Quiz 5: NURS 222 - Mental Health Exam
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What causes ASD? - ANSWERS-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
Acute Stress Disorders (ASD) - ANSWERS--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.
Medications for ASD and PTSD - ANSWERS-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.
Posttraumatic Stress Disorder (PTSD) - ANSWERS--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
Expected findings - ANSWERS--Aggression
-Hypervigilance (state of high alert)
-Decreased focus
-Insomnia
-Suicidal or violent thoughts
Adjustment Disorder - ANSWERS--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
Expected findings - ANSWERS--Depression
-Anxiety
-Argumentative
-Dangerous behavior (i.e. erratic driving)
Nursing care for ASD/PTSD/AD - ANSWERS--Build rapport
-Encourage client to share feelings
-Provide safe environment
-Assess for suicidal ideation
-Use strategies to decrease anxiety
Diagnostic Procedures for ASD/PTSD/AD - ANSWERS--Primary Care PTSD Screen
-PTSD Checklist
-Screening tests for anxiety and depression
-Asking about suicidal ideation
-Mental status examination
Types of Dissociative Disorders - ANSWERS-1. Depersonalization/Derealization
Disorder
2. Dissociative Amnesia
3. Dissociative Fugue
4. Dissociative Identity Disorder
Dissociative disorders - ANSWERS--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.
Depersonalization/Derealization Disorder - ANSWERS-Involves a persistent or recurring
feeling of being 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 Disorder
Expected findings - ANSWERS-Depersonalization
-Feeling of detachment from oneself
-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 - ANSWERS--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.
Dissociative Amnesia
Types - ANSWERS-1. Localized
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What causes ASD? - ANSWERS-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
Acute Stress Disorders (ASD) - ANSWERS--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.
Medications for ASD and PTSD - ANSWERS-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.
Posttraumatic Stress Disorder (PTSD) - ANSWERS--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
Expected findings - ANSWERS--Aggression
-Hypervigilance (state of high alert)
-Decreased focus
-Insomnia
-Suicidal or violent thoughts
Adjustment Disorder - ANSWERS--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
Expected findings - ANSWERS--Depression
-Anxiety
-Argumentative
-Dangerous behavior (i.e. erratic driving)
Nursing care for ASD/PTSD/AD - ANSWERS--Build rapport
-Encourage client to share feelings
-Provide safe environment
-Assess for suicidal ideation
-Use strategies to decrease anxiety
Diagnostic Procedures for ASD/PTSD/AD - ANSWERS--Primary Care PTSD Screen
-PTSD Checklist
-Screening tests for anxiety and depression
-Asking about suicidal ideation
-Mental status examination
Types of Dissociative Disorders - ANSWERS-1. Depersonalization/Derealization
Disorder
2. Dissociative Amnesia
3. Dissociative Fugue
4. Dissociative Identity Disorder
Dissociative disorders - ANSWERS--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.
Depersonalization/Derealization Disorder - ANSWERS-Involves a persistent or recurring
feeling of being 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 Disorder
Expected findings - ANSWERS-Depersonalization
-Feeling of detachment from oneself
-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 - ANSWERS--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.
Dissociative Amnesia
Types - ANSWERS-1. Localized
