Final Exam Review.docx

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Final Exam Review - NR 326 Mental Health Nursing June 2019 1. Autism is associated with hyperactivity, avoidance of eye contact, impulsivity, aggression, selfharm, recurrent actions and behaviors, te... mper tantrums. Autism children are able to toilet train. 2. Delirium – rapid onset. Usually lasts less than 10 days. Delirium manifests as rapid, rambling speech, rapid changes in mood (labile), altered level of consciousness, confusion, restlessness, agitation, hallucinations and illusions. 3. Dementia – Slow, insidious onset. Give one direction at a time. Home safety list review. Limit choices to avoid frustration. Consistent meal/med times, schedules, care providers. Expect emotional outbursts, paranoia, delusions, illusions, hallucinations as disease progresses. Gradual loss of memory. Know perseveration (repeating words or phrases) versus confabulation (defense mechanism to fill in gaps of missing memory). Do not attempt to correct false beliefs in later stages. 4. Personality Disorders a. Borderline (Contract for self-harm, set limits and stick to them, do not allow them to manipulate the staff, use DBT. Do not show too much attention. Frequently rotate staff members to prevent splitting of staff.) b. Histrionic (Monitor attempts at attention seeking during groups. Need for admiration and attention is extreme. Relationships are seen as closer than they are. Craves novelty, stimulation and excitement. Dresses in expensive clothing, provocative and seductive.) c. Paranoid (Suspic [Show More]

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