← Promotions-Exam 4 Test
5 Written Questions
5 Matching Questions
- Key Factors in Depression
- Threats of Suicide
- Planning: goals and outcomes
- Dysthymic disorder
- a Prioritize the highest problem that is causing stress, Utilize collaborative care, Multidisciplinary approach, View patient holistically, Inform of potential resources, Group counseling sessions
Consultations, Individual therapy
- b A suicide gesture or threat should never be ignored
The child should be encouraged to discuss the thought
The health care provider should try to determine whether the child has a plan and the lethality of the plan
Help from a qualified health care professional should be obtained
- c Appetite disturbance/weight change
Fatigue or loss of energy
Recurrent thoughts of death/suicide
- d Condition of chronicity
Symptoms lasting 2 years or more
Depressed mood more than happy mood.
- e a behavior or activity to change or manage a situation that the person feels is potentially harmful or dangerous.
Adaptive and recovery of health. Palliative or temporary relief.
5 Multiple Choice Questions
- decrease stress-producing situation.
Reduce frequency of stress inducing situations.
Avoid excessive change.
Manage personal time effectively.
- Might call for help
Initiate battering to get it over with (long-term).
Initial reaction is shock, disbelief, denial
Fear of more abuse, may not press charges
Humiliated, sleepless, depressed, anxious.
Does not seek help for injuries.
- is loving, charming, begging for forgiveness, making promises.
Truly believes it will never happen again.
- Intensity, Scope, Duration, Amount,Predictability
Characteristics of the person that influence the response, Level of control, feeling competent, cognitive appraisal and number of supports available.
- learn skills that reduce physiological response to stress.
Regular exercise, support systems, muscle relaxation, cognitive therapy, assertiveness training, stress management in the workplace.
5 True/False Questions
Child or adolescent's Predisposition for depression → Changes in cognitive and mental functioning
Decreased attention span
Slowed speech and thought processes
Impairment in reality
Ambivalent and indecisive behavior
Antidepressant Therapy Pointers → Accept patient; focus on strengths
Reinforce efforts to make decisions
For severe indecision, nurse makes decision
Never reinforce hallucinations/delusions
Spend time with withdrawn patients
Provide activities designed for success
Medications as prescribed by provider.
Child Abuse: Physical indicators of physical abuse → Wariness toward adult contact
Apprehension when others cry
Fear of parents or of going home
Extreme aggressiveness or withdrawal, vacant or frozen stares
Being very still when surveying surroundings
Nurse-Patient Relationship: Partner Abuse → Lag time before symptoms improve
Monitor for increased suicidal tendencies
Monitor for cheeking and hoarding
Monitor vital signs
Observe for signs of early toxicity
Monitor sexual side effects of SSRIs
Be aware of drug-drug and drug-food interactions
Domestic Abuse Nursing Interventions → Convey that survivors are not alone; others are willing to help, Convey that survivor has dignity and worth; does not deserve abuse
Acknowledge fears, ambivalence about abuser and leaving, Accept that survivor cannot be pushed to leave abuser, Monitor safety
Provide information about abuse, cycle of violence, abuser accountability
Build self-esteem, confidence, independence, sense of hope
If danger of injury present—advise use of shelter, safe house
If injured—encourage to get medical help
Teach about inevitability of cycle of violence, that no one deserves battering
Provide emergency phone numbers
Encourage and provide information to develop emergency plan
Inform of legal protections