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Enrolled Nursing Ucol 2022 > Mental > Flashcards

Mental Flashcards

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1
Q

Behaviour and appearance- what do we look for?

A
  • refer to the consumer’s general appearance and activity. Clothing, grooming and hygiene, evidence of self-care or neglect and distinguishing marks such as tattoos, piercings and notable physical features such as scars. Observations of motor activity and behavior, posture, eye contact, restlessness, tearfulness, nervous mannerisms (e.g. tremors and shaking) and behaviour indicating level of interest in the interaction. The consumer’s attitude towards the assessment process can be seen in their appearance, responses, body language and facial expressions.
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2
Q

What does BATOMI stand for?

A

Behaviour
Affect/appearance/attitude/mood,
Thought/talk,
Orientation,
Memory,
Insight/intellect

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3
Q

Mental Health is defined as?

A

“A state of mental well-being that enables people:
•to cope with the stresses of life,
• to realize their abilities,
•to learn well and work well, and contribute to their communities.”
“Mental health is an integral component of health and well-being and is more that the absence of mental disorder
(World Health Organization [WHO], 2022).

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4
Q

What are the 4 values of mental health?

A

Connect
Function
Cope
Thrive

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5
Q

Mental health is not defined by what?

A

The presence or absence of mental disorder

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6
Q

What is a mental disorder?

A

A syndrome characterised by clinically significant disturbance, that causes distress in importance activities

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7
Q

You can not be found to be mentally disordered because of:

A

-Political, religious or cultural beliefs
-Sexual preferences
-Criminal or delinquent behaviour
-Substance abuse
-Intellectual disability

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8
Q

How do you perform a mental health assessment?

A

-Identifying information
-Presenting problem
-History of presenting problem
-Mental health history plus MSE
-Substance use history
-Family history
-Developmental and social history
-Trauma
-Culture
-Spirituality
-Forensic history
-General health history
-Physical health assessment
-Other investigations

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9
Q

What are the components of an MSE?

A

-Behaviour and appearance
-Affect and mood
-Thought and speech
-Orientation and cognition
-Memory
-Insight and judgment

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10
Q

What is an MSE?

A

Mental Status Exam

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11
Q

What are factors that influence assessment?

A

-Consumers
-Participation/feedback
-Health status, intoxication
-Previous experience and/or misconceptions about healthcare
-Ability to understand
-Nurses attitude and approach: Rapport
-Communication skills of nurse
-Experience of nurse: knowledge

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12
Q

What are principles for working with risk?

A

-it’s an everyday experience
-it changes depending on circumstances
-the more information the better
-identifying the risk and being responsible to do something
-risk taking is an integral component
-positive collaboration can enhance decision making
Risk can be minimised
-practicing no blame culture

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13
Q

What are self risks to patients?

A

-Safety: self harm/suicide
-Health: Drugs/alcohol, physical and psychological abuse
-self neglect
-vulnerability

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14
Q

What are the risks to non-patients?

A

-violence
-intimidation
-neglect and abuse of dependents
-stalking and harassment
-property damage
-Public nuisance

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15
Q

Criteria for invoking MHA

A

Legal powers to protect individuals from the consequences of their behaviour resulting from mental illness, or to protect others from such behaviour, has a long tradition in Western society

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16
Q

MHA definition of Mental Disorder

A

Mental disorder in relation to any person, means an abnormal state of mind (whether of a continuous or an intermittent nature), characterised by delusions, or by disorders of mood or perception or volition or cognition of such degrees that it
A) poses a serious danger to the health or safety of the person or of others
B) seriously diminishes the capacity of the person to take care of himself or herself.

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17
Q

How many Real Skills for working with people and whanau with mental health and addiction are there?

A

7

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18
Q

What is the therapeutic role of the EN?

A

-Nurses interact with consumers of health services experiencing mental health illnesses
-Most of us base our interactions on previous experiences
-some people have experienced rejection and alienation
-Therapeutic relationships provide hope
-Convey a genuine interest, concern and desire to understand

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19
Q

Therapeutic Relationships of Recovery with Maori consists of:

A

-Understanding of tikanga (Maori principles and values)
-Whanaungatanga involves establishing a relationship of trust by making connections
-Nurse sharing information about whanau, whakapapa or their own personal life to establish trust and relationship
-may include whanau being included in decisions about care
-Being willing to participate in rituals about kai, sharing hospitality etc

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20
Q

Which of the following people may NOT invoke the Mental Health Act?
Select one:
A.Consumer
B. GP
C. Registered nurse
D. Family member

A

A. The Consumer

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21
Q

The physician orders Fluoxetine (Prozac) 20 mg po every morning for a 72 year old care home resident with depression. Which transient adverse effect of this medication requires immediate action by the nurse.
Select one:
a. Dizziness
b. Nausea
c. Sedation
d. Dry mouth

A

A. Dizziness

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22
Q

A client under a community treatment order will lose their driver’s licence
Select one:
a. False
b. True

A

The correct answer is: False

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23
Q

A compulsory treatment order covers treatment for both the mental illness and any coexisting physical conditions
Select one:
a. True
b. False

A

The correct answer is: False

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24
Q

A voluntary patient being treated in hospital has the right to leave at any time.
Select one:
a. True
b. False

A

The correct answer is A

If it is believed the person is at risk and meets the criteria to be under the MHA, a nurse may hold patient under Section 111

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25
Q

A voluntary patient means has the right to suspend treatment
Select one:
a. True
b.False

A

The correct answer is a. true

A voluntary patient can refuse medications and discharge themselves from hospital

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26
Q

An application to have a person assessed under the Mental Health Act is made to:
Select one:
a.The individual’s GP
b. The local DAO
c. The Director of Area Mental Health Services
d.The District Inspector

A

The correct answer is: The Director of Area Mental Health Services

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27
Q

Can a proposed patient, be made to accept treatment?
Select one:
a.Yes
b. No.

A

The correct answer is no.

But the doctor who issues the medical certificate can give a sedative without your consent if they believe that: • the client is a significant danger to themselves or other people; and • it would be in the client’s best interests to be sedated. If a client is given a sedative without his/her consent, the doctor must tell the DAMHS in writing. Clients who think they shouldn’t have been sedated can make a complaint to a district inspector

28
Q

Who is the District Inspector responsible to?
Select one:
a.Social Worker
b. Patient
c.Registered Nurse
d.Responsible clinician

A

The correct answer is B.

District Inspector ensures that the Mental Health Act has been legally adhered to

29
Q

Does an individual have the right to refuse an assessment examination under the terms of the Mental Health
Act?
Select one:
a. Yes
b. No

A

The correct answer is No

You do not have the right to refuse to go to the assessment. If you do refuse, the DAO can ask the police to take you to the assessment and hold you there while the doctor examines you.

30
Q

Does your responsible clinician have to get your consent before consulting with your family or whanau?
Select one:
a.No
b.Yes

A

The correct answer is yes.

Your responsible clinician must consult with you before consulting with your family and whanau. If you do not want your family or whanau to be consulted you should tell your responsible clinician this. However, even if you do not consent to this, your responsible clinician can still consult with your family or whanau if they believe this would be in your best interests.

31
Q

If an application has been made to place an individual under the Act, that individual does not have the right to refuse treatment.
Select one:
a. False
b. True

A

The correct answer is false

Sometimes people are told that if they don’t agree to receive treatment for their mental illness an application will
be made to have them placed under the Act. If this happens, the individual has the right to refuse the treatment and leave the hospital

32
Q

what point in the process of invoking the Mental Health Act should a patient be informed of his/her rights?
Select one:
a.Section 10
b. Section 9
c. Section 11
d. Section 8a

A

The correct answer is B. Section 9

Section 11 commits the person for up to 5 days. They need to be informed of results but initial rights are given when they are presented with Section 9 paperwork

33
Q

You cannot be found ‘mentally disordered because of?
Select one:
a. Sexual preference
b. Substance abuse
c. Intellectual disablity
d. All of the above

A

Correct answer is d.

34
Q

Who can assess a person under Section 10 of the mental health act?
Select one:
a. Medical Officer
b. District Inspector
c.Registered Nurse
d. Psychiatrist

A

The correct answer is D

Registered nurse may be involved in the assessment but does not complete Section 10

35
Q

How long is the period of assessment for Section 11
Select one:
a. 7 days
b. 5 days
c. 8 days
d. 14 days

A

The correct answer is B.

Day one starts on the next calendar day

36
Q

How long can a person be held under Section 111?
Select one:
a. 6 hours
b. 4 hours
c. 8 hours
d. 12 hours

A

The correct answer is A.

37
Q

Voluntary patients are sometimes called informal patients.
Select one:
a. True
b. False

A

The correct answer is a.

38
Q

Which of the following IS regarded as a mental disorder under the act?
Select one:
a. alcohol-induced psychosis
b. intellectual disability
c. political, religious or cultural beliefs
d. criminal behaviour

A

The correct answer is a.

substance abuse (this includes drug or alcohol abuse) cannot be classified as a mental disorder;
however, the results of that substance abuse may be

39
Q

Who is required to complete a Section 8b?
Select one:
a. Registered Nurse
b. Family member
C. Psychiatrist
d. Medical Officer

A

The correct answer is D.

Cannot be a nurse

40
Q

What are the two main domains in Risk assessment?

A
  • Risk to self : harming yourself
  • Risk to others: harming others
41
Q

What are the 4 social determinants

A

-Social Environment
-Relationships
-Psychological
-Physical

42
Q

Excessive alcohol consumption is the cause of a wide range of health problems including:
Select one:
a. road accidents
b. domestic violence
c. all of the above
d. brain damage

A

C

43
Q

Alcohol abuse is associated with all of the following except:
Select one:
a. diabetes
b. epilepsy
c. respiratory failure
d. some cancers

A

C

44
Q

All of the following are classified as stimulants except:
Select one:
a. heroin.
b. ecstasy.
c. methamphetamines (ice).
d. amphetamines (speed).

A

A

45
Q

All of the following are classified as depressants except:
Select one:
a. alcohol
b. benzodiazepines
c. hallucinogenics ( magic mushrooms)
d. solvents and inhalents

A

C

46
Q

is cannabis (also called pot, marijuana, weed, dope) the most commonly used illegal drug in New Zealand ?
Select one:
True
False

A

True

47
Q

Cannabis stimulates the appetite and is also an antiemetic.
Select one:
True
False

A

True

48
Q

Tolerance can be described as needing the same amount of a substance to gain the same effect.
Select one:
True
False

A

False

49
Q

Alcohol consumption causes death and disability relatively early in life.
Select one:
True
False

A

True

50
Q

A low level of association exists between problem gambling and drug, alcohol and mental health disorders.
Select one:
True
False

A

False

51
Q

dual diagnosis is used when a service user is found to have a mental illness and a :
Select one:
a. migraine headaches
b. physical illness
c. disorder of personality
d. substance abuse disorder

A

D

52
Q

Which of the following can be damaged by alcohol?
Select one:
а.
Eyes, hearing and liver
b. stomach, spleen and circulation
c. eyes, spleen and lungs
d. Brain, liver and nervous system

A

D

53
Q

Is methadone commonly used in the treatment of opiate dependent service users?
Select one:
True
False

A

True

54
Q

Do you think where the service user is in relation to the cycle of change ( readiness to change) important to positive treatment outcomes ?
Select one:
True
False

A

True

55
Q

When a service user is experiencing symptoms of acute alcohol withdrawal, which of the following medications can be used to prevent delirium?
Select one:
a. Paracetamol
b. Diazepam
c. Vitamin B12
d. Sertraline

A

B

56
Q

What are the two types of nursing interventions?

A
  • Abstinence
  • Harm reduction
57
Q

The 4 Ls of use?

A

Liver- Health
Lover- Relationships
Lifestyle/livelihood- Accomodation
Legal- Anything to do with the law

58
Q

What is a co-existing problem?

A

Substance abuse with mental health problems

59
Q

What is Transference and Counter Transference?

A

Transferring of feelings onto a patient or service provider ie treating them like a family member

60
Q

What are three barriers to recovery-oriented service?

A

Attitudes
Skills
Knowledge

61
Q

What is Clinical Recovery?

A

Reduction or elimination of symptoms

62
Q

What is personal recovery?

A

A unique process that is unique to each individual

63
Q

What is recovery orientated practice?

A

A reminder that those experiencing mental health issues are first and foremost human beings with unique needs.

64
Q

What does hermeneutic phenomenology seek to uncover?

A

The meaning and essence of lived experience in relation to a specific phenomenon

65
Q

Akinesia and dyskinesia: What’s the difference?

A

Dyskinesia can happen with conditions in which your muscles twitch or move involuntarily. In akinesia, you are unable to direct your muscles to move (sometimes entirely). But the muscles do not lose their abilities.

66
Q

What is Oculogyric crisis?

A

Reaction to certain drugs or medical condition which causes eyes to roll upwards

67
Q

What is Serotonin overload syndrome?

A

It’s usually caused by taking drugs or medications that affect serotonin levels

Enrolled Nursing Ucol 2022 (7 decks)

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