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3-Third semester > exam 2- mental health abuse > Flashcards

exam 2- mental health abuse Flashcards

1
Q

Anger

is what

can be

A

emotional response to frustration/ threat to ones needs

can be positive if expressed in healthy ways

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2
Q

aggression

what is it
can be

A

reaction/behavior that results in verbal/physcial attack

can be used with violence or self defense

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3
Q

Suicide and homicide

A

very common in anger and aggression

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4
Q

aggression

Assault and violence

A

causes potential injury to person when aggression acts out

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5
Q

who has anger and aggression

p
s a
m c i

A

ptsd,

substance abuse disorders,

multiple chronic illnesses

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6
Q

anger and hostility causes what in patients

h
c d
I
disruption
cant

A

hypertension,

cardiovascular disease,

inflammation,

disruption in feeling pain

cant sleep

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7
Q

Genetics

nueroboiologica-changes

risk factors

A

genetics- have high moa

neurobiological- changes in personality like Alzheimers, tumors

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8
Q

predictors of violence

h
a
v a
voice
intense
I
recent

Assessment for anger/violence

A

hyperactivty

anxiety

verbal abuse

loud voice

intese eyecontant

intoxication

recent acts of violence

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9
Q

Assessment of anger/aggresion

see what when angry
important to
important to

A

when pt is experience anger- see it behaviorally

important to identify pts history of violence

important to identify triggers

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10
Q

Assessment questions for anger and abuse

does
have
mean
what

A

does patient have wish to intend harm

have a plan

means to carry out plan

what demographic they are in

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11
Q

what is primary outcome you want with pt with aggression

want them
trying
want

A

want them to express feelings and deescalate

trying to promote calm response

want to build rapport

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12
Q

De-escalation

invest
maintain
identify
be
avoid
give
be

Anger and Aggression Nursing Process – Intervention: Pre- Assaultive Stage

A

invest time

maintain calmness

identify what pt needs

be honest

avoid invading personal space

give clear options

be genuine

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13
Q

teamwork with aggressive patients

avoid
ensure
dont
provide
know/have

A

avoid wearing anything dangling

ensure enough staff

dont stand in front of patient

provide feedback-you seem upset

know layout/ have an escape

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14
Q

Restraints and seclusion
Assessments

level
level
s
h
t
n
c

Anger and Aggression Nursing Process – Intervention: Assaultive Stage

A

level of awareness

level of activty

safety

hydration

toileting

nutrition

comfort

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15
Q

seclusion-
What is the purpose of seclusion?

Anger and Aggression Nursing Process – Intervention: Assaultive Stage

A

safety of others while allowing pt to come back to reality

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16
Q

seclusion/ restrsints
What do we need to do when a patient is in seclusion?

Anger and Aggression Nursing Process – Intervention: Assaultive Stage

A

assess for ability to get them off asap

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17
Q

seclusion-
Can they be used together?

Anger and Aggression Nursing Process – Intervention: Assaultive Stage

A

no

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18
Q

debriefing-

Anger and Aggression Nursing Process – Intervention: Post Assaultive

A

allows staff to analyze what could have been better with the patient

if there’s nay education that may need to take place

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19
Q

documentation- restraints/seclusion
pts
least
int
pts
plan
ongoing

Anger and Aggression Nursing Process – Intervention: Post Assaultive

A

pts behavior leading up to restraint use

least restrictive methods used

interventions used

pts response

plan of care for restriant

ongoing evaluations

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20
Q

when pt is reintegrated into unit

discuss
behaviors
what
alterative

A

discuss what pt can learn

behaviors that occurred

what stressors they have

alternative ways to respond

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21
Q

overwhelmed pt in hospital

pt may
find ways
search

A

pt may respond in unusal ways when overwhelmed

find ways to reestablish means of dealing with hospitalization

search for solutions to patient distress

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22
Q

use of
these people

Anger and Aggression in Hospital Settings: Patient with marginal coping skills

A

These people use of anger and intimidation very quickly

These people externalize blame.

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23
Q

Interventions for the client with marginal coping skills

provide
reduce
offer
be
teach

A

Provide comfort items

Reduce ambiguity

offer Distraction

be Predictable

Teach alternative behaviors

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24
Q

leave
withdraw
have a

Alternative Interventions for the client with marginal coping skills – when teaching alternatives isn’t successful

A

Leave the room

Withdraw attention

have aPredictable routine

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25
Q

Predicators of violence

A

History

Impulsivity

26
Q

Situational factors for violence

v/p
intrusive
unrealsitc
feelings
perception

A

Vulnerability and powerlessness

Intrusive procedures

Unrealistic expectations

Feelings of being ignored

Perception that they’re not unique

27
Q

Interventions for patients with cognitive deficits

what meds
what aids
controlling
giving
what manner
offer

A

Sedating medications

Orientation aids

Controlling the environment

giving Routine

Calm and unhurried manner

offer Validation

28
Q

Family Abuse and Violence comorbidity

a
d
s
p

A

anxiety

depression

suicidal ideation

PTSD

29
Q

risk factors for abuse

perceived
reminds
dont
unwanted
interferences

A

perceived as different through different traits or abnomralites

reminds pt of ex spouse

dont live up to fantasy

unwanted pregancies

interference with bonding

30
Q

The Perpetrator Characteristics

p/c
j
p
sa

A

Power and control

Jealousy

Possessiveness

Substance abuse

31
Q

types of family abuse

p
s
e
n
e

A

Physical
Sexual
Emotional
Neglect
Economic

32
Q

The Vulnerable Person characteristics

p
move
c
e

A

Pregnancy

Move toward independence

Children

Elderly

33
Q

tension building stage

minor incidents- p/s/va

victim
abusers

A

minor incidents- pushing, shoving, verbal abuse

victim ignores or accepts behaviors due to fear of escalation

abusers rationalize behavior

34
Q

honeymoon stage

abuser
feels
gives

A

abuser demonstrates kindness and loving behaviors

feels remorseful

gives presents

35
Q

acute battering stage

tension
triggered

A

tension peaks

triggered by external event

36
Q

older adults abuse

defined
risk factors

A

defined as anything that creates a risk for harm

risk factors- poor mental health and disruptive //highly dependent

37
Q

general assessment abuse

screen
symptoms
all

A

screen everyone for abuse

symptoms may be vague

all assessments should include history of abuse and violence or drugs

38
Q

interview guidelines DO

conduct
be
ask
be
assess
help

A

conduct interview in private

be direct

ask pt to clarify

be attentive

assess safety

help reduce danger

39
Q

interview guidlines dont

try
display
place
allow
probe

A

try to prove it

display horror or shock

place blame

allow pt to Geel at fault

probe for questions pt is unwliining to give

40
Q

anxiety-

living with

s/s that its difficult to talk about-h,lack,use

s/s-h. I, gi

Family Abuse and Violence Assessment

A

living with chronic stress

difficult- hesitation, lack of eye contact , use of vague statments

s/s-hypertension, irritability, gi distrubances

41
Q

coping responses

may
may take

Family Abuse and Violence Assessment

A

may isolate

may take form of flawed beliefs or myths

42
Q

suicide potential

sometimes
children

family abuse

A

sometimes feel like its the only way out of a terrible relationship

children who were abused are at risk for suicide as an adult

43
Q

drug and alcohol abuse

may

family abuse

A

may self medicate to get away from the situation

44
Q

family coping patterns

s/s
potentials
type
coping
use
any

Family Abuse and Violence Assessment

A

s/s of abuse

potentials for abuse

type of abuse

coping

use of drugs

any ideas of suicide

45
Q

primary prevention

reducing s
reducing i
increasing s
increasing c
increasing s

Intervention

A

preventing it from happening

reducing stress

reducing influence of risk factors

increasing social support

increasing coping skills

increasing self esteem

46
Q

secondary prevention

early
providing

A

early interventions to minimizing long term effects

providing support therapy and groups

47
Q

counseling
people have right to live without
v
p
a

A

violence

physical harm

and assault

48
Q

safely plan

plan
identify

A

plan for rapid escape when abuse recurs

identify signs of violence that tells them time to leave

49
Q

shelters/sfe houses

open
if a

A

open 24 hours

if a partner chooses to leave due to violence

50
Q

case management

what is involved
coordinate -c,m,s

family abuse

A

community centers are involved in serving victims

coordinate community, medical and social services to families

51
Q

health teaching/promotion abuse

learning

recongize

explain

A

learning to recognize behaviors that trigger violence

recognize when children are at risk and make referrals

explain normal development and changes

52
Q

Individual therapy
goals
addressing
helpful

Advance Practice Interventions

A

goals are for empowerment

addressing symptoms of depression anxiety and ptsd

helpful to understand pts feelings

53
Q

Group therapy

working in
groups can
can create

advance practice interventions

A

working in a group can help diminish feelings of isolation

groups can help abuser see patterns that they can change

can create a feeling of community and healing

54
Q

Family therapy

each
interventions
will
learn
refrain

Advance Practice Interventions

A

each part of family needs attention

interventions increase positive interactions in family members

will recognize destructive patterns of behavior

learn alternative responses

refrain from abusive behavior

55
Q

evaluation

failure
nursing process

A

failure can be due to systems that we live in

56
Q

What can a nurse do?

A

SCREEN ALL PATIENTS!

Do not act on stereotyped thoughts

57
Q

What can a Nurse Do?

keep
keep
keep
rmcourage
referral

A

Keep asking,

keep listening,

keep bridging to services

Encourage a safety plan, a plan for a fast escape when violence recurs

Referral phone numbers may be kept for years before the decision to call is made

58
Q

Sexual Assault is-

rape is-

A

SA-unwatnted sexual advances and harassment to rape

R- any activity that involves penetration

59
Q

Sexual Assault stranger rape

A

when a stranger does the raping

60
Q

Sexual Assault marital rape

A

when a spouse makes advances without consent

61
Q

Sexual Assault date reape drugs

g
r
k

A

GHB

rohypnol

ketamine

62
Q

will feel
want to
collect
what’s important

sexual assualt

A

will feel very low self esteem, depressed

want to provide a safe environment

collect evidence

social support is very important

3-Third semester (19 decks)

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