NUR 256 Mental Health Exam 2 Complete worksheet 2022 100% Correct Guide | Galen College of Nursing
Define the following term:
• Compensation- use to counterbalance perceived the weakness by
emphasizing strengths EX: “I am not good at sports, so I excel in math”
Napoleon complex • Catharsis-experiencing and expressing emotions & feelings discharge of emotion is shared. EX: “I feel so much better just saying that out loud”, this experience allowed me to get in touch w/ all my sadness” • Universality- the participants will feel that they are not alone when others
share the problems EX: “you feel that way too? Wow, I am not alone”
• Neologisms- word that is made up. EX: “his mannerlogies are poor” only
the patient understands the word.
• Clang association- last word of associative looseness rhymes. EX: “on the
track… have a big mac” “my goat float tote” • Associative looseness- phrases & sentences that run together & do not
make sense. EX: “I need to get a band-aid. Friend was talking about AIDS.
Friend talks about French fried but how can you trust the French?” “I like to dance all people have hands” • Projection- unconscious reject unacceptable emotions & attribute them to
the others. EX: “I am jealous of you, so I tell my friend you are jealous of
me” • Repression- something unconsciously is put out of my mind (feeling some
way but not remembering the memory of why) EX: “he forgot his wife
birthday after they had a marital fight” or a woman can’t enjoy sex after having pushed out of awareness traumatic sexual incident form a childhood.
• Suppression- something is consciously put out of my mind temporarily. EX:
“I will not think of my test until after work” 1 / 2
• Rationalization- try to find acceptable explanation to satisfy the teller or listener. EX: “everyone is doing it so it must be okay for me too” or “I did not get the raise because the boss doesn’t like me” • Maturational crisis- occur across lifespan. When a person reach a new
stage, coping styles are no longer effective. EX: “leaving home for the first
time, marriage, birth of child, retirement, death of parent” • Reflection- this is throwing a question back at a pt. like mirroring “what should I do about my husbands affair… what do you think you should do”
Pharmacology: Clinical indication, side effects, adverse reactions, and patient
teaching • TCA (lethal in overdose. Need ECG before initiating) • They work by blocking the reuptake of serotonin & norepinephrine.
- Imipramine (Tofranil), desipramine (Norpramin), doxepin (Sinequan),
nortriptyline (Pamelor), amitriptyline (Elavil)
- Side effects: dry mouth, constipation, urinary retention, lured vision
(anticholinergic effects)
- Cardiac toxicity, hypotension (should subside after a few weeks)
- ^ risk of seizures, reduces effectiveness of antihypertensives.
- Nursing implications: taking the does at bedtime (drowsiness) & do not
stop the medication abruptly. Do not take w/ MAOI’s • First generation anti psychotics- primarily used to TX schizophrenia. They’re called (neuroleptics & phenothiazines) • They work to decrease dopamine.
- They can all cause orthostatic hypotension (esp. given IM) &
photosensitivity.• The all cause neuroleptic malignant syndrome (dyspnea, tachypnea, tachycardia, changing pulse rates, hyperpyrexia, HTN, diaphoresis, drooling, erratic BP’s weakness, fatigue, altered LOC, seizures, muscle rigidity, trouble swallowing, oculogyric crisis, TD, akinesia, akathisia, pseudoparkinsonism, elevated WBC’s, LFT’s and creatine phosphokinase levels).
- Extrapyramidal side effects: pseudo parkinsonism, akathisia, dystonia) &
tardive dyskinesia can be caused by all of them.
- MORE LIKELY to get extrapyramidal side effects from generation 1 than
- / 2
generation 2. (because of these severe side effects & also because