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  1. ____, ____, & _____ are basic human drives closely related to good physical and mental health
    sleeping, eating, and sexual function
  2. •Difficulty initiating or maintaining

    abnormality in sleep AMOUNT, QUALITY, or TIMING
  3. insomnia type with no external cause of the inability to sleep such as PTSD, caffeine etc.
    primary insomnia
  4. condition in which client exhibits abnormal behavioral or physiological events in association with sleep
  5. what percentage of elderly experience sleep disturbance
  6. how are sleep cycles measured or recorded
  7. sleep cycle stage characterized by increasingly slow brain wave patterns and coincide with deepened sleep.
    stage 1-4
  8. sleep cycle stage is rapid eye movement (REM) sleep characterized by vivid dreams and a comparably faster brain wave pattern that resembles awake states
    stage 5
  9. ____ is needed for body restoration and repair. rest is central to a persons perception of well being!
  10. sleep disorder characterized by difficulty in initiating or maintaining sleep and can lead to impairment in functioning
  11. insomnia is considered a psychological problem if it lasts significantly long to impair functioning such as ____ month or more
  12. how is primary insomnia diagnosed
    through an individuals subjective complaint. no psychological, medical, or substance related condition involved.
  13. examples of substances often related to sleep problems
    • alcohol
    • caffeine
    • diet pills
    • stimulants
    • amphetamines
  14. medicinal short term treatment for insomnia
  15. nursing diagnoses for elderly client caused by loss of spouse, social pattern, retirement, etc
    risk for sleep disturbance
  16. what is the treatment for insomnia
    sleep hygiene
  17. specific activities that assist many persons to achieve restful sleep
    sleep hygiene
  18. The only approved FDA long term medication for insomnia that may be associated with depression
    Lunesta (eszoplicone)
  19. sleep hygiene techniques
    • •Use bed for sleep and sexual activities
    • only

    •If sleepless, get up until drowsy

    •Arise at same time every day

    •Exercise each day

    •Keep bedroom quiet, dark, and cool

    •May help to have light snack

    •avoid daytime napping
  20. how can the cycle of insomnia possibly be broken
    stay awake for the entire night
  21. condition of alveolar hypoventilation secondary to massive obesity
    breathing related sleep disorder "pickwickian syndrome"
  22. daytime sleepiness is associated with:
    • breathing related sleep disorders
    • narcolepsy
    • primary hypersomnia
  23. Obstructive sleep apnea; tissue obstruct the flow of air to lungs
    breathing related sleep disorder
  24. –Daytime sleepiness without

    –They do not suffer from a sleep
    primary hypersomnia
  25. the time it takes to fall asleep
    sleep latency
  26. –Irresistible need for brief periods
    of sleep; Feel remarkably refreshed; real world/dream images

    –Rare; common among close relatives
  27. the sensation of being unable to move, speak, or breathe
    sleep paralysis
  28. sudden loss of muscle power at times of sudden emotion, often laughter or fear
  29. individuals have Profoundly disturbed sleep, Nightmares, Sleep terrors, Sleepwalking episodes, and Restless leg syndrome
  30. individual awakens in fear with
    sweating/tachycardia and a good recall
  31. no recall of the sleep-related event, usually rouse suddenly from sleep with a cry or scream
    sleep terror
  32. not fully conscious but could be coherent
    sleep walking
  33. condition associated with poor sleep described as an uncomfortable sensation in the leg when at rest that often requires constant movement
    restless leg syndrome
  34. treatment for nightmares, typically for children
  35. what do nightmares occasionally reflect
    significant anxieties and unrecognized traumatic experience
  36. treatment for sleepwalking
    good management to ensure protection from injury
  37. treatment for RLS
    • antiparkinsonians
    • benzodiazipines
    • opiates
    • anticonvulsants
  38. assessment for sleeping disorders
    assess clients normal sleep patterns and environmental changes
  39. nursing diagnosis for sleep disorder
    • •Sleep deprivation
    • •Disturbed sleep pattern
  40. outcome for client experiencing sleep disorder
    • Client will:
    • •Experiences restorative sleep
    • •Describe falling asleep easily
  41. planning/intervention for Pt experiencing sleep disturbance
    • educate client with:
    • •Standard sleep hygiene protocol
    • •Use of Guided relaxation, music therapy, Massage,

    •Support and reassurance for nightmares
  42. evaluation for Pt. with sleep disturbance
    •Outcomes will be subjective

    •Sleep may not be directly observed
  43. 3 major aspects of bulimia
    fasting, binging, purging
  44. the prevalence of bulimia is most common amongst
    adolescents and young adults
  45. characterized by a preoccupation of weight and bodily appearance and by recurrent episodes of binge eating dominated by lack of control
    bulimia nervosa
  46. what types of behaviors are seen to be used with people trying to restrict weight gain with binge eating
    vomiting, fasting, and excessive exercise
  47. what can recurrent vomiting due to bulimia lead to, which can also be used as a helpful diagnostic tool.
    erosion of teeth enamel, tooth decay, and stone formation in salivary glands
  48. frequent vomiting and weight loss from bulimia can lead to _____ and result in ______
    fluid and electrolyte imbalance.....heart arrythmias
  49. bulimia is more common among
  50. treatment for bulimia
    • •SSRIs- antidepressants
    • –Prozac
  51. failure to improve bulimia is associated with what types of disorders
    • borderline
    • narcissistic
    • antisocial
    • depression
  52. ____ can improve short-term benefit by
    reducing the frequency and severity of symptoms in cases with bulimia
    cognitive-behavioral therapy
  53. serious medical condition characterized by a profound disturbance in body image. persons with this condition view themselves as undesirably fat even when clinically emaciated
    anorexia nervosa
  54. requirements for diagnosing anorexia
    • Weight is 15% below IBW
    • loss of menstruation due to malnutrition
    • has intense fear of gaining weight
  55. dry skin, downy hair called lanugo, and complaints of feeling cold are s/s of
  56. treatment for anorexia
    • •Psychotherapy
    • •Hospitalization
    • •Behavioral therapy
    • •Forced feeding when necessary
    • •Cognitive therapy
    • •Improved nutritional status
  57. anorexic individuals can process interoceptive stimuli which means:
    the sensation of being hungry and full
  58. what is considered the mainstay treatment for anorexia
  59. when an individual is severely emaciated what is the most important thing to do?
    restore nutritional balance before restoring psychological issues
  60. what will the nurse need to know during the assessment?
    • •Weight history
    • •Eating and purging experiences
    • •Degree of distress/anxiety
    • •Identification of motivation for
    • treatment
  61. nursing Dx for anorexia
    • •Imbalanced nutrition: –Less than body requirements
    • •Disturbed body image
    • •Chronic low self-esteem
    • •Social isolation
    • •Ineffective health maintenance
  62. nursing outcomes for anorexia
    • •Identify realistic outcomes
    • •Recognize chronic nature of diseases
    • •Focus on short-term outcomes
  63. planning/intervention for anorexia
    • •Four stages of treatment:
    • –Nutritional rehabilitation: stop starvation
    • –Psychotherapy: raise self esteem/assertiveness
    • –Maintenance: monitor own eating pattern
    • –Follow-up care:
  64. ____ is part of human personality, is private and personal, and based on cultural and societal
  65. internal sense that one is male or female
    gender identity
  66. learned expressions of maleness or femaleness
    gender role
  67. any sexual act that is consensual, lacks force, is mutually satisfying, and is conducted in private
    normal sexual behavior
  68. occurs when a person experiences problems with any aspect of sexuality such as change in desire, excitation, and/or orgasm
    sexual dysfunction
  69. 3 important topics for sexual Fx
    • Sexual thoughts
    • fantasies
    • behaviors and preferences
  70. prior to sexual hx assessment what should a nurse evaluate
    evaluate ones own feelings about sexuality
  71. why do sexuality questions usually remain unaddressed
    nurses and doctors are uncomfortable with asking related sexuality questions
  72. disorder of sexual thought, fantasy and behavior
  73. disorder of sexual Fx include difficulty with:
    sexual interest, arousal, and orgasm
  74. 2 categories of sexual disorder
    • –Disorders of sexual functioning
    • –Paraphilias
  75. what are the typical seqential stages of human sexual response
    • sexual interest or desire
    • sexual excitement
    • orgasm
    • resolution
  76. when is a Dx of dysfunction made for sexual disorders
    when the observed problem causes significant discomfort to the individual or couple
  77. disorders of sexual Fx
    • •Disorders of desire
    • •Premature ejaculation
  78. elevations of what hormone may reduce libido or sex drive
  79. exposing ones genitals to a stranger; creates a response of fear and disgust
  80. sexual arousal occurring from contact with a nonliving object; etc. heterosexual males that dress as women
  81. individuals seeking sex change
    gender dysphoria
  82. sexual interests primarily directed toward children
  83. pedophiles often exhibit other paraphilias such as ____ & _____
    voyeurism & frotteurism
  84. observing or fantasizing about observing others disrobing, naked, or involved in sexual activity
  85. recurrent sexual touching of a nonconsenting individual, usually a stranger and usually in a crowded place
  86. sexual excitement resulting from fantasizing about or participating in the infliction of suffering on others; may result in extreme injury or death
    sexual sadism
Card Set
mental health
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