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WKU NURSING MENTAL HEALTH FINAL EXAM
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WKU NURSING MENTAL HEALTH FINAL EXAM
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WKU NURSING MENTAL HEALTH FINAL EXAMWhat type of disorder with a patient have if they are demanding unnecessary tests and do not comply with recommendations of medical professionals?
Hint - these patients often acquire high cost in healthcare and are doctor shoppers - answer- Somatic symptom disorder
What are the common complaint of Somatic symptom disorder - answer- Pain, difficulty swallowing, G.I., shortness of air, dizzy
what are secondary gains? - answer- Where a patient benefits from being sick such as getting away from responsibilities or housekeeping
What is illness anxiety order/Hypochondriasis? - answer- Extreme worry in fear about getting an illness even after being tested and there's often very few symptoms
Conversion Disorder (Functional Neurological Symptom Disorder) - answer- A sudden onset of deficits in voluntary motor or sensory functions and it is sudden and unexpected
What is dissociative amnesia? - answer- selective memory loss brought on by extreme stress
What is dissociative fugue? - answer- abrupt change in geographic location with inability
to recall past, confusion about identity, or assumption of a new identity
What are the three key things that you will see in schizophrenia - answer- Delusions, hallucinations, disorganized speech
How long do the negative symptoms continue For in schizophrenia - answer- Six months
How long does schizophreniform usually last - answer- 1 to 6 months but does not usually go past six months
What is a delusion - answer- A false fixed belief, idea or thought. This has no sensory component.
What Does paranoid schizophrenia look like - answer- Feeling like everyone is out to get them
What does disorganized schizophrenia look like - answer- Most socially impaired of all clients what does catatonic schizophrenia look like? - answer- Excessive motor activity, very rigid people
What is undifferentiated schizophrenia? - answer- Characteristic of more than one subtype or none of the subtypes
What is residual Schizophrenia - answer- improved by still symptomatic schizophrenia
Positive symptoms of schizophrenia - answer- Excess in normal functioning
Negative symptoms of schizophrenia - answer- Lack of normal functioning
what is the problem of conventional antipsychotics - answer- They have worse side effects such as tardive dyskinesia
Neuroleptic malignant syndrome-that can be treated with Parlodel or Dantrium
And agranulocytosis
What are some examples of conventional antipsychotics - answer- Haldol
Stelazine
Thorazine
Prolixin
What are the disadvantages of atypical antipsychotics also known as 2nd GEN antipsychotics - answer- Costly and there's a risk for metabolic syndrome
What are the atypical antipsychotics? - answer- clozapine, risperidone (also available in long-acting depot), quetiapine, olanzapine, ziprasidone, aripiprazole
What does Labelle indifference usually Occur with-
means Having a lack of concern - answer- Conversion disorder
What medications benefit patients with somatic symptom disorder - answer- SSRIs
What is factitious disorder? - answer- pts present to healthcare setting with s/sx that they have deliberately and consciously produced for no obvious reason other than to gain admission to the hospital and adopt the sick role
What is factitious disorder imposed on another? - answer- Patient's seek access to medical care by intentionally producing sx's of illness in someone else, usually children. Classified as child abuse.
What would a depersonalization or Derealization disorder look like - answer- The patient
says they are seeing themselves do some thing like they are detached from their own body
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