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NURSING > PSYCH EXAM 1 > Flashcards

PSYCH EXAM 1 Flashcards

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1
Q 
Privacy
Receive mail, phone calls, visits
Confidentiality
Individualized treatments
Right to receive or refuse treatment
No verbal or physical abuse
Chemical or physical restraints are considered abusive (policies must be in place)
A

RIGHTS of Persons with Mental Illness

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2
Q

When can medications be forced on a patient?

A
  1. Behaviors dangerous to self or others
  2. Medication prescribed has a reasonable chance to provide help
  3. Judged incompetent to evaluate benefits of treatment
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3
Q

Patients have a right to ______ treatment

A

least restrictive

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4
Q

When are seclusion and restraints used?

A

When less restrictive measures have failed

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5
Q

“1 Hour Rule”

A

Requires a face to face evaluation by a licensed independent practitioner within 1 hour of restraint

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6
Q

must report suspected child or elder abuse or incompetent adult (MR)
Informed consent (esp ECT)
1 hour rule (Q4 adult Q2 kids)
False imprisonment

A

Mandatory NC State Statutes

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7
Q

Voluntary Commitment

A

may institute 72 hour hold to determine change to involuntary

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8
Q

Requirements for IVC

A

danger to self or others

hearing by judge within 7 days unless converted/dropped by health professional

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9
Q

Most critical cultural and spiritual concerns

A

Communication and Space

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10
Q

Culture

A

Comprises the shared beliefs, values, and practice that guide a group’s members in patterned thinking and acting

blueprint for guiding actions that impact care, health, and well being

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11
Q

Is the focus culture or race?

A

race

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12
Q

Should we classify culture according to a racial-ethnic system?

A

NO

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13
Q

Should we take into account cultural beliefs about mental illness & treatment?

A

YES

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14
Q

Individuality; mind and body seen as two separate entities

A

Western Tradition (Science)

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15
Q

family as basis for one’s identity; Body-mind-spirit are seen as single entity

A

Eastern Tradition (Balance)

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16
Q

Western, Eastern, or Indigenous: disease is considered to have specific, measurable, and observable cause and is aimed at eliminating the cause; Time-focus is on the future; Based on individual rights
Value - right to decide, right to be informed

A

WESTERN

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17
Q

Western, Eastern, or Indigenous: family is starting point for identity; time is circular; based on promoting positive relationships

A

EASTERN

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18
Q

Western, Eastern, or Indigenous: those who have inhabited a country for thousands of years; significance on the place of humans in the natural world; deep relationship with nature; mind, body, spirit considered one entity; time is focused on present

A

INDIGENOUS

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19
Q

to develop a therapeutic plan that is mutually agreeable, culturally acceptable, and productive of positive outcomes

A

Goal of Cultural Assessment

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20
Q

human quality that gives meaning and sense of purpose to an individual’s existence

A

Spiritual

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21
Q

FICA

A 
An example of a spiritual assessment nurses can use
 F = Faith
 I = Importance
C = Community
A = Address
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22
Q

Factors influencing Mental Health

A 
Stress ("positive" and "negative")
Disease (esp chronic)
Trauma
Drug Abuse
Cultural Factors
Environmental Issues
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23
Q

What is the primary burden of mental illness?

A

The illness itself

24
Q

What is the secondary burden of mental illness?

A

the stigma attached to mental disorders

25
Q

Developed by APA for evaluation of the client’s mental status and standardization of symptomology to develop diagnoses of mental illness
For clinicians to have a common language to communicate characteristics of mental disorders presented by patients

A

DSM-V

26
Q

“the ability to use one’s personality consciously & in full awareness in an attempt to establish relatedness & structure nursing interventions”

A

Therapeutic Use of Self

27
Q

WHO: mother of psychiatric nursing

identified counseling as major subrole of psychiatric nursing

A

Hildegard Peplau

28
Q

Theory of Interpersonal Relationships in Nursing
First nurse theorist to describe nurse-patient relationship as the foundation of nursing practice
what nurses do together WITH patients

A

Hildegard Peplau

29
Q

“care for the person as well as the illness”

“think exclusively of patients as persons”

A

Hildegard Peplau

30
Q

Primary task of therapeutic relationship

A

getting acquainted and establishing rapport

31
Q

6 Therapeutic Relationship Conditions

A 
Rapport
Trust
Confidentiality
Respect
Genuineness
Empathy
32
Q 
Focus is on the Patients' Needs **
Goal Directed/Mutually Formulated
Objective vs Subjective
Time limited/ Not Open Ended (crisis resolution)
Nurturing Environment
Boundaries Respected
Judgment is delayed
Accountability
A

Characteristics of a Therapeutic Relationship

33
Q

nurse as counselor

A

listens to patient and facilitates process or helping the client solve problems

34
Q

nurse as teacher

A

identifies learning needs

35
Q

nurse as leader

A

directs interactions to ensure goals are met

36
Q

nurse as technical expert

A

possesses the clinical skills necessary to perform the interventions that are best interest of the client

37
Q

Phase of Therapeutic Relationship: explore self-perceptions

A

Preinteraction

38
Q

Phase of Therapeutic Relationship: establish trust & formulate contract for interaction

A

Orientation/ Introductory Phase

39
Q

Phase of Therapeutic Relationship: promote client change in problem solving

A

Working Phase

40
Q

Phase of Therapeutic Relationship: evaluate goal attainment & ensure therapeutic closure

A

Termination Phase

41
Q

Transference

A

occurs when client unconsciously attributes or transfers feelings TOWARD the nurse from previous relationships

42
Q

Countertransference

A

refers to the nurse’s behavioral & emotional response to the client

43
Q

Professional Boundaries

A

such as self disclosure, gift giving, touch, & role crossing (friendship, romantic)

44
Q

Hyperthyroidism

A

may cause or mimic anxiety symptoms

45
Q

Hypothyroidism

A

may mimic depression

46
Q

Neurotransmitters

A

Two Important Facts:
Responsible for essential function of human emotion and behavior

Target for the mechanism of action of many psychotropic medications

47
Q

Psychotropic Medication: Potentiates Gaba

A

Benzodiazepines

48
Q

Psychotropic Medication: Increases Serotonin

A

Selected Serotonin Reuptake Inhibitors (SSRI)

49
Q

Psychotropic Medication: Increases both Serotonin & Norepinephrine

A

Selected Norepinephrine Reuptake Inhibitors (SNRI)

50
Q

Psychotropic Medication: Increases norepinephrine & serotonin, and also some increase of acetylcholine and histamine

A

Tricyclic Antidepressants

51
Q

Psychotropic Medication: Increases monoamines

A

Monoamine Oxidase Inhibitor (MAOI)

52
Q

Psychotropic Medication: Decrease Dopamine

A

Antipsychotics

53
Q

Where is the master clock that controls circadian rhythms located?

A

In the hypothalamus

54
Q 
Instillation of Hope
Universality
Imparting of Information
Altruism
Corrective recapitulation of the primary family group
Development of socializing techniques
Imitative behavior
Group cohesiveness
Catharsis
Existential Resolution
A

Yalom’s Curative Factors

55
Q

process of learning by involuntary behaviors

A

Classical Conditioning

56
Q

relationship between voluntary behavior & environment … influenced by the consequences of an action

A

Operant Conditioning

NURSING (16 decks)

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