mental health 25-27.txt
Card Set Information
mental health 25-27.txt
Mental Health Ch. 25-27
Mental Health Ch. 25-28
What is anger?
Normal emotional response to a perceived threat, frustration, or distressing event
What is aggression?
A forceful attitude or action that is expressed physically, symbolically, or verbally
What is assertiveness?
The ability to directly express one�s feelings or needs in a way that respects the rights of other people yet retains one�s dignity
What is an impulse control?
Ability to express one�s emotions in appropriate or effective ways
What is �acting out�?
Use of inappropriate or destructive behaviors to express emotions
What is passive aggression?
Indirect expressions of anger through subtle, evasive, or manipulative behaviors
What is violence?
Behavior that threatens or harms other people or their property
What is assault?
Any behavior that presents an immediate threat to another person
What is battery?
Unlawful use of force on a person without his or her consent
How do infants express unmet needs?
Loud, uncontrollable crying and screaming, profuse perspiration, difficulty breathing, flailing of arms and legs
Why do toddlers engage in temper tantrums?
To focus their aggression on the person or thing they think is responsible for their anger
How do preschool children show their anger?
By assaulting or hitting each other frequently
What happens during the trigger stage of an assault?
Coping mechanisms are chosen in an attempt to achieve control
When are crisis interventions successful in during a cycle of assault?
Very early in the trigger stage
During what stage are aggressive behaviors such as rapid pacing, fist pounding and complaining loudly seen?
In what stage does actual assaultive behavior occur?
During the crisis stage, why are people unable to listen to reason, follow directions, or engage in mental exercises?
They are so controlled by their anger that they cannot respond to most outside stimuli
What interventions should take place during the recovery stage?
Assessing for injuries or trauma and providing a safe, quiet environment in which the person can recover
What takes place during the depression stage?
A period of guild and attempts to reconcile with others
What is an adjustment disorder?
Emotional or behavioral problems that develop in response to an identifiable source
How long does an adjustment disorder last?
No longer than 6 mos after the stressor has stopped
What is the first step in controlling aggressive behaviors?
To assess the client�s potential for engaging in inappropriate behaviors
When is a mental status assessment obtained?
As soon as possible after admission
What is assessed during a mental status assessment?
General appearance, activity and behaviors
What is assessed during a psychosocial assessment?
Relationships, cultural, spiritual, and occupational areas of the client�s life
What do level one interventions focus on?
Prevention of violence
What is the goal of level one interventions?
Establish and maintain a trusting therapeutic relationship with clear and honest communication
What is the goal of level two interventions?
Focus on protecting the client and others from potential harm
What are the proper steps in communicating with angry clients?
Listen actively; identify emotions; explore options; offer positive comments
How does the nurse gently, but firmly set limits on the client�s behaviors?
By suggesting that the client take a time-out, cooling-off period
How long should a nurse allow a client to act out?
As long as they limit their behaviors to verbal assaults and harmless physical movements
What type of client is seen during level 3 interventions?
Those who are out of control, verbally abusive or physically aggressive
What are the three interventions available during level three?
Seclusion, restraints, and IM medication
What do interventions for caregivers focus on?
Learning to effective control your own feelings of anger
What is the feature of an impulse-control disorder?
The failure to resist an impulse, drive or temptation to perform an act that is harmful to the person or to others
What happens to the person with an impulse-control disorder who engages in the behavior?
They experience gratification, pleasure, and a release of tension
What is neglect?
Harm to another�s health or welfare or through a failure to provide for basic needs
What is agitation?
Behavior that is verbally or physically offensive
What is aggression?
Forceful attitude or action that is expressed physically, symbolically, or verbally
What is abuse?
Intentional misuse of someone that results in harm, injury, or trauma
What is violence?
An outburst of physical force that abuses, injuries or harms another person or object
What is exploitation?
The use of an individual for selfish purposes, profit or gain
What does the social learning theory state?
That aggressive and violent behaviors are learned through role modeling and others in the environment
Who does sociological theories credit as causes for violence?
Environmental and social factors such as overcrowding, lack of adequate housing, poor hygiene, and unemployment
What is machismo?
What do feminist theories state?
That males are socialized throughout childhood to behave more aggressively and violently
What is domestic violence?
Abuse and battering within a family
What is battering?
Repeated physical abuse of someone
What is the leading cause of maternal death during pregnancy?
What percentage of clients are abused during pregnancy?
What is physical abuse?
Inflicted injury, ranging from minor bruises and lacerations to severe trauma and death
What is sexual abuse?
Intentional engaging of children in any sexual act
What is emotional abuse?
Rejection, criticism, terrorizing, isolation
When should shaken baby syndrome be suspected?
In an infant with unexplained or vague injuries, with a history of unexplained lethargy, fussiness, or irritability
What is a growing problem seen in today�s schools?
What is the most common form of violence within the home?
Violence between siblings
Why do abused adolescents have significant health risks?
Emotional disorders often result form a history of insecurity and self-survival
Who is a typical victim of elder abuse?
An older woman who is living with a relative and is physically or mentally impaired
What is the first goal when working with a victim of violence?
Prevent violence from occurring
What is the second goal when working with a victim of violence?
Early recognition and treatment for violated individuals
What is the first priority of care for every victim of violence?
To ensure safety and security
What does treatment of victims of violence consist of ?
Assessing risk factors, developing intervention to reduce aggressive reactions, and helping clients learn more effective coping skills
What are the signs and symptoms of neglect in a child�s physical appearance?
consistently dirty, unwashed, hungry, abandoned, lacks routine medical care, constantly tired
What are the signs and symptoms of neglect in a child�s behavior?
Engages in delinquent acts, begs or steals food, rarely attends school
What are the signs and symptoms of neglect in a caretaker�s behavior?
Misuses drugs or alcohol, chaotic home life, mentally ill or diminished intelligence
What are the physical signs and symptoms of child abuse?
Bruises and welts, burns, lacerations and abrasions, human bite marks
What are the signs and symptoms of child abuse in a child�s behavior?
Wary of physical contact with adults, frightened of parents, reports injury by parents,
What are the signs and symptoms of child abuse in a caretaker�s behavior?
History of abuse as a child, harsh discipline, no explanation of child�s injury, attempts to conceal child�s injury, misuses alcohol or other drugs
How do many older adults choose to commit a passive suicide?
Refusing to eat, drink, or cooperate with others
What are the risk factors for suicide in elderly people?
Advanced age, male gender, low socioeconomic status, chronic pain or illness, fear of becoming dependent or helpless
What are indirect self-destructive behaviors?
Any behaviors or actions that may result in harm to the individuals well-being or death
What are some examples of indirect-self destructive behaviors?
Substance abuse, inappropriate or dangerous activities, unwillingness to change negative thoughts or actions
Why do people perform self-injuries?
To reaffirm they are still alive; pain serves as a reminder of their connection with the body and its physical world
What are direct self-destructive behaviors?
Form of active suicidal behavior, such as threats, gestures or attempts to end one�s life
What percentage of suicides occur in males older than 65 years?
In society, what has a strong influence on the occurrence of suicide?
Inability to meet basic needs
What is a significant factor in relation to suicide?
The availability of weapons
What is rational suicide?
The choice to end one�s life freely and rationally with a sound mind
What is the first motive for suicide?
A cry for help
What is the second motive for suicide?
Refusal to accept a diminished quality, style or pace of life
What is the third motive for suicide?
The need to affirm one� soul
What is the fourth motive for suicide?
To relieve distress related to situations that threaten the intactness of a person
What is the fifth motive for suicide?
Individuals who are preoccupied with suicide
What does the psychoanalytical theory state?
That all humans have the instinct for life and death within them
What does the sociological theory state?
It considers the relationship between he number of suicides and the social conditions of an area
What is suicidal ideation?
Thoughts are fantasies that are expressed but have no definite intent
What are suicidal threats?
Verbal or written expressions of the intent to take one�s life but are without actions
What are suicidal gestures?
Suicidal actions that result in little or no injury but communicate a message of suicidal intent
What is the most important question to ask of a suicidal potential?
�Do you think you can control your behavior and refrain from acting on your thoughts or impulses?�
What is the first step in evaluating a suicidal potential?
Asses the risk factors for the age of the client
What is a no-harm contract?
A promise not to engage in self-destructive behaviors
What is the second step in evaluating a suicidal potential?
Ask the client directly if he or she has any thoughts relating to suicide
What is the first priority of care of suicidal clients?
Protection from harm
What is one of the most important therapeutic intervention (after ensuring safety) with suicidal persons?