NUR 253 Concepts of Mental Health Nursing
Exam 2
Question:
Pharmacological Interventions for Anxiety
Answer:
Antidepressants •SSRI's considered first line which block reuptake of serotonin levels in the brain •Examples Paxil, Prozac, Lexapro, Luvox, and Zoloft Anti-anxiety drugs •Benozodiazepines are most common b/c of quick onset •Use for short periods b/c of dependence •Monitor for SE such as sedation, ataxia, and decreased cognitive function
Question:
Maturational Crisis
Answer:
- When new developmental stage is reached (Erickson)
- Old coping skills no longer effective
- Leads to increased tension and anxiety 1 / 3
Examples - •Leaving home for the first time •Marriage •Birth of a child •Retirement •Death of a parent
Question:
Situational Crisis
Answer:
Arise from events that are:
•Extraordinary •External •Often unanticipated Examples - •Loss or change of job •Death of a loved one •Abortion •Change in financial status •Divorce •Mental illness
- / 3
Question:
Adventitious Crisis
Answer:
caused by nature or humans and are not usual parts of everyday life - >natural disaster, a national disaster, or a crime of violence. Examples - hurricane, plane crash, school shooting, physical/sexual assault -> often results in acute stress disorder, PTSD, major depressive disorder
Question:
Phase 1 of crisis
Answer:
·Conflict or problem arises ·Self-concept threatened ·Increased anxiety ·Use of problem-solving techniques and defense mechanisms (sometimes resolves the problem)
Question:
Phase 2 of Crisis
Answer:
Defense mechanisms fail Threat persists Anxiety increases Feelings of extreme discomfort
- / 3