psych Flashcards

1
Q

Why are ppl admitted to Psych unit?

A

-SI
-HI
-Inability to care for self
-addiction treatment

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2
Q

How are ppl admitted?

A

-Assessed in the ER first –> ensure physical health
-LCSWs (or NPs) come in (they’re intake workers) and do bio/psycho/social interview
-Community service board (CSV) might be contacted and magistrate may be called for emergency custody order (ECO) –> police come pick them up
-Then CSV comes and does their own evaluation –> may order TDO which can be up to 72 hours
-hearing happens to determine patient’s safety –> can be court ordered involuntarily for up to 3 months –> can also be court ordered to outpatient treatment

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3
Q

biggest factor in mental health

A

ability to cope with life

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4
Q

Mental health vs mental illness

A

Health: emotional and psychological well being of an individual

Illness: health conditions characterized by alterations in thinking, mood, or behavior and are a/w distress or impaired functioning

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5
Q

Concept of wellness and its dimensions

A

good physical and mental health
ppl can have a mental disorder and still experience wellness

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6
Q

Epidemiology and its terms

A

epidemiology: the study of patterns of disease distribution and determinants of health within population

Rate of occurrence = proportion of population with disorder
Incidence = rate of new cases w/in specific time
Prevalence = rate of occurance of all cases at a particular point in time

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7
Q

Stigma toward mental illness can be viewed in 3 ways:

A
  1. public stigma marks a person as having mental illness
  2. when a person with mental illness shares public’s view, its called self-stigma
  3. If they don’t seek treatment for fear of label, its called label avoidence
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8
Q

Goal for mental health delivery system

A

Recovery = a process of changes through which ppl improve their health and wellness, live self directed life, and strive to reach full potential

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9
Q

culture

A

a way of life that manifests the learned beliefs, values, and accepted behaviors that are transmitted socially within specific group

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10
Q

5 attributes of spirituality

A

meaning
belief
connecting
self-transcendence
value

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11
Q

can patients on TDO refuse medication

A

yea

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12
Q

who can refuse treatment

A

a competant person
-determined by court

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13
Q

Code of ethics purpose

A

informs nurse and society of professions’s ethical expectations and requirements

provides a framework for ethical decision making

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14
Q

important questions when making ethical decisions

A

what’re my own values and biases?
what are my patients morals and values?
What do i need to know and what can i never know

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15
Q

Autonomy and Beneficence

A

Autonomy = fundamental right of self-determination

Beneficence = using knowledge of science and incorporating art of caring to achieve max health care potential

*conflict if client using autonomy and nurse using beneficence

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16
Q

scope and standards of practive

A

legal authority to practive granted by govt

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17
Q

standards of professional performance

A

ethics
education
evidence based practive
quality of practice
communication
leadership
collab
professional practice eval
resource utilization
enviro health

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18
Q

PMH-RN

A

has BSN and credentialed by ANCC

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19
Q

PMH-APRN

A

master’s level RN and certified by ANCC
psychiatric NP or clincal nurse specialist

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20
Q

ANA

A

supports through liaison activities

21
Q

APNA

A

advances mental health practice for underserved populations

22
Q

ISPN

A

purpose: unite and strengthen the presence and voice of psych nurses and promote quality care for ppl/fams with mental health issues

23
Q

IntNSA

A

prevention, intervention, treatemetn, and management of addictive disorders

24
Q

bio/social/psycho venn diagram

A

Bio: eating, sleeping, exercise, neurons
Psycho: emotion, cognition, behavior, therapy
Social: fam and community factors

25
Psych nurse tools
self clinical reasoning Reflection interdisciplinary care plan of care
26
challenges in psych nursing
knowledge dvlpmnt genetic research comorbid disorders stigma holistic care health care delivery technology for documenting and communicating
27
psychoanalytic theory
id - do it ego - should i? super ego - nah Freud
28
Neofreud
Adler = mutual respect, choice, responsibility, consequences, belonging Jung = persona Horney = feminine psychology --> women are not disadvantaged
29
Humanistic theories
Rogers = patient centered, empathy, unconditional positive regard, non judgement Gestalt + Perls = empty chair technique --> exercise Maslow = heirarchy of needs
30
behavioral theories
pavlov = classical conditioning Watson = behaviorism Thorndike = stamping and reinforcing positive behavior
31
cognitive theories
Bandura = modeling (learn by watching) Beck = relationship bt cognition and mental health
32
Nursing theories
Peplau = nurse-client relationship --> empathy Orlando = whole patient rather than just disease
33
Existential and humanistic
Rizzo Parse = ppl are unpredictable and everchanging (meaning rhythmicity and trancendence) (illumination paradox freedom mystery) Watson = theory of caring
34
System models
King = attainment through social interactions Neuman = patient system interacting with environment Orem = self care
35
Cerebrum
2 halves Left is usually dominant
36
Frontal lobe
motor, personality, memory
37
Parietal
sensory
38
Temporal lobe
auditory, olfactory, wernicke
39
occipital
visual integration
40
Basal ganglia
motor and muscle memory
41
Limbic
memory and emotion dysfunction leads to mental disorders hippocampus, thalamus, hypothalamus, amygdala
42
Neurons
Ach, dop, NE, serotonin, GABA, hist, glut
43
Mental disorders genetic?
not necessarily, but you can have a genetic predisposition
44
PNI
immune, nervous, endocrine, thorught, emotion, behavior
45
bio markers
challenge test eeg polysomnography eps ct mri pet single photon emision ct
46
Barriers to recovery
poverty homelessness stigma lack of services
47
mental health recovery concepts
person centered care empowerment shared decision making employment housing peer support
48
NAMI
advocacy gp that helps with recovery