Essential feature of mania
~ is a distinct period of intense psychophysiological activation
Predominant mood
Elevated or Irritable
Predominant mood accompanied by:
~ Hyperactivity
Undertaking too many activities
Pressured speech
Flight of ideas
Distractibility
Inflated self esteem
Hy...
✓~ Secondary effects of violence, such as anxiety, depression, and suicidal ideation
are health issues that can last a lifetime. Exposure to violence can affect a child's
development, b/c the energy needed to accomplish developmental tasks goes to
coping with violence.
Theory of family violence
✓~ Refers to physical injury or mental anguish inflicted by one family member upon
another and the omission or deprivation of essential services by a caregiver.
Crisis situation
✓~ -is one that puts stress on the family. Stressful life events tax coping skills,
leaving the perpetrator incapable of dealing with what is going on.
It is also useful to assess:
, ✓~ It is also useful to assess:
Violence indicators
Levels of anxiety and coping responses
Family coping patterns
Support systems
Suicide/ homicide potential
Drug or alcohol use
Planning
✓~ Planning addresses safety first for the client and then sees if the abuser is willing
to learn violent free alternatives to frustration and aggression.
Primary Prevention
✓~ Primary consists of measures taken to prevent the occurrence of family violence.
Strategies include: reducing stress, reducing the influence of risk factors, increasing
social support, increasing coping skills, and increasing self-esteem.
Secondary Prevention
, ✓~ Secondary-involves early intervention in abusive situations to minimize their
disabling or long-term effects.
Tertiary Prevention
✓~ Tertiary- involves the healing and rehab process by counseling, providing
support, and assisting survivors of violence to achieve their optimal level of safety,
health, and well-being.
Basic level interventions
✓~ Counseling-by listening, giving support, discussing options, and describing other
ways of living, the nurse initiates an awareness of all possibilities.
Disruptive Mood Dysregulation Disorder
✓~ Severe recurrent temper outbursts manifested verbally and/or behaviorally that are
grossly out of proportion; inconsistent with developmental level; occur 3 or MORE
times per WEEK; Chronic, persistent irritable, angry mood, frequent episodes of
extreme behavioral dyscontrol; most of the day nearly everyday; Present for 12 or
MORE MONTHS. Present in 2 of 3 settings: home, school & with peers; NOT before
6 yrs or after 18; ONSET before 10 yrs.
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