Mental health

Question 1

Mental Illness

Answer 1

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

(Defined by culture)

Question 2

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

Answer 2

support and encourage treatment compliancy.

Question 3

Most effective treatment for mental health?

Answer 3

Therapy combined with medication compliance.

Question 4

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

Answer 4

Resilience

Question 5

Draw Maslow’s Hierarchy

Answer 5

Question 6

Diathesis - Stress

Answer 6

D- Biological predisposition
S - environmental stress/ trauma

Assertion - combo of both

Question 7

Basis of treatment approach

Answer 7

YOUR SKILL

safe, confidential, reliable, consistent

Question 8

Self awareness

Answer 8

process own thoughts, beliefs, motivations, biases

Question 9

Psychiatric nurses practice psychotherapy

Answer 9

No

Question 10

Pre-interaction phase

Answer 10

Self reflection, gather info

Question 11

Orientation/ Introduction

Answer 11

Rapport, contract, confidentiality

Question 12

Working Phase

Answer 12

promote insight and perception, overcome resistance

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

Question 13

Termination

Answer 13

summarize goals, how to incorporate, goodbye

Question 14

Resistance

Answer 14

intensification of emotions, “i dont know”

Question 15

Transference

Answer 15

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

Question 16

Countertransference

Answer 16

unconscious response from nurse to client

Question 17

Boundaries

Answer 17

no touch, gifts, friendships, self disclosure

Question 18

“Tell me about your family”

Answer 18

Good communication

Question 19

“why” questions

Answer 19

Bad communication

Question 20

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

Answer 20

Good communication

Question 21

“Good job”

Answer 21

Bad communication

Question 22

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

Answer 22

Good communication

Question 23

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

Answer 23

Bad communication

Question 24

Why is anosognosia a barrier to proper treatment compliance?

Answer 24

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

Question 25

Goal of emergency psychiatric care

Answer 25

Triage and Stabilization

Question 26

__ prevention increase coping ability target stressors delay onset Nursing role?

Answer 26

primary Anticipatory education (target at risk group)

Question 27

__ prevention minimize early sx early ID of problem delay progression Nursing role?

Answer 27

secondary Screening/ Referral

Question 28

__ prevention residual defects of mental illness Nursing role?

Answer 28

tertiary prevent complication promote rehab

Question 29

Lack fixed, regular and adequate nightttime residence

Answer 29

Homeless

Question 30

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

Answer 30

Overdose

Question 31

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

Answer 31

-Offer transit ticket -Offer gift cards -Point them to resources -Listen -Needs list

Question 32

Code of Ethics

Answer 32

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

Question 33

Patient rights

Answer 33

Treatment Refuse Treatment Informed consent

Question 34

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

Answer 34

autonomy over body knowledge, competency, free will mentally incompetent refusal endangers self/others emergency child therapeutic privilege

Question 35

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

Answer 35

Guardian

Question 36

Informal admission

Answer 36

sought by pt

Question 37

voluntary admission

Answer 37

sought by pt/guardian

Question 38

Involuntary commitment

Answer 38

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

Question 39

"Pink slip"

Answer 39

statement of belief/observation 72hr (no holiday/weekend)

Question 40

Three criteria to be met to force meds

Answer 40

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

Question 41

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

Answer 41

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

Question 42

What is duty to warn?

Answer 42

protection of third party (intended vic)

Question 43

incompetence on part of professional practice

Answer 43

malpractice

Question 44

failure to exercise standard of care

Answer 44

negligence