Historical Concepts of Mental Illness
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Questions and Answers

What is a common symptom of a panic attack?

  • Improved concentration
  • Sweating and trembling (correct)
  • Increased social interactions
  • Euphoria
  • What characterizes panic disorder?

  • Recurrent panic attacks with unpredictable onset (correct)
  • Consistent feelings of joy
  • Only occurs during stressful situations
  • Ability to control panic attacks
  • Generalized anxiety disorder is defined by anxiety and worry occurring for how long?

  • At least 1 year
  • At least 3 weeks
  • At least 6 months (correct)
  • Less than 1 month
  • Which of the following cognitive theories result in anxiety?

    <p>Faulty and distorted thinking patterns</p> Signup and view all the answers

    Which neurotransmitter is believed to be involved in the etiology of panic disorder?

    <p>Norepinephrine</p> Signup and view all the answers

    What is NOT a symptom of generalized anxiety disorder?

    <p>Excessive energy</p> Signup and view all the answers

    What defines a phobia?

    <p>Intensely felt and irrational fear of a specific stimulus</p> Signup and view all the answers

    Which of the following is a psychodynamic explanation for anxiety?

    <p>Overuse of ego defense mechanisms</p> Signup and view all the answers

    What is ascites primarily a response to?

    <p>Portal hypertension</p> Signup and view all the answers

    What serious complication may arise from hepatic encephalopathy?

    <p>Progression to coma</p> Signup and view all the answers

    Which of the following medications can help decrease blood ammonia levels?

    <p>Lactulose</p> Signup and view all the answers

    What is a common short-term effect of alcohol use on sexual function?

    <p>Enhanced libido</p> Signup and view all the answers

    What symptoms are typically associated with alcohol withdrawal?

    <p>Coarse hand tremors and anxiety</p> Signup and view all the answers

    What causes thrombocytopenia in patients with a history of alcohol use?

    <p>Toxic effects of alcohol</p> Signup and view all the answers

    At what blood alcohol level does alcohol intoxication typically occur?

    <p>100 to 200 mg/dl</p> Signup and view all the answers

    What condition is characterized by the distention of esophageal veins?

    <p>Esophageal varices</p> Signup and view all the answers

    What symptom is characteristic of peripheral neuropathy caused by alcohol use?

    <p>Tingling sensations in the extremities</p> Signup and view all the answers

    What is a potential result of thiamine deficiency in alcoholics?

    <p>Korsakoff's psychosis</p> Signup and view all the answers

    Which condition is characterized by inflammation of the stomach lining due to alcohol use?

    <p>Gastritis</p> Signup and view all the answers

    What serious condition can result from untreated Wernicke's encephalopathy?

    <p>Death</p> Signup and view all the answers

    What is a common complication associated with cirrhosis of the liver?

    <p>Portal hypertension</p> Signup and view all the answers

    Which symptom is NOT typically associated with alcoholic hepatitis?

    <p>Shortness of breath</p> Signup and view all the answers

    What is a likely consequence of chronic pancreatitis related to alcohol use?

    <p>Pancreatic insufficiency</p> Signup and view all the answers

    What condition can result in paralysis of the ocular muscles as a result of heavy alcohol use?

    <p>Wernicke's encephalopathy</p> Signup and view all the answers

    What is the average age of onset for bipolar disorder?

    <p>25 years old</p> Signup and view all the answers

    Which of the following is a characteristic of bipolar I disorder?

    <p>History of one or more manic episodes</p> Signup and view all the answers

    Which type of bipolar disorder is characterized by hypomania but never a full manic episode?

    <p>Bipolar II disorder</p> Signup and view all the answers

    What is a common predisposing factor for mood disorders?

    <p>Family history of mood disorders</p> Signup and view all the answers

    Which of the following describes cyclothymic disorder?

    <p>Chronic mood disturbance for at least 2 years without long symptom-free periods</p> Signup and view all the answers

    What defines hypomania in bipolar disorder?

    <p>A milder form of mania</p> Signup and view all the answers

    Which statement is true regarding substance-induced bipolar disorder?

    <p>Mood disturbance results directly from substance effects</p> Signup and view all the answers

    What is a significant risk factor for bipolar disorder identified in family studies?

    <p>Having both parents with the disorder increases risk substantially</p> Signup and view all the answers

    What is a common symptom of Stage 2 cognitive decline?

    <p>Forgetfulness of names</p> Signup and view all the answers

    Which stage of cognitive decline is characterized by noticeable changes in work performance?

    <p>Stage 3: Mild cognitive decline</p> Signup and view all the answers

    At what stage do individuals often forget significant personal events?

    <p>Stage 4: Mild to moderate cognitive decline</p> Signup and view all the answers

    What is a common behavior seen in Stage 4 cognitive decline?

    <p>Confabulation to cover memory gaps</p> Signup and view all the answers

    Which statement is true about Stage 5 cognitive decline?

    <p>Individuals lose the ability to perform some activities of daily living (ADLs)</p> Signup and view all the answers

    What feeling may individuals experience during Stage 2 cognitive decline?

    <p>Shame and anxiety about their cognitive decline</p> Signup and view all the answers

    What is a sign of mild cognitive decline in Stage 3?

    <p>Difficulty with concentration</p> Signup and view all the answers

    How do individuals in Stage 5 cognitive decline typically feel about their knowledge of themselves?

    <p>They maintain knowledge about themselves</p> Signup and view all the answers

    Which characteristic is associated with somatic symptom disorder?

    <p>Symptoms that are medically unexplained</p> Signup and view all the answers

    What is the primary treatment modality for dissociative amnesia?

    <p>Psychotherapy</p> Signup and view all the answers

    What symptom is characteristic of conversion disorder?

    <p>Change in body function without medical explanation</p> Signup and view all the answers

    Which is a common psychological factor associated with illness anxiety disorder?

    <p>Unrealistic interpretation of bodily symptoms</p> Signup and view all the answers

    Which factor likely contributes to somatic symptom disorders?

    <p>Family history of psychiatric disorders</p> Signup and view all the answers

    What is an essential feature of dissociative identity disorder?

    <p>Presence of multiple distinct personality states</p> Signup and view all the answers

    Which is a predictor of higher prevalence in conversion disorder?

    <p>Lower education levels</p> Signup and view all the answers

    How do psychological factors typically influence somatic symptom disorders?

    <p>They exacerbate existing medical conditions.</p> Signup and view all the answers

    What psychological defense mechanism is observed in illness anxiety disorder?

    <p>Repression</p> Signup and view all the answers

    What is a common treatment for depersonalization-derealization disorder?

    <p>Cognitive behavioral therapy</p> Signup and view all the answers

    Which disorder is characterized by an inability to recall important personal information?

    <p>Dissociative amnesia</p> Signup and view all the answers

    What is identified as a defining symptom of depersonalization?

    <p>Feeling detached from the environment</p> Signup and view all the answers

    In the context of treatment for somatic symptom disorders, what is an important approach?

    <p>A combination of therapeutic and psychopharmacological methods</p> Signup and view all the answers

    What characterizes the psychological effects within learning theory related to somatic complaints?

    <p>Illness provides an escape from obligations.</p> Signup and view all the answers

    Study Notes

    Historical Concepts of Mental Illness

    • Early beliefs often attributed mental illness to demonic possession or witchcraft.
    • Treatments in the past often involved harsh and violent methods.
    • 18th-century Philadelphia saw the first hospital in America to admit patients with mental illness.
    • Benjamin Rush is considered the "father of American psychiatry."
    • Dorothea Dix established the first asylums in America in the 19th century.
    • Psychiatric nursing began in 1873.

    Defining Mental Health and Illness

    • Mental health is defined as adaptation to internal and external stressors, evidenced by appropriate thoughts, feelings, and behaviors.
    • Mental illness involves maladaptive responses to stressors, characterized by behaviors incongruent with local and cultural norms interfering with social, occupational, or physical functioning.
    • Maslow's hierarchy of needs, safety is at the top level.
    • Anxiety and grief are two typical physiological response patterns to stress.

    Peplau's Anxiety Levels

    • Mild anxiety: Usually not problematic, individuals utilize coping behaviors to address the need.
    • Moderate anxiety: The perceptual field narrows, but the individual can still focus on their surroundings and solve problems.
    • Severe anxiety: The perceptual field diminishes significantly, significantly impacting ability for concentration and problem-solving.
    • Panic anxiety: The individual loses contact with reality, unable to process environmental stimuli.

    Defense Mechanisms

    • Compensation: Emphasizing a desirable trait to offset a perceived weakness.
    • Rationalization: Creating logical explanations to justify feelings or behaviors.
    • Denial: Refusing to acknowledge a situation or associated feelings
    • Reaction formation: Exaggerating behaviors opposite of unacceptable thoughts

    Grief Response (Kubler-Ross's Stages)

    • Five stages of grief: Denial, Anger, Bargaining, Depression, Acceptance
    • Grief process duration is highly individualized.
    • Factors like prior relationship dynamics may influence the experience of grief.

    General Adaptation Syndrome

    • Alarm reaction: The initial "fight or flight" response to a stressor.
    • Stage of resistance: The body attempts to adapt or cope with the continued stressor.
    • Stage of exhaustion: The body's resources are depleted due to ongoing exposure to stress.

    Principles of Therapeutic Communication

    • Offering self: Make yourself available to the client.
    • Giving broad openings: Allow the client to choose what to talk about.
    • Making observations: Verbally noting what you observe and perceive.
    • Encouraging description of perceptions: Help the client to describe what they are experiencing.

    Other Therapeutic Communication Skills

    • Exploring: Delving further into a topic.
    • Seeking clarification: To help the client express their feelings in more specific or explicit detail.
    • Voicing doubt: Expressing uncertainty to help explore the situation.
    • Responding to the implied: Identifying and expressing the feelings behind stated ideas.
    • Restating/Reflecting: Rephrasing the clients' words to clarify understanding.
    • Focusing: Helping the client concentrate on one topic.

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    Mental Health PDF

    Description

    Explore the evolution of mental illness concepts from early beliefs to modern definitions. This quiz covers significant historical figures, treatment methods, and the establishment of mental health institutions. Understand how societal perceptions have shaped mental health care over the years.

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