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Mental Health > Quiz 1 > Flashcards

Quiz 1 Flashcards

1
Q

What is psychiatric-mental health nursing?

A

based on evidence related to:
- psychiatric disorders
- psychopharmacology
- therapeutic relationships

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2
Q

What will a nurse do when using evidence based practice?

A

ask (find problem)
acquire (search literature)
appraise (evaluate/ summarize evidence)
apply (choose interventions)
assess (evaluate outcomes)

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3
Q

What are clinical algorithms?

A

help to make a decision using a pathway (flowchart)

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4
Q

What is a recovery model?

A

social model of disability

emphasized rehabilitation and recovery

consumer and family driven

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5
Q

What is the main goal of a recovery model?

A

to recover and lead a full/satisfying life

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6
Q

What are the key principles of trauma-informed care?

A

avoid re-traumatization

pt should be involved in care = pt compliance

empowerment and cultural respect

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7
Q

What is the DSM-5-TR?

A

diagnostic and statistical manual of mental disorders

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8
Q

Define resiliency

A

ability to recover from trauma or change

trait is developed

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9
Q

How would one describe someone who is resilient?

A

self-aware
can learn from emotions
can cope well

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10
Q

What is the mental health parity act (1996)?

A

insurance had to provide services for mental health that is equal to physical health

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11
Q

What will a nurse do in regard to culture and mental illness?

A

self assessment of culture
pt assessment of culture

ask if practice will harm pt?

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12
Q

What are culture bound syndromes?

A

appears only in certain cultures

ex: susto

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13
Q

How are psychiatry and spirituality/religion related?

A
  • hearing or seeing a deceased relative
  • altered state of consciousness
  • prayer
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14
Q

What is a stigma?

A

negative stereotype that leads to an attitude or belief that would cause one to view person with mental illness as inferior

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15
Q

What is the first choice for outpatient settings?

A

primary care providers

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16
Q

What is the role of mental health nurse?

A

provide care for those with:

  • psychiatric disorders
  • substance use disorders
  • intellectual disabilities
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17
Q

What is the role of a psychiatric mental health advanced practice nurse (psych NP)?

A

prescribe
evaluate

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18
Q

What is an inpatient setting for mental health?

A
  • 24 hr locked unit
  • crisis care
  • resident txt programs
  • state acute care systems
  • psych unit (general hospital)
  • private psych hospital acute care
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19
Q

What is a psychiatrist?

A

medical physician

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20
Q

What is a psychologist?

A

doctoral degree in psych

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21
Q

What is the function of the parietal lobe?

A

sensory and motor

22
Q

What is the function of the frontal lobe?

A

thought processes

23
Q

What is the function of the limbic brain?

A

emotion

triggers fear and anxiety

24
Q

What is the function of the temporal lobe?

A

auditory

25
Q

What is the function of the occipital lobe?

A

vision

26
Q

What is the function of the cerebellum?

A

motor control

27
Q

What is an ethical dilemma?

A

balance between rights of patient and rights of society at large

28
Q

What is voluntary commitment?

A

self-admission

right to leave at any time

29
Q

What is involuntary commitment?

A

emergency hospitalization

cannot leave at any time

30
Q

What is the order of california legal holds?

A

5150
5250
5270
LPS conserved
Probable cause hearing
Writ of Habeus Corpus
Reise Petition

31
Q

What is a 5150?

A

72 hour hold

32
Q

What is a 5250?

A

14 day hold

33
Q

What is a 5270?

A

30 day hold

34
Q

What qualifies someone to require a 5150 or a 5270?

A

one of the following:
- danger to self
- danger to others (in regard to mental illness)
- gravely disabled

35
Q

Define gravely disabled

A

cannot provide or food, shelter, or clothing

(they do not know how to do this - different from homelessness)

36
Q

What qualifies someone to require a 5270?

A

has to be gravely disabled

37
Q

Which holds can a provider renew if expired?

A

5150
5250

38
Q

What happens during the probable cause hearing?

A

determine if hold was made correctly (1st check)

39
Q

What happens during writ of habeus corpus?

A

in front of judge (2nd check)

40
Q

What is a reise petition?

A

provider will file:
- pt doesn’t have the capacity to make decision to take meds

result: pt forced meds

41
Q

What will a nurse need for a 5150?

A

original copy in file of 5150 form

42
Q

What is done before restraints and seclusion is used?

A

verbal and environmental interventions

ex: calm pt down, change environment

43
Q

What are chemical restraints?

A

emergency medication

44
Q

What should be done by the nurse for a patient in restraints or seculsion?

A
  • document vitals every 15 mins (esp. RR)
  • offer food, elimination, hygiene matters every 2 hrs
45
Q

When will hard restraints be removed?

A

if pt is no longer a harm to self or others

46
Q

How often will a nurse check on patients with hard restraints?

A

adults: every 4 hr
children or age 9-17: every 2 hr
under age 9: every 1 hour

47
Q

If a nurse initiates restraints or seclusion, how soon must the provider see the patient?

A

within 1 hour

48
Q

Who should not be put into seclusion?

A

pt who is suicidal

49
Q

Who would be put into seclusion?

A

pt who is a danger to others

50
Q

What is breech of duty?

A

failure to report

51
Q

What is negligence?

A

action or inaction that can lead to harm

Mental Health (8 decks)

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