NU 103 Lecture 1 Flashcards

1
Q

Dopamine is responsible for?

A

-Pleasure
-Mood
-Motivation
-Focus
-Learning

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2
Q

Serotonin is responsible for?

A

-mood
-Happiness
-Sleep

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3
Q

GABA is Responsible for?

A

-Relaxation

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4
Q

Standardized Screening Tools

A

-Patient Health Questionnaire (PHQ)
-Mini-Mental State Examination (MMSE)
-Pain Assessment

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5
Q

Children And Adolescent Screening Tool

A

-HEADSS Assessment Tool

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6
Q

Older Adults Screening Tools

A

-GERIATRIC DEPRESSION SCALE
-MICHIGAN ALCOHOLISM SCREENING TEST
-MMSE

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7
Q

When treating children and adolescents, always sit or stay?

A

-At their level.

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8
Q

When treating older adults always keep?

A

-Intermittent eye contact

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9
Q

Therapeutic Strategies In Mental Health Settings are?

A

-Counseling
-Screening
-Self-care promotion
-Milieu Therapy
-Psychobiological Interventions
-Health Teaching
-Health Promotion
-Case management
-Inpatient
-Outpatient
-Cognitive and Behavioral Therapy (CBT)

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10
Q

What is the most popular Therapeutic Strategy in Mental Heatht?

A

-Counseling

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11
Q

Benefits of Milieu Therapy?

A

-Safe
-Structure
-Group Therapy

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12
Q

Goal of Milieu Therapy?

A

-Change in behavior

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13
Q

The Priority in mental health is…

A

-Safety

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14
Q

Differences responsibilities between a case management inpatient and outpatient?

A

-Inpatient is for acute problems and outpatient is for community help and appointments.

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15
Q

Cognitive and Behavioral Therapy Goal

A

-If you change the thought, you will change the behavior.

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16
Q

Types of Cognitive and Behavioral Therapy

A

-Modeling
-Operant Conditioning
-Systematic Desensitization

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17
Q

Steps of Systematic Desensitization

A

-Relaxation
-Hierarchy of Fear
-Talk, Describe, Explain
-Encourage exposure

18
Q

A NURSE IS PREPARING TO PERFORM AN INITIAL CLIENT INTERVIEW. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE IDENTIFY AS THE PRIORITY?

A. COORDINATE HOLISTIC CARE WITH SOCIAL SERVICES
B. IDENTIFY THE CLIENT’S PERCEPTION OF THEIR HEALTH STATUS
C. INCLUDE THE CLIENT’S FAMILY IN THE INTERVIEW
D. TEACH THE CLIENT ABOUT THEIR CURRENT MENTAL HEALTH DISORDER A

A

B. IDENTIFY THE CLIENT’S PERCEPTION OF THEIR HEALTH STATUS

19
Q

When can the patient make his advance directives?

A

-Patient need to be at baseline

20
Q

Who needs a copy of the patient’s advance directive?

A

-PCP
-Family
-Lawyer
-Therapist

21
Q

Nurse Responsibilities

A

-CONFIDENTIALITY
-HIPAA
-Client Consent
-Breaking Confidentiality
-RESOURCES
-Code Of Ethics For Nurses
-Facility Policy
-Ethics Committees
-Clergy And Spiritual Counselors

22
Q

Types of Admission to a Mental Health Facilities

A

-Voluntary
-Informal
-Temporary Emergency
-Involuntary
-Long-Term Involuntary

23
Q

Voluntary admission

A

-Competent and can refuse treatment
-Needs to get evaluated before discharge

24
Q

Informal Admission

A

-Requests Treatment
-Free to leave

25
Q

Temporary Emergency Admission

A

-Client is unable to make decisions
-No more than 15 days

26
Q

Involuntary Admission

A

-Against the Client’s will
-2 physicians need to sign off
-No more than 60 days

27
Q

Long-Term Involuntary Admission

A

-Greater than 60 Days

28
Q

Types of Restrains

A

-Physical
-Chemical

29
Q

Provider needs to reassess client and rewrite the prescription for seclusion or restraints every?

A

24 hrs

30
Q

Time Limit for seclusions and restraints?

A

-Age 18 years and older: 4 hr
-Age 9 to 17 years: 2 hr
-Age 8 years and younger: 1 hr

31
Q

When the patient is in restraints or seclusion nurse should reassess every______? what is the nurse reassessing?

A

-Every 30 minutes
-Color, Movement, Sensation, and Temperature.

32
Q

Seclusion Rooms are for?

A

-When patients need a timeout.

33
Q

Types of Torts

A

-Intentional
-Unintentional

34
Q

Types of Intentional Torts

A

-Battery
-Assault
-False Imprisonment

35
Q

Types of Unintentional Torts

A

-Negligence
-Malpractice

36
Q

In order for nurses to have effective communication , the nurses should not ask about ?

A

The “why?”

37
Q

A NURSE IS CARING FOR A CLIENT WHO IS IN MECHANICAL RESTRAINTS. WHICH OF THE FOLLOWING STATEMENTS SHOULD THE NURSE INCLUDE IN THE DOCUMENTATION? SELECT ALL THAT APPLY.

A. CLIENT ATE MOST OF THEIR BREAKFAST.
B. CLIENT WAS OFFERED 8 OZ OF WATER EVERY HOUR AND DRANK 100%.
C. CLIENT SHOUTED AT ASSISTIVE PERSONNEL, “I’LL KILL YOU”.
D. CLIENT RECEIVED CHLORPROMAZINE 15 MG BY MOUTH AT 1000.
E. CLIENT ACTED OUT AFTER LUNCH.

A

-B. CLIENT WAS OFFERED 8 OZ OF WATER EVERY HOUR AND DRANK 100%.
-C. CLIENT SHOUTED AT ASSISTIVE PERSONNEL, “I’LL KILL YOU”.
-D. THE CLIENT RECEIVED CHLORPROMAZINE 15 MG BY MOUTH AT 1000.

38
Q

A CLIENT STATES “NO ONE WILL LET ME OUT, I’M BEING HELD AGAINST MY WILL, GET ME OUT OF HERE!” WHICH OF THE FOLLOWING STATEMENTS SHOULD THE NURSE MAKE?

A. “AFTER YOU EAT YOU SHOULD FEEL BETTER”
B. “WE NEED TO GIVE YOU THE CARE YOU NEED”
C. “WHY DO YOU THINK YOU SHOULD LEAVE”
D. “YOU FEEL THAT YOU DON’T BELONG HERE”

A

D. “YOU FEEL THAT YOU DON’T BELONG HERE”

39
Q

Levels of Communication

A

-Intrapersonal
-Interpersonal
-Small Group
-Public
-Electronic

40
Q

Most Important level of communication

A

-Intrapersonal
-Inner thoughts