Mental Health Exam 1 Complete Study Guide

Mental Health Exam 1 Complete Study Guide Mental Health Exam 1 2. Safety Needs – security, protection, and freedom from fear/anxiousness/chaos, law, order and limitations. 3. Belonging & Love Needs – The need for love, affection, intimate relationships and belonging will see to overcome feelings of loneliness and alienation. (Having a Family and a Home is very important). 4. Esteem Needs – If this need is met, we feel confident, valued and valuable. If this need is NOT met, we feel inferior, worthless and helpless. 5. Self-Actualization – What we strive to become as humans. Fulfillment of this need brings inner piece and contentment with ones self. Describe the role of neurotransmitters: dopamine, serotonin, and norepinephrine, GABA  Dopamine: controls emotional responses, the brain’s reward and pleasure centers, stimulates heart and increases blood flow to organs. (Haloperidol = dopamine blocker). Cocaine allows more of dopamine to stay active for longer = increased HR, etc. o EPS is the result of Dopamine blockers (Dopamine needs to get through for proper brain functioning!) o Disorders with HIGH levels: Schizophrenia, Mania o Disorders with LOW levels: Depression, Parkinson’s Disease  Serotonin: Regulates mood, arousal, attention, behavior, and body temperature. Most anti-depressants increase Serotonin production. Muscle Relaxants block serotonin production. Serotonin release by platelets play important role in homeostasis. o High levels of Serotonin S/Sx: causes restlessness, shivering, diarrhea, muscle rigidity, fever and seizures. o Disorders with HIGH levels: Anxiety o Disorders with LOW levels: Depression  Norepinephrine: Regulate mood. A deficiency can cause Depression and excess can cause Mania. o Disorders with HIGH levels: Mania, Anxiety, Schizophrenia o Disorders with LOW levels: Depression  GABA: inhibitory neurotransmitter that regulates excitability and helps treat anxiety by helping you “chill out”. Anti-Anxiety Meds help increase the effectiveness of GABA by making the receptors more responsive. o Disorders with HIGH levels: Reduction of Anxiety o Disorders with LOW levels: Mania, Anxiety, Schizophrenia Describe the phases of the nurse-client relationship, and what occurs during each phase (Hildegard Peplau) 1. Orientation Phase: first time the nurse & patient meet, interact according to their own backgrounds/standards/values/beliefs,