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