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Pysch > Mental health > Flashcards

Mental health Flashcards

1
Q

Mental Illness

A

Significant dysfunction in mental functioning relating to development, biology or physiological differences.

(Defined by culture)

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2
Q

What is the goal for a patient with a severe disruption of mental health?

A

support and encourage treatment compliancy.

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3
Q

Most effective treatment for mental health?

A

Therapy combined with medication compliance.

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4
Q

Ability to secure resources needed to support well-being; Optimism, Mastery, Competence

A

Resilience

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5
Q

Draw Maslow’s Hierarchy

A
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6
Q

Diathesis - Stress

A

D- Biological predisposition
S - environmental stress/ trauma

Assertion - combo of both

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7
Q

Basis of treatment approach

A

YOUR SKILL

safe, confidential, reliable, consistent

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8
Q

Self awareness

A

process own thoughts, beliefs, motivations, biases

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9
Q

Psychiatric nurses practice psychotherapy

A

No

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10
Q

Pre-interaction phase

A

Self reflection, gather info

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11
Q

Orientation/ Introduction

A

Rapport, contract, confidentiality

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12
Q

Working Phase

A

promote insight and perception, overcome resistance

gather data, ID problem solving skils/self esteem, med/education, sx management, eval progress

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13
Q

Termination

A

summarize goals, how to incorporate, goodbye

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14
Q

Resistance

A

intensification of emotions, “i dont know”

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15
Q

Transference

A

unconscious response of client to nurse
(anger, dependent, like/dislike)

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16
Q

Countertransference

A

unconscious response from nurse to client

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17
Q

Boundaries

A

no touch, gifts, friendships, self disclosure

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18
Q

“Tell me about your family”

A

Good communication

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19
Q

“why” questions

A

Bad communication

20
Q

“That elf in the corner you see is real to you, but it is not really there”

A

Good communication

21
Q

“Good job”

A

Bad communication

22
Q

Can we explore your statement of “trains make me crap my pants”

A

Good communication

23
Q

“Trains shouldn’t give you anxiety, I disagree they are frightening at all”

A

Bad communication

24
Q

Why is anosognosia a barrier to proper treatment compliance?

A

if patient doesn’t believe they are sick why would they take treatment

25
Q

Goal of emergency psychiatric care

A

Triage and Stabilization

26
Q

__ prevention

increase coping ability
target stressors
delay onset

Nursing role?

A

primary

Anticipatory education (target at risk group)

27
Q

__ prevention

minimize early sx
early ID of problem
delay progression

Nursing role?

A

secondary

Screening/ Referral

28
Q

__ prevention

residual defects of mental illness

Nursing role?

A

tertiary

prevent complication
promote rehab

29
Q

Lack fixed, regular and adequate nightttime residence

A

Homeless

30
Q

What is the #1 cause of death in substance use disorder?

A

Overdose

31
Q

You are approached by homeless man, in what ways can you help him?

A

-Offer transit ticket

-Offer gift cards

-Point them to resources

-Listen

-Needs list

32
Q

Code of Ethics

A

Nurse practices with compassion & respect for inherent dignity , worth, & uniqueness of every individual, unrestricted by consideration of social / economical status, personal attributes, or nature of health problems

Nurse’s primary commitment to patient whether an individual, family, group or community

33
Q

Patient rights

A

Treatment

Refuse Treatment

Informed consent

34
Q

What is informed consent? When can go w/o?

A

autonomy over body
knowledge, competency, free will

mentally incompetent
refusal endangers self/others
emergency
child
therapeutic privilege

35
Q

Appointment of person to make decisions for person whos judgement is impaired/disabled

A

Guardian

36
Q

Informal admission

A

sought by pt

37
Q

voluntary admission

A

sought by pt/guardian

38
Q

Involuntary commitment

A

danger to self/other, mentally ill, lack of ADL

39
Q

“Pink slip”

A

statement of belief/observation

72hr (no holiday/weekend)

40
Q

Three criteria to be met to force meds

A

1) behavior danger to self/other
2) med must have chance of working
3)client judged incompetent

41
Q

Restraints/Sedation
when to d/c? evaluate/renew (age)?

A

d/c ASAP
Eval within 1 hr
Renew q4h adult, q2h 9-17y/o , q1h <9y/o

42
Q

What is duty to warn?

A

protection of third party (intended vic)

43
Q

incompetence on part of professional practice

A

malpractice

44
Q

failure to exercise standard of care

A

negligence

45
Q
A

Pysch (7 decks)

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