NUR 253 Concepts of Mental Health Nursing
Exam 3
Question:
illness anxiety disorder
Answer:
Characterized by extreme worry & fear about the possibility of having a disease. Which leads to frequent scanning of body for signs of illness
**hypochondriac**
Question:
Factitious disorder
Answer:
(previously known as Munchausen syndrome) consciously pretend to be ill to get emotional needs met & attain the status of patient. Pt. w/ this disorder artificially, deliberately, & dramatically fabricates symptoms or self-inflict injury with the goal of assuming the sick role.**do have actual sxs** **unexplained fever/bleeding**
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Question:
Delirium
Answer:
ACUTE, often EMERGENT, caused by and UNDERLYING AND USUALLY
REVERSIBLE CAUSE.
•Acute onset •Emergent •LOC fluctuates •Cognitive impairment •Disoriented •Agitated/fear/panic •Delusions, hallucinations, illusions •Common in hospitalized patients (elderly) •Very common post op
•NEED TO KNOW PATIENT'S BASELINE COGNITION
Question:
Dementia
Answer:
CHRONIC, NONEMERGENT, PROGRESSIVE, and IRREVERSIBLE
Chronic •Progressive 2 / 3
•Irreversible •Not emergent •Alzheimer's Disease (majority) •(frontotemporal lobar degeneration, Lewy bodies, vascular disease, TBI, Parkinson’s, Huntington’s, HIV, substances) •Memory Impairment
Question:
Causes of Delirium
Answer:
-Dehydration -Infection -Medication reaction -Electrolyte imbalance -Hypoxia
Question:
NI for Delirium
Answer:
FIND UNDERLYING CAUSE
•Monitor physical parameters •Keep environment clear •Enhance 5 senses (light, hearing aid, glasses)
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