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Mental Health > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

What is the nursing process in mental health?

A

assessment
nursing diagnosis
outcome
planning
implementation
evaluation

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2
Q

What is done during the assessment in the nursing process?

A

collect data

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3
Q

What are different types of assessments for mental health?

A

review of systems
lab data
spiritual/religious assessment
cultural assessment
mental status exam
psychosocial assessment
validating assesment

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4
Q

What type of assessment is not done in mental health?

A

head to toe assessments

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5
Q

What is a mental status evaluation?

A

nurse will observe mental status improvements

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6
Q

During the nursing process, what is done during the outcome portion?

A

setting goals that are SMART

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7
Q

What does SMART stand for?

A

specific
measurable
achievable
realistic
timely

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8
Q

During the nursing process, how is implementation done?

A

through:

coordinating care
teaching
milieu therapy
therapeutic relationship

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9
Q

What is done after the evaluation stage in the nursing process?

A

documentation

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10
Q

What is the difference between a congruent and an incongruent message?

A

congruent: actions and words match

incongruent: actions and words don’t match

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11
Q

What is therapeutic communication?

A

professional
goal-directed
scientifically based

allows pt to feel safe and secure

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12
Q

What is therapeutic silence?

A

encourages pt to open up by allowing them to break the silence

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13
Q

What is active listening?

A

observing nonverbal behaviors
listening/understanding verbal message
providing feedback

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14
Q

What are clarifying techniques?

A

paraphrasing
restating
reflecting
making observations
exploring
“what if”
“miracle question”

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15
Q

What is reflecting?

A

bringing conversation back to pt

ex: “what do yout think”

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16
Q

What is exploring?

A

describe, tell me more…

17
Q

What is “what if” and “miracle question”?

A

helps with problem solving and coping skills

“what if you could go back?”

18
Q

Will a nurse ever ask close ended questions?

A

no

exception: “have you thought of harming yourself?

19
Q

Describe cultural competence

A

different communication styles
use of eye contact depends
different perceptions of touch
cultural filters

20
Q

What are the 4 core concepts of a nurse-patient relationship?

A

dignity and respect
information sharing
pt/family participation
pt feels heard and understood

21
Q

What is the difference between social and therapeutic relationships?

A

social: friends giving advice

therapeutic: straight forward and concrete

22
Q

What are boundary warning signals?

A

over helping (doing what pt can do for themselves)
controlling (asserting authority)
narcissim (needing to help weak to feel helpful)

23
Q

Define transference

A

person unconsciously transfers patterns and emotional reactions toward another person

24
Q

Define countertransference

A

nurse displaces emotions related to people in past onto the pt

25
Q

What are the phases of the nurse-patient relationship?

A

preorientation
orientation
working
termination

26
Q

What happens during the preorientation phase of the nurse-patient relationship?

A

becoming familiar with environment

27
Q

What happens during the orientation phase of the nurse-patient relationship?

A

meet pt
build rapport/trust
set goals
terminations begins

28
Q

What happens during the working phase of the nurse-patient relationship?

A

gather data
evaluate problems and goals

29
Q

What happens during the termination phase of the nurse-patient relationship?

A

review goals and accomplishments

30
Q

What does the clinical interview consist of?

A

prepare for interview
introduce self
initiate interview

31
Q

What are the goals of the clinical interview?

A

to feel safe
to feel understood
identify problems
discuss healthy ways to cope

32
Q

Define stress response

A

survival mechanism by which the body and mind become immediately ready to meet a threat

33
Q

What are the symptoms of PTSD?

A

TRAUMA

Traumatic event
Reexperiencing trauma
Avoidance
Unable to function
Month long symptoms
Arousal increase (hypervigilant, startle response)

34
Q

What are the risk factors of PTSD?

A

age of traumatic event (younger age=higher risk)
female
Hx of psych illness
lower education level

35
Q

What are comorbidities of PTSD?

A

cardiovascular diseases
increase susceptibility to infections
dementia
depressive disorders
anxiety disorders
substance-related
increased risk of suicide

36
Q

How soon will symptoms resolve in acute stress disorder?

A

within 1 month

37
Q

What are nursing interventions for PTSD?

A
  • stay with pt
  • help pt recognize avoidance behaviors
  • family psychoeducation
  • teach coping skills
  • ensure sleep
  • stress reduction techniques
38
Q

What are interdisciplinary treatments of PTSD?

A

cognitive therapy
prolonged exposure therapy
eye movement desensitization and reprocessing
antidepressants

39
Q

What is compassion fatigue in regard to nursing?

A

indirect traumatization from work

Mental Health (8 decks)

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