Nurs 272 Final study Questions and Correct Answers Types of interpersonal violence ✅-Between adults -Adult -child -Sibling abuse Types of abuse ✅-Physical -Emotional -Sexual Types of neglect ✅-Physical -Emotional Abuse stats ✅-47% of sexual assault victims are under 17 years old -32% of adults had experienced abuse before age 16 Teens and dating violence ✅-1/5 of grade 10s have been victim of at least one form of dating violence in the past 12 months -Non binary people have the highest level of dating violence -Includes sexual aggression, sexual coercion, psychological abuse and controlling behaviours Care of self ✅-Awareness of own views and experiences with interpersonal violence -Pace interviews to manage the amount of details you can handle hearing Effects of trauma on the family ✅-Boundary changes between certain family members -Role changes -Communication styles -Indirect communication, triangulation, and secrets Effect of trauma on children ✅-Lack of cause and effect that make sense -Parentification of older children -Trust -Shame -Emotional regulation -Struggles with identity Affect regulation ✅The ability to increase a person's feelings of happiness and well -
being -or increased reactivity -Numbness -Disassociation -Avoidance Trauma and interpersonal skills ✅-Difficulty with relatedness -Trust vs vulnerability -Boundary issues -Early sexualization -Dependency vs disengagement Neurobiological changes with trauma ✅-The amygdala and hippocampal regions change -HPA regulation changes -Hyperarousal and poor regulation of affect for HPA Toxic stress ✅-The experience of overwhelming levels of stress without support from adults to help mitigate the effects of that stress Effects of trauma on adults ✅-Increased physical injury -Depression -Decreased immune function -PTSD -Acute stress disorder -Increased substance use -Social isolation -Financial loss Trauma questions for children ✅-What happens at your house when someone does something wrong -Do you feel afraid of your mom and dad sometimes? Safety plan for trauma ✅-Phone -Contact numbers -Place to hide -Key identification documents or photocopies -Money -Medications Mandatory reporting ✅-Must report any suspicions of child abuse or neglect -Must report any suspicions of abuse or neglect of dependent adults in care Psychiatric diagnoses ✅-Done through assessment interview and collateral information -DSM V is a common guide for labeling in North America -Tries to set the boundary between normal and abnormal -Not unusual for diagnosis to change Pros of labelling psychiatric disorders ✅-Can help guide treatment -Some people feel relief from having an explanation for their symptoms -Useful for tracking and billing purposes of the healthcare system Cons of labelling psychological disorders ✅-Can become an identity -Can cause people to avoid treatment -Can redefine a person's characteristics into symptoms -Can limit treatment options Major categories of mental disorders ✅-Mood -Thought -Neurodevelopmental -Trauma -related -Obsessive compulsive -Anxiety -Personality -Substance use related Causes of mental illness ✅Biological - Chemical/neuroanatomical alterations in the brain Psychological - Coping styles, cognition, behaviours, self -esteem Social -Stressors or conditions under which people live Spiritual -Existential connection to the world, meaning, purpose Adverse Childhood Experiences (ACEs) ✅Stressful or traumatic experiences, including abuse, neglect, and a range of household dysfunction, such as witnessing domestic violence or growing up with substance abuse, mental disorders, parental discord, or crime in the home. Age of onset for mental illness ✅-15-24 years old is the most common time of onset for mental disorders and also a time where there is limited access to care due to -Stigma -Normal developmental characteristics -Availability Treatment gap for mental health care ✅-Long wait times -Lack of access -Rural -urban gaps in access (first nations/metis communities) -Underfunded system Consequences of the treatment gap ✅-Increased morbidity and mortality -Cyclical effects in families -Stigma increased as effects are increased -Increased use of prisons and police as management of mental illness Mental health literacy ✅Involves the understanding of -How to obtain and maintain positive mental health -Mental disorders and their treatments -Decreasing stigma related to mental disorders -When and where to seek help -Competencies designed to improve one's mental health care and self -management capabilities Stigma ✅-Mark of difference -A social phenomena rooted in social relationships -Shaped by culture and structures of society Effects of stigma ✅-shame, embarrassment -social alienation and isolation -self-defeating attitudes and behaviors Anti-Stigma Campaigns ✅-Increased public discussion of mental illness -Push for acceptance -Remains focused on diagnosis with normal relatable signs and symptoms Disengagement theory of aging ✅-Industrialization of society leads to smaller family ties, community size increased, and productivity became the measure of citizenship -Few places for elders who don't work -Normalized idea that older people naturally disengage from society MacArthur Model Successful Aging ✅-Seen as the typical aging result of risky lifestyle behaviours, whereas successful aging was achievable though positive lifestyle choices -Leads to a lower risk of disease or disability and maintenance of high level of mental and physical functioning Aging effects on the body ✅-Less energy -Weakened immunity -Hormone changes -Reduced cognitive abilities -Weakened bones -Metabolism issues -Mobility issues Key factors affecting mental health and well being of older people ✅1. Discrimination 2. Physical health 3. Poverty 4. Relationships 5. Participation in meaningful activities
being -or increased reactivity -Numbness -Disassociation -Avoidance Trauma and interpersonal skills ✅-Difficulty with relatedness -Trust vs vulnerability -Boundary issues -Early sexualization -Dependency vs disengagement Neurobiological changes with trauma ✅-The amygdala and hippocampal regions change -HPA regulation changes -Hyperarousal and poor regulation of affect for HPA Toxic stress ✅-The experience of overwhelming levels of stress without support from adults to help mitigate the effects of that stress Effects of trauma on adults ✅-Increased physical injury -Depression -Decreased immune function -PTSD -Acute stress disorder -Increased substance use -Social isolation -Financial loss Trauma questions for children ✅-What happens at your house when someone does something wrong -Do you feel afraid of your mom and dad sometimes? Safety plan for trauma ✅-Phone -Contact numbers -Place to hide -Key identification documents or photocopies -Money -Medications Mandatory reporting ✅-Must report any suspicions of child abuse or neglect -Must report any suspicions of abuse or neglect of dependent adults in care Psychiatric diagnoses ✅-Done through assessment interview and collateral information -DSM V is a common guide for labeling in North America -Tries to set the boundary between normal and abnormal -Not unusual for diagnosis to change Pros of labelling psychiatric disorders ✅-Can help guide treatment -Some people feel relief from having an explanation for their symptoms -Useful for tracking and billing purposes of the healthcare system Cons of labelling psychological disorders ✅-Can become an identity -Can cause people to avoid treatment -Can redefine a person's characteristics into symptoms -Can limit treatment options Major categories of mental disorders ✅-Mood -Thought -Neurodevelopmental -Trauma -related -Obsessive compulsive -Anxiety -Personality -Substance use related Causes of mental illness ✅Biological - Chemical/neuroanatomical alterations in the brain Psychological - Coping styles, cognition, behaviours, self -esteem Social -Stressors or conditions under which people live Spiritual -Existential connection to the world, meaning, purpose Adverse Childhood Experiences (ACEs) ✅Stressful or traumatic experiences, including abuse, neglect, and a range of household dysfunction, such as witnessing domestic violence or growing up with substance abuse, mental disorders, parental discord, or crime in the home. Age of onset for mental illness ✅-15-24 years old is the most common time of onset for mental disorders and also a time where there is limited access to care due to -Stigma -Normal developmental characteristics -Availability Treatment gap for mental health care ✅-Long wait times -Lack of access -Rural -urban gaps in access (first nations/metis communities) -Underfunded system Consequences of the treatment gap ✅-Increased morbidity and mortality -Cyclical effects in families -Stigma increased as effects are increased -Increased use of prisons and police as management of mental illness Mental health literacy ✅Involves the understanding of -How to obtain and maintain positive mental health -Mental disorders and their treatments -Decreasing stigma related to mental disorders -When and where to seek help -Competencies designed to improve one's mental health care and self -management capabilities Stigma ✅-Mark of difference -A social phenomena rooted in social relationships -Shaped by culture and structures of society Effects of stigma ✅-shame, embarrassment -social alienation and isolation -self-defeating attitudes and behaviors Anti-Stigma Campaigns ✅-Increased public discussion of mental illness -Push for acceptance -Remains focused on diagnosis with normal relatable signs and symptoms Disengagement theory of aging ✅-Industrialization of society leads to smaller family ties, community size increased, and productivity became the measure of citizenship -Few places for elders who don't work -Normalized idea that older people naturally disengage from society MacArthur Model Successful Aging ✅-Seen as the typical aging result of risky lifestyle behaviours, whereas successful aging was achievable though positive lifestyle choices -Leads to a lower risk of disease or disability and maintenance of high level of mental and physical functioning Aging effects on the body ✅-Less energy -Weakened immunity -Hormone changes -Reduced cognitive abilities -Weakened bones -Metabolism issues -Mobility issues Key factors affecting mental health and well being of older people ✅1. Discrimination 2. Physical health 3. Poverty 4. Relationships 5. Participation in meaningful activities
