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CPNRE chapter 6 - mental health nursing Questions and Answers well Explained Latest 2024/2025 Update 100% Correct. €7,62   In winkelwagen
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CPNRE chapter 6 - mental health nursing Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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  • CPNRE Chapter 6 - Mental Health Nursing

nursing problems - 1. anxiety r/t family rejection AEB palpitations, trembling, diaphoresis 2. impaired social interaction r/t negative role modelling AEB verbalized/observed discomfort in social situations 3. risk for self directed violence r/t history of self harm 4. risk for trauma r/t muscu...

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CPNRE chapter 6 - mental health
nursing
nursing problems - 1. anxiety r/t family rejection AEB palpitations, trembling, diaphoresis

2. impaired social interaction r/t negative role modelling AEB verbalized/observed discomfort in social
situations

3. risk for self directed violence r/t history of self harm

4. risk for trauma r/t muscular incoordination



mood vs affect - mood

-pervasive/enduring emotional state

affect

-outward expression of client



3 fe psychosocial theories of somatic disorders - -pt keeps stress in rather than expressing
(internalization)

-express stress through physical symptoms

-physical symptoms exacerbate in stressful situations helping them meet their needs through
primary/secondary gain

-unconscious defense mechanism



atures of somatic symptom illnesses - 1. physical complaints suggest medical issue but have no
organic basis

2. psychological factors impt in initiating, exacerbating, maintaining symptoms

3. symptoms not under clients conscious control



mental health - ones ability to cope with problem in life and draw satisfaction from living
throughout various life stages

-at times of less satisfaction -> may seek help to adapt or cope

,mental illness - pattern of behaviour that is disturbing to self or community / disorders affecting
mood, behaviour, thinking

-ineffective coping

-behaviours can interfere with ADLs, impair judgement, and alter reality



historical perspective of mental illness - early history - -possessed

-removed from society/jailed

-some beliefs still practiced today



historical perspective of mental illness - classical era (greco roman) - -saw nature as healing force

-humoral theory of disease

-humor thought to be basic internal fluids capable of controlling behaviour

-melancholia/hysteria derived here



historical perspective of mental illness - middle ages, renaissance, protestant reformation - -
spiritual explanations

-mistreated by incarceration



historical perspective of mental illness - modern developments - -discovery of phenothiazines
(tranquilizer)

-community mental health

-deinstitutionalization -> led to homelessness

-psychotropic meds



egocentric - self centered, selfish



hysteria - multiple physical dramatic complaints with no organic basis



somatization - transfer of mental experiences into bodily symptoms

,somatoform disorders - psychological problems in which there are symptoms of a physical
disorder without a physical cause




types of somatoform disorders - 1. munchausen by proxy

-inflict illness on someone else to be a hero

2. conversion disorder

-unexplained deficits in sensory motor function -> suggest neurologic with psychological disorders

3. pain disorders

-not relieved by meds & affected by psychological factors

4. hypochondriasis

-pt misinterprets normal bodily sensations

5. malingering

-intentional production of false symptoms motivated by external incentives



primary vs secondary gain - primary

-direct external benefits that being sick provides -> relief of anxiety/stress/conflict

secondary

-internal benefits received from others when sick -> attention, one realizes they have to be sick to have
needs met



biological theories of somatic disorders - -cant differentiate relevant/irrelevant stimuli -> respond
equally to both

-experience normal body sensation and attach pathological meaning to it



kinesics - body language, posture, expression, gesture



narcissitic - self absorbed to an extreme degree

, paralinguistics - aspects of speech

-volume, tone, speed, flow, inflection

-laugh, cry, moan



proxemics - manner in which one relates to space/distance with others

-spatial relationship between peoplepi

-influenced by culture



automatisms - repeated purposeless behaviours indicating anxiety

eg) tapping foot, twisting hair



waxy flexibility - maintenance of posture or position over time even when it is awkward or
uncomfortable

-someone can put you in this position and you dont move



self esteem - ones feelings of self worth or self value



mental status examination - 1. general description

2. affect/mood

3. intellect/sensorium

4. thought content and processes

5. insight and judgement



mental status exam - general description/behaviours - -LOC

-facial expression

-speech -> quality, pace, word choice relevant/minimal/stuck on an idea



mental status exam - mood - -depressed, sad

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