MODELS FOR WORKING WITH PSYCHIATRIC PATIENTS Flashcards

1
Q

Is a turning point in an individual’s life that produces an overwhelming emotional response

A

Crisis

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2
Q

Characteristics of a Crisis

A

-Crisis will happen to everyone at some point
- Crisis does not necessarily equate to psychopathology
-Triggered by specific identifiable events
- Crises are personal by nature
- Crises are self-limiting
- A crisis situation may lead to psychological growth or deterioration

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3
Q

Characteristics of Individuals in Crisis:

A

-Have feelings of helplessness
- Believe that resources are unavailable for resolving the crisis
- Have increasing levels of anxiety

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4
Q

What are the Phases of Crisis Development?

A

Phase 1: Exposure
Phase 2: Ineffective Coping
Phase 3: Palliative Coping
Phase 4: Maladaptive Coping

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5
Q

-Precipitating Stressor
-Previous coping mechanism is employed

A

Exposure

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6
Q

-Previous coping mechanism falls
-Increasing levels of anxiety

A

Ineffective Coping

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7
Q

Strategies temporarily decreases anxiety so that the person can focus on problem-solving

A

Palliative Coping

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8
Q

Is a time for doing what is needed to help the individual get relief and for calling into action all the people and other resources required to do so

A

Crisis Intervention

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9
Q

What is the role of the therapist?

A

Direct, supportive active participant

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10
Q

The role of nurses in crisis intervention

A

Nurses may be called on to function as crisis helpers in virtually any setting committed to the practice of nursing

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11
Q

is a scientific structuring of the environment in order to effect behavioral changes and to improve the psychological health and functioning of the individual

A

Milieu Therapy

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12
Q

Basic Assumptions of Milieu Therapy

A

-The health in each individual is to be realized and encourage to grow
- Every interaction is an opportunity for Therapeutic Intervention
- The client own his or her environment
- Each client owns his or her behavior
- Peer pressure is a useful and powerful tool
- Inappropriate behaviors are dealt with as they occur
- Restrictions and punishment are to be avoided

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13
Q

What is the goal of milieu therapy?

A

To manipulate the environment so that all aspects of the client’s hospital experience is considered therapeutic

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14
Q

Criteria for a therapeutic environment

A
  1. Basic psychological needs are fulfilled
  2. The physical facilities are conducive to the achievement of goals
  3. A democratic form of self-government exists
  4. Responsibilities are assigned according to client capabilities
  5. A structured program of activities is part of the treatment program
  6. community and family are included in the treatment program
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15
Q

-Medical Doctor
-Acts as the team leader
-Provides diagnosis and prescribes medications and treatment
-Performs psychotherapy

A

Psychiatrist

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16
Q

-Doctorate in clinical psychology with 2- to 3- years of supervised clinical internship
-Conducts individual, group, and family therapy
-Administers, interprets, and evaluates psychological test

A

Clinical Psychologist

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17
Q

-Registered Nurse with master’s degree in Psychiatric Nursing
-Conducts individual, group, and family therapy
-Presents educational program for staff nurses
-Provides assistance to staff nurses requiring clinical guidance

A

Psychiatrist Clinical Nurse Specialist

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18
Q

-Registered Nurse
-Conducts ongoing assessment of client’s mental and physical status
-Manages the therapeutic milieu on a 24- hour basis
-Administers medications
-Assist with therapies
-Focuses on one-to-one relationship development

A

Registered Nurse

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19
Q

-Master’s degree in social work*
-Conducts individual, group, and family therapy
-Performs in-depth psychosocial history
-Works with client and family to ensure that requirements for discharge are fulfilled and needs can be met by appropriate community resources.

A

Social Worker

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20
Q

Is a form of learning whereby a conditioned stimulus (CS) becomes associated with an unrelated unconditioned stimulus (US) in order to produce a behavioral response known as conditioned response (CR)

A

Classical Conditioning

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21
Q

Anything that both increases the strength of the response and tends to induce its repetitions

A

Reinforcement

22
Q

-Positive behavior is followed by positive consequences
-Reward for a desired behavior

A

Positive Reinforcement

23
Q

Who developed the Classical Conditioning?

A

Ivan Pavlov

24
Q

Who developed the Operant Conditioning?

A

B.F Skinnier

25
Q

A system in which the learner earns tokens by engaging in a targeted behavior

A

Token Economy

26
Q

-Positive behavior is followed by the removal of a negative consequence
-Strengthens and increases behavior by terminating unpleasant circumstances

A

Negative Reinforcement

27
Q

Negative behavior followed by negative consequences

A

Punishment

28
Q

Call out specific behavior

A

Negative Behavior

29
Q

State consequences if negative behavior persists

A

Condition

30
Q

Impose negative consequence

A

Negative consequence

31
Q

Eliminating any reinforcement that is maintaining a behavior

A

Extinction

32
Q

is a type of psychotherapy based on the concept of pathological mental processing.

A

Cognitive Therapy

33
Q

What’s the indication of cognitive therapy?

A

Indications:
Major Depression
Broad range of emotional disorders

34
Q

Therapist explains the nature and structure of cognitive therapy

A

Didactic Phase

35
Q

-Are those that occur rapidly in response to a situation and without rational analysis.

-These thoughts are often negative and based on erroneous logic.

A

Automatic Thoughts

36
Q

Examples of Automatic thoughts are

A

-Arbitrary inference
-Overgeneralization
-Dichotomous thinking
-Selective abstraction

37
Q

The therapist will ask the client about his or her situation

A

Socratic Questioning (Guided Discovery)

38
Q

May be used to elicit automatic thoughts if Socratic conditioning does not produce expected outcome

A

Guided Imagery

39
Q

May be used to elicit automatic thoughts only when the relationship between client and therapist is exceptionally strong and there is little likelihood of maladaptive transference occurring.

A

Role-Play

40
Q

This technique uses mental imagery to uncover potential automatic thoughts in advance of their occurrence in a stressful situation.

A

Cognitive Rehearsal

41
Q

Steps in Guided Imagery

A

Step 1: Client is asked to imagine and deeply focus on the stressful situation in question.

Step 2: Elicit descriptions of the environment surrounding the stressful situation, as clear and specific as possible

Step 3: Client is asked to describe the feelings associated with reliving the situation

42
Q

The client is asked to keep a written record of situations that occur and the automatic thoughts that are elicited by the situation.

A

Thought Recording

43
Q

A cognitive therapy tool that assists clients to identify and modify automatic thoughts.

A

Daily Record of Dysfunctional Thoughts (DRDT)

44
Q

Psychosocial Therapy

A type of individual psychotherapy which helps the client gain insight and
understanding about current relationships and behavior pattern by confronting unconscious conflicts that surface in the transference relationship with the analyst.

A

Psychoanalysis

45
Q

Psychosocial Therapy

The client is allowed to say whatever comes to mind in response to a word that is given by the therapist. The therapist then finds a theme or pattern in the responses.

A

Free Association

46
Q

Psychosocial Therapy

The client is asked to keep a “dream log” by writing in a notebook as much as he/she can remember of both pleasant and particularly disturbing dreams.

A

Dream Analysis

47
Q

Psychosocial Therapy

a state of very deep relaxation during which a therapist asks certain questions of the client

A

Hypnosis

48
Q

Psychosocial Therapy

therapeutic release of ideas through “talking out” conscious material, accompanied by an appropriate emotional reaction

A

catharsis

49
Q

Psychosocial Therapy

A type of individual psychotherapy conceptualized for depression which aims to improve a client’s current interpersonal skills.
Sessions typically occur every week for 12 to 16 weeks.

A

Interpersonal Psychotherapy

50
Q

Psychosocial Therapy

A type of individual psychotherapy which assists the client in dealing with getting needs met in the present, and to accept responsibility for one’s own behavior

A

Reality Therapy

51
Q

Psychosocial Therapy

an effective means of reducing stress response in some individuals

A

Relaxation Therapy