Block 3 Skills/Assessment Flashcards

1
Q

these people are content with who they are and where they are in life

A

mentally healthy adults

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2
Q

these are people who can cope with and adjust in an acceptable way to the recurrent stresses of daily living.

A

mentally healthy adults

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3
Q

what are the seven principles of mental health care?

A
do NO harm
accept each client as a whole person
develop a mutual trust
explore behaviors and emotions
encourage responsibility
encourage effective adaptation
provide consistency
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4
Q

what does the do no harm principle relate to?

A

“reasonable and prudent nurse(caregiver)” concept found in U.S law.

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5
Q

accept each client as a whole=

A

do not treat the client as a diagnosis

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6
Q

what is the foundation of therapeutic relationships?

A

trust

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7
Q

how can the nurse develop trust with the patient?

A

by responding to requests for help.

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8
Q

every behavior..

A

serves a purpose and has a meaning

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9
Q

these can cause behavioral problems

A

distorted perception

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10
Q

what should you focus on when correcting a patient

A

correct the behavior and not the person

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11
Q

this infers that a person is able to exercise capability and accountability

A

responsibility

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12
Q

what is the first responsibility to achieve

A

care of yourself

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13
Q

astigma=

A

a mark of shame or rejection

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14
Q

what does a crisis do?

A

upsets homeostasis

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15
Q

what happens in an unresolved crisis?

A

maladaptive behavior hides the problem

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16
Q

all mental health patients exhibit…

A

unsuccessful coping behaviors

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17
Q

what three things should be encouraged when encouraging effective adaptation?

A

one step at a time
crisis intervention
learning of coping mechanisms

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18
Q

what is the first step of crisis intervention?

A

immediate emotional support during the crisis

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19
Q

these are thoughts or actions aimed at reducing stress

A

coping mechanisms

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20
Q

caregivers act as…

A

role models

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21
Q

the ability to objectively look within=

A

self-awareness

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22
Q

being conscious of your personality=

A

self-awareness

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23
Q

concern for the well-being of another person=

A

caring

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24
Q

the ability to recognize and share the emotions of another person without actually experiencing them=

A

empathy

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25
Q

the ability to see clearly and understand the nature of things. it relies on common sense, good judgement, and prudence.

A

insight

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26
Q

acceptance is…

A

receiving the entire person and the world in which he or she functions.

27
Q

accepting clients does not necessarily mean….

A

that you are approving of their behavior

28
Q

when are professional boundaries crossed?

A

when caregivers become too helpful or controlling

29
Q

professional boundaries must be define by who?

A

the caregiver

30
Q

professional boundaries must be….

A

balanced. because one cannot focus on the client and the self at the same time

31
Q

every psychological problem has what type of effects?

A

physical effects

32
Q

each physical illness has what type of effects

A

psychological effects

33
Q

individuals entering into the mental health care systems undergo what?

A

a comprehensive assessment

34
Q

clients are interviewed by?

A

several members of the health care team

35
Q

when is a course of action planned for the client?

A

when the team and the client agree on the treatment goals.

36
Q

medical treatments are combined with what three things?

A

psychotherapies, behavioral therapies, and other therapeutic actions.

37
Q

treatment plans are developed especially for…

A

the individual client

38
Q

this acts as a guide for planning and implementing client care

A

mental health treatment plan

39
Q

this serves as a vehicle for monitoring the clients progress

A

mental health treatment plan

40
Q

this serves as a means for communicating and coordinating client care

A

mental health treatment

41
Q

this is the tool that is used to facilitate diagnosis and guide clinical practice

A

DSM-IV-TR-Diagnosis (The Diagnostic and Statistical Manual of Mental Disorders.

42
Q

caregivers help clients to…

A

problem solve

43
Q

what should guide you as you go

A

“do no harm” principle

44
Q

this focuses on obtaining data about the problems, coping behaviors, and resources of clients.

A

the psychiatric assessment tool

45
Q

the psychiatric assessment tool focuses on these three things…

A

obtaining data about the problems
coping behaviors
resources of clients

46
Q

this is required for clients who may pose a risk for violence toward themselves or other

A

risk factor assessment

47
Q

this formulates a nursing diagnosis based on the identification of risk factors that potentially present an immediate threat to the patient…

A

risk factor assessment

48
Q

this is used to protect the clients and other…

A

risk factor assessment

49
Q

the health history effective interviews rests on the caregivers ability to…

A

listen objectively and respond appropriately

50
Q

name the seven guidelines for an effective interview

A
personal values must not cloud judgment
make no assumptions
take into account the clients culture and religion
pay attention to nonverbal communication
have clearly set goals
monitor your own reactions
don't become to emotionally involved
51
Q

the mental status assessment=

A

allows care providers to observe and describe a clients behavior in an objective, nonjudgmental way.

52
Q

in the mental status assessment the client is assessed for these four things…

A

general appearance
speech
motor activity
behavior during the interaction

53
Q

when assessing the clients emotional state the care provider must…

A

consider the clients mood and affect and document objective descriptions

54
Q

clients may experience these six things…

A
delusions
obsessions
phobias
preoccupations
amnesia
confabulations
55
Q

if your client hears voices what do you want to do?

A

ask them to describe them

56
Q

people with a clear sensorium are…

A

oriented to time, place, and person

57
Q

in the sensorium and cognition category patients are assessed for these five things…

A
memory
calculation
judgment
education level
insight
58
Q

how should you assess the immediate recall memory

A

have them remember three things and then ask again in three minutes

59
Q

how should you assess judgment?

A

ask them questions like what would they do if they found a wallet on the ground

60
Q

how should you assess insight?

A

ask the patient what they think caused the problem

61
Q

hallucinations of these three things may have a physical cause

A

taste, touch, and smell

62
Q

hallucinations of taste, touch, and smell may…

A

have a physical cause

63
Q

the nurse is reviewing the effectiveness of her care. which phase of the nursing process is she performing?

A

evaluation

64
Q

client uses false statements to fill in gaps of memory loss. what is this called?

A

confabulation