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Mental Health Exam 3 Rasmussen College|53 Questions and Answers
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Mental Health Exam 3 RasmussenCollege|53 Questions and Answers
Somatoform Disorders - -Highest priority is to assess secondary gains such
as gaining attention, lack of work responsibility.
-hypochondriasis (illness anxiety disorder) - -Preoccupied with having or
eventually developing a serious illness. Patients with this disorder may or
may not present with somatic symptoms, and if they do, the symptoms are
usually mild.
high level of anxiety and alarm about their health lasting at least 6 months,
and may either excessively check for problems or avoid medical care. .
Patients can misinterpret normal physical sensations such as sweating,
abdominal cramping, or awareness of heartbeat as indicative of disease.
-Conversion Disorder - -a disorder in which a person experiences very
specific genuine physical symptoms for which no physiological basis can be
found. (Patient could be paralyzed for no reason)
-Nursing Interventions for Conversion therapy - -Be straightforward, support
the patient but be assertive.
-Dissociative Fugue - -The sudden loss of memory for one's personal
history, accompanied by an abrupt departure from home and the assumption
of a new identity.
-Body Dysmorphic Disorder - -Highest Priority: SAFETY these patient may
become suicidal
-Body Dysmorphic Disorder Care Plan - -SSRI's, Antidepressants, and
clomipramine (TCA)
CBT therapy: Talky talky
Atypical antipsychotic + SSRI= SEVERE FORM
-Personality disorders - -inflexible and enduring behavior patterns that
impair social functioning such as relationships. They believe you have a
problem but not themselves.
-borderline personality disorder Characteristics - -Self destructive,
impulsive, erratic emotions, sexual, extreme intensity, always in a crisis.
, -borderline personality disorder nursing interventions - -Identify needs/
feelings preceding the act, discuss current and previous impulse acts ,
identify triggers.
-dependent personality disorder - -A personality disorder characterized by a
pattern of clinging and obedience, fear of separation, and an ongoing need
to be taken care of.
Always in a relationship.
-histrionic personality disorder - -a personality disorder characterized by
excessive emotionality and preoccupation with being the center of attention;
emotional shallowness; overly dramatic behavior.
-histrionic personality disorder Nursing interventions - -Set limits, be firm,
all staff enforce limits, and AVOID personal discussions, staff splitting,
keeping secrets, and accepting gifts.
-antisocial personality disorder - -A personality disorder in which the person
(usually a man) exhibits a lack of conscience for wrongdoing, even toward
friends and family members. May be aggressive and ruthless or a clever con
artist. They have no remorse for hurting others.
-Anorexia - -Intense irrational beliefs about shape/ weight, self-starvation,
fear of weight gain, disturbance in self-evaluation of weight and its
importance, amenorrhea.
-Anorexia Signs and Symptoms - --cachectic (severely underweight with
muscle wasting)
-lanugo (a growth of fine, downy hair on the face and back);
-mottled cool skin on the extremities
-low blood pressure, pulse, and temperature readings.
-self induced vomiting
-obsessed with exercising
-Assessment of Anorexia - -Determine if medical or psychiatric condition
warrants hospitalization.
-Weight loss more than 30% over 6 months.
-Rapid decline in weight.
-Severe hypothermia (lower than 96.8)
-Electrolyte imbalance.
-Dysrhythmias
-Suicidal
-Uncontrollable use of laxatives, emetics, diuretics, or street drugs.
-Milieu management for Anorexia - --Precise meal times
-Adherence to the selected menu
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