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psych exam 1 Flashcards

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1
Q

family/party files form with local magistrate describing patient’s symptoms and behavior. judge signs warrant and deputies take patient to jps for evaluation. person may be discharged, admitted voluntarily or have a CME filed.

A

magistrate’s warrant

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2
Q

is filed with the court and if the presiding judge signs, an order of proective custody is issued

A

CME

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3
Q

any creditable person that has knowledge of the person’s behavior

A

applicant

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4
Q

issued by judge after pt. is evaluated by a dr and a CME for menal illness is filled out and given to clerk

A

order of protective custody

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5
Q

involuntary admission

A

pts. 18 and younger

if thought to be danger to self, others or unable to perform self-care

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6
Q

must be converted to an order of protective custody or a voluntary admission or a pt. must be discharged after evaluation

A

application for detention

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7
Q

can be obtained by any peace officer

A

application for detention

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8
Q

treatment will be up to ___ days

A

90

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9
Q

person can be discharge before the 90 day commitment on a _______

A

furlough status

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10
Q

pt. can be returned to the hospital if…?

A

person decompensates before the end of the commitment

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11
Q

evaluated by a dr. and either return to jail or are admitted. admission must be voluntary. officer or deputy remain w/ pt. until a disposition is made

A

county hold

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12
Q

voluntary patient may….

A

be discharged by treatment team

request to be discharged

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13
Q

if discharge is requested

A

pt. must be evaluated within 4 hours

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14
Q

if dr. thinks pt. could be a danger to self or others or unable to perform self care

A

dr. can initiate paperwork for involuntary admission

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15
Q

persons with mental illness are guaranteed the same rights under

A

federal and state law as any other citizen

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16
Q

Rights of citizen/patients

A 
vote
enter into contractual agreement
religious freedom
legal counsel
informed of research and refusal to participate
send and recieve mail
be present for inspection of mail
partic. in planning treatment
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17
Q

protected under HIPAA

A

receive treatment and have medical records kept confidential

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18
Q

pt.’s permission must be obtained to share info with

A

persons who are not directly involved in care

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19
Q

exceptions to confidentiality rule

A

duty to warn and protect 3rd parties
notify secret service of threats
report child and elder abuse

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20
Q

cannot administer psychotropic drugs w/o

A

patient’s informed consent

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21
Q

informed consent

A 
nature of problem
purpose of medication
risks/benefits of med
alternative treatment options
probability of success
risks if not consenting treatment
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22
Q

don’t need informed consent in which 2 instances

A

pt. behavior out of control

judge issues an order to administer med w/o consent after a med. commitment hearing

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23
Q

last resorts in behavioral interventions

A

seclusion and restraint

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24
Q

levels of seclusion and restraint

A 
talking to pt.
moving pt. to less stimulating setting
prn med
seclusion
restraint
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25
Q

use of seclusion or restraint

A

requires a writen order

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26
Q

restraint order must be

A

for a limited time period

specify seclusion or type of restraint

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27
Q

nurse can ptu a pt in seclsion/restraint

A

emergency conditions

obtain an oder as soon as possible post incident

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28
Q

everytihbng in regard to incidnet

A

must be fully documented

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29
Q

pt. must be told why

A

the seclusion/restraint was initiated

what behavior need to be changed to be released

30
Q

contraindication to seclusion or restraint

A 
unstable
delirium or dementia
suicidal 
overdoses
convenience of staff
to punish a patient
31
Q

threat to use force, no contact

A

assault

32
Q

offensive touching of another person

A

battery

33
Q

inappropriate seclusion, confining a person to a speific area

A

false imprisonment

34
Q

act or omission to act that results in injury to the pt

A

negligence

35
Q

capacity of nure to assume safe care of pt

A

duty

36
Q

conduct that exposed pt to risk of harm

A

breach of duty

37
Q

except for what the nurse did or didn’t do, would this injury have occurred

A

cause in fact

38
Q

were there any intervening actions or persons taht were in fact causes of harm to the patient?

A

proximate cause

39
Q

loss of earnings, medical expenses

A

damages

40
Q

5 elements required to prove negligence

A 
duty
breach of duty
cause in fact
proximate cause
damages
41
Q

3 precautions r/t pt. safety

A

suicide
elopement/AWOL
assault

42
Q

check w/ staff before you

A

hand out anything

43
Q

3 staff safety precaustions

A

training
least restrictive means
working as a team

44
Q

student safety

A 
stay in day area
don't go in a pt. room
psotiion around exit
no long cord wearing
stud earrings
45
Q

dopamine

A

fine muscle movemen
integration of emotions/thoughts
decision making
hormonal release by hypothalamus

46
Q

NE

A

mood

fight or flight

47
Q

5-HT

A 
sleep regulation
hunger
mood
pain perception
aggression
sexual behavior
48
Q

GABA

A 
inhibition
reduces aggression/excitation/anxiety
pain perception
anticonvulsant properties
muscle relaxant properties
49
Q

Ach

A

assists in learning, memory
regulates mood: mania, sexual aggression
stimulates PNS

50
Q

order of brainstem

A

midbrain
pons
medulla oblongata

51
Q

emotions
learning
memory
basic drives

A

amygdala

hippocampus

52
Q

regulates basic drives
links higher brain activities and internal organs
hormonal secretions

A

hypothalamus

53
Q

4 A’s of schizo

A

affec
associative looseness
autism
ambivalence

54
Q

assessment for ____ is crucial in those with schizo

why?

A

depression - impending relapse, increases suicide risk

55
Q

3 nursing diagnosis for positive symptoms

A

disturbed sensory perception
risk for self-directd or other directed violence
disturbed thought processes

56
Q

2 nursing diagnosis for negative symptoms

A

social isolation

chronic low self-esteem

57
Q

patient safety and medical stabilization

A

acute phase

58
Q

adhere to treatment
stabilize meds
control or cope with symptoms

A

stabilization phase

59
Q

maintain achievement
prevent relapse
achieve independence, satisfactory quality of life

A

maintenance phase

60
Q

shared beliefs, values and practices that guide a group’s members in patterned ways

A

culture

61
Q

culture helps develop what is ___ and ____

A

normal

abnormal

62
Q

more related to economic and social standing

A

minority

63
Q

used to categorize people in social and political ways rather in biological mode

A

race

64
Q

for mental health nurses, it is better to focus on ___ rather than on ____

A

ethnicity rather than on race

65
Q

members of a cultural group are introduced to cultural worldview, beliefs, values and practices

A

enculturation

66
Q

degree wo which a person fulfills the expectations of the culture

A

mental health

67
Q

belief that one’s own group is superior

A

ethnocentrism

68
Q

key to mental health care

A

communication

69
Q

lifetime commitment to self-evaluation and criique of one’s level of culural awareness

A

3 cultural intersections during an encounter with a patient

70
Q

ability to perform a cultural assessment in a sensitive way

A

cultural skill

71
Q

genuine concern for pt. welfare and a willingness to listen to each pt’s viewpoint

A

cultural desire

psych exam 1 (1 decks)

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