Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mental Health > Exam #1 > Flashcards

Exam #1 Flashcards

1
Q

What are the diffrent components of an MSE?

A, B/PA, ATI, M/A, S+T, PD, O/C, M+I, R,J/I, MFT

A
  • appearance
  • behavior/ psychomotor activity
  • attitude towards interviewer
  • mood and affect
  • speech and thought
  • perceptual disturbances
  • orientation and consciousness
  • memory and intelligence
  • reliability, judgement and insight
  • motivation for treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What falls under behavior and psychomotor activity?

A
  • excessive or limited body movements
  • eye contact
  • eval excessive or limited eye movement, gestures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What falls under speech and thought

A

Speech: rate, volume, speed
Ex. Slurring, stuttering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What falls under reliability, judgement and insight?

A

Reliability: credibility and trustworthiness
Judgement: good or poor
Insight: understanding of the situation they are in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the diathesis stress model and what does it represent?

A

Stress model that suggests that nature and nurture causes mental health conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the role of a psychiatric RN?

CC, HT/HM, MT, P, B, IT,

A
  • coordinate care ( advocating for family and pt)
  • health teaching and maintenance ( building coping skills)
  • oversee mililieu therapy
  • pharmacological, biological, and integrative therapies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the HEADSS assesment used for?

A

Psychosocial interview technique that can be used to identify risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does HEADSSS stand for?

A
  • Home environment (relationship w/ parents + siblings)
  • Education and employment ( school employment)
  • Activities (sports, music, etc.)
  • Drug, alcohol, or tobacco use
  • Sexuality (sexually active or practice safe sex)
  • Suicide risk
  • safety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the purpose of a psychiatric mental health nursing assessment?

A
  • build trust w/ pt
  • review physical status and baseline vitals
  • asses medical conditions that may mimic psych disorders
  • asses risk factors
  • Preform MSE
  • Asses psychosocial status
  • identify goals
  • document
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the three levels of psychological awareness?

A
  • consciousness ( currently living)
  • preconsciousness ( memories)
  • unconsciousness ( repressed memories)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the three major personalities?

A

ID ( @ birth)
EGO (facing reality)
Superego ( moral compass)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does Peplau define as a professional nurse-patient relationship?

A
  • a nurse who has skills and expertise who wants to alleviate suffering, find solutions to the pt problems, increase QOL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the goal of a nurse- patient relationship?

FC, AW/P, HW/R, PSC/I, PE, PH

A

Facilitate communication, assist pt w/ problem solving, help pt reflect and examine behaviors, promote self care and independence, provide education, promote pt healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the difference between personal and a therapeutic relationship?

A
  • personal relationships initiated for the purpose of friendship, socialization, enjoyment, etc.
  • for pt’s growth and healing, focuses on the pt only, the nurses needs are not addressed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is transference?

The pt is reminded of her deceased mother when she looks at her nurse

A

The patient is reminded of a figure in their life which negatively or positively affects care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is counter transference?

The nurse is reminded of her youngest son when engaging with the patient

A

When the nurse is reminded of someone in her life which can positively or negatively affect care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is psychoanalytic therapy used for?

A

Focus on uncovering unconscious conflicts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the interpersonal theory?

Daddy/ mommy issues

A

Emphasizes the importance of early relationships with the primary parenting figure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is interpersonal therapy?

A

Focuses on reducing or eliminating psych symptoms by improving interpersonal and social relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the different kind of behavioral therapies?

M, OC, SD, AT, BF

A
  • modeling
  • operant conditioning
  • systematic desensitization
  • aversion therapy
  • biofeedback
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is modeling therapy?

A
  • provides a positive behavior that the pt is supposed to imitate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is operant conditioning therapy?

A

The desired behavior is rewarded

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is aversion therapy?

Op. Of operant conditioning

A

Pairing a neg stimulus with a specific behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is biofeedback?

A

Used to control the body’s physiological response to stress and anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is cognitive behavioral therapy?

A
  • patients are taught to challenge their own negative thinking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the biological model of mental illness?

A

Abnormal behavior is the result of a physical problem ( focuses on neuro, chemical, bio, and genetic issues)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what are the diffrent kinds of biological therapies?

A
  • medication and brain stimulation therapies such as ECT
28
Q

What are the three stages for general adaption syndrome ( GAS)?

AS, RS, ES

A
  • alarm stages: a strong reaction to the presented stressor
  • resistance stages: the person adapts to the stressor
  • exhaustion: the person doesn’t have the resources or energy to overcome the stressor and it becomes chronic
29
Q

What are some examples of effective stress reduction interventions?

DBE, PR, M, PE, CR, J

A
  • deep breathing exercises
  • progressive relaxation
  • meditation
  • physical exercise
  • cognitive reframing ( replacing negative phrase like I will not to I will)
  • journaling
30
Q

What are the differences between maladaptive and adaptive defense mechanisms?

A
  • positive use of defense mechanism
  • when the defense mechanism is used in excess
31
Q

What are the health conditions that can occur with chronic stress?

A
  • increase in mental health diagnosis
  • increased respiratory and cardiac illnesses
  • suppression of the immune system
32
Q

What are the diffrent coping skills for stress?

HSH, WLB, SS

A
  • health sustaining habits
  • work life balance
  • social supports
33
Q

What are the diffrent types of crisis?

MC, SC, AC

A
  • maturational crisis
  • situational crisis
  • adventitious crisis
34
Q

What is maturational crisis?

A
  • when a person reaches a new dev stage of life and hasn’t developed new coping skills
35
Q

What is situational crisis?

Divorce, job loss

A
  • unanticipated events that are external
36
Q

What is an adventitious crisis?

Natural disasters, school shootings

A

A unplanned event

37
Q

What are the diffrent phases of crisis?

A
  • confronted by conflict causes an increase in anxiety
  • functioning becomes disorganized
  • problem solving fails s anxiety increases to severe or panic level
  • if coping remains ineffective anxeity manifests into depression, violent behavior, SI/ attempts
38
Q

What are the 4 phases of disaster response?

M, P, R, REC

A
  • mitigation
  • preparedness
  • response
  • recovery
39
Q

What are examples of monoamine neurotransmitters?

D, NE, S

A
  • Dopamine
  • Norepinephrine
  • Serotonin
40
Q

What are examples of amino acid neurotransmitters?

A
  • glutamate
  • GABA
41
Q

What are examples of neuropetides

CRH, E

A

Cortico releasing hormone
Endorphins

42
Q

What is the diagnosis is linked to a monoamine neurotransmitters imbalance?

A

Depression and schizophrenia

43
Q

What is the diagnosis that is linked to a amino acid neurotransmitters imbalance?

A

Schizophrenia and anxiety

44
Q

What is the diagnosis that is linked to a neuropeptides imbalance?

A

PTSD and major depressive (CRH)
Stress/ pain ( endorphins)

45
Q

What is the diagnosis that is linked to acetylcholine imbalance?

A

Alzheimer’s

46
Q

What is the difference between an agonist and an antagonist?

A
  • agnostic mimics the effects of neurotransmitters
  • antagonist block neurotransmitters
47
Q

What does a decrease GABA level indicate?

A

Increased anxiety

48
Q

What antianxiety medication is highly addictive?

A

Benzos

49
Q

What is an SSRI?

Blocks

A
  • blocks the reputable of serotonin and makes neurotransmitters more available
50
Q

What are SNRI’s?

A

They increase both serotonin and norepinephrine

51
Q

Why aren’t tricyclic antidepressants the first line of treatment?

A
  • can be lethal in an OD and causes sedation
52
Q

What are examples of benzo’s?

Pam is with Val, Klon, xan, and Ati

A
  • diazepam ( Valium)
  • clonazepam (klonopin)
  • alprazolam (Xanax)
  • lorazepam ( Ativan)
53
Q

What are examples of SSRI’s?

What lay lay takes

A
  • fluoxtentine Prozac
  • sertraline Zoloft
  • citalopram Celexa
  • escitalopram lexapro
54
Q

What are examples of SNRI’s?

Cymbals

A

Duloxetine ( cymbalta)

55
Q

What are second generation antipsychotics associated with?

BS, WG, hyperLD

A

Metabolic side effects

56
Q

What is assertive community treatment?

A
  • intensive type if case management developed to treat hard to engage community living people w/ serious psych symptoms
57
Q

What functions as an intermediate step between inpatient and outpatient care?

IOPs and PHPs

A

Intensive outpatient programs and hospitalization programs

58
Q

What are the different ethical principles?

B, A, J, F, V, NM

A
  • Beneficence
  • autonomy
  • justice
  • Fidelity
  • veracity
  • nonmaleficence
59
Q

What is fidelity?

A

Maintaining loyalty and commitment to the pt while doing no wrong

60
Q

What is veracity?

A

The duty to communicate in truth

61
Q

What are examples of medications used to treat Alzheimer’s?

Don and Rev

A
  • Donepezil ( aricept)
  • revastigmine ( exelon)
62
Q

What are the short acting sedative hypnotic sleep agents?

Logic: “ and the haters that love gonna pop an..”

A
  • zolpidem ( ambien )
  • zaleplon ( Sonata)
  • eszopiclone (Lunesta)
63
Q

What are examples of orexin receptor agonist?

S, L (-exant)

A
  • suvorexant (Blesomra)
  • lemborexant (Davigo)
64
Q

What are examples of atypical antipsychotics?
S, Z, G, A, L

A

(Seroquel) quetapine
(Zyprexa) Olanzapine
(Geodon) Ziprasidone
(Latuda) Lurasidone
(Abilify) apripirazole

65
Q

What do typical antipsychotics cause?

EPSE

A

Extrapyramidal side affects like TD, dystonia, and Parkinsonism

Mental Health (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions