exam 2 NEW Flashcards
circumstantial thinking
excessive detail
flight of ideas vs loose associationa
both unrelated topics but flight of ideas is rapid speech
ideas of reference
events are personal to them
tangential thinking
off topic
judgement vs insight
Judgment: interpretation of environment
* Lack of judgment e.g. engaging in risky behavior or lacking reasonable care of others
Decision-making ability
Insight: understanding one’s own part in current situation
* Lack of insight e.g. client blames other for own behavior
5 right
prompt eval
med refusal
send and recieve mail
confidentiality
least restrictive enviornment
pariety
restraint rules 3
o Face-to-face evaluation with ordering provider within 1 hour of order
o Review every 8 hours for adults and 4 hours for children
o Nurse documents assessment every 1-2 hours
6 criteria for duty to warn
- Is the client dangerous to others?
- Is the danger the result of serious mental illness?
- Is the danger serious?
- Are the means to carry out the threat available?
- Is the danger targeted at identifiable victims?
- Is the victim accessible?
deontology
decisions are based on whether action is morally right or wrong, no regard for consequences
tasks of grieving
- Recognize: experiencing the loss, understanding that it is real, and that it has happened
- React: emotional response to loss, feeling the feelings
- Recollect and reexperience: memories are reviewed and re-lived – LOOKING AT PHOTOS
- Relinquish: accepting that the world has changed and that there is no turning back
- Readjust: beginning to return to daily life; loss feels less acute and overwhelming
- Reinvest: accepting changes that have occurred; reentering the world, forming new relationships and commitments
example of disenchanhised grief
abortion
complicated grieving
its been a long time or if it was owns fault
lithium SE
4 - diarrhea, vomitting, drowsiness, muscle weakness
carbamezepine SE 5
rash, ortho hypo, drowsiness, blurred vision, sedation
valproate SE 7
weight GAIN, alopecia, hand tremor, drowsiness, blurred vision, dry mouth, sedation