Mental Health Alterations
This disorder is described as the failure to eat adequate amounts of food, despite availability and there is no medical condition or mental retardation.
Feeding and eating disorder.
This disorder is the defined as the recurrent or persistent inhibition of female orgasm as manifested by the recurrent delay in or absence of, orgasm after normal sexual partner excitement phase.
Female orgasmic disorder.
This disorder is characterized by persistent or recurrent partial or complete failure to attain or maintain the lubrication and swelling response of sexual excitement until the completion of the sexual act.
Female sexual arousal disorder. To receive this diagnosis the lack of arousal must be distressing the woman.
This disorder is described by as sexual focus on objects that are intimately associated with the human body.
Fetishism.
This term is a variant of PTSD and consists of an acute phase and a long-term reorganization process that occurs after the actual or attempted sexual assault.
Rape-trauma syndrome.
Non-consensual vaginal, anal, or oral penetration, obtained by force or by threat of bodily harm or when a person is incapable of giving consent.
Rape.
What is the mainstay treatment for pervasive developmental disorders
Risperdal and atypical antipsychotics.
This disorder is defined as the repeated regurgitation and rechewing of food without apparent nausea, retching, or GI problems.
Rumination disorder.
Describe mutual story telling.
The child is asked to create a story with a moral or lesson. The nurse then retells the story providing a healthier resolution if applicable.
What must the nurse do before he/she is able to assist someone with a mental disorder?
Self-assessment.
What are some pharmacological interventions for the patient with anorexia nervosa?
No drugs have been approved to treat the disorder, but drugs such as SSRIs (Prozac), antipsychotics (Thorazine), and atypical antipsychotic agents (Zyprexa) are helpful in treating symptoms.
What is an important concept to emphasize in response to blame associated with sexual assault?
No one deserves to be sexually assaulted and the assault is not the victim's fault. Reflective statements are most therapeutic when responding to patients that blame themselves for the abuse.
Describe the excitement phase of the sexual response cycle.
Occurs from the time during which sexual tension continues to increase from the preceding level of sexual desire. Indicators are penile erection and vaginal lubrication.
This disorder is described as by persistent reexperiencing a highly traumatic event that involved the actual or threatened death or serious injury to self or others, to which the individual responded with intense fear, helplessness, or horror.
PTSD
This disorder is described a concentration of sexual activity on one part of the body to the exclusion of all other parts.
Partialism.
This sexual disorder involves sexual activity with a prepubescent child.
Pedophilia.
Those who initiate violence and often consider their own needs to be more important than anyone else's and look toward others to meet their needs.
Perpetrator.
This type of abuse is the infliction of physical pain or bodily harm (e.g., slapping, punching, hitting, choking, pushing, restraining, biting, throwing, burning).
Physical abuse
This disorder is defined as the persistent eating of nonnutritive substances without an aversion to eating food.
Pica.
List cons of long-term care facilities?
Placement is hard to secure, there is lacking evidence of their effectiveness, and it is expensive.
What are some of the side effects of Ritalin?
--Insomnia. --Headache. --Abdominal pain. --Lethargy. --Growth retardation secondary to appetite suppression.
This term includes physical attempts and verbal threats of rape.
Attempted rape.
If the explanation does not match the injury seen, or the patient minimizes the seriousness of the injury what should the nurse suspect?
Abuse.
This disorder is described as persistent genital pain that can occur in either men or women during or after intercourse.
Dyspareunia.
This disorder is described as obsession with having a sexual encounter with a cadaver.
Necrophilia.
This term is defined as painful coitus.
Dyspareunia.
How should the nurse intervene if the client doesn't speak English?
Provide a trained medical interpreter. A family member should never be used as an interpreter.
This term is defined the relationship between a child's constitutional endowment and success negotiating stressful environmental factors.
Resilience.
What indicates eligibility for inpatient hospitalization of a child?
The child must be an eminent danger to self or others.
What is a con of short-term inpatient facilities?
The nurse has less time to form a therapeutic relationship with the client.
This disorder is described as an involuntary constriction response of the muscles that close the vagina.
Vaginismus.
What type of questions are contraindicated during the assessment of a sexual assault victim?
"Why" questions.
Describe the desire phase of the sexual response cycle.
--Many factors affect interest in sexual activity (age, physical/emotional health, availability of a sexual partner etc.) --Testosterone is essential to sexual desire in both males and females.
What are some risk factors for mental illness?
--A child with a parent who has depression --Parent's inability to model effective coping strategies --Children who have been abused or neglected --Witnessing violence
What are some complications associated with conduct disorder?
--Academic failure. --School suspension and drop outs. --Juvenile delinquency. --Drug and alcohol abuse and dependancy. --Juvenile court involvement.
How can the nurse promote a therapeutic environment?
--Actively engage the patient and family in treatment planning to avoid the use of seclusion restraint --Maintaining adequate staffing patterns with motivated staff experienced in working with patients who have been violent and abused. --Accurate assessment of the acuity of the individuals and group makeup of the unit --The use of positive and less restrictive alternatives (de-escalation strategies)
List the characteristics of a resilient child.
--Adaptability to change in the environment --Ability to form nurturing relationships with other adults when parent is not available --Ability to distance self from emotional chaos --Good social intelligence --Good problem solving skills The nurse's role is to identify and foster these qualities to keep at-risk children from developing emotional and mental problems.
What drugs are used to control aggressive behaviors?
--Antipsychotics --Anticonvulsants --Lithium --Antidepressants
What may cause hypoactive sexual disorder?
--Chronic stress --Depression --Prolonged suppression of sexual impulses. --Deteriorating relationship
What are interventions for severe ODD?
--Correcting the faulty personality (egos and superego), development --Generate more mature and adaptive coping mechanisms and prosocial skills --Outpatient, group, and family counseling
List important patient teaching to prevent violence.
--Discuss associated risk factors. --Learn to recognize triggers that may escalate into violence. --Discuss normal developmental and physiological changes.
What factors can reduce the likelihood a person resorts to violence?
--Effective impulse control and problem-solving skills --A healthy support system
Describe characteristics of separation anxiety.
--Excessive distress when separated or anticipating separation from parental figures. --Excessive worries one will be lost or kidnapped, that parents will be harmed, or that home will be violated or damaged. --Fear of being home alone or in situations without significant adults. --Refusal to sleep unless near a parental figure or away from home. --Refusal to attend school or other activities without parents. --Physical symptoms of anxiety.
What are physiological factors that can contribute to female orgasmic disorder?
--Fear of pregnancy, rejection, or loss of control --Hostility toward men --cultural/social restrictions
What are some common phobias associated with rape victims?
--Fear of the indoors (if the rape occurred indoors) --Fear of the outdoors (if the rape occurred outdoors) --Fear of being alone --Fear of crowds (the rapist may be in the crowd) --Fear of sexual encounters of activities (if raped by their partner)
What are some causes of sexual dysfunction?
--General medical condition (Diabetes, head trauma) --Substance-induced --Not otherwise specified
What are some indications that a topic may be difficult for the patient to talk about?
--Hesitation --Lack of eye contact --Use of vague statements ("It's been rough lately)
What are some psychological factors that may cause dyspareunia?
--History of childhood abuse or rape --Anxiety about sex
What are some signs of the effects of living with chronic stress and SEVERE levels of anxiety may be present?
--Hypertension --Irritability --GI disturbances --Disillusionment/unable to speak of think clearly
What are the presenting symptoms of ADHD?
--Inattention. --Hyperactivity. --Fidgets, climbs, unable to sit quietly. --Does not pay attention to social cues. --Acts as if "driven by a motor" and constantly "on the go." --Talks excessively. --Impulsive. --Impulsively blurts out answers before the question has been completed. --Has difficulty waiting for own turn or being patient. --Interrupts, intrudes others' conversation, and games. Improvement of symptoms with medication is measured by how many symptoms are controlled by the medication and dosage.
What are some different types of collection data?
--Interviewing --Screening --Testing --Observing --Interacting --Taking histories --Structured questionnaires and behavior checklists --Genogram --Play activities
What are some priority areas to assess with the sexual assault victim?
--Level of anxiety --Coping mechanisms --Availability of support systems --S/S of emotional trauma --S/S of physical trauma
What are factors believed to have reduced the incidence of sexual assault?
--Longer sentences for perpetrators. --"Three strike laws" and mandatory minimum sentences. --Increased assertiveness ("no means no"). --Willingness to report sexual abuse.
What are some symptoms associated with Tourette's disorder?
--Obsessions --Compulsions --Hyperactivity --Distractibility --Impulsivity --Tics People with Tourette's often have low self-esteem and depression over the disorder. CNS stimulants increase severity of tics, so medications must be carefully monitored in children with coexisting ADHD. Usually treated with atypical antipsychotics.
Describe the long-term reorganization phase of rape-trauma syndrome.
--Occurs 2 wks or more after the rape --Includes intrusive thoughts (flashbacks or dreams about the rape that evoke feelings like anger) --Increased activity such as moving or taking trips --Increased emotional lability (anxiety, mood swings, crying spells)
Describe the acute phase of rape-trauma syndrome.
--Occurs immediately after the assault and may last for 2-3 wks. --The victim is treated at the hospital --Most common reaction is shock ("it doesn't seem real") --Victim may not want to talk about it (denial)
What are some areas to explore when assessing suicide risk?
--Past suicidal thoughts or attempts. --Existence of a plan, lethality of the plan, and accessibility of the methods for carrying out the plan. --Feelings of hopelessness, changes in level of energy. --Circumstances, state of mind, and motivation --Viewpoints about suicide and death (Has a family member of friend attempted suicide?" --Depression and other moods or feelings --History of impulsivity, poor judgement,or decreased decision making. --Drug or alcohol use. --Prescribed medications and any recent adherence issues. --Acting out behavior. --Artwork with a violent theme. --Books and music with morbid themes --Recent changes in behavior or social life. --Self-threatening behavior (cutting)
What are some risk factors that predispose an adolescent to join a gang?
--Past trauma --Learning disability --Poor school performance --Family disorganization
List several characteristics of a perpetrator.
--Perceive themselves as having poor social skills. --Describe their relationship with their partners as being the closest they have ever known (codependent). --Believe in male supremacy, being in charge, and being dominant --"Acting out" physically makes them feel more in control, more masculine, and more powerful. --May use physical aggression to maintain that position. --Have extreme pathological jealousy. --Refuse to allow their partners to work outside the home or demand their partners work in the same place they do so they can monitor activities and friendships. --Accompany their partners to and from activities and forbid them to have personal friends or participate in recreational activities outside the home. --Restrict mobility and monitor odometers/use stop watches. --After imposing restrictions accuse their partners of infidelity. --Control family finances to the point that there is barely enough money for daily living.
What areas should be covered when assessing a patient with an eating disorder?
--Perception of the problem --Eating habits --History of dieting --Methods used to achieve weight control (restriction, purging, exercising) --Value attached to a specific shape and weight --Interpersonal and social functioning --Mental status a nd psychological parameters
When assessing sexual dysfunctions, what are important areas to evaluate?
--Physical assessment** --Labs** --Emotional issues --Life situation and experiences
What can cause male orgasmic disorder?
--Physical conditions --Substance abuse --Prescribed medication
What may perpetuate the abuse of an older adult?
--Poor mental of physical health --Reliance upon others to manage finances
Describe different types of seclusion.
--Quiet room (a locked room used for decreased stimulation) --Freedom room (relaxation room with soothing music and yoga mats) --Time out (separation from an activity to halt disruptive behaviors until the child is able to regain self-control)
What are S/S of shaken baby syndrome?
--Respiratory problems --Bulging fontanels --CNS damage resulting in seizures, vomiting, and coma
What are factors that may shield a child from drug abuse?
--Self-control --Parental monitoring --Academic achievement --Anti-drug abuse policies --Strong neighborhood attachment
What are some familial risk factors that correlate with child psychiatric disorders?
--Severe marital discord --Low socioeconomic status --Large families and overcrowding --Parental criminality --Maternal psychiatric disorders --Foster care placement --Lack of same culture role models
What are indicators that an adolescent may be more inclined to abuse drugs later in life?
--Shyness --Aggressiveness --Rebelliousness --Substance abuse among peers --Parental drug use --Involvement in legal problems such as truancy or vandalism
This terms describe the nature of the relationship between the victim and the rapist.
--Spousal/marital rape (Married to the victim) --Acquaintance/date rape (known to the victim or dating)
What are some causes of premature ejaculation?
--Tactile sensitivity --Fear about performance --Stressful relationships where the man feels hurried
Describe the profile of a sexual predator.
--Tend to be young. --Abusers tend to be under the influence of alcohol or drugs at the time of the offense. --The perpetrator is acquainted with the victim in most cases. --Tend to target women of the same ethnicity.
Why might pregnancy trigger or increase violence?
--The partner may resent the added responsibilities a baby entails, or he may resent the relationship the baby will have with his mate.
What can make violence escalate for a women in an abusive relationship?
--The woman makes a move toward independence --Visiting friends without permission --Getting a job or going back to school --When they try to leave the relationship
According to Kaplan, what factors can result in sexual dysfunction?
--Unconscious guilt and anxiety regarding sex --Misinformation and ignorance regarding sexual and social interaction --Poor communication between partners --Poor sexual performance --Sexual trauma
What are some interventions to include during the assessment of the sexual assault victim?
--Use non-judgmental and empathetic approach. --Provide rapid assessment of the needs and support required to prevent further trauma. --Treat and document injuries. --Provide a private environment, and limit personnel to examining health care professionals. --Assist with or conduct a physical assessment. --Obtain lab tests for STDs and treat them. --Assist with or perform collection of evidence with appropriate documentation and preservation of evidence. --Provide pregnancy risk evaluation and prevention. --Provide crisis intervention and arrange for follow-up counseling. --Obtained informed consent for all invasive procedures.
What are findings that are important to document in the initial assessment of the patient suspected of being abused?
--Verbatim statements of who caused the injury and when it occurred. --A body map to indicate size, color, shape, areas, and types of injuries with explanations. --Physical evidence of sexual abuse when possible.
What are the symptoms associated with a date rape drug?
--Victims lose the ability to ward off attackers --Develop amnesia --Become unreliable witnesses
What are some areas to include in an abuse assessment?
--Violence indicators --Levels of anxiety and coping responses --Family coping patterns --Support systems --Suicide potential --Homicide potential --Drug and alcohol abuse
What are interventions for feeding and eating disorders?
--Working with the family to provide a safe and well monitored environment that prohibits placing unsafe items in the child's mouth. --Removal of unsafe items. --Working with associated health care providers --Provisions of praise. --Support for parent and caregivers to manage the child's behavior.
What circumstances may perpetuate the abuse of a child?
--Younger than 3yrs of age --Percieved as being different because of temperamental traits, cognitive abnormalities, or chronic disease. --Remind the abuser of the parents they don't like (perhaps the ex-spouse). --They are different from the parents' fantasy of what the child should be like --A product of an unwanted pregnancy --Interference with emotional boding between parents and child (premature birth or prolonged hospitalization)
Describe drug treatment of child and adolescent disorders and symptoms.
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Describe drugs associated with date rape and their effects.
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Describe potential nursing diagnoses for disorders of childhood and adolescence.
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Describe some nursing outcomes and inductors of met goals for family abuse.
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Describe some of the long-term effects of family violence.
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Describe the characteristics of a mentally healthy child or adolescent.
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Describe the characteristics of abusive parents.
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Describe the importance of self assessment when treating the patient suspected of being abused.
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Describe the types of assessment data.
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Describe therapeutic factors in the milieu.
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List some Do's and Don'ts when it comes to interview guidelines for the suspected abuse victim.
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What are common presenting problems of victims of abuse?
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What are some NOC outcomes for pervasive developmental disorders?
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What are some appropriate open-ended questions to include in the interview of a suspected abuse victim?
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What are some appropriate verbal responses to include in the interview of a suspected abuse victim?
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What are some common myths and facts about rape?
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What are some common responses of health care professionals to violence?
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What are some considerations for evaluating homicide potential during an interview of a patient suspected of being abused?
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What are some interventions for abuse protection support for children, intimate partners, and older adults?
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What are some myths and facts of family abuse?
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What are some potential nursing diagnoses for family violence?
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Why is it important to evaluate drug and alcohol use during an interview of a patient suspected of being abused?
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List the 3 requirements of an occurrence of abuse.
1. A perpetrator. 2. Someone who by age or situation is vulnerable (children, women, older adults, and the mentally ill or physically challenged person). 3. A crisis situation.
List the four types of conduct disorder.
1. Aggression toward people and animals. 2. Property destruction. 3. Theft. 4. Serious violation of rules.
Describe the subtypes of conduct disorder.
1. Childhood Onset: --Occurs prior to age 10. --Found primarily in males who are aggressive, have poor peer relationships, show little concern for others, and lack feelings if guilt or remorse. --Misperceive others as hostile. --Believe aggressive responses are justified. --Display antisocial reasoning ("He deserved it") when rationalizing aggressive behaviors. --Limited frustration tolerance. 2. Adolescent Onset: --Tend to act out misconduct within their peer group. --Males are apt to fight, steal, vandalize, and have school discipline problems. --Girls tend to run away, lie, have truancy issues, abuse substances, and engage in prostitution. More girls are prone to adolescent onset.
List the three phases of the sexual response cycle.
1. Desire 2. Excitement 3. Orgasm 4. Resolution
What are 3 presenting symptoms of autism?
1. Impairment in communication and imaginative activity. 2. Impairment in social interactions. 3. Markedly restricted, stereotypical patterns of behavior, interest,, and activities.
What are the 3 most frequently diagnosed mood disorders in children and adolescents?
1. Major depressive disorder 2. Dysrhythmic disorder 3. Bipolar disorder
List the 5 types of abuse.
1. Physical abuse 2. Sexual abuse 3. Emotional abuse 4. Neglect 5. Economic abuse
Name 3 eating disorders.
1. Pica 2. Rumination disorder 3. Feeding and eating disorder
Describe the cycle of abuse.
1. Tension-building stage-- relatively mild incidents such as pushing, shoving, and verbal abuse. 2. Acute battering stage-- the abuser releases the built-up tension by brutal beatings. 3. The honeymoon stage-- kindness and loving behaviors.
List the 5 subtypes of adjustment disorder.
1. With anxiety. 2. With mixed anxiety and depressed mood. 3. With disturbance of conduct. 4. With mixed disturbance of emotions and conduct 5. Unspecified
A situation that puts stress on the family with a violent member.
A crisis situation.
What is the number one predictor of suicidal risk?
A past suicide attempt. A verbalized suicide plan is also an indicator.
Describe a safety plan.
A plan for rapid escape when abuse reoccurs. --A patient should be asked to identify signs of escalation. --Develop a safe word or phrase for children ("Now is the time to go"). --The plan should include transportation arrangements. --Keep the number and address to a shelter in a safe place where the perpetrator cannot find it.
What is feeding syndrome?
A potentially catastrophic treatment complication involving a metabolic alteration in serum electrolytes, vitamin deficiencies, and sodium retention.
What are some covert indicators of violence?
A series of minor complaints such as headaches, back trouble, dizziness, and accidents--especially falls.
This disorder is defined as a behavioral disorder usually manifested before the age of 7 yrs that includes overactivity, chronic inattention, and difficulty dealing with multiple stimuli.
ADHD
What can abnormalities in dopamine receptors and dopamine transporters lead to?
ADHD, certain addictions, and schizophrenia.
This disorder is described as a psychological response to the identifiable stressor(s), with symptoms developing within 3 months of the stressor(s).
Adjustment disorder.
Why is adolescent abuse often overlooked?
Adolescents tend to be viewed as capable of defending themselves.
How often should vitals be taken from and ROM be performed on the restrained child?
Every 15 mins. Parents should be notified when the child is restrained.
A medical term that signifies a loss of appetite or refusal to eat for fear of gaining weight.
Anorexia nervosa.
What are some secondary effects of abuse?
Anxiety (life threatened), depression, and suicidal ideation.
How does Asperger's differ from autism?
Asperger's appears to have a later onset and no significant delay in cognitive and language development. (May run in families)
This disorder is described as a state in thinking is not bound to reality but reflects the private perceptual world of the individual. People with this disorder typically have difficulties in verbal and nonverbal communication, social interactions, and leisure or play activities.
Autism.
This term is defined as the use of literature to assist the inddividual to express feelings, gain insight into feelings and behavior, and learn new ways to cope with difficult situations.
Bibliotherapy.
What are some overt signs of battery?
Bruises, scars, burns, and other wounds in various stages of healing, particularly around the head, face, chest, arms, abdomen, back, buttocks, and genitalia. Any bruises on on an infant younger than 6 mo of age should be considered suspicious
This disorder is characterized by binge eating and purging.
Bulimia nervosa.
What is a cultural consideration for Cambodian women?
Cambodian women control their responses to stress and violence through nonconfrontation and withdrawal, which are designed to restore equilibrium.
This terms is defined as uttering obscenities and is often associated with Tourette's disorder.
Coprolalia.
What are two of the most prevalent disorders resulting from childhood trauma?
Depression and PTSD.
What can decreased levels of norepinephrine and serotonin lead to?
Depression and suicide.
This type of abuse if the withholding of financial support of the illegal or improper exploitation of funds or other resources for one's personal gain.
Economic abuse.
This type of abuse is the infliction of mental anguish (e.g., threatening, humiliating, intimidating, and isolating).
Emotional abuse
What is the primary goal of intervention?
Empowerment through providing the victim with resources that can provide shelter and support to transition out of the abusive relationship/home.
This disorder is characterized by the recurrent and persistent partial of complete failure to attain or maintain an erection to perform the act of sex.
Erectile disorder/erectile dysfunction/impotence.
How may a decline in estrogen affect sexual desire in women?
Estrogen effects normal vaginal elasticity and lubrication.
This disorder is described as illegal activity that involves the intentional display of the genitals in a public place.
Exhibitionism.
Damage to what part of the brain may cause symptoms of promiscuity, poor judgment, inability to recognize triggers that set off sexual desires, and poor impulse control.
Frontal lobe.
This disorder Is characterized by rubbing or touching a nonconsenting person.
Frotteurism.
This disorder is described as a strong and persistent cross-gender identification.
Gender identity disorder.
The lower the income, the _________ the amount of domestic violence.
Greater.
This subtype of sexual desire disorders is characterized by a deficiency or absence of sexual fantasies or desire for sexual activity.
Hypoactive sexual desire disorder.
This disorder is defined as the desire to achieve an altered state of consciousness secondary to hypoxia while experiencing orgasm; a drug such as nitrous oxide may be used to produce hypoxia.
Hypoxoxyphilia.
How is temperament and attachment related to developmental problems and future mental disorders.
If there is an incongruance between parent and child temperament there is a risk for these problems.
Describe secondary prevention of abuse.
It involves early intervention in abusive situations to minimize the disabling or ling term effects.
Describe tertiary prevention of abuse.
It involves facilitating the healing and rehabilitative process by counseling and providing support to individuals and families to reach their optimal level of safety.
Describe primary prevention of abuse.
It involves measures taken to prevent the occurrence of abuse. Strategies include: --Reducing stress. --Reducing the influence of risk factors. --Increasing social support. --Increasing coping skills. --Increasing self-esteem.
Nurses are ________ ________ to report suspected or actual cases of child and vulnerable adult abuse.
Legally Mandated.
Why might a non-stimulant SSRI like Strattera be used to treat ADHD and what are the side effects?
Less likely to abuse the drug. Side effects include: --GI disturbance --Reduced appetite --Weight loss --Dizziness --Fatigue --Insomnia --Small increase in BP and HR Therapeutic response may take up to 3 wks.
As with other violent crimes, people of ________ socioeconomic classes are more often victims.
Lower.
This disorder occurs when a man achieves ejaculation during coitus only with great difficulty which can be a result of rigid background.
Male orgasmic disorder
What can elevated levels of norepinephrine and serotonin lead to?
Mania and pathological fear.
Describe the principle of least restrictive intervention.
More restrictive interventions should be used only after less restrictive interventions have been attempted to manage the behavior.
This type of abuse involves failure to provide for or attend to basic physical, emotional, educational, or medical needs of another.
Neglect
This disorder is characterized by a recurrent pattern of negativistic, disobedient, hostile, defiant behavior toward authority figures, without going so far as to seriously violate the basic rights of others.
Oppositional defiant disorder.
Describe the orgasm phase of the sexual response cycle.
Orgasm as the result of increased erotic stimulation.
This term is defined as an intervention that allows a child to symbolically express feelings such as aggression, self-doubt, anxiety, and sadness throughout the medium of play.
Play therapy.
Describe the point and level system.
Points are awarded for desired behaviors, and increasing levels of privileges can be earned.
This disorder occurs when a man persistently or recurrently achieves orgasm or ejaculation before he wishes.
Premature ejaculation. Diagnosis is made when a man regularly ejaculates before of immediately after the penis enters the vagina.
What is the mainstay treatment if ADHD?
Psychostimulant drugs (Ritalin).
This disorder is described as becoming excessively anxious when separated from or anticipating separation from their home or parental figures.
Separation Anxiety. (A depressed mood often accompanies the anxiety)
This type of abuse involves any form of sexual contact or exposure without consent, or circumstances in which the victim is incapable of giving consent.
Sexual abuse (sexual assault or rape)
This term is defined as any type of sexual activity to which the victim does not consent, and it ranges from inappropriate touching to penetration. It can occur verbally over the phone or online, include being forced into activities such as prostitution, posing for pornographic photographs, or appearing in a pornographic film.
Sexual assault.
This subtype of sexual desire disorder is characterized by aversion to and avoidance of genital sexual contact with a sexual partner or masturbation.
Sexual aversion disorder. (Can coexist with panic disorder)
This disorder is based on damage to the biological sex drive, self-esteem, acceptance of personal sexuality, sexual experiences, and relationships.
Sexual desire disorders.
This term is defined as a disturbance in the desire, excitement, or orgasm phase of the sexual response cycle or pain during sexual intercourse.
Sexual dysfunction.
What can the nurse teach the client that experiences sexual dysfunction related to an illness?
Sexual positions that can preserve energy or exacerbating disease process.
This disorder involves the achievement of sexual satisfaction from the physical or psychological suffering (including humiliation) of the victim.
Sexual sadism.
Describe the phase of the sexual response cycle.
Sexual tension returns to baseline levels and stimulation has ceased. Can be a pleasurable time (afterglow) or unpleasant and awkward depending on the quality of sexual fulfillment perceived by the parties involved.
This form of abuse is the result of the brain moving in the opposite direction of the baby's head.
Shaken baby syndrome.
Individuals are more likely to engage in family violence they use _____________.
Substances. (Alcohol and drugs)
How can the nurse prevent the stigma of taking medications at school.
Suggest the use of long acting medications.
What is the second leading cause of death in adolescents?
Suicide.
What two indicators are needed for a diagnosis of ADHD?
Symptoms must be present before age 7 and must be present in at least two settings (home and school).
This disorder is described as obscene phone calling to an unsuspecting person or sending obscene messages or video messages by email.
Telephone and computer scatologia.
This term is defined as the style of behavior a child habitually uses to cope with the demands and expectations of the environment.
Temperament.
How does exposure to abuse adversely affect a child's development?
The energy needed to successfully accomplish developmental task goes to coping with abuse. Abused adolescents report more psychopathalogical changes, poorer coping and social skills, a higher incidence of dissociative identity disorder and poorer impulse control than do other adolescents. Women who are victims of prolonged childhood sexual abuse are more likely to develop major psychiatric distress.
Describe Klinefelter's syndrome.
The patient has at least one extra X chromosome and may result in immature genitalia and gender identity disorder is a possibility.
Why is it important that the health care record contain an accurate and detailed description of the victim's medical history, psychosocial history of the family, and observations of of the family interactions during the interviews.
The possibility of future legal action.
What is the refractory period?
The time between penile erections. In young men it may be measured in minutes, whereas for older men it may be measured in hrs.
This term is defined as games the nurse can play with a child to facilitate the development of a therapeutic relationship and provide opportunity for conversation
Therapeutic games.
What concept is important to stress during crisis intervention measures.
They have the right to live without fear of violence, physical harm, or assault.
How can medication such as antihistamines and anticholinergics affect female arousal?
They may result in decreased lubrication.
Why are rape victims often not screened for date rape drugs?
They mimic the symptoms of alcohol intoxication.
This disorder is characterized by motor and verbal tics that cause marked distress and significant impairment in social and occupational functioning. Tics usually appear between 2 and 7 yrs of age and involve the torso or limbs and they change in location, frequency, and severity over time.
Tourette's disorder. (May run in families)
This disorder is described as sexual satisfaction achieved by dressing in the clothing of the opposite gender.
Transvestic fetishism.
This disorder is described as sexual activity that involves urinating on one's partner or being urinated on.
Urophilia
This term is defined as spasms of the vagina.
Vaginismus.
This disorder is an illegal activity that involves seeking sexual arousal through viewing, usually secretly, other people in intimate situations.
Voyeurism.
The family member upon whom the abuse is perpetuated.
Vulnerable person. (victim, survivor)
This disorder is described as the incorporation of animals into sexual activity.
Zoophilia.
How does Rhett's disorder differ from autistic disorder and Asperger's?
it is observed only in females with onset before 4 yrs of age and usually results in severely impaired language development and many have social interaction problems.
