Mental Health Overview and Risk Factors

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Questions and Answers

What type of medications are considered first-line treatments for anxiety-related disorders?

Selective Serotonin Inhibitors (SSRIs) (correct)

Benzodiazepines

Antipsychotics

Antihistamines

Which of the following is a potential side effect of Buspirone?

Nervousness (correct)

Sleep disturbances

Increased appetite

Weight loss

What characterizes mild anxiety?

Sudden heart rate fluctuations

Inability to notice environmental changes

Dazed and confused state

Effective problem solving (correct)

Which symptom is NOT typically associated with moderate anxiety?

Trembling Signup and view all the answers

What is the role of a thorough psychosocial assessment in the context of anxiety disorders?

To assess the patient's social environment and behavior Signup and view all the answers

Which combination of symptoms might lead someone with anxiety to mistakenly seek emergency care?

Panic attacks and chest pain Signup and view all the answers

What might a person experiencing severe anxiety have trouble doing?

Learning and problem solving Signup and view all the answers

How does anxiety typically affect the body physiologically?

It triggers the 'fight-or-flight' response. Signup and view all the answers

Which of the following best describes panic level anxiety?

Loss of touch with reality Signup and view all the answers

Which pharmacological intervention is least likely to cause dependency when treating anxiety?

Buspirone Signup and view all the answers

Which symptom indicates an individual may be experiencing moderate anxiety?

Pounding heart Signup and view all the answers

What is a potential outcome of early diagnosis and treatment for mental health issues in older adults?

Improved quality of life Signup and view all the answers

Which of the following is an example of an integrative medicine practice used for coping with stress?

Yoga Signup and view all the answers

Which class of medications is specifically mentioned for treating somatic symptoms of anxiety disorders?

Antidepressants Signup and view all the answers

What might be a common symptom of panic-level anxiety?

Trembling and hyperventilation Signup and view all the answers

Which statement about anxiety disorders is true?

Symptoms of anxiety can be confused with normal aging processes. Signup and view all the answers

What is the primary focus of family therapy in treating anorexia nervosa?

To support child's weight gain and disrupt starvation Signup and view all the answers

Which pharmacological intervention is specifically FDA-approved for the treatment of binge eating disorder (BED)?

Lisdexamfetamine (Vyvanse) Signup and view all the answers

Cognitive-behavioral therapy (CBT) aims to address which of the following in patients with eating disorders?

Challenging negative thoughts Signup and view all the answers

Which type of question is best used to encourage patients to share their experiences?

Open-ended Signup and view all the answers

What is a key characteristic of delirium in older adults?

Inability to focus and poor memory Signup and view all the answers

What is a potential negative effect of excessive questioning during patient interaction?

It may cast the nurse in the role of an interrogator. Signup and view all the answers

In the context of bulimia nervosa, what role does psychotherapy play?

Helps normalize eating habits and addresses underlying causes Signup and view all the answers

What is the purpose of the miracle question in therapeutic communication?

To help visualize a solution to a problem. Signup and view all the answers

Which statement correctly describes the relationship between binge eating and emotional coping?

Binge eating often arises from emotional distress. Signup and view all the answers

Why should a nurse avoid giving approval or disapproval during patient conversations?

It can lead patients to seek approval over personal motivation. Signup and view all the answers

What is one of the primary psychosocial interventions for anorexia nervosa?

Suicidal ideation assessment Signup and view all the answers

Which type of question is likely to put a patient on the defensive?

Why questions Signup and view all the answers

What is a common misconception regarding depression in older adults?

It is a normal part of aging. Signup and view all the answers

What is a more therapeutic alternative to giving advice to a patient?

Have you considered discussing it with your friend? Signup and view all the answers

What characteristic defines closed-ended questions?

They provide specific and limited responses. Signup and view all the answers

In therapeutic communication, what is the downside of repeatedly asking closed-ended questions?

They may close off further communication. Signup and view all the answers

What is an example of transference in a nurse-patient relationship?

The patient expresses anger towards the nurse as if they were a parent. Signup and view all the answers

Which scenario illustrates the concept of countertransference?

A nurse expresses frustration towards a patient who behaves like their sibling. Signup and view all the answers

What can result from the boundary crossing in nursing?

Neglect of patient needs due to personal issues. Signup and view all the answers

How can silence be effectively utilized in therapeutic communication?

To allow the patient to gather their thoughts and show that they are understood. Signup and view all the answers

Which active listening technique involves restating the core message of the patient?

Paraphrasing Signup and view all the answers

What can signify that a nurse's needs are being met at the expense of the patient's needs?

The nurse prioritizing their emotional support over patient care. Signup and view all the answers

What might indicate an unrecognized transference or countertransference situation?

The patient frequently redirects their positive feelings towards the nurse. Signup and view all the answers

What is a potential outcome of a nurse seeking emotional support from a patient?

Potential abandonment of patient care due to personal needs. Signup and view all the answers

Which of the following best describes Pica in relation to eating disorders?

Consuming nonfood items past toddlerhood without an underlying illness Signup and view all the answers

Which statement accurately reflects the characteristics of Anorexia Nervosa?

Individuals often have a distorted body image and see themselves as overweight. Signup and view all the answers

In the treatment of Bulimia Nervosa, which of the following methods is encouraged?

Journaling and breathing exercises as non-purging coping methods Signup and view all the answers

What is a significant sign of Avoidant/Restrictive Food Intake Disorder?

Lack of interest in food or avoidance of meals Signup and view all the answers

Which approach should NOT be taken when treating Binge Eating Disorder?

Support the patient in avoiding all food to prevent weight gain Signup and view all the answers

What is a critical component of treatment for individuals with Anorexia Nervosa?

Gradual refeeding with small, frequent meals to avoid complications Signup and view all the answers

Which of the following is NOT a common symptom of Rumination Disorder?

Emotional distress when consuming food Signup and view all the answers

What therapy is suggested for individuals with Bulimia Nervosa to help address negative thought patterns?

Cognitive Behavioral Therapy (CBT) Signup and view all the answers

Study Notes

Mental Health and Mental Wellness

Nurses coordinate care, teaching health maintenance, use milieu therapy, and administer pharmacological, biological, and integrative therapies.
Mental health is a state of well-being where individuals can cope with life and contribute to the community.
Mental illness includes all psychiatric disorders with definable diagnoses.

Risk Factors for Mental Illness

Altered thinking (e.g., Alzheimer's)
Altered emotions (e.g., major depression)
Altered behavior (e.g., schizophrenia)

Individual Attributes and Behaviors

Characteristics that are inborn and learned, influence social interactions, and resilience.
Biological and genetic factors are important.

Family dynamics, social support, socioeconomic status, and resources impact mental health.

Environmental Factors

Political climate, cultural beliefs, access to healthcare, and resources affect mental well-being.

Therapeutic Relationships

Boundaries are essential in nurse-patient relationships (legal and ethical considerations).

Therapeutic Communication Techniques

Silence, active listening, paraphrasing, restating, reflecting, focusing, exploring are techniques.
Excessive questioning, giving approval/disapproval, and giving advice are non-therapeutic.

Eating and Feeding Disorders

Pica, rumination, avoidant/ restrictive food intake, anorexia nervosa, and bulimia nervosa differ in signs and symptoms.
Assess through monitoring vital signs, lab results, and emotional support. These patients need a therapeutic plan with a dietitian.

Pharmacological Interventions

SSRIs are the first-line defense for anxiety- related disorders.
Other medications like benzodiazepines, antihistamines, and anticonvulsants are also used for treatment.

Anxiety Disorders

Anxiety disorders manifest as physical symptoms like increased heart rate, muscle tension, fatigue, and difficulties with concentration.
Mild, moderate, severe, and panic levels of anxiety have different associated symptoms.

Crisis and Disaster

Standard practice for mental health nursing involves assessment, intervention, planning, and evaluation in crisis situations (e.g., situational, maturational, and crisis management).

Neurocognitive and Older Adults

Aging can lead to depression, anxiety, and delirium in older adults, as well as neurocognitive disorders and substance use disorders.

Mental Disorders in Older Adults

Older adults may experience a range of disorders like Alzheimer's, dementia, mood, anxiety, and psychotic disorders.

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Description

This quiz explores key concepts in mental health, including the definitions of mental wellness and illness, risk factors affecting mental health, individual attributes, and the role of social and environmental circumstances. Assess your understanding of how these elements interact to shape mental well-being.