Distinguishing characteristics between different diagnosis
Bipolar I: at least one episode of mania/hypomania alternates with major depression.
Psychosis may accompany the manic episode
G- grandiosity (bi
Gero and Cognitive Disorders
Delirium vs Dementia
Delirium: Remember that this is a medical emergency
Acute Change in a persons LOC and cognition that develops over short periods of time.
Rapid fluctuation in LOC.
Difficulty maintaining attention
Crisis and Trauma
Principles-basically a big problem that cannot be solved using familiar means
Phases of a Crisis
Phase 1: Initial Blow (Anxiety builds and person uses familiar coping to decrease)
Phase 2: Trying new things to find a resolution to probl
Diagnosis: anorexia, bulimia
Anorexia = getting to a certain weight and Bulimia = no weight for thought.
Refusal to maintain body weight at or above a minimum for age & height (below 85%).
Intense fear of gain
Test #2 N461 Review-Winter 2012
Assessment: SAD PERSONS (suicide risk factors)
Sex (male are more susceptible)
Age (25-44 and older adults)
Rational thinking loss
Social support lacking
Absolutely know NMS/SS: Overlapping and distinguishing symptoms, nursing interventions and
rationale. In the review, Leslie said we would be given a case study. We have to point out which
symptoms are overlapping (give 4), which symptoms are unique to the
Personality Disorders: At the test review, Leslie said that one of the write-out questions was to
name 3 DSM criteria for ALL personality disorders and that it was on page 434. I am not sure
what she is talking about cuz the box on that page has a lot mor
-Dysfunction with abuse- 50% of individuals with severe mental illness are also affected
by substance abuse. Some drugs of abuse can relieve some sx of mental illness
temporarily. Cocaine chemically looks like Prozac or Zol
All or Nothing Thinking
Evaluate personal qualities in extreme, black and white categories.
Conclude that one thing that happened once will occur over and over again.
Pick out negative de
Legal and Ethical Issues
civil rights still intact (mail, vote, press charges, etc.)
Right to Treatment
Humane environment, staff qualified and sufficient, and individualized plan of care (pt. included
Right to refuse treatme