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MENTALHEALTHGALENEXAM1, Exams of Nursing

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Typology: Exams

2024/2025

Available from 03/05/2025

NurseTakshif
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MENTAL HEALTH GALEN EXAM 1
1. State of well being<Ans>Own
Potential Able to work through stress
Able to get help when needed
2. Resilience<Ans>Ability and capacity to secure resources; where and when to get help
3. Diathesis Stress Model
Diathesis<Ans>Biological predisposition
4. Diathesis Stress Model
Environmental Stress<Ans>Natural
Disasters Trauma
5. DSM5<Ans>All the different disorders and their criteria
6. Culturally Competent<Ans>Educate yourself about different cultures, provide
good quality holistic care
7. Western
Traditions<Ans>Scientific
Person finds identity individually
Makes own decisions
Autonomy
Mind and body are separate
8. Easter Traditions<Ans>Everything revolves around family
mind spirt and body are one entity
9. IndigenousTraditions<Ans>Entire
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MENTAL HEALTH GALEN EXAM 1

  1. State of well being Own Potential Able to work through stress Able to get help when needed
  2. Resilience Ability and capacity to secure resources; where and when to get help
  3. Diathesis Stress Model Diathesis Biological predisposition
  4. Diathesis Stress Model Environmental Stress Natural Disasters Trauma
  5. DSM5 All the different disorders and their criteria
  6. Culturally Competent Educate yourself about different cultures, provide good quality holistic care
  7. Western Traditions Scientific Person finds identity individually Makes own decisions Autonomy Mind and body are separate
  8. Easter Traditions Everything revolves around family mind spirt and body are one entity
  9. Indigenous Traditions Entire

Tribe illness contributes to lack of harmony

  1. REVIEW TABLE 5.2 IN BOOK Discusses different traditions
  2. Cultural Barriers Some view mental illness as something negative
  3. Communication barriers Try not to use slang, or verbal sayings, can cause a barrier/confusion
  4. REVIEW PAGE 92 IN BOOK Ethical Concepts
  5. Beneficence Do good for others
  6. Autonomy Respect patients rights, and the right for them to make their own decisions.
  7. Justice Being far amongst patients
  8. Fidelity Commitment to patient care, do no harm. Committed to a life time of education to keep up on best practices.

3 Cause in fact 4 Proximate cause 5 Damages PAGE 100

  1. Treatment Settings Primary Care Usually step one
  2. Treatment Setting Outpatient Skilled Nursing, Patient medical homes intensive outpatientpartial hospitalization clinics, crisis stabilization units
  1. PreventionPrimary Before any problems have arrived, educate about coping strategies
  2. PreventionSecondary Early Detection , screenings
  3. PreventionTertiary Treatment of the diseases, prevent progression
  4. InpatientMaintain rights no matter what T/F TRUE
  5. Behavioral Crisis Physically aggressive to themselves or others Safety is a priority Keep unit safe, less restrictive first
  6. Nursing Process First step Assessments, mental status, history of mental illness for themselves and family history Rating scale for their depression or anxiety ( like pain scale)
  7. Nursing Process Diagnosis Identifying the problem
  8. Nursing Process Planning Educ ation
  9. Nursing Process Implement Th erapy
  10. Nursing Process Evaluation Re asses
  11. Consideration for kids Interview child first prior to parent if possible, if
  1. Transference Patient transfers feelings for someone onto the nurse, can turn inappropriate fast. Blurring roles
  2. Countertransference Nurse puts feeling about someone else onto the patient can lead to over involvement, blurring roles
  3. Papule Nurse/Patient relationship Pre-orientation Gathering data before going to see the patient
  4. Papule Nurse/Patient relationship Orientation Meet patient for the first time Assessments Education Get to know each other Figure out problems Develop treatment
  5. Papule Nurse/Patient relationship Working Phase Still gathering data Is the treatment working, or getting worse? Doing interventions Providing Education
  6. Papule Nurse/Patient relationship

Termination Phase Patient is leaving Ending the relationship Summarizing goals

immediately

  1. NE & Serotonin Depression
  2. GABA Not enough = anxiety calming neurotransmitter increased = decreased anxiety
  3. Acetylcholine Me mory Alzheimer's
  1. Anti Anxiety Benzo Contr olled Risk for substance abuse Works fast, good for panic attacks
  2. Anti Anxiety Buspar Works without sedative effect takes about 4-6 weeks can cause headache/nausea but will get better
  3. Sleep Aids Cause sedation No driving, operating heavy machinery
  4. Sleep Aid Ambien/Zolpidem Cont rolled Fast onset Take at bedtime sleepwalking, eating, let patient know
  5. Sleep Aid Trazodone Anti depressant but not the best sedation orthostatic hypotension

orthostatic hypotension

  1. Mood Stabilizers Lithium Only true one Older Medication Narrow therapeutic range Fine tremor is okay, and nausea and vomiting that subsides is also okay prolonged vomiting and diarrhea , dehydration, bad tremors are signs of toxicity Tell them to be consistent with their water and sodium intake Significant weight gain, educate on exercise and a healthy diet Monitor lithium levels, kidney and hypothyroidism
  2. Anticonvulsants Valproic acid/Depakote Liver failure Thrombocytopenia birth defects.. educate on safe sex and birth control Sedation Weight Gain Monitor liver function & platelet levels
  3. Anticonvulsants Carbamazepine/ Tegretol Liver Issues

Fluid and electrolytes FLT/EKG/CBC Steven Johnson Syndrome Higher Risk to Asian decent... genetic testing

Generations QT waves elongation on EKG Sudden Death

GynecomastiaFemale like breast in men AlectoriaFormation of breast milk in mean and women AmenorrheaAbsence of menses

  1. Clozapine Metabolic Syndrome If WBC drop, risk for infection Not for seizure disorders
  2. SSRI Anti Depressants First line of treatment Better side effect Works faster Antidepressant & Anxiety Blocking serotonin Disturbances in GI tract, educate patient to not top taking.. side effect will go away and it can take 4-6 weeks for medication to be in full effect Low libido
  3. SSRI Anti Depressants Suicide Increased energy Might give patient enough energy to execute plan 25 and under more at risk
  4. SSRI Wellbutrin No sexual dysfunction

78. SSRI

Ziban Just like Wellbutrin, but used for smoking sesation

  1. SSRI Remeron Anxiety and Depression Strong Sedative Increased hunger
  2. tricyclic antidepressants Depression Takes longer to work, east to over dose last option
  3. Tricyclic antidepressants Amitriptyline Usually used for a small dose for a sleep aid Orthostatic hypotension Cardio toxicity Anticholinergic side effects Watch with glaucoma Urinary retention
  4. MAOI's Tyramine.. watch for it in foods... educate patient wine, aged cheese can cause hypertensive crisis Dont work well with other medications
  5. Phases of group PlanningWhat is the group about, who will be there, what kind of participant. why type of issues.

OrientationLeader structures it... respect/confidentially/trust ..