Mental health Flashcards
What are the 6 dimensions of recovery-oriented practice?
1) Creating a culture and language of hope
2) Recovery is personal
3) Recovery occurs in the context of one’s life
4) Responding to the diverse needs of everyone in Canada
5) Working with Inuit, FN, Métis: recovery is shaped by Canada’s history of colonialization
6) Recovery is about transforming services and systems
What is “blocking” in the context of speech patterns? Provide an example.
Sudden interruption in train of thought, seems related to strong emotion. Unable to complete sentence, the patient says, “I forgot what I was going to say.”
What is confabulation? Provide an example.
Fabricating events to fill in memory gap. The patent gives a detailed description of a long walk around the hospital, although the patient is known to have remained in the patient care room all afternoon.
What is neologism?
Provide an example.
Coining a new word; invented word has no real meaning except for the patient; several words may be condensed. The patient says, “I’ll have to turn on my thinkilator.”
What is circumlocution?
Provide an example.
Roundabout expression, substituting a phrase when patient cannot think of name of object. The patient says, “the thing you open the door with” instead of “key.”
What is circumstantiality?
Provide an example.
Talking with excessive and unnecessary detail, delay in reaching point; sentences have a meaningful connection but are irrelevant (this occurs normally in some people). The patient says, “When was my surgery? Well I was 28, I was living with my aunt, she’s the one with psoriasis, she had it bad that year because of the heat, the heat was worse then than it was the summer of ‘92 …”
What are loosening associations?
Provide an example.
Shifting from one topic to an unrelated topic; the patient seems unaware that topics are unconnected. The patient says, “My boss is angry with me and it wasn’t even my fault. [pause] I saw that movie, too, Lassie. I felt really bad about it. But she kept trying to land the airplane and she never knew what was going on.”
What is a flight of ideas?
Provide an example.
Abrupt change, rapid skipping from topic to topic, practically continuous flow of accelerated speech; topics usually have recognizable associations or are plays on words The patient says, “Take this pill? The pill is blue. I feel blue. [sings] She wore blue velvet.”
What is a work salad?
Provide an example.
Incoherent mixture of words, phrases, and sentences; illogical, disconnected, includes neologisms The patient says, “Beauty, red based five, pigeon, the street corner, sort of.”
What is perseveration?
Provide an example.
Persistent repeating of verbal or motor response, even with varied stimuli. The patient says, “I’m going to lock the door, lock the door. I walk every day and I lock the door. I usually take the dog and I lock the door.”
What is echolalia?
Provide an example.
Imitation, repeats others’ words or phrases, often with a mumbling, mocking, or mechanical tone. [In response to the nurse’s request to take a pill] The patient says, mockingly, “Take your pill. Take your pill.”
What is clanging?
Provide an example.
Word choice based on sound, not meaning; includes nonsense rhymes and puns. The patient says, “My feet are cold. Cold, bold, told. The bell tolled for me.”
TWEAK
Tolerance > or equal to 3 drinks to be buzzed (2) Worry (2) Eye-opener (1) Amnesia (1) (K)ut down (1)
Score > or equal to 2 = likely problematic
What are the 4 stages of alcohol withdrawal?
1) minor withdrawal (6-12 hours): tremors, diaphoresis, nausea and vomiting, hypertension, tachycardia, hyperthermia, tachypnea
2) hallucinations (12 to 24 hours): dysperceptions - visual, auditory, and tactile
3) seizures (24 to 48 hours): tonic-clonic seizures (short or no post-ictal)
4) delirium tremens (48-72 hours): delirium, psychosis, hallucinations, hyperthermia, malignant hypertension, seizures and coma
SAD PERSONAS (mnemonic for suicide risk factors)
Sex
Age
Depression
Previous attempts Ethanol Rational thinking loss Social support loss Organized plan No spouse Availability of lethal means Sickness
