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Psych Test 1 > Mental Health > Flashcards

Mental Health Flashcards

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1
Q

Mental disorders are:

A

biologically based brain disorders that variably affect aspects of cognition, emotion, and behavior

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2
Q

Therapeutic Milieu

A

safe, inviting environment for the patient; nurses role is to be the milieu manager

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3
Q

Enlightenment

A

asylum movement

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4
Q

Scientific Study

A

treatment: beginning of psych nursing; decade of the brain

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5
Q

Psychotropic Drugs

A

destigmatizing “least restrictive environment”

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6
Q

Community Mental Health

A

deinstitutionalization

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7
Q

Decade of the Brain

A

increased funding for brain research; new treatments; increased understanding of mental disorders

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8
Q

Continuum of Care

A

best fit for the patient for what is currently going on in their life; want to keep least restrictive

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9
Q

Axis I

A

Clinical Disorder (psych disorder); schizophrenia, major depression, bipolar

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10
Q

Axis II

A

Personality or Development Disorder; paranoid, borderline personality disorders, mental retardation

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11
Q

Axis III

A

General Medical Conditions (related to I or II); Neoplasms, endocrine disorders

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12
Q

Axis IV

A

Psychosocial Stressors; divorce, housing, educational issues

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13
Q

Axis V

A

Global Assessment Functioning (GAF); scale of 0-100; higher the number the better the persons functioning; score of 30+ pt behavior is highly influenced by delusions and hallucinations

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14
Q

Hildegard Peplau

A

mother of psychiatric nursing; focused on communication and problem solving skills of the nurse and expanded the role

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15
Q

Roles of Psychiatric Nurse

A

socializing agent, teacher, model, advocate, counselor, role player, milieu manager

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16
Q

Psycho-therapeutic Management

A
  1. therapeutic relationship (use of self) 2. psychopharmacology 3. milieu management (use of environment)
    * *need to use all 3 components to have effective treatment
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17
Q

Therapeutic Nurse-Pt Relationship

A

must be consistent

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18
Q

Manage 6 Environmental Elements for Milieu

A
  1. Safety (keep pt free from danger or harm)
  2. Structure (environment, regulations, schedules)
  3. Norms (specific expectations of behavior)
  4. Limit-setting (clear and enforceable)
  5. Balance
  6. Environmental Modification
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19
Q

Inpatient Care

A

crisis intervention and safety

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20
Q

Traditional Outpatient

A

visit according to pt needs (per month/per week)

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21
Q

Partial Programs/ Day Treatment

A

need some supervision, structured activities

22
Q

Psychiatric Home Care

A

combo of psych and medical illness

23
Q

Community Outreach Programs

A

mobile crisis teams; will see more often in rural areas

24
Q

Residential Services

A

need temporary or long term housing; group homes’ halfway house; apartment living

25
Q

Self-help groups

A

conducted by members, not professionals

26
Q

Intensive Outpatient

A

stabilize pt in communities

27
Q

Assertive Community Treatment (ACT)

A

community based service delivery model; provide outreach to where pt lives

28
Q

Primary Care

A

sometimes seeks PCP due to sigma, lack of knowledge, and or reduced access to care

29
Q

Psychoanalytical Theory

A

Freud (id, ego, superego), consciousness (conscious, unconscious, precociousness); personality formed by early childhood (6), change is a process of insight

30
Q

Developmental Theory (Erikson)

A

Biopsychosocial-environmental emphasis; lifespan personality development occurs in stages; growth entails mastery of critical tasks

31
Q

Interpersonal Theory (Sullivan)

A

empathetic communication of anxiety (good me, bad me, not me), personality development focuses on behaviors needed to accomplish developmental tasks; goal is to develop mature, satisfactory, anxiety free relationships

32
Q

Alarm Reaction (Stress Model)

A

+1 to +2; mobilization, activation of flight or fight response

33
Q

Stage of Resistance (Stress Model)

A

+2 to +3; adaptation to stress within individuals capabilities

34
Q

Stage of Exhaustion (Stress Model)

A

+3 to +4; loss of ability to resist stress; depletion of resources

35
Q

M’Naghten Rule

A

not guilty by reason of insanity = “right vs wrong”

36
Q

Tarasoff vs Regents

A

duty to warn

37
Q

Voluntary Commitment

A

person requests hospitalization and voluntarily agrees to be admitted

38
Q

Involuntary Commitment

A

person with legal capacity to consent, refuses to do so, and is treated against his or her will

39
Q

Commitment of Incapacitated Persons

A

a person, who does not have the legal capacity to consent to treatment (incompetent), is admitted for treatment

40
Q

Temporary Detention Order (TDO)

A

have to go before the judge; judge will either dismiss, pt will agree to voluntarily stay for a while, or they will be involuntarily committed

41
Q

Emergency Custody Order (ECO)

A

usually occurs in the ED; is a short time frame looking for medical bed to evaluate pt further

42
Q

Reasons for Involuntary Commitment

A
  1. harm to self (psych); retain rights
  2. harmful to others (psych); retain rights
  3. incompetent persons (medical); loose rights
43
Q

Patient Rights

A

least restrictive environment; confidentiality of records; freedom from restraints/seclusion; to give consent or refuse treatment; provide advance directives

44
Q

Frontal Lobes

A

controls voluntary motor activity; Broca’s area (speech)

45
Q

Temporal Lobe

A

visual, auditory, olfactory; problems here may start to cause hallucinations; aphasia is result of damage to temporal lobe

46
Q

Limbic System 4 F’s

A

feeding, fighting, fleeing, fornicating

47
Q

Cerebrum

A

determines intelligence “thinking part of the brain”; personality, interpretation of sensory impulses, motor function, planning and organization, touch sensation

48
Q

Schizophrenia

A

increase in dopamine

49
Q

Depression

A

decrease in norepinephrine and serotonin

50
Q

Alzheimer’s

A

decrease in acetylcholine

51
Q

Anxiety

A

decrease in GABA

Psych Test 1 (6 decks)

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