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Mental Health Nursing Fall 2022 > Exam #2 > Flashcards

Exam #2 Flashcards

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1
Q

What are examples of torts in the hospital?

A

False imprisonment, assault, and battery.

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2
Q

What is Utilitarianism?

A

view that actions are right if they prove the greatest good for the greatest amount of people

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3
Q

What is Utilitarianism?

A

view that actions are right if they prove the greatest good for the greatest amount of people

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4
Q

What is Kantianism (Deontology)?

A

the belief that the final outcome does not make an action good, actions should be guided by moral principles instead

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5
Q

What are the types of abuse to watch out for?

A

physical, sexual, financial, neglect, emotional,

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6
Q

What is emotional abuse?

A

behaviors that threaten and humiliate another person

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7
Q

What are characteristics of an abuse perpetrator?

A

poor social skills, men who believe in male supremacy, PATHOLOGIC JEALOUSY, controls the family finances, likely to abuse alcohol or drugs, likely to have experienced violence as a child

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8
Q

Signs of child neglect?

A

hoarding or stealing food, basic medical and dental needs are not met, delayed growth and development, poor cleanliness and hygiene.

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9
Q

Signs of childhood physical abuse?

A

conflicting or changing stories regarding their injuries, injuries not typical for age group, injuries that resemble specific objects, delays in seeking care for injuries

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10
Q

What percentage of individuals over 65 are abused by caregivers?

A

10%

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11
Q

Who has an increased risk of experienced intimate partner violence?

A

Pregnant women

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12
Q

What are the steps in the cycle of violence?

A

Tension-building phase, acute battery phase, honeymoon phase

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13
Q

What is the tension-building phase?

A

perpetrator displaying controlling and jealous behaviors

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14
Q

What is the acute battery phase?

A

abuse phase. shortest and most violent

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15
Q

What is the honeymoon phase?

A

abuser feels guilt. tries to make up for actions by professing love, giving gifts, and promising to change

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16
Q

What is the most important thing when caring for a sexual violence victim?

A

ensure adequate privacy

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17
Q

What percentage of psychiatric clients were found to have committed an act of violence?

A

17%

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18
Q

When does anger become unhealthy?

A

When it turns into aggression

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19
Q

What is the best intervention for managing aggression?

A

prevention

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20
Q

What factors does the nurse look for when assessing risk for violence?

A

history, diagnosis, and red flags

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21
Q

What are important de-escalating techniques?

A
  1. calm, caring voice
    2.set boundaries and identify consequences
  2. tell client you are concerned and would like to understand
  3. seek to understand what is behind anger/aggression
  4. respect client’s personal space
    6.reduce stimulation and loud noise
    7.give the client options
    8.attempt to redirect attention to positive activity
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22
Q

What are important nursing interventions patients with anger and aggression?

A

setting clear limits, describe consequences and always follow through, avoid touching clients that are angry or anxious, ensure no one is blocking the door, use least restrictive means as possible

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23
Q

What Are traumatic events/stressors expected to do to someone’s life?

A

disrupt anyone’s life

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24
Q

What disorders can individuals that have problems coping, managing stress and emotions, or resuming daily activities develop?

A

adjustment disorder, acute stress disorder, PTSD, dissociative disorder

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25
Q

What happens to brain structure/function in Schizophrenia?

A

changes in basal ganglia activity, structural brain abnormalities, less brain tissue and cerebrospinal fluid (most supported) in frontal and temporal region of brain

26
Q

What are the typical antipsychotics?

A

more effective with positive symptoms

27
Q

What are atypical symptoms?

A

newer, help treat positive and negative symptoms, extrapyramidal side effects

28
Q

What are side effects of antipsychotics?

A

sedation, postural hypotension, sexual dysfunctions, photosensitivity, allergic skin reaction, weight gain

29
Q

What are specific side effects of anticholinergics?

A

lowers bp, dry mouth, blurred vision, constipation, blurred vision, constipation, urinary retention, lower seizure threshold

30
Q

What are the more severe side effects of antipsychotics?

A

agranulocytosis, jaundice, EPS,tardive dyskenisia, Neuroleptic malignant syndrome`

31
Q

How to control EPS?

A

lower dose, change meds, cogentin, akineton, artane

32
Q

What are positive symptoms of schizo?

A

manifestations of things that are not normally present (hallucinations, delusions, alterations in speech, bizarre behavior)

33
Q

What are negative symptoms of schizo?

A

absence of things that are normally present

34
Q

What are grandeur delusions?

A

believes thay are all powerful and important, like a god

35
Q

What are somatic delusions?

A

believes that their body is changing in an unusual way

36
Q

What is associative looseness?

A

unconscious inability to concentrate on a single thought.

37
Q

What is neologisms?

A

made up words that have meaning only to the client

38
Q

What is echolalia?

A

the client repeats the words spoken to them

39
Q

What is clang association?

A

forceful, meaningless rhyming of words

40
Q

What is word salad?

A

words jumbled together with little meaning or significance to listener

41
Q

What are the types of hallucinations?

A

auditory, command, visual, olfactory, gustatory, tactile

42
Q

What are the most effective medications for generalized anxiety disorder?

A

SSRI and buspirone

43
Q

What are the types of behavioral therapy?

A

positive reframing, assertiveness training, systemic desensitization, flooding, exposure, response prevention

44
Q

What is response prevention?

A

refraining from avoidance, compulsion, or escape behavior

45
Q

What is exposure therapy?

A

exposing patient to anxiety source without intention to cause danger

46
Q

What is positive reframing?

A

thinking about a negative trigger or topic in a more positive way

47
Q

What is flooding?

A

exposing patient directly to worst fears

48
Q

What are coping strategies for stress?

A

breathing exercises. guided imagery, meditation, listening to music, recreational activity

49
Q

What is decatastrophizing?

A

making more realistic appraisal of situations

50
Q

What is assertiveness training?

A

learning to negotiate interpersonal situations

51
Q

What is an obsession?

A

recurrent, persistent, intrusive, and unwanted thoughts, images, or impulses that cause marked anxiety and interfere with interpersonal, social, or occupational function

52
Q

What is a compulsion?

A

ritualistic or repetitive behaviors or mental acts that a person carries out continuously to neutralize anxiety

53
Q

Is there a definitive explanation of why people develop OCD?

A

nOOOO

54
Q

What is dissociative amnesia?

A

the client cannot remember important personal information and includes a fugue experience where the client suddenly moves to a new geographic location with no memory of past (assumes a new identity)

55
Q

What is depersonalization/ derealization disorder?

A

the client has a persistent or recurrent feeling of being detached from his or her mental processes or body or they have the sensation of being in a dream-like state in which the environment seems foggy or unreal

56
Q

What is dissociative identity disorder?

A

the client displays 2 or more distinct identities or personality states that recurrently take control of his or her behavior and is accompanied by the inability to recall important personal information

57
Q

What are the goals of treatment for stressor-related disorders?

A

improve quality of life, improve functional abilities, reduce symptoms

58
Q

What are the EPS?

A

pseudoparkinsonism, akathesia, akinesia or bradykinesia, dystonia

59
Q

What are the three types of anxiety?

A

reality, moral, neurotic

60
Q

What is the assessment for OCD?

A

Yale-Brown obsessive compulsive

Mental Health Nursing Fall 2022 (4 decks)

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