PSYCHIATRIC NURSING Q&A Flashcards
- Nurse Mica shared the statistic that intentional self-harm was found to be the 9th leading cause of death among 20-24 years old filipino adults. Increasing number of mental health problems may be related to
- Poverty
- Family unemployment
- Changes in family structure
- Lost of community social support
Most common anxiety disorder
Phobias
- In the care of families, crisis intervention is an important part of
Secondary prevention
Crisis by definition is self limiting and is resolved
within 4 to 6 weeks
a type of brief therapy that is more directive than typical psychoterapy or counseling.
Crisis intervention
LEVELS OF CRISIS INTERVENTION
- Primary level
- Secondary Level
- Tertiary level
•Prevention
*Finding shelter for an abused woman and her children, offering sick leave, shelter for homeless
Primary level
•Intervention
*crisis intervention
Secondary level
•Rehabilitation
*Assist client in planning a regular lifestyle and minimizing sources of stress. Educate client and family regarding medication adverse effects and potential interactions
Tertiary level
3 TYPES OF CRISIS
- Malnutritional/developmental
- Situational crisis
- Adventitious crisis
arises from developmental changes in life cycle of person
Ex: Marriage, Adolescence, parenthood, retirement
Maturational/developmental
arises from external events like
*Abortion, Financial status, divorce, severe illness
Situational Crisis
results from accidental or unplanned events like; natural disarters (earthquake, flood, typhoon), man made disasters (riots, explosions) or crime of violence
Adventitious Crisis
- The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following.
A. Aggression
B. Anger
C. Anxiety
D. Psychomotor Agitation
D. Psychomotor agitation
*Psychomotor agitatiob is a symptom related to a wide range of mood disorders. People with this condition engage in movements that serve no purpose. Ex: Pacing around the room, tapping feet/toes in floor, tapping their fingers on any surface, or rapid talking.
- Rowena revealed she has a tendency to manipulate others. What would be the MOST APPROPRIATE short-term goal for her? For Rowena to
A. Have an intimate relationship
B. Acknowledge her own behavior
C. Stop arguing with other people
D. Express her feeling verbally
B. Acknowledge her own behavior
*Manipulation is the practice of using indirect tactics to control behavior, emotions, and relationships.
*Manipulation is particularly common with personality disorder diagnoses such as borderline personality (BPD) and narcissistic personality (NPD)
*Boarderline personality disorder characteristically demonstrates manipulative, splitting, and self-destructive behaviors.
*Cosistent limit setting is vital for the patient’s safety, but also to prevent splitting other staff.
“Why” questions are not therapeutic.
- Rina says “My dead mother ordered me to kill my two children before the devil could get theme” What behavior is being manifested by Rina?
A. Auditory Hallucination
B. Tactile stimulation
C. Visual hallucination
D. Olfactory hallucination
A. Auditory hallucination
*Hallucinations are: False sensory experience
*Most common hallucinations are: Autitory
-Most common in SCHIZOPHRENIA
*Most common auditory hallucination are: Hearing voices telling you to harm yourself.
*Second most common hallucination is: Visual
-Common in DEMENTIA
TYPES OF HALLUCINATION
- Auditory hallucination
- Visual hallucination
- Gustatary hallucination
- Olfactory hallucination
- Somatic hallucination
- Tactile hallucination
- Hypnogogic hallucination
- Hypnopompic hallucinations
Involves the perception of sound, typically of voices
Auditory hallucination
Involves sight, which may consist of formed images (people) or unformed images (flashes of light)
Visual hallucination
Involves perception of taste, usually upleasant
Gustatory hallucination
Involves perception of odor, such as burning rubber or decaying fish
Olfactory hallucination
Involves perception of a physical experience localized within the body
Somatic hallucination
Involves perception of being touched or of something being under one’s skin, such as something creeping or crawling on or under the skin, also known as formication
Tactile Hallucination
Having hallucinations while falling asleepsl
Hypnogogic hallucinations
Having hallucinations while waking up
Hypnopompic hallucinations
- Context of a verval communication is the:
A. Use of understandable
B. Use of literal words
C. Use of clear sentences
D. Environment where communication occurs
D. Environment where communication occurs
THE COMMUNICATION PROCESS
- Source-Where the message begings
- Message-The information you want to communicate
- Encoding-Transforming message into an understandable sign and symbol system. Speaking is encoding ,as are writing, printing, and filming a television program.
- Channel- The method of communication used.
Ex: verval, written, and nonverbal - Decoding- Interpreting the encoded signs and symbols. Decoding occurs through listening, reading, or watching a television show.
- Receiver- The listener, reader, or observer in the communication process. Another name for receiver is audience.
- Feedback- A receiver’s response to a sender’s message
- Context the situation in which your message is delivered. This may include the surrounding environment or boarder culture (Corporate culture, international cultures, and so on).
TAKE NOTE: Breakdown in communication can occur in any stage of the communication process
- Verbal communication is the use of words when talking to your patient. The use of literal words when you speak is the:
A. Understandable phrases
B. Content
C. The circumtances
D. Understandable sentences
B. Content
- Which of the following give meaning and context to the message
A. Process
B. Phrases and sentences
C. Context
D. Thoughts and feelings
A. Process
- Which of the following situation is an example of incongruent message
A. When the nurse means what she says
B. When the words and behavior of the nurse agree
C. When what the nurse says and does do not agree
D. When content and process agree
C. When what the nurse says and does do not agree
- The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?
A. Potato chips
B. Apple
C. Diet cola
D. Milkshake
D. Milkshake
RATIONALE: finger foods, or things clients can eat while moving around, are the best options to improve nutrition like PEANUT BUTTER, SANDWICH AND MILK. Such foods should be a high in calories and protein as possible. The milkshake will provide needed calories and nutrients for the client with mania. Milk is the only beverage listed that provides protein, fat and carbohydrates. In addition, milk is fortified with vitamins.
