basics Flashcards

1
Q

What are the 3 components of a mental health nursing diagnosis?

A
  • Problem (unmet need)
  • Etiology (probable cause)
  • Supporting data (signs and symptoms)
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2
Q

T or F: MSE reflects a patients past or predicts their future

A

F: captures a patient’s current state

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3
Q

Difference between affect and mood

A
  • Mood is a sustained emotional experience and tends to colour the person’s perception of the world. (individuals emotional state)
  • Affect is an individual’s emotional state at the present, inferred by the clinician and described by the observed expression of inner feeling (expression of emotion)
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4
Q

Define thought broadcasting

A

think people can hear their thoughts

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5
Q

Define thought insertion

A

can hear others thoughts

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6
Q

What are grandiose delusions?

A

unfounded or inaccurate beliefs that one has special powers, wealth, mission, or identity

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7
Q

What are ideas of reference?

A

false beliefs that random or irrelevant occurrences in the world directly relate to oneself. When someone believes their thoughts, actions, or presence caused something to occur, irrational thoughts are considered ideas of reference

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8
Q

What is the criteria for admission certification?

A
  1. Is suffering from mental disorder
  2. Has the potential to benefit from treatment from the mental disorder
  3. Is, within a reasonable time, likely to cause harm to others to suffer negative effects, including substantial mental or physical deterioration or serious physical impairment
  4. Is unsuitable for admission to a facility other than as a formal patient.
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9
Q

What is a maturational crisis?

A

Having difficulty with dealing with life cycle events/changes such as adolescence, marriage, relationships, developing family.

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10
Q

What is a situational crisis?

A

Sudden change in environment that triggers stress such as loss of job, unexpected pregnancy, death in family, severe illness

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11
Q

What is a adventitious crisis?

A

Is unplanned and accidental event not apart of everyday life such as a natural disaster (flood, earthquake); national disaster (war, terrorist attack; and/or a violent crime (rape, assault, child abuse)

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12
Q

What are the five universal truths?

A
  • All people want to be treated with dignity and respect
  • All people want to be asked rather than being told to do something
  • All people want to be told why they are being asked to do something
  • All people want to be given options rather than threats
  • All people want a second chance when they make a mistake
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13
Q

What is included in prevention strategies for de-escalation?

A
  • self-awareness
  • patient education
  • assertiveness training
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14
Q

What is included in anticipatory strategies for de-escalation?

A
  • communication
  • environmental change
  • behavioural actions
  • psychopharmacology
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15
Q

What is included in containment strategies for de-escalation?

A
  • crisis management
  • seclusion
  • restraints
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16
Q

What can decreases in dopamine lead to?

A
  • depression
  • parkinsons
17
Q

What can increases of dopamine lead to?

A
  • schizophrenia
  • mania
18
Q

T or F: decreases in norepinephrine causes depression

A

True

19
Q

What can increases of norepinephrine lead to?

A
  • mania
  • anxiety states
  • schizophrenia
20
Q

What can decreases of GABA lead to?

A
  • anxiety disorders
  • schizophrenia
  • mania
  • huntingtons disease
21
Q

what can increase of GABA lead to?

A
  • reduction in anxiety
22
Q

T or F: decreases of serotonin leads to anxiety states

A

False. Decreases lead to depression

23
Q

What can increase of serotonin lead to?

A
  • anxiety states
24
Q

What is transference

A

patient unconsciously and inappropriately displaces onto nurse feelings and behaviours related to significant figures in patient’s past

25
Q

What is countertransference?

A

nurse displaces feelings related to people in nurse’s past onto patient, can be negative or positive

  • Positive: overly supportive, more friendly
  • Negative: acting out, negative feelings, judgmental, overly critical
26
Q

What is difference between anger and aggression?

A
  • Anger: An emotional response to frustration of desires, threat to one’s needs (emotional or physical), or a challenge
  • Aggression: An action or behaviour that results in verbal or physical attack
27
Q

What are the four cardinal features of delirum?

A
  • Acute onset and fluctuating course
  • Reduced ability to direct, focus, shift, and sustain attention
  • Disorganized thinking
  • Disturbance of consciousness
28
Q

What is the difference between dementia and delirum?

A

Dementia: Progressive deterioration of cognitive functioning and global impairment of intellect. Difficulty with memory, problem solving, and complex attention. NO CHANGE IN CONSCIOUSNESS

Delirum: Sudden, rapid onset of a confused state of mind. is a medical emergency