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Exam 3 - NR 326, final exam, mental health exam 1 combined notecards, exam 2 mental health, FINAL EXAM- MENTAL HEALTH (ATI) $30.49
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Exam 3 - NR 326, final exam, mental health exam 1 combined notecards, exam 2 mental health, FINAL EXAM- MENTAL HEALTH (ATI)
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Exam 3 - NR 326, final exam, mental health exam 1 combined notecards, exam 2 mental health, FINAL EXAM- MENTAL HEALTH (ATI)

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  • October 26, 2023
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  • 2023/2024
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  • exam 3 nr 326 final exam mental health exam 1

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Exam 3 - NR 326, final exam, mental health
exam 1 combined notecards, exam 2 mental
health, FINAL EXAM- MENTAL HEALTH (ATI)
Personality - -deeply ingrained patterns of behavior

-Personality Disorder: Characteristics - -- inflexible, pervasive and damaging
(do same thing over and over)
- egocentrism (self gradification)
- need to feel in control
- dysfunctional relationships
- lack of empathy, remorse, anger and hostility

-Personality Disorder: Onset - -- diagnosed after 18 y/o
- common
- higher rates of suicide attempts
- criminal activity, alcoholism, drug abuse
- poor insight
- disorders are constant

-Personality Disorder: Etiology Theories - -- temperament (biological)
- difficulty moving through developmental stages
- cognitive distortions (see world differently)
- childhood trauma

-Personality Disorder: Treatment - -- based on disorder and severity
- psychotherapy
- medications for symptoms
- CBT

-Cluster A Disorder - -- odd or eccentric
- paranoid
- schizoid
- shizotypal

-Paranoid Personality Disorder - -- pervasive distrust and suspiciousness of
others
- will not be in hospital

-Schizoid Personality Disorder - -- pattern of detachment from social
relationships
- like to be alone
- do not force to be with others

, -Schizotypal Personality Disorder - -- Social and interpersonal deficits with
cognitive and perceptual distortions
- weird
- magical thinking, not schizophrenic

-Cluster B - -- dramatic, emotional or erratic
- antisocial
- borderline
- narcissistic
- historionic

-Antisocial Personality Disorder - -- disregard for and violation of the rights
of others
- sociopath
- skillful manipulator
- don't care how they make others feel
- fake emotions/guiltless
- low tolerance for frustration and easily provoked
- treatment will not work you want them discharged

-Antisocial Personality Disorder: Predisposing Factors - -- genetic
- adhd and conduct disorders
- chaotic home environment
- parental deprivation
- severe physical abuse as child

-Antisocial Personality Disorder: Management Strategies - -- set clear and
realistic limits
- ensure consistency among staff (assign one nurse)
- provide clear boundaries and consequences

-Borderline Personality Disorder - -- instability of interpersonal relationships,
self-image and affects
- suicidal
- 3x more common in women
- fear of abandonment, cutting is common

-Borderline Personality Disorder: Patterns of Behavior - -- clinging and
distancing
- splitting
- manipulation
- self-mutilation
- impulsivity

-Splitting - -- patient will try to pit each other against each other
- frequent communication among staff

,- do not take behavior personally

-Manipulation - -- to control by using unfair means to serve one's purpose
- contact person
- call client out
- limit setting (one nurse)

-Self Mutilation - -- used to elicit rescue response
- nursing intervention is matter of fact approach, don't give them the
attention they seek

-Impulsive Behavior - -- spending spree
- promiscuous sex
- reckless driving
- binge eating
- physical fights
- stop think activities

-Dialectical Behavior Therapy - -- only for borderline personality
- mindfulness
- distress tolerance
- interpersonal effectiveness
- emotion regulation

-Histronic Personality Disorder - -- excessive emotionality and attention
seeking
- uncomfortable when not the center of attention

-Narcissistic Personality Disorder - -- pattern of grandiosity, need for
admiration
- power struggle
- arrogant

-Cluster C - -- anxious or fearful
- dependent
- obsessive compulsive
- avoidant

-Dependent Personality Disorder - -excessive need to be taken care of

ex: girls that are always in a new relationship because they are scared to be
alone

-Obsessive Compulsive Disorder Anxiety - -preoccupation with orderliness,
perfectionism and control

, -Avoidant Personality Disorder - -- social inhibition, feelings of inadequacy
- want to be with others but fear being judged

-Substance Abuse Related Disorder: Predisposing Factors - -- genetics
- biochemical
- modeling behavioral conditioning
- culture/customs

-Alcohol Use Disorders - -- classified as food
- cns depressant
- rapidly absorbed into the body, goes straight to the bloodstream

-Alcohol Intoxication: Symptoms - -- disinhibition of sexual or aggressive
impulses
- mood lability
- impaired judgment
- impaired functioning
- slurred speech
- unsteady gait
- nystagmus
- flushed face

-Factors that Influence Intoxication - -- rate at which it is consumed
- empty stomach
- size of the person
- type of alcohol

-Tolerance - -the need for increasingly larger doses of a substance in oder
to obtain the desired effects

-0.05% - -- 1-2 drinks
- changes in mood and behavior; impaired judgment

-0.10% - -- 5-6 drinks
- clumsiness in voluntary motor activity

-0.20% - -- 10-12 drinks
- staggering and ataxia; emotional lability

-0.30% - -- 13-18 drinks
- confusion, stupor

-0.40% - -- 20-24 drinks
- coma

-0.50% - -- 25-30 drinks

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