Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MENTAL HEALTH > PSYCH EXAM 1 > Flashcards

PSYCH EXAM 1 Flashcards

1
Q

Primary prevention

A

prenatal care, teaching about risk factors, parenting skills classes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

secondary prevention

A

early detection; school and community nurses, NPs, teachers, pediatricians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Tertiary prevention

A

minimize the effect of disorder via individual, family, group therapy and behavior modification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pervasive developmental disorders

A

group of conditions that involve delays in development of many basic skills
these kids are more confused in their thinking and generally have problems understanding the world around them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What three things is autism characterized by

A

social impairments
communication difficulties
sometimes repetitive patterns of behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Asperger’s Syndrome

A

on the mild end of the spectrum but has a later onset than autism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Bipolar Disorder I

A

one or more manic episodes alternating with major depressive episodes
depressive symptoms tend to be far less responsive with conventional therapies than manic symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bipolar Disorder II

A

a major depressive episode with at least one hypomanic episode
no hx of a manic episode or a mixed episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mixed state or episode

A

rapidly alternating moods between depression and mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cyclothymia

A
  • Clients experience repeated periods of nonpsychotic depression and hypomania for at least 2 years (1 year for children and adolescents)
  • Cyclothymia is diagnosed only if a client’s symptoms have never met the criteria for a major depressive or manic episode
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Rapid cycling

A

Clients have four or more manic episodes for at least 2 weeks in a single year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the episodes of rapid cycling marked by?

A

Either partial or full remission for at least 2 months or a switch to the opposite type

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the high risk of rapid cycling?

A

Recurrence and resistance to drug treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the behavior characteristics of mania?

A

Hyperactivity
Bizarre and colorful dress
Highly distractible
Impulsive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the thought processes of mania?

A

Flight of ideas
Grandiosity
Poor judgement
auditory hallucinations and delusional thinking (psychosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the cognitive function characteristics of mania

A

Significant and persistent problems

Difficulties in psychosocial areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the acute phase of bipolar disorder?

A

Maintain safety
medical stabilization
self-case

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

continuation phase

A

maintain medication compliance
psycho-education teaching
counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

maintenance phase

A

prevent relapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the fist line mood stabilizer for bipolar disorder?

A

Lithium- used for the prevention and treatment of mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How does lithium work?

A

affects the clock cycle to restore rhythms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the side effects of lithium at therapeutic levels?

A

fine hand tremors
Gi upset and thirst
muscle weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the adverse effects of lithium at a toxic level

A

persistent GI upset
coarse hand tremors
confusion, hyperirritability of muscles
ECG

24
Q

Axis I Criteria

A

includes most psychiatric disorders excpet personality disorders and issues with developmental disorders

25
Q

What should you do if a patient has more than one Axis I disorder?

A

List them all with the chief complaint listed first

26
Q

Axis II Criteria

A

• Personality disorders
o Examples: borderline personality disorder, antisocial personality disorder
• Intellectual development disorder
• Other prominent maladaptive and defense mechanisms

27
Q

Axis III criteria

A

• General medical conditions that may be relevant to understanding and/or managing the mental disorder• Does not include medical disorders that are thought to be a direct cause for a mental disorder—these are coded on axis 1

28
Q

Axis IV

A
  • Problems with primary support group
  • Problems related to social environment
  • Educational, Occupational, Housing or Economic problems
  • Problems with access to health care services
  • Problems with legal system
  •  Specific problems that an individual is facing
29
Q

Axis V

A
  • Clinician makes a judgment about person’s overall level of functioning
  • GAF Scale: 0-100
  • The lower the number, the lower the level of function
30
Q

What are the antipsychotic drugs that can be used instead of lithium?

A
  • Antipsychotics: ex. Zyprexa & Seroquel
  • Slow thought process slowing speech
  • Inhibit aggression
  • Decrease psychomotor activity
31
Q

What are the antipsychotic/ benzos that can be used instead of lithium?

A

Klonopin & Ativan• Exhaustion
• Coronary collapse
• Death – individual so accelerated and ramped up that they can become high risk

32
Q

Malpractice

A

a tort action that a consumer plaintiff brings against a professional defendant when the plaintiff believes the professional injured him or her within the consumer-professional relationship

33
Q

Libel

A

published false statements about someone else (written)

34
Q

Slander

A

false spoken statements

35
Q

• Substituted Consent

A

obtained in these instances where competency is in question
o Health Care Proxy
o Guardian
o Next of Kin

36
Q

• Voluntary admission

A

: paperwork signed by patient

o Patient is competent enough to make this decision

37
Q

Involuntary admission

A 
o	Individual is a danger to self, others and has an inability to care for themselves 
o	Types of procedures
	Judicial
	Administrative
	Agency
38
Q

emergency involuntary admission

A

to control an immediate threat to self or others

39
Q

short term involuntary admission

A

for diagnosis and short-term therapy

40
Q

long term involuntary admission

A

for treatment until determined ready for discharge

41
Q

ethics

A

the study of philosophical beliefs about what is considered right or wrong in a society

42
Q

ethical dilemma

A

situation that requires a choice between morally conflicting alternatives

43
Q

bioethics

A

used in relation to ethical dilemmas surrounding client care

44
Q

beneficence

A

The duty to promote good (prevent harm)

45
Q

autonomy

A

The right to make one’s own decisions and respect for the rights of others to make their own decisions

46
Q

justice

A

treating others fairly and equally

47
Q

fidelity (nonmaleficence)

A

Maintaining loyalty commitment; doing no wrong to a client

48
Q

veracity

A

One’s duty to always tell the truth (exception: when the truth would be knowingly harmful to a client)

49
Q

What are some resources for guidelines in ethical dilemmas

A
  • Nurse practice acts
  • Hospital and organizational polices
  • Patient bill of rights
  • Code of Ethics for Nurses with Interpretive Statements of the American Nurses Association
  • Standards of Care from the Scope and Standards of Psychiatric-Mental Health Nursing Practice
50
Q

What are the 4 “rights” that a patient has

A

right to treatment
right to treatment in the least restrictive environment
right to refuse
right to after care

51
Q

Milieu therapy

A

hospital technique in which patients can practice life skills in a safe environment

52
Q

lack of parity

A

inequality of coverage most effective vs. what recieved

53
Q

what are the four components of the revolving door treatment?

A

1) decreasing length of stay
2) deinstitutionalization
3) managed care mandates
4) lack of community support

54
Q

Acute phase of schizophrenia

A

1) safety
2) psychiatric and medical interventions
3) individual and group therapy
4) cognitive-behavioral therapy (CBT)
5) Family education

55
Q

Maintenance and stabilization phases in schizophrenia

A 
health teaching
health promotion and maintenance
vocational rehabilitation
assertive community treatment (ACT)
TOO- treatment over objection
Intensive case management (ICM)
Continuum of care
56
Q

Coping Techniques for Schizophrenia

A 
Distraction: external stimuli
Interaction: avoid isolation
Activity
Social involvement: tasks, games
Physical activity

MENTAL HEALTH (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions