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BHTP Volume 2 > Inpatient > Flashcards

Inpatient Flashcards

1
Q

List BHT responsibility in an inpatient ward.

A 
Admitting patients
Discharging patients
Assessing patients
Co-facilitating groups
Conducting recreational activities
Administration requirement
Role model
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2
Q

What task do you need to do when a patient is first admitted?

A 
The task involved in admitting are:
checking and recording vital signs
admission paperwork
orienting patient to the unit
briefing the patient on the policies and procedures of the unit
checking patients belongings
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3
Q

What are you checking for when you are checking the patients belongings?

A

Items that could potentially be harmful to themselves or others
Keep an inventory of the items you take from the patient
Give patients pjs to change into

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4
Q

These items; prescription medicine, scissors, alcohol, shoe laces, Aspirin are an example of what?

A

Items that could potentially be harmful to themselves, to other patients, or to staff members.

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5
Q

True or False

You must keep an inventory of the items you must take from the patient.

A

True

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6
Q

True or False

The inventory of the patient’s items doesn’t have to be done in front of them.

A

False

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7
Q

What is the goal of inpatient hospital?

A

The most obvious goal for inpatient hospital care is to discharge the patient to outpatient care.

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8
Q

True or False

Discharge planning doesn’t start until after the patient starts treatment.

A

False

Discharge planning must begin on admission and be a focused nursing activity throughout patients day

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9
Q

What are the 4 steps of the Discharge Procedure?

A
  1. Inform patient of impending discharge
  2. Assist patient in packing personal effects
  3. Assist the patient as need in out processing the hospital
  4. Complete the patient’s discharge
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10
Q

What list does the patient’s name need to be on before they are discharged?

A

Verify the patient’s name is placed on the Nursing Unit 24 hour Report or other form

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11
Q

What are the different Psychiatric Classifications?

A

1A Severe psychiatric patients that require medications and MUST be place in restraints.
2B Psychiatric patients who may require restraints and medications
3C Psychiatric patients who are generally cooperative, reliable, and compliant under supervision.

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12
Q

What are some elopement clues?

A

Verbal Behaviors

No-Verbal Behaviors (ACTIONS)

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13
Q

True or False

A BHT or doctor can write an order to place a patient on elopement precautions

A

False.

Doctor must write the order to place a patient on elopement precautions

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14
Q

What are the procedures for an attempted elopement?

A

Attempt to verbally stop the patient, Notify the nursing staff
When an elopement is suspected, thoroughly search the unit first.

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15
Q

What are the procedures for an actual elopement?

A

Notify security forces and the patient’s doctor & Complete the Patient Absence Report

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16
Q

What are the procedures for when a patients return to the unit after elopement?

A

Ask the patient why the eloped, Place patient on elopement precautions, thoroughly search the patient and his/her baggage, & do not punish them

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17
Q

What is therapy?

A

To improve functional abilities, enhance well-being and increase independence.

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18
Q

What is leisure education?

A

to teach recreation skills and attitudes that can be used throughout life

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19
Q

What is recreation participation?

A

to promote health and growth through rewarding leisure and recreation experiences

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20
Q

What is the purpose of a workshop?

A

Supports the rehabilitation process by teaching the patient and family about the mental illness and the coping skills that well help with successful community living
Strengthen interpersonal skills by encouraging individuals to join in activities

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21
Q

What is the purpose of physical activities?

A

Build confidence and self-esteem by focusing on strengths and by developing and enhancing skills.
Improve physical abilities
Manage stress
Express feelings in positive and effective ways

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22
Q

What is the purpose of an outing?

A

Learn new approaches to old skills, so they can continue to enjoy leisure and live as independently as possible.

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23
Q

What is the purpose of arts and crafts?

A

Providing opportunities for creativity and self-expression

Set goals that challenge them to do their best

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24
Q

What is the purpose of relaxation?

A

Manage stress through activities that relax both mind and body.

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25
Q

What is the purpose of cooking?

A

Promote greater self-reliance

Enrich the quality of life by providing opportunities for creativity and self expression.

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26
Q

What is the purpose of occupational activities?

A

Assist patient in selecting and starting projects
Allow patient appropriate autonomy
Assist in the evaluation of patient progress

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27
Q

What are the 4 steps of the Therapeutic Recreation Therapist?

A
  1. Conduct an assessment of the person’s abilities, interests, needs and desires
  2. Set goals
  3. Design a written plan to achieve goals
  4. Evaluate progress
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28
Q

True or False

Adult learners require a group approach to education.

A

False
Adult learners require an individualized approach to education that focuses on their self-identified needs and engages them as active participants in the teaching-learning progress

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29
Q

True or False

An adult education that focuses on their self-identified needs and engages them as active participants

A

True

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30
Q

True or False

The interest of the patient should also be considered when coming up with an education plan.

A

True

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31
Q

What are 3 things that may affect a patients ability to learn?

A
  1. Behavior
  2. Memory
  3. Attention span
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32
Q

What are some things you may want to include in a general education plan for coping with psychiatric illness?

A

Describe the role of stress in contributing to psychiatric disorders
Enhance social and living skills to enable full participation in vocational and recreational activities.

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33
Q

Playing cards with your patient can help them in what way?

A

Playing cards with patients with cognitive impairment, allows staff to assess memory, concentration, orientation and abstract thinking

34
Q

The body of your workshop should be a minimum of how long?

A

30 min

35
Q

True or False

You need to ask your patient’s for feedback at the end of each workshop.

A

False

Do not ask the patients for feedback or how you can improve your class.

36
Q

What is the definition of relaxation?

A

Relaxation is a positively perceive state or response in which a person feels relief of tension or strain

37
Q

What are 4 elements needed to produce relaxation or alleviate stress?

A

Quiet environment
Focused attention
Passive attitude
Quiet posture

38
Q

What are some objectives of relaxation therapy?

A

Go from the SYMPATHETIC MODE (flight or fight) - to the PARASYMPATHETIC MODE, relaxation

39
Q

What are some relaxation techniques?

A 
Benson's Relaxation Technique
Meditation
Guided Imagery
Breathing Exercises
Biofeedback
40
Q

What relaxation technique requires special training?

A

Biofeedback

41
Q

What are some client criteria for relaxation?

A

Interpersonal conflict
Tendency to overwork
Reports of increased heart rate or blood pressure
overwhelming physical and/or psychological stressors

42
Q

What are the 6 steps for teaching relaxation?

A
  1. Introduce the process
  2. Present Basic Technique
  3. The Consolidation of Muscles
  4. Teach Relaxation by Recall
  5. Teach recall with counting
  6. teach counting alone procedure
43
Q

What does APR stand for?

A

Abbreviated Progressive Relaxation

44
Q

How do you end an APR procedure?

A

Count down from 5 and have the client open their eyes

45
Q

True or False

We do not obtain client feedback at the end of an APR procedure.

A

False

Obtain feedback from Client (How they feel, what took place during the exercise).

46
Q

The client can master the basic relaxation techniques in how many sessions?

A

approximately 2 sessions

47
Q

The 16 originals muscle groups are combined into how many?

A

The original 16 muscle group is combined in 7 muscle groups.

Once the 7 muscle groups relaxations is mastered, further training is conducted to focus on 4 major muscle groups.

48
Q

How do you wake up a patient when doing relaxation by recall?

A

Once relaxation by recall is well developed, the client performs relaxation by recall, the counts slowly form 1 to 10.

49
Q

What is the difference between an AD and a civilian who has eloped?

A

AD patients are AWOL

Civ. could result in their being discharged from the hospital

50
Q

What are some development issues of late adulthood?

A

Physical Changes, Cognitive Changes, Psychosocial Changes

51
Q

What is Erickson’s stage for late adulthood called?

A

integrity vs despair

52
Q

What are the 5 intellectual aspects of mental functioning that starts to decrease in late adulthood?

A

Problem-solving ability, Reasoning, Judgment, Concentration and Memory

53
Q

What are the 2 most common causes of cognitive impairment?

A

Depression and Dementia

54
Q

What are the 2 psychosocial changes that occur in late adulthood?

A

Loss and Change

55
Q

Why is a MSE a part of every geropsychiatric assessment?

A

This should be a part of any geropsychiatric assessment because of an increasing prevalence of dementia with age.

56
Q

What are the 5 different types of losses experienced by geriatric patients?

A 
Loss of self- care ability
independence
productive work
financial security
life purpose
57
Q

Who has the highest rate of suicide?

A

white men in their 80s

58
Q

What are 2 main disorders associated with late adulthood?

A

Dementia and Paranoid reactions

59
Q

What is the most prevalent form of progressive dementia of old age?

A

Alzheimer’s

60
Q

What are 2 somatic therapies used in older patients?

A

Electroconvulsive therapy (ECT), and psychotropic medications

61
Q

What are some developmental/psychological changes in adolescence?

A

Physical changes, Influence of the peer group, redefining of the patient child relationship, developing and refining coping resources.

62
Q

What is the Erickson stage for adolescences?

A

Identity vs. Role confusions

63
Q

What adolescents disorder is characterized by an IQ of 70 or below?

A

Mental retardation

64
Q

What 2 adolescent disorders are included under pervasive development?

A

Autism and Asperger’s

65
Q

What 3 adolescent disorders are included under disruptive behavior disorder?

A

ADHD, ODD, and Conduct Disorder

66
Q

What 4 adolescent disorders are included under Anxiety?

A

Separation anxiety disorder, Overanxious disorder, Avoidant disorder, and PTSD

67
Q

Define Milieu Therapy.

A

Milieu Therapy is defined as a technique used to help the patient through the use of environment. A careful structuring of the social and physical environment of a psychiatric treatment program so that every interaction and activity is therapeutic for the patient

68
Q

What are the 4 characteristics of Milieu Therapy?

A
  1. Democracy
  2. Commitment Engagement
  3. Communalism
  4. Humanitarianism
69
Q

What are the 4 cornerstones of Milieu Therapy?

A
  1. Safety
  2. Structure
  3. Support
  4. Social skills
70
Q

What are the 4 principles of Milieu Therapy?

A
  1. Behavior is a response to the environment
  2. Positive and negative reinforcement affect behavior
  3. Humans have a need for social contact
  4. Illness and therapy are both opportunities for learning about oneself, others, and relationships.
71
Q

What are the 5 elements of Milieu Therapy?

A
  1. Physical
  2. Social
  3. Spiritual
  4. Emotional
  5. Education and learning
72
Q

What is the overall goal of Milieu Therapy?

A

The overall goal of milieu therapy is the use of experience of daily living to correct dysfunctions in communication and interpersonal relationships.

73
Q

What is the major tool used to foster collaborations between patients and staff?

A

Community Meeting

74
Q

What are health and comfort searches?

A

Health and Comfort (H&C) inspections are proactive, precautionary measure, performed by staff to ensure the safety and integrity of the inpatient unit.

75
Q

What are the Psychiatric Technician’s Responsibilities for Control of Hazardous Items?

A

Keep medication room locked at all times
Monitor patients while they are in the laundry room
Monitor patients while they have the gear locked opened with cleaning supplies.

76
Q

True or False

Patients are to remain the common area while tech is searching their room.

A

False

Patients will be escorted to their rooms and a search will be conducted of all of their personal belongings.

77
Q

How often do health & comfort searches happen?

A

at least 2 times per month on alternating shifts

they schedules but not routine

78
Q

What are the 9 steps to the referral/ consultation process?

A
  1. Determine the need
  2. Determine the urgency
  3. Determine the type of services needed
  4. Explain the referral to the patient
  5. Privacy Act
  6. Contact agency
  7. referral instructions
  8. Document
  9. follow up
79
Q

What is the purpose of goal setting?

A

Motivate, Educate, Evaluate

80
Q

What are the elements that make up a good goal?

A

Goals describe the behavior to be changed
Are specific and measurable
Describe the conditions which the changed behavior will occur
Goals must be suitable and realistic

81
Q

A goal should be accomplished in how many days?

A

1- 10 days

82
Q

what treatment has been found to be effective in the treatment of depression in elderly patients?

A

ECT- Electroconvulsive therapy

BHTP Volume 2 (5 decks)

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