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Nursing > Mental Final - Exam 1 > Flashcards

Mental Final - Exam 1 Flashcards

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1
Q

Suicidal patient interventions

A

Assess ideation, plan, and lethality. Contract and monitor closely or put on 1-to-1 if no contract.

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2
Q

Three things apparent in patients in a crisis state

A

Inadequate coping mechanisms, anxiety, and struggle for equilibrium

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3
Q

3 reasons for admission to psych unit

A

Harm to self, harm to others, self neglect

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4
Q

Patient rights

A 
Communicate (phone)
Keep personal items
Habeus corpus
Privacy
Informed consent
Refuse treatment
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5
Q

Preorientation phase

A

examine feelings, gather data

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6
Q

Orientation phase

A

Introduce, establish report, BEGIN termination, focus on pt needs

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7
Q

Working phase

A

Implement/evaluate care plan, assess safety, contract

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8
Q

Termination phase

A

Summarize, don’t make promises, be honest.

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9
Q

Patients feelings toward a nurse

A

Transference

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10
Q

Nurses feelings toward the patient

A

Countertransference

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11
Q

What does Dopamine effect? What does an increase/decrease cause?

A

Fine motor movement, emotions, reasoning
Increase: Mania, schizophrenia
Decrease: Parksinson’s, depression

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12
Q

What does Serotonin effect? What does an increase/decrease cause?

A

Sleep, hunger, mood, pain
Increase: Anxiety
Decrease: Depression

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13
Q

What does GABA effect? What does an increase/decrease cause?

A

Inhibitory; reduces aggression.
Increase: Reduced Anxiety
Decrease: Anxiety, Schizophrenia

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14
Q

What does Norepinephrine cause? What does an increase/decrease cause?

A

Mood, fight or flight
Increase: Mania, anxiety, schizophrenia
Decrease: Depression

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15
Q

Restraints steps

A 
Verbally descalate
Offer meds
Offer to go to room - decrease stimuli
Show of force
Have patient stay in room
Seclude - Lock door
Restraints
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16
Q

Inappropriate affect

A

Laughs at death

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17
Q

Labile affect

A

Rapid mood changes

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18
Q

No connection between thoughts

A

Looseness of association.

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19
Q

Hallucinations

A

Positive. Auditory, Tactile, Gustatory, Olfactory, Visual

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20
Q

Anergia

A

Negative. Lack of energy

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21
Q

Erotomanic

A

Positive. Believing somebody desires you romantically

22
Q

Avolition

A

Negative. Reduced motivation, lack of goals

23
Q

Granduer

A

Positive. Believing you are very important or powerful.

24
Q

Thought insertion

A

Positive. Believing that another person influences your thoughts or actions

25
Q

Flat affect

A

Negative. Reduced expression

26
Q

Jealousy

A

Positive. Believing that one’s mate is unfaithful

27
Q

Anhedonia

A

Negative. Lack of pleasure and emotion

28
Q

Ideas of reference

A

Positive. Perceiving events as relating to you when they are not.

29
Q

Alogia

A

Negative. Poverty of speech; reduction.

30
Q

Somatic

A

Positive. Believing that the body is changing in an unusual way.

31
Q

Thought blocking

A

Negative. Sudden interruption in the thought process.

32
Q

Persecution

A

Positive. Others are out to harm them.

33
Q

Interventions for Poor boundary patients/Manipulative patients

A

Maintain firm boundaries, BE CONSISTENT. Give two firm choices (Must pick one) and change the subject if they persist.

34
Q

Compensation

A

Covering up shortcomings

35
Q

Conversion

A

Unconscious transformation of anxiety into a physical symptom

36
Q

Denial

A

Escaping unpleasant thoughts by ignoring their existence

37
Q

Displacement

A

Transference of emotions to another. Kicking the dog.

38
Q

Disassociation

A

Separation of feeling and thought

39
Q

Identification

A

Taking on the characteristics of another person or group

40
Q

Intellectualization

A

Analysis of aspects based on cold facts and no passion

41
Q

Introjection

A

Incorporating the outside world into the view of the self.

42
Q

Projection

A

Rejecting unacceptable features and attributing it to other people. I hate you, you must hate me.

43
Q

Rationalization

A

Justifying illogical or unreasonable ideas

44
Q

Reaction formation

A

Reacting an exaggerated opposite to how you feel. A man who is gay has a number of conspicuous heterosexual affairs and openly criticizes gays.

45
Q

Regression

A

Reverting to an earlier childlike pattern or behavior

46
Q

Splitting

A

See people as all good or all bad.

47
Q

Sublimation

A

Unconscious replacement of bad qualities for good qualities. Replacing immature with mature.

48
Q

Suppression

A

Conscious denial of an event.

49
Q

Repression

A

Unconscious denial of an event.

50
Q

Undoing

A

When a person makes up for wrongdoing. I kicked your dog so I’ll buy you flowers.

51
Q

Two healthy coping mechanisms

A

Altruism and sublimation

52
Q

Axis definition

A

I: Clinical disorder (MDD, Substance abuse. Acute thing that needs treatment)
II: Personality disorder (OCD)
III: Medical Diagnosis (Diabetes)
IV: Environmental factors (Girlfriend broke up)
V: GAF score (50 = discharge).

Nursing (29 decks)

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