Mental Health Quiz 1
Replacing the desired gratification with one that is more readily available like a Woman who would like to have her own children opens a day care center
Substitution
Conscious exclusion of unacceptable thoughts and feelings from conscious awareness • A student decides not to think about a parent's illness in order to study for a test.
Suppression
Nurse serving as a substitute for another such as a parent or sibling
Surrogate
syndrome of permanent, involuntary movements, is most commonly caused by the long-term use of conventional antipsychotic drugs
Tardive dyskinesia
syndrome of permanent, involuntary movements, is most commonly caused by the long-term use of conventional antipsychotic drugs. The symptoms of TD include involuntary movements of the tongue, facial and neck muscles, upper and lower extremities, and truncal musculature.
Tardive dyskinesia (TD)
Nurse helping the client to learn formally or informally
Teacher
Some antidepressant side effects due to enhanced serotonin transmission
anxiety, agitation, akathisia (motor restlessness), nausea, insomnia, and sexual dysfunction, specifically diminished sexual drive or difficulty achieving an erection or orgasm
for reporting mental retardation and personality disorders as well as prominent maladaptive personality features and defense mechanisms
axis 2
Acting the opposite of what one thinks or feels like a woman who never wanted to have children becomes a super-mom.
Reaction formation
Moving back to a previous developmental stage in order to feel safe or have needs met like when a Five-year-old asks for a bottle when new baby brother is being fed.
Regression
Excluding emotionally painful or anxiety-provoking thoughts and feelings from conscious awareness like a Woman has no memory of the mugging she suffered yesterday
Repression
Overt or covert antagonism toward remembering or processing anxiety-producing information such as the Nurse is too busy with tasks to spend time talking to a dying patient
Resistance
Nurse providing specific answers to questions within a larger context
Resource person
cause less weight gain than other antidepressants
SSRI
used to treat depression and is the second most commonly purchased herbal product in the United States
St. John's Wort
have a greater risk of developing side effects from tricyclics and antidepresants than do Caucasians.
African Americans
respond more rapidly to antipsychotic medications and tricyclics antidepressants than Caucasians do.
African Americans
Respond to lower doses of Lithium and experience more side effects
Asians
metabolize antipsychotics and tricyclic antidepressants more slowly than Caucasians and, therefore, require lower dosages to achieve the same effects.
Asians
Identifies major psychiatric disorders except mental retardation and personality disorders
Axis 1
for reporting current medical conditions that are potentially relevant to understanding or managing the person's mental disorder as well as medical conditions that might contribute to understanding the person
Axis 3
for reporting psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders.
Axis 4
presents a Global Assessment of Functioning (GAF) score
Axis 5
Developed the theory of Operant Conditioning
B. F. Skinner
method of attempting to strengthen a desired behavior or response by reinforcement, either positive or negative
Behavior Modification
Overachievement in one area to offset real or perceived deficiencies in another area
Compensation
Expression of an emotional conflict through the development of a physical symptom, usually sensorimotor in nature
Conversion
Nurse promoting experiences leading to health for the client such as expression of feelings
Counselor
Failure to acknowledge an unbearable condition; failure to admit the reality of a situation, or how one enables the problem to continue like a diabetic eating chocolate candy
Denial
When a client makes specific threats or has a plan to harm another person, health care providers are legally obligated to warn the person who is the target of the threats or plan. The legal term for this is
Duty to warn
major side effects of antipsychotic drugs.
EPS
serious neurologic symptoms, are the major side effects of antipsychotic drugs
EPS
major inhibitory neurotransmitter in the brain
GABA
primarily used to improve memory but is also taken for fatigue, anxiety, and depression
Ginko Bilboa
Nurse offering the client the same acceptance and courtesy that the nurse would to any stranger
Stranger
Roles of the nurse in a therapeutic relationship
Stranger, Resource person, Teacher, Leader, Surrogate, counselor
Substituting a socially acceptable activity for an impulse that is unacceptable such as the Person who has quit smoking sucks on hard candy when the urge to smoke arises.
Sublimation
Modeling actions and opinions of influential others while searching for identity, or aspiring to reach a personal, social, or occupational goal such as a Nursing student becoming a critical care nurse because this is the specialty of an instructor she admires
Identification
begins when the client works interdependently with the nurse, expresses feelings, and begins to feel stronger
Identification phase
Accepting another person's attitudes, beliefs, and values as one's own such as a person who dislikes guns becomes an avid hunter, just like a best friend
Introjection
Herb/ supplement used to treat anxiety
Kava
Nurse offering direction to the client or group
Leader
potentially fatal, idiosyncratic reaction to an antipsychotic (or neuroleptic) drug. The major symptoms of NMS are rigidity; high fever; autonomic instability such as unstable blood pressure, diaphoresis, and pallor; delirium; and elevated levels of enzymes particularly CPK.
Neuroleptic malignant syndrome (NMS)
directed by the nurse and involves engaging the client in treatment, providing explanations and information, and answering questions
Orientation phase
Unconscious blaming of unacceptable inclinations or thoughts on an external object like a Man who has thought about same-gender sexual relationship but never had one, beats a man who is gay
Projection
Excusing own behavior to avoid guilt, responsibility, conflict, anxiety, or loss of self-respect like a Student blaming failure on teacher being mean
Rationalization
when the client makes full use of the services offered
The exploitation phase
the client no longer needs professional services and gives up dependent behavior. The relationship ends
The resolution phase
Exhibiting acceptable behavior to make up for or negate unacceptable behavior • A person who cheats on a spouse brings the spouse a bouquet of roses
Undoing
helps produce sleep and is sometimes used to relieve stress and anxiety.
Valerian
The thalamus regulates
activity, sensation, and emotion
acute muscular rigidity and cramping, a stiff or thick tongue with difficulty swallowing, and, in severe cases, laryngospasm and respiratory difficulties
acute dystonia
EPS include
acute dystonia, pseudoparkinsonism, akathisia
EPS Side Effects include
acute dystonia, pseudoparkinsonism, and akathisia.
Severe anticholinergic effects of cyclic antidepresants in older adults
agitation, delirium, and ileus,
Serotonin syndrome symptoms
agitation, sweating, fever, tachycardia, hypotension, rigidity, hyperreflexia, and in extreme reactions even coma and death.
The client appears restless or anxious and agitated often with a rigid posture or gait and a lack of spontaneous gestures. This feeling of internal restlessness and the inability to sit still or rest often leads clients to discontinue their antipsychotic medication
akathisia
The occipital lobes assist in
coordinating language generation and visual interpretation such as depth perception.
The most common side effects of MAOIs include
daytime sedation, insomnia, weight gain, dry mouth, orthostatic hypotension, and sexual dysfunction
Ventilation of intense feelings toward persons less threatening than the one who aroused those feelings like a person who is mad at the boss yells at his or her spouse
displacement
Dealing with emotional conflict by a temporary alteration in consciousness or identity such as Amnesia that prevents recall of yesterday's auto accident
dissociation
anticholinergic effects of cyclic antidepressants
dry mouth, constipation, urinary hesitancy or retention, dry nasal passages, and blurred near vision
The hippocampus and amygdala are involved in
emotional arousal and memory.
Immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage such as Never learning to delay gratification
fixation
Require lower doses of antidepresants than caucasians
hispanics
Separation of the emotions of a painful event or situation from the facts involved; acknowledging the facts but not the emotions such as a Person shows no emotional expression when discussing serious car accident
intellectualization
Orientation, Identification, exploitation and resolution phase
phases of the therapeutic relationship
- resemble those of Parkinson's disease and include a stiff, stooped posture; masklike facies; decreased arm swing; a shuffling, festinating gait (with small steps); cogwheel rigidity (ratchetlike movements of joints); drooling; tremor; bradycardia; and coarse pill-rolling movements of the thumb and fingers while at rest
pseudoparkinsonism
Abnormalities in the frontal lobes are associated with
schizophrenia, attention deficit/hyperactivity disorder (ADHD), and dementia.
can result from taking an MAOI and an SSRI at the same time
serotonin or serotonergic syndrome
The temporal lobes are centers for the senses of
smell and hearing, memory, and emotional expression
The locus ceruleus, a small group of norepinephrine-producing neurons in the brain stem, is associated with
stress, anxiety, and impulsive behavior.
involuntary movements of the tongue, facial and neck muscles, upper and lower extremities, and truncal musculature
symptoms of TD
The parietal lobes interpret sensations of
taste and touch and assist in spatial orientation
The hypothalamus is involved in
temperature regulation, appetite control, endocrine function, sexual drive, and impulsive behavior associated with feelings of anger, rage, or excitement
The limbic system is an area of the brain located above the brain stem that includes
the thalamus, hypothalamus, hippocampus, and amygdala
Common reasons for non compliance with antidepressant medications
weight gain and sexual dysfunction
