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PSYCH > Intro > Flashcards

Intro Flashcards

1
Q

mental health

A

reach own potential, well being, work productively, contribute to community

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2
Q

Mental illness

A

Change in emotion, thinking, behavior that is distressing and causes problems with functioning

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3
Q

Aspects of mental wellness

A

Rational thought, self-esteem, resilience, self-care, productivity, emotional growth, spirituality, relationship satisfaction

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4
Q

psychological aspects of biopsychosocial functioning

A

Interactions, skills, creativity, emotional development

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5
Q

Resilience determines…

A

Severity and progression of mental illness
- essential to recovery

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6
Q

Resilience

A

ability to get resources to obtain own wellbeing

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7
Q

Continuum of wellbeing

A

Wellbeing–>mild to moderate emotional problems and concerns with some sx–>mental illness (altered thinking and behavior with mood alterations)

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8
Q

Inheritance theory

A

mental illness passed through genetics

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9
Q

Germ theory

A

Mental illness is contagious through contagious microbes

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10
Q

Septic foci theory

A

Mental illness spread through infection that begins in localized part of the body and spreads
- bleeding or surgery to cure

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11
Q

Moral degeneracy theory

A

poor character causes illness

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12
Q

Diathesis stress model

A

Biological predisposition plus environmental stress or trauma causes illness presentation

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13
Q

Lunacy act

A

1845, started asylums and pushed to institutionalization

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14
Q

early 1800s mental health understanding

A

symptoms are behavioral; sedation and restraint
- tx with lobotomy, insulin therapy, hydrotherapy, sedative cold pack, ECT

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15
Q

Mental Health act

A

1930; institutes now give medical care

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16
Q

1970

A

Mental health institutes become more hospitalized

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17
Q

1990s

A

Mental health care moved to community

18
Q

When did mental and primary HC interweave?

A

late 2000s

19
Q

Effect of deinstitutionalization

A

SMI moved to outpt/community, some integrated successfully with psychotropic drugs or did not know how to fxn, many ended in prison or homeless

20
Q

Revolving door tx

A

60s, cycle of going in and out ED, limited comm support; changed admission criteria to shorter stays

21
Q

NAMI

A

consumers with AMI advocate for tx and focus on awareness, education, research, integration

22
Q

1999 Surgeon general report

A

mental health is real and early dx and tx is needed

23
Q

Tim’s law

A

Aimed at stopping revolving door; for people do not do well in community

24
Q

anosognosia

A

Don’t know you have a mental illness

25
Q

2003 new freedom commission

A

linked mental health to overall health; screenings and more resources

26
Q

Fayette county mental health court

A

Provides alternates to jail with classes, meds for AMI, tx recs

27
Q

Mental health parity act

A

1996; advocate for same coverage for phys and mental health disorders

28
Q

Affordable care act

A

Coverage for uninsured thru expanded Medicaid

29
Q

Dual diagnosis

A

AMI and sub abuse dx

30
Q

Recovery

A

Reach full potential and improve health

31
Q

Sigma

A

Fear and misunderstanding of mental illness

32
Q

Acute care

A

3-7d, stability and crisis intervention

33
Q

Long term care

A

7+ days to stabilize pt

34
Q

Partial hospitalization

A

daily for 6h/d, for pt who don’t need inpt but need monitoring

35
Q

Day tx

A

less intense, 2-3x/w, group work on social skills and interpersonal often

36
Q

Who gets inpatient psych care

A

Ind who can’t care for self or are at risk for SI or attempt, homicidal ideation

37
Q

72h hold

A

Involuntary hold against when danger to self or others (weekends and holidays not included)

38
Q

Pt restraint orders

A

Can’t be PRN or standing orders
- can be obtained ASAP after applying restraints
- begin with least restrictive

39
Q

Order of sedation and restraint

A
  • take to room to dec stimulation
  • oral PRN meds
  • Seclusion
  • IM PRN meds
  • restraint if dangerous
40
Q

Duty to warn and protect 3rd party

A

Exemption from pt’s rights; pt says they will kill specific person or case of child and elder abuse

41
Q

Therapeutic milieau

A

Safe, secure, and therapeutic environment for ppl
- reality orientation, real life training, interactions with peer/staff

42
Q

Elements of therapeutic milieau

A

Secure containment (basic needs), support, validation (holistic health), structure, and involvement (promote efficacy)

PSYCH (15 decks)

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