2.6 Behavioral Health Concepts, Crisis Intervention, End of Life Flashcards
____ ____ describes patients with coexisting mental
illness and substance abuse disorders.
Dual diagnosis
Psychiatric treatment is more successful with patients who are _________________________.
not actively abusing substances
The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) defines substance abuse as:
A maladaptive pattern of substance use leading to clinically significant impairment or distress,
as manifested by one (or more) of the following, occurring within a 12-month period:
• __________________________
• __________________________
• __________________________
• __________________________
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• Recurrent use resulting in failure to fulfill role
obligations
• Recurrent use in physically hazardous situations
• Recurrent substance-related legal problems
• Continued use despite persistent or recurrent
social/interpersonal problems caused by effects of the
substance
______ ______ ______ such asAlcoholics Anonymous and Narcotics Anonymous have been found to be the most successfulin treating substance abuse.
Community based programs
Inpatient hospitalization for substance abuse ( is / is not) the preferred method of treatment.
is NOT
A _____ can refer to any situation in which the client perceives the inability toeffectively problem-solve and/or cope.
crisis
When faced with a conflict, it is important for all parties to focus on the _____, rather than the person or persons they are in conflict with.
goal
The following five conflict resolution strategies are listed from most to least desirable for mostsituations.
- _______________________
- _______________________
- _______________________
- _______________________
- _______________________
- Collaboration
- Negotiation
- Accommodation
- Competitive
- Avoidance
_______ is comprised of languages, beliefs, values, traditions, and customs.
Culture
The case manager is to practice ______ ______
with awareness and respect for diversity.
cultural competence
While it is necessary for a case manager to understand general cultural norms as they relate tohealthcare, it is more important that she understands that each patient is ____________________________________.
an individual with his own individual, family, and cultural beliefs
Case managers should assess the client’s ________ needs and identify resources to enhance proper communication.
linguistic
When using an interpreter it is best to use a _______________________________.
professional interpreter - not a family member - whenever possible
The _____ _____-_____ ______ (PSDA)amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. It requires allhospitals, skilled nursing facilities, home health agencies, hospice programs, and healthmaintenance organizations that receive Medicare and Medicaid reimbursement to recognizethe living will and durable power of attorney for healthcare.
Patient Self-Determination Act
______ ______ come in two forms: those that dictate the kind of medical treatment to be given or withheld, such as a ____ _____or ___ ___ ______ , and those that appoint anagent or proxy to make healthcare
decisions.
Advance directives; living will; do not resuscitate
A ____ ____ states which specific medical treatments thedesignated person would like to receive or have withheld.
living will
_________________ or _________________
this type of advance directive stipulates who is to make healthcare decisions for the personnamed if he is unable to make decisions for himself.
Health Care Power of Attorney; Durable Power of Attorney
A ____________________ (DNR) is a request not to have CPRperformed.
do not resuscitate
_______ provides comprehensive end of life care and support toterminally ill patients and their families.
Hospice
A Do Not Resuscitate (DNR) (is / is not) necessary before enrolling in hospice, but patients and families are educated on this topic, with the goal of having the DNR in place before a patient’sdeath.
is NOT
_______ care can be employed with a patient at any stage of a severe illness.
Palliative
______ care is not dependent on prognosis.
Palliative
______ care provides comprehensive care, including palliative care, for terminally ill patients with a life expectancy of six months or less, who are no longer receivingcurative treatment.
Hospice
______ care is specialized medical care for patients suffering fromserious and chronic illnesses, such as cancer, CHF, COPD, kidney failure, and ALS, just to
name a few.
Palliative
_________ care can be given alongside other medical treatment, such aschemotherapy and radiation, and can improve the ability to tolerate those treatments.
Palliative
The main goal of _______ care is symptom management to allow the best quality of life for the patient.
Palliative
The ______ are at increased risk for abuse, with those over age 80 at the highest risk.
elderly
The perpetrators of abuse and neglect are most often ______ _____, with the majority of them being spouses and adult children.
family members
______ – The failure or inability to provide for basic needs. This can beintentional or unintentional.
Neglect
________/_______ – The infliction of anguish, pain, or distress through verbal or nonverbal acts, such as gestures or writing,resulting in trauma. This also includes threats of harm used to intimidate a person intocomplying or cooperating.
Emotional/Psychological
_______ – The use of physical force, such ashitting, beating, pushing, shaking, slapping, kicking, burning, and pinching, that results inphysical pain, bodily injury, or impairment. Also included in physical abuse is force-feeding andthe use of drugs and physical restraints.
Physical
__________________ – Failing to use the patient’s incomeor assets for the benefit, support, and maintenance of the patient. The illegal, unauthorized, or
improper use of the resources of the patient.
Financial Abuse and Neglect
