pmh final exam study guide questions
and answers30
delirium - ANSWERS -- abrupt onset with periods of lucidity
- acute onset and fluctuating course
- wandering - safety; at risk for injury
- provide visual cues in the environment for orientation
implementation
- prevent physical harm
- minimize the use of restraints
- perform comprehensive nursing assessment to aid in identifying the cause
- assist with proper health management to eradicate underlying cause
- use supportive measures to relieve distress
alzheimers - ANSWERS -- caregiver role strain; provide info on respite and residential services
- donepezil
serious mental illness - ANSWERS -is a group of psych disorders, most of which are primarily
biological in origin, that can significantly affect functioning and one's quality of life, especially if
they go untreated
- many are victims of crime
- anosognosia; inability to recognize one's own illness
- provide case management
,additional notes - ANSWERS -- use least restrictive measures first
- settings for inpatient care; crisis
- stabilization/observation units, general hospital and private hospital, state hospital
- defense mechanisms
- most people do not seek treatment for PD
*indicators of a psych disorder* - ANSWERS -mental health continuum
at the opposite end of the continuum is mental illness
- individuals may have emotional problems or concerns and experience mild to moderate
discomfort and distress
- if the distress increases or persists, individuals may seek professional help
the most severely affected individuals fall into the mental illness portion of the continuum
- at this point, individuals experience altered thinking, mood, and behavior
- the distinguishing factors is typically chronic or long-term impairments that range from
moderate to disabling
resilience
*DSM-V uses* - ANSWERS -- diagnostic and statistical manual of mental disorders
- based on specific criteria influenced by multiprofessional clinical field traits
- actually classifies disorders/associated with present symptoms
- assist the nurse in planning care
- indicated expected assessment findings
*personality structure* - ANSWERS -ID
, - pleasure principle
- reflex action
- primary processes
EGO
- problem solver
- reality tester
SUPEREGO
- moral component
*id* - ANSWERS -- at birth, we are all id
- the id is totally unconscious and impulsive
- it is the source of all drives, instincts, reflexes and needs
- cannot tolerate frustration and seeks to discharge tension and return to a more comfortable
level of energy
- lacks the ability to problem solve and is illogical
ex; hungry, screaming infant
*ego* - ANSWERS -- within the first few years of life as the child begins to interact with others,
the ego develops
- the ego resides in the conscious, preconscious, and unconscious levels of awareness
- the problem solver and reality tester; attempts to navigate the outside world
- able to differentiate subjective experiences, memory images, and objective reality
- ego follows a reality principle
and answers30
delirium - ANSWERS -- abrupt onset with periods of lucidity
- acute onset and fluctuating course
- wandering - safety; at risk for injury
- provide visual cues in the environment for orientation
implementation
- prevent physical harm
- minimize the use of restraints
- perform comprehensive nursing assessment to aid in identifying the cause
- assist with proper health management to eradicate underlying cause
- use supportive measures to relieve distress
alzheimers - ANSWERS -- caregiver role strain; provide info on respite and residential services
- donepezil
serious mental illness - ANSWERS -is a group of psych disorders, most of which are primarily
biological in origin, that can significantly affect functioning and one's quality of life, especially if
they go untreated
- many are victims of crime
- anosognosia; inability to recognize one's own illness
- provide case management
,additional notes - ANSWERS -- use least restrictive measures first
- settings for inpatient care; crisis
- stabilization/observation units, general hospital and private hospital, state hospital
- defense mechanisms
- most people do not seek treatment for PD
*indicators of a psych disorder* - ANSWERS -mental health continuum
at the opposite end of the continuum is mental illness
- individuals may have emotional problems or concerns and experience mild to moderate
discomfort and distress
- if the distress increases or persists, individuals may seek professional help
the most severely affected individuals fall into the mental illness portion of the continuum
- at this point, individuals experience altered thinking, mood, and behavior
- the distinguishing factors is typically chronic or long-term impairments that range from
moderate to disabling
resilience
*DSM-V uses* - ANSWERS -- diagnostic and statistical manual of mental disorders
- based on specific criteria influenced by multiprofessional clinical field traits
- actually classifies disorders/associated with present symptoms
- assist the nurse in planning care
- indicated expected assessment findings
*personality structure* - ANSWERS -ID
, - pleasure principle
- reflex action
- primary processes
EGO
- problem solver
- reality tester
SUPEREGO
- moral component
*id* - ANSWERS -- at birth, we are all id
- the id is totally unconscious and impulsive
- it is the source of all drives, instincts, reflexes and needs
- cannot tolerate frustration and seeks to discharge tension and return to a more comfortable
level of energy
- lacks the ability to problem solve and is illogical
ex; hungry, screaming infant
*ego* - ANSWERS -- within the first few years of life as the child begins to interact with others,
the ego develops
- the ego resides in the conscious, preconscious, and unconscious levels of awareness
- the problem solver and reality tester; attempts to navigate the outside world
- able to differentiate subjective experiences, memory images, and objective reality
- ego follows a reality principle
