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
clozapine SE 5
2nd gen antipsychotic - obesity, HTN, hyperglycemia, high cholesterol, anticholinergic
benzos SE 3
hangover, CNS depression, dependence
haloperidol SE 4
muscle rigidity, elevated creatinine, autonomic instability, delirium
5 common characterisitcs of violent fams
social isolation
abuse of power
control
alc or drugs
intergren. transmission
SAFE
- 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?
5 PTSD criteria
EXPOSURE, WITNESS
INTRUSIVE SYMPTOMS LIKE DREAMS, FLASHBACKS
AVOIDANCE
NEG THOUGHTS , EMOTIONS
ALTERATIONS IN AROUSAL
WHAT IS reactive detach
minimal interactions
3 stages of anxiety
Alarm reaction stage: body prepares for potential defense
Resistance stage: sympathetic nervous system activated
Exhaustion stage : stores depleted; emotional components unresolved
drugs to treat anxiety 4 categories
Drugs to Treat Anxiety
Benzodiazepines
Alprazolam
Clonazepam
Diazepam
Lorazepam
Nonbenzodiazepine
Buspirone
Antihistamine
Hydroxyzine
Beta Blocker
Metoprolol
Propranolol
