exam 2 NEW Flashcards

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1
Q

circumstantial thinking

A

excessive detail

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2
Q

flight of ideas vs loose associationa

A

both unrelated topics but flight of ideas is rapid speech

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3
Q

ideas of reference

A

events are personal to them

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4
Q

tangential thinking

A

off topic

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5
Q

judgement vs insight

A

 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

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6
Q

5 right

A

prompt eval
med refusal
send and recieve mail
confidentiality
least restrictive enviornment
pariety

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7
Q

restraint rules 3

A

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

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8
Q

6 criteria for duty to warn

A
  • 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?
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9
Q

deontology

A

decisions are based on whether action is morally right or wrong, no regard for consequences

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10
Q

tasks of grieving

A
  1. Recognize: experiencing the loss, understanding that it is real, and that it has happened
  2. React: emotional response to loss, feeling the feelings
  3. Recollect and reexperience: memories are reviewed and re-lived – LOOKING AT PHOTOS
  4. Relinquish: accepting that the world has changed and that there is no turning back
  5. Readjust: beginning to return to daily life; loss feels less acute and overwhelming
  6. Reinvest: accepting changes that have occurred; reentering the world, forming new relationships and commitments
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11
Q

example of disenchanhised grief

A

abortion

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12
Q

complicated grieving

A

its been a long time or if it was owns fault

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13
Q

lithium SE

A

4 - diarrhea, vomitting, drowsiness, muscle weakness

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14
Q

carbamezepine SE 5

A

rash, ortho hypo, drowsiness, blurred vision, sedation

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15
Q

valproate SE 7

A

weight GAIN, alopecia, hand tremor, drowsiness, blurred vision, dry mouth, sedation

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16
Q

clozapine SE 5

A

2nd gen antipsychotic - obesity, HTN, hyperglycemia, high cholesterol, anticholinergic

17
Q

benzos SE 3

A

hangover, CNS depression, dependence

18
Q

haloperidol SE 4

A

muscle rigidity, elevated creatinine, autonomic instability, delirium

19
Q

5 common characterisitcs of violent fams

A

social isolation
abuse of power
control
alc or drugs
intergren. transmission

20
Q

SAFE

A
  • Stress/Safety: What stress do you experience in your relationships? Do you feel safe in your relationships?
  • Afraid/Abused: Have there been situations in your relationships where you have felt afraid? Has your partner ever threatened or abused you or your children?
  • Friends/Family: Are your friends or family aware that you have been hurt? Do your parents or siblings know about this abuse?
  • Emergency plan: Do you have a safe place to go and the resources you (and your children) need in an emergency?
21
Q

5 PTSD criteria

A

EXPOSURE, WITNESS

INTRUSIVE SYMPTOMS LIKE DREAMS, FLASHBACKS

AVOIDANCE

NEG THOUGHTS , EMOTIONS

ALTERATIONS IN AROUSAL

22
Q

WHAT IS reactive detach

A

minimal interactions

23
Q

3 stages of anxiety

A

 Alarm reaction stage: body prepares for potential defense
 Resistance stage: sympathetic nervous system activated
 Exhaustion stage : stores depleted; emotional components unresolved

24
Q

drugs to treat anxiety 4 categories

A

Drugs to Treat Anxiety
Benzodiazepines
Alprazolam
Clonazepam
Diazepam
Lorazepam

Nonbenzodiazepine
Buspirone

Antihistamine
Hydroxyzine

Beta Blocker
Metoprolol
Propranolol