical or emotional abuse and other
traumatic event. Dissociation is the most primitive defense
mechanism.
Solutions
Pervasive pattern of disregarding and violating the right of
others.
Anti-social
Fear of abandonment, self mutilation
Borderline
Pervasive pattern of clinging behavior, with fears of separation
Dependent
Pervasive pattern of grandiosity, need for admiration, and lack
of empathy for others
Narcissistic
Pervasive pattern of excessive emotionality and attention-
seeking behavior
Histrionic
Pervasive pattern of preoccupation with orderliness,
perfectionism, and mental control
Obsessive Compulsive
Pervasive pattern of distrust and suspiciousness
Paranoid
Pervasive pattern of detachment fromsocial relationships and
restricted affect
,Schizoid
Pervasive pattern of social deficits and eccentricities
Schizotypal
Trauma Informed Care
-Realizes the widespread impact of trauma and understands
potential paths for recovery;
-Recognizes the signs and symptoms of trauma in clients,
families, staff, and others involved with the system;
-Responds by fully integrating knowledge about trauma into
policies, procedures, and practices; and
- Resist re-traumatizing the patient, family and all involved.
PTSD Sx in Children
Intrusion SX - Repetitive play w/ aspects of trauma, trauma
reenactment in play, nightmares, self-blame, detachment,
estrangements, loss of interest in significant activities, hyper-
vigilance, loss of concentration.
Avoidance
Alterations in cognition and mood (somatic sx)
Alterations in reactivity and arousal.
Clinical Picture of PTSD in Children
PTSD in preschool children may manifest as reduction in play.
Play that includes aspects of the traumatic event, social
withdrawal, and negative emotions such as fear, guilt, anger,
horror, sadness, shame or confusion.
, Children may blame themselves for the traumatic event
PTSD in adults
persistent re-experiencing of a highly traumatic event, involves
actual or threatened death or serious injury to self or others,
responses of fear, helplessness, or horror are felt
PTSD Sx in Adults
Flashbacks, re-experiencing the trauma (involuntary memories),
hypervigilance, alterations in mood, and avoidance of stimuli
associated with trauma. Sensation of terror in the stomach, heart
palpitations, muscle tensing occur.
PTSD in adults psychoeducation
Relaxation techniques
Improve coping
Self-care
Recognizing problems
Each alternate personality has its pattern of perceiving, reacting
to, and thinking about the self and environment. The host is not
aware of alters and perplexed by lost time. Switching occurs
during times of stress and may be dramatic or not noticeable.
Dissociative Identity Disorder
R/F for dissociative disorders
Childhood sexual, physical or emotional abuse and other
traumatic event. Dissociation is the most primitive defense
mechanism.
