Community health test 1 Flashcards
________ - __________ ____________ is the setting that provides the necessary care allowing the greatest personal freedom.
Least-restrictive environment
The nurse’s role in acute mental health and community-based mental health care settings are similar in that the nurse provides client education and administers medications in both settings.
true
Benefits of group therapy include
Sharing common feelings and concerns
Sharing stories and experiences
Diminishing feelings of isolation
Creating a community of healing and restoration
Providing a more cost-effective environment than that of individual therapy
termination phase of group development
Marks the end of the group sessions; group members discuss termination issues; group leader summarizes work of the group and individual contributions.
orientation phase of group development
Focus is to define the purpose and goals of the group; group leader sets a tone of respect, trust, and confidentiality among members; members get to know one another and the group leader; discussion about termination to prepare group members.
working phase of group development
Focus is to promote problem-solving skills to facilitate behavior change; group leader uses therapeutic communication to encourage group work toward meeting goals; group members may take informal roles within the group.
Assisting the client with cessation of smoking is an example of what type of mental health therapeutic strategy?
health promotion and health maintenance
Providing incentives to promote client self-care is an example of what type of mental health therapeutic strategy?
promotion of self care activities
Administering prescribed medications; monitoring for adverse effects of medications is an example of what type of mental health therapeutic strategy?
psychobiological interventions
Coordinating holistic care to include medical, mental health, and social services is an example of what type of mental health therapeutic strategy?
case management
___________ - ___________ ___________ is care consisting of:
- dignity and respect
- information sharing
- patient and family participation and
- collaboration in policy and program development
patient centered care
_________ _________ is a small version of the larger society; provides an opportunity for the patient to test new behaviors and increases the patient’s ability to interact adaptively when discharged to the community.
milieu therapy
goals of acute mental health treatment?
Prevention of client harming self or others
Stabilizing mental health crises
Return of clients to community care settings
transference
Feelings that the client has developed toward the therapist in relation to similar feelings toward significant persons in the client’s early childhood
Countertransference
when the nurse displaces onto the patient feelings that are a response to people in the nurse’s past. Strong positive or strong negative reactions to a patient may be indicative of countertransference
Cognitive-Behavioral Therapy (CBT)
Based on the underlying theoretical principle that feelings and behaviors are largely determined by the way people think about the world and their place in it
Dialectical Behavioral Therapy (DBT)
A cognitive-behavioral therapy for clients who have a personality disorder and exhibit self-injurious behavior
Focuses on gradual behavior changes and provides acceptance and validation for these clients
A nursing student new to psychiatric mental health nursing asks a peer what resource he can use to determine which symptoms are present in a specific psychiatric disorder. The best answer would be:
A. Nursing Interventions Classification (NIC)
B. DSM-5
C. Nursing Outcomes Classification (NOC)
D. NANDA-I Nursing Diagnoses
B
Providing a safe environment for patients, orienting the patient to the physical setting, and assisting the patient to participate in appropriate activities are all part of: A. Milieu therapy B. Cognitive-behavioral therapy C. Behavior therapy D. Interpersonal psychotherapy
A
A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?
A. Assist the client with systemic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client or comorbid health conditions.
D. Monitor the client for adverse effects of medications.
D
persecution
Feels singled out for harm by others (e.g., being hunted down by the FBI)
Grandeur
Believes that he/she is all powerful and important, like a god
somatic delusions
Believes that his/her body is changing in an unusual way, such as growing a third arm
religiosity
Is obsessed with religious beliefs
magical thinking
Believes his/her actions or thoughts are able to control a situation or affect others, such as wearing a certain hat makes him/her invisible to others
thought withdrawal
Believes that her thoughts have been removed from her mind by an outside agency
thought insertion
Believes that others’ thoughts are being inserted into his mind
thought broadcasting
Believes that her thoughts are heard by others
ideas of reference
Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about him
antipsychotics appropriate for positive symptoms
First-Generation (Conventional, Typical) Antipsychotics
antipsychotics appropriate for positive and negative symptoms
Second-Generation/Atypical Antipsychotics
antipsychotics appropriate for positive, negative, and cognitive symptoms
Third-Generation Antipsychotics
medication examples for second generation/atypical antipsychotics
risperidone, clozapine, quetiapine, olanzapine, ziprasidone
medication examples for first generation (Conventional, Typical) Antipsychotics
haloperidol, chlorpromazine, loxapine, fluphenazine
medication examples for Third-Generation Antipsychotics
aripiprazole
A nurse is caring for a patient who has schizoaffective disorder. What type of statement indicates the client is experiencing depersonalization?
“I am no one, and everyone is me”
Signs and symptoms that precede the acute, fully manifested signs and symptoms of disease; occurs in 80-90% of persons with schizophrenia before the emergence of frank psychosis
prodromal phase of schizophrenia
Periods of florid positive symptoms (hallucinations, delusions) as well as negative symptoms (apathy, withdrawal, lack of motivation) and cognitive symptoms
acute phase of schizophrenia
Period in which acute symptoms, particularly the positive symptoms, decrease in severity
stabilization phase of schizophrenia
Period in which symptoms are in remission, although their might be milder persistent symptoms (residual symptoms)
maintenance phase of schizophrenia
Period in which symptoms are in remission, although their might be milder persistent symptoms (residual symptoms)
maintenance phase of schizophrenia
flight of ideas
Associative looseness - A flight of ideas occurs when a person rapidly shifts between conversation topics, making his or her speech challenging or even impossible to follow
neologisms
Made-up words that have meaning only to the client
echolalia
Client repeats the words spoken to him
clang association
meaningless rhyming of works, often in a forceful manner
word salad
Words jumbled together with little meaning or significance to the listener
positive symptoms of schizophrenia
hallucinations, delusions, disorganized speech (associative looseness), bizarre behavior
flat affect, poverty of thought or speech (alogia), lack of motivation (avolition), inability to experience pleasure or joy (anhedonia)
negative symptoms of schizophrenia
inattention, impaired memory, poor problem-solving skills, poor decision-making skills
cognitive symptoms of schizophrenia
depression, anxiety, demoralization, suicidality, hopelessness
affective/mood symptoms of schizophrenia
true or false: Prevention of relapse with schizophrenia can be more important than the risk of side effects from medications because most side effects are reversible, while the consequences of relapse may be irreversible.
true
agranulocytosis
Serious blood-dyscrasia; can be fatal; most often seen with clozapine; requires frequent monitoring of WBC
