Exam (elaborations)
Rasmussen Mental Health Final questions with verified answers.
- Course
- MED SURG.
- Institution
- Rasmussen College
Rasmussen Mental Health Final questions with verified answers.
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Rasmussen Mental Health Final questions with verifiedanswers
Acute Stress Disorder (ASD) Ans✓✓✓ This also is the reaction to an extreme
trauma which results in stress. The symptoms are the same as a posttraumatic
stress disorder. The difference is that this disorder is acute, not chronic as with
PTSD. This disorder begins shortly after the overwhelming event and lasts less
than a month. If symptoms last more than a month, the diagnosis is changed to
PTSD.
Adjustment Disorder Ans✓✓✓ Like PTSD and ASD, Adjustment Disorder is
precipitated by a stressful event. However, the event is not as severe and in some
cases, it may not be considered traumatic to others (i.e. breakup, retirement,
illness)
Anorexia Nervosa
This disorder is characterized by weight loss often due to excessive dieting and
exercise. Individuals with anorexia nervosa refuse to maintain a minimally normal
weight for height and express fear of gaining weight. This illness often waxes and
wanes. Recovery is evaluated as a stage in the process rather than a fixed event.
The prevalence of anorexia nervosa in the United States is approximately 1% of
young women. The disorder occurs predominately in females 20-30 years of age.
Ans✓✓✓ Types
Restricting- The individual drastically restricts food intake and does not binge or
purge.
Binge-eating/purging type- The individual also engages in binge eating and
purging behavior.
Symptoms
Morbid fear of obesity
Distortion of body image
,Preoccupation of food
Refusal to eat
Physiological Symptoms
Hypothermia
Bradycardia
Hypotension
Edema
Lanugo
Amenorrhea
Metabolic changes
Self-Assessment
When caring for a client with anorexia nervosa, it may be difficult to understand
the illness and the compelling force of the illness. The general belief is that the
client has a self-imposed weight restriction, binge eating and purging. It may seem
natural to blame the client for health problems as a result of these behaviors. The
common personality traits of these clients are perfectionism, obsessive thoughts
and need for control.
Antisocial Personality Disorder
In the past, antisocial behavior was categorized as sociopathic or psychopathic.
When the client diagnosed with antisocial personality disorder is seen in a clinical
setting, it is often to avoid legal consequences. These individuals exploit others for
personal gain and are extremely manipulative. They have a low tolerance for
frustration and are unable to delay gratification. Ans✓✓✓ Today the Criteria for
Antisocial Personality Disorder is
A pervasive pattern of disregard for and violation of the rights of others.
Failure to conform to social norms with respect to lawful behavior.
, Deceitfulness
Impulsivity
Irritability and aggressiveness
Reckless disregard for the safety of self and others
Consistent irresponsibility
Lack of remorse
Antisocial personality disorder
NURSING INTERVENTIONS Ans✓✓✓ Make aware of the behaviors that are
acceptable and those that are not. Explain the consequences of violation of limits.
Do not try to coax or convince the client to do the right thing. Do not use the
words "you should", instead "you are expected to..."
Provide positive feedback for acceptable behaviors in a matter-of-fact manner.
Provide milieu that is the appropriate environment (specific rules, group therapy
with peer feedback)
Discuss past behaviors with outcomes.
Maintain attitude "It is not you, but your behavior that is unacceptable."
Use the least restrictive method to control abusive to others behavior
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