everything Flashcards

1
Q

What is the definition of morality

A

A personal belief system derived from family, school, religion, and enviroment

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2
Q

What are the 5 basic ethic foundations

A

Autonomy, beneficence, nonmaleficence, justice, confidentiality.

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3
Q

what is professional ethics

A

Commonly held (and written) values that guide professional behavior

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4
Q

What is the American Medical Association (AMA) stance regarding sexual activities with pt?

A

Its unethical

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5
Q

What is the pt’s perception of quality of care based upon?

A

His interaction with the members of the health care team

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6
Q

What influences the pt’s assessment of treatment worth and overall success of a treatment program?

A

My behavior towards the pt, coworkers and professional staff

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7
Q

define acceptace

A

Acceptance is an active process, a series of positive behaviors that convey respect for the pt as an individual

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8
Q

what are some examples of retaliation

A
Avoiding pt
calling attention to pt defects
reducing the pt to a diagnosis
laughing at the pt fears
acting superior to the pt
saying one thing when your face says another
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9
Q

what are the three legal liabilities

A

Criminal, administrative, civil tort liability

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10
Q

Which legal liability is nonpunitive

A

administrative

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11
Q

What are all the intentional torts

A

assault, battery, false imprisonment, misrepresentation, wrongful invasion of privacy, and defamation of character

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12
Q

what types of defamation of character are there

A

slander (by mouth) and libel (by sight)

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13
Q

what are some examples of negligence

A

breach of duty, diagnosing and treating

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14
Q

Who is responsible for diagnosing the pt?

A

the healthcare provider or physician

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15
Q

what medical care is a minor allowed to consent for treatment?

A

Pregnancy, birth control counseling, venereal disease, drug and alcohol abuse

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16
Q

when does involuntary admission occur?

A

When the pt is too ill to recognize illness and when they cant act on there own behalf

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17
Q

what did the Surgeon General say concerning ethical issues concerning confidentiality?

A

That every mental health facility puts confidentiality at its core

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18
Q

What organization besides congress has spelled out very specific pt rights?

A

AMA (American Medical Association)

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19
Q

Whats the Joint commission’s definition on standard

A

A statement of expectation concerning a degree or level of requirement, excellence or attainment in quality of performance

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20
Q

who makes the final decision regarding Joint Commission accreditation?

A

The Joint Commission accreditation committee

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21
Q

Who conducts Health Services Inspections?

A

Air Force Inspection Agency

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22
Q

What items are used to prepare for Health services inspection?

A

Joint commission Manual, Health Services Questionnaire and Documents from previous inspections

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23
Q

What is the primary focus of standard precautions

A

To reduce the risk of microorganism transmission

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24
Q

What are the responsibility of the Infection Control Committee (ICC)

A

Collecting data on all infections acquired within the facility, Investigation the causes of any breakout of infections, and education all personnel of current concepts in prevention and infection control

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25
Whats the function of the neurological system
To transmit and receive a constant series of messages to and from the brain.
26
What are the 2 nervous systems called?
Central nervous system, and the peripheral nervous system
27
What affects the neurological system adversly
Smoking, lack of sleep, poor diet and stress
28
What questions should be asked before putting a Pt in restraints?
Is the pt intoxicated? Has the Pt gone under any medical treatment recently? Has the pt recently suffered a head injury? Is the pt diabetic? Is the pt suffering from delirium?
29
When physically restraining a pt, who sets the rules for the takedown?
the team leader
30
whats the minimum number of staff reduied to physically restrain a pt
2
31
Which phase of the active phases offers the opportunity for therapeutic growth for the pt and staff
Recovery
32
Which active phase is the pt MOST likely going to assault someone?
Crisis
33
What is the first phase of the active phases in the assaultive cycle
Trigger
34
What are the phase in the assaultive cycle?
Trigger, escalation, crisis, and recovery
35
What are some examples of seclusion measures?
Restraining a pt in a bed in a locked room, locking a pt in a room with only a mattress on the floor Allowing the pt privacy in his or her room without locking the door
36
What approach should you use when area restriction fails?
Room restriction
37
What are considered a pre-aggressive behavior?
Pacing, interest in weapons, sleep disturbance, withdrawal, hyperactivity and changes in voice levels
38
what is Local reorganization?
THis is when peoples attempts to escape fail. the pt try to use previously used coping skills for their current crisis.
39
Whats is increased tension?
In this stage people can continue their usual activities but have increased amounts of anxiety
40
What is denial
This is the initial stage usually last for only a couple of hours
41
What is disorganization
In this stage people begin to feel as if they are falling apart.
42
What are attempts to escape
If attempts to reorganize fails then people try to escape their problem by projection responsibilities on others. Blaming God, others or fate
43
What are attempts to reoganize
When the pt try to use previously used coping skills for their current crisis. usually short range
44
What is general reorganization?
This last up to a year, when people integrate their new patterns of behavior into their personality
45
What are the 2 crisis types?
Developmental and situational crisis
46
Which crisis type in predictable and why?
Developmental is because this crisis occurs during the transition from one stage in life to another. ie mid life crisis
47
When a staff member is involved in or discovers an accident who initiated the AF Form 765
The staff member
48
What are the 3 "elements of combustion?"
Fuel, Heat, and oxygen
49
When lifting a pt or heavy object what should you left with?
Your legs
50
According to the AFOSH civilian employees have the right to request assistance without fear of what?
Reprisal, Coercion, and discrimination
51
What does AFOSH stand for?
Air Force Occupational safety, Fire Prevention and Health
52
In order to ensure that personnel are safe from work related death, injuries and illnesses the Air Force Complies with what organizations guidelines
Occupational, Safety and Health administration (OSHA)
53
What slows down the body and helps with relaxation, digestion and sleep?
Parasympathetic nervous system
54
Somatic nervous systems motor responses are
Voluntary
55
What organization must approve all disinfectants used in MTF?
Environmental Protection Agency (EPA)
56
How many years does HIV symptoms stay dormant>
10`
57
Centers for Disease Control created what to prevent spreading of germ universally throughout the Air Force
Universal precaustions
58
Why are some medications mixed at the time of administration to the pt
To give a synergistic effect. also called a cocktail
59
Of all the venues for administering drugs, which method is considered the quickest?
Intravenous (IV)
60
What is the objective in administering any psychopharmacological restrain
To decrease agitation
61
what should be ruled out before introducing any medication
Physiological etiology
62
If you use two point restraints, where should they be placed
On one arm and the opposite leg
63
When restraining a pt, whats the purpose of the key word
The key word tells the team when to begin procedure
64
In what situation is the single interim control hold suggested
When you are alone and must establish control of a reluctant or confused pt
65
What are the three factors to remember when you are alone and trying to control a pt physically
1. Is there danger of physical injury to warrant physical intervention? 2. can you physically control the pt by yourself 3. Is there a good chance you or the pt may get hurt?
66
what is the best method of response if the choke hold is applies and why?
Spinning choke release and yell. because the yell might confuse the pt and it could attract help
67
What is the most important part of the body positioning for self protection
Maintaining a safe distance away from the pt
68
When should seclusion be used?
Seclusion should only be used when therapeutic measures fail
69
What are the four step of Graded Intervention
1. Verbal intervention 2. Body positioning 3. Less restrictive body positioning ( touching and holding) 4. More restrictive physical intervention (Forcible movements and take downs)
70
How do you tell if seclusion is necesary
The staff should review the events leading up to that action
71
What are the three factors are usually present to produce a crisis?
A crisis Meaning of event Nature and extent of people coping mechanisms