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EXAM 3: NUR253/ NUR 253 CONCEPTS OF
MENTAL HEALTH NURSING EXAM REVIEW|
GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT- GALEN
QUESTION: What is PTSD and what are its symptoms?
Answer: PTSD SXS: - avoidance - irritability - detachment - depression (suicide) - sleep disturbance - hypervigillance - guilt
- poor concentration
QUESTION: What are nursing interventions for PTSD?
Answer: NI: - assure client feelings are normal - recognize behavior between feeling and from trauma - express feeling - monitor suicide risk - coping mechanisms - support groups
QUESTION: What is Dissociative Identity Disorder?
Answer: Dissociative Identity Disorder - multiple personality
disorder •One sub-personality manifested at a time •"Host" or primary personality dominant assumes given name, is passive and self-blaming, usually seeks treatment •Host unaware of other states during their dominance •Switching process changing of personalities •Unable to connect aspects of identity with past/present
QUESTION: What is Dissociative Amnesia and what are its
symptoms?
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Answer: Dissociative Amnesia Inability to recall information
SXS: - inability to recall important info - memory impairment
can be partial- complete - may identify as different identity in a new environment, drift from place to place, develop few relationships, then return home and not be able to remember the amnesia
QUESTION: What is Depersonalization/Derealization Disorder
and what are its symptoms?
Answer: depersonalization/derealization disorder
•Depersonalization—focus on self •Derealization—focus on outside world •Persistent and recurrent experience of feeling detached from mental processes or body without disorientation
SXS: •Unsure of personal identity or information •Derealization
perceive external environment as unreal or changing (mechanical) •Unable to recognize illogical nature of feelings •Anxiety, depression, somatic complaints •Report feeling like a robot or outside observer - feeling of detachment - intact reality testing
QUESTION: What are nursing interventions for dissociative
disorders?
Answer: NI for Dissociative Disorders - orient the client -
trusting relationship - encourage verbal expression of painful experiences - coping strategies - identify source of conflict -
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focus on strength and skill - non demanding simple routines - progress at own pace - stress relief - therapy
QUESTION: What is Somatic Symptom Disorder and what are
its nursing interventions?
Answer: Somatic Symptom disorder worry associated with
maladaptive response regarding physical illness without
physical illness findings. NI: -explore needs being met by
physical sxs - alternative ways to meet needs - use pain scale - explore source of anxiety - assist with recognizing own feelings (client) - relaxation techniques - diversional activities - positive feedback - anti anxiety meds
QUESTION: What is Illness Anxiety Disorder?
Answer: illness anxiety disorder Characterized by extreme
worry & fear about the possibility of having a disease. Which leads to frequent scanning of body for signs of illness *hypochondriac*
QUESTION: What is Factitious Disorder?
Answer: Factitous disorder (previously known as Munchausen
syndrome) consciously pretend to be ill to get emotional needs met & attain the status of patient. Pt. w/ this disorder artificially, deliberately, & dramatically fabricate symptoms or self inflict
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injury with the goal of assuming the sick role. *do have actual sxs* *unexplained fever/bleeding*
QUESTION: What is Delirium and what are its characteristics?
Answer: Delirium ACUTE, often EMERGENT, caused by and
UNDERLYING AND USUALLY REVERSIBLE CAUSE.
•Acute onset •Emergent •LOC fluctuates •Cognitive impairment •Disoriented •Agitated/fear/panic •Delusions, hallucinations, illusions •Common in hospitalized patients (elderly) •Very common post op •NEED TO KNOW PATIENT'S BASELINE
COGNITION
QUESTION: What is Dementia and what are its characteristics?
Answer: Dementia CHRONIC, NONEMERGENT,
PROGRESSIVE, and IRREVERSIBLE Chronic •Progressive •Irreversible •Not emergent •Alzheimer's Disease (majority) •(frontotemporal lobar degeneration, Lewy bodies, vascular disease, TBI, Parkinsons, Huntingtons, HIV, substances) •Memory Impairment
QUESTION: What are causes of delirium?
Answer: Causes of Delirium -Dehydration -Infection -
Medication reaction -Electrolyte imbalance -Hypoxia
