Psychosocial final test blueprint

Patient teaching for Adderall
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Terms in this set (35)
Patient teaching for Adderall
*Teach patients and parents about side effects such as headache, insomnia, and anorexia
*monitor patients growth while on this med
*potential for abuse; some children will sell the drug at school
Risks for developing ADHD
*a single gene has not been located and specific mechanism of genetic transmission is not known
*genetic predisposition interacts with the child's environment
*family stresses, poverty, poor nutrition
Differentiate ADHD findings in Males vs Females
*Girls: show less aggression, and impulsiveness than boys. Girls have more anxiety, mood swings, social withdrawal, rejection, and cognitive and language problems, girls tend to be older at the time of diagnosis
Understanding assessing for autism
*carefully evaluate the child for history of developmental milestones/ abnormalities
*Perform developmental screening that considers several area of development screening
*obtain a history from the parents regarding child's routine, rituals, and likes and dislikes, as well as ways to promote interaction and cooperation
*special toy or or object that they play with during times of stress
Describe behavior findings
*look on pg 1829 box on the top of page
Explain autism in working adults
*called high functioning adults, and they offer on the job training
*some adults with ASD are very active in the community
*pg.1831
Describe family cohesion and dyadic
*Family cohesion is emotional bonding between family members
*Dyadic is the dynamics in a relationship between two people
Define family burden
*is the overall level of distress experienced as a result of the mental illness
Objective family burden vs Subjective family burden
*are those that are measurable, such as disruption of family functioning and routines and financial costs of care
*the family or caregiver's perception of what is burdensome. pp. 1874
Define the "Sandwich" generation
those individuals that are raising children and caring for aging parents at the same time
Understanding mental health in older adults*Explain patient teaching re: electroconvulsive therapy in depression*ensure all the consent forms are signed *inform the patient of the need to review his/her medical history & perform a short physical assessment *ensure that the patient has nothing by mouth for at least 4 hours before treatment *just prior to appt. make sure the patient empty the bladder and remove contact lenses, jewelry, hairpins, and dentures *the nurse will initiate an IV and electrodes will be placed on the patients headCompare depression & comorbidities* a disorder characterized by a sad or despondent mood or loss of interest in usual activities *this is important not only to rule out the possibility of an underlying medical condition causing the patients symptoms of depression, but also to identify illness that may trigger depressionDefine bipolar*a group of mood disorders that are characterized by manic, hypomanic, and depressive episodesLithium lab levels and symptoms of abnormal labs*therapeutic blood level 0.8- 1.2 mEq/L *symptoms impaired renal function, congestive heart failure, sodium restricted diets, or organic brain diseaseList priority interventions with bipolar patients*promote patient safety *promote reality based thinking *promote improved self care *set limits *enhance rest and sleepUnderstand ideal self,*reflects qualities an individual believes he should possess, as well as those he aspires to developpublic self*is formed on the basis of how the individual wishes to be perceived by othersReal self*represents the perceived true selfAssessment findings in bulimia nervosaweight can fluctuate as much as 10 lbs in a week. self induced vomiting results in hoarseness, inflammation of esophagus, and oral pharynx, calluses on the back of the hand and fingers, erosion of tooth enamel, swollen parotid glands. A radiograph of the upper gastrointestinal tract shows an overstretched or stenotic esophagus from frequent regurgitation and inflammation followed by scarring.Safety concerns with personality disorders*ensuring the patient's environment is free from items that may be used to harm self or others *providing close supervision and monitoring *encourage patient to seek assistance from members of the healthcare team when they need to process their feelings *encouraging patients to participate actively in therapy and groupBullying*aggressive behavior among school age children related to a perceived imbalance of powerRapeany form of sexual intercourse that takes place against a person's willNatural Disaster*trauma resulting from a major accident or disaster such as tornadoes, hurricanes, mudslides, earthquakes, mass shooting, floodsIntimate partner violencedomestic violence or battering between two people in a close relationshipBasic communication types; assertive behavior*expressing one's wishes and opinions, or taking care of oneself, but not at the expense of othersPassive behavior*avoiding conflict at any cost, even at the expense of one's own happinessTherapeutic behavior*therapy that treats health disordersAggressive behavior*is directed toward getting what one wants without considering the feelings of othersProtective factor*decrease the risk of perpetration and victimizationVulnerability factor*predisposing factors may be categorized as vulnerable factors or risk. In context of violencePrecipitating factors*are factors that give rise to a specific incidentList interventions when caring for children abuse victims*assess safety by determining the immediacy of danger *convey that the patient is not to blame and has the right to be safe *explore options for help *provide information regarding available services develop a trusting relationship *don't be judgmental and support the individuals choiceExamine effective outcome of domestic violence therapy*the patient remains free from injury and harm *the patient has a safety plan in place *the patient seeks assistance when needed *the patient demonstrates knowledge of the resources available to individuals in abusive situations *the patient verbalizes awareness that she is not responsible for or deserving of abuse *the patient openly communicates her fears with regard to the abusive situationComprehend Asian culture assessment findings*they practice cupping and coin rubbing