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Psych Test 1 > Mental Health > Flashcards

Mental Health Flashcards

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
Self-help groups
conducted by members, not professionals
26
Intensive Outpatient
stabilize pt in communities
27
Assertive Community Treatment (ACT)
community based service delivery model; provide outreach to where pt lives
28
Primary Care
sometimes seeks PCP due to sigma, lack of knowledge, and or reduced access to care
29
Psychoanalytical Theory
Freud (id, ego, superego), consciousness (conscious, unconscious, precociousness); personality formed by early childhood (6), change is a process of insight
30
Developmental Theory (Erikson)
Biopsychosocial-environmental emphasis; lifespan personality development occurs in stages; growth entails mastery of critical tasks
31
Interpersonal Theory (Sullivan)
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
Alarm Reaction (Stress Model)
+1 to +2; mobilization, activation of flight or fight response
33
Stage of Resistance (Stress Model)
+2 to +3; adaptation to stress within individuals capabilities
34
Stage of Exhaustion (Stress Model)
+3 to +4; loss of ability to resist stress; depletion of resources
35
M'Naghten Rule
not guilty by reason of insanity = "right vs wrong"
36
Tarasoff vs Regents
duty to warn
37
Voluntary Commitment
person requests hospitalization and voluntarily agrees to be admitted
38
Involuntary Commitment
person with legal capacity to consent, refuses to do so, and is treated against his or her will
39
Commitment of Incapacitated Persons
a person, who does not have the legal capacity to consent to treatment (incompetent), is admitted for treatment
40
Temporary Detention Order (TDO)
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
Emergency Custody Order (ECO)
usually occurs in the ED; is a short time frame looking for medical bed to evaluate pt further
42
Reasons for Involuntary Commitment
1. harm to self (psych); retain rights 2. harmful to others (psych); retain rights 3. incompetent persons (medical); loose rights
43
Patient Rights
least restrictive environment; confidentiality of records; freedom from restraints/seclusion; to give consent or refuse treatment; provide advance directives
44
Frontal Lobes
controls voluntary motor activity; Broca's area (speech)
45
Temporal Lobe
visual, auditory, olfactory; problems here may start to cause hallucinations; aphasia is result of damage to temporal lobe
46
Limbic System 4 F's
feeding, fighting, fleeing, fornicating
47
Cerebrum
determines intelligence "thinking part of the brain"; personality, interpretation of sensory impulses, motor function, planning and organization, touch sensation
48
Schizophrenia
increase in dopamine
49
Depression
decrease in norepinephrine and serotonin
50
Alzheimer's
decrease in acetylcholine
51
Anxiety
decrease in GABA

Psych Test 1 (6 decks)

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