Schiz & Laws Flashcards
Lanterman petris short act of 1968
Established a hold law (51/50) if or we’re dts, dto, or gravely disabled
Lps vs temporary conservatorship
Lps is a conservatorship where a guardian of a gravely disabled person will make decisions for them one year
Temporary is same thing but greater than one year
51/50 and choices after the time is up
72 hr hold
-voluntarily stay
-52/50
- discharge
52/50 & time frame until court hearing
14 day hold
51/50 (3 days) + additional 4 days into the 52/50 pt will have a court hearing
(7 days total into their hold include the 51/50)
52/60 & what is needed for this hold
2nd 14 day hold (28 days), only an affidavit is needed
52/70 & for what kind of pts
30 day hold, only for gravely disabled
55/85
Allows for involuntary detainment of a minor
Involuntary would be against parent’s wishes & not the minor’s
5300
180 day hold, usually for dto
Fire arms prohibition form
A form filed by an RN that states a pt cannot buy fire arms after being released from ward for 5 years
What is a WIC8103
A form that can be signed by patient to petition for their fire arm prohibition to have a hearing and possibly overturn the 5 year prohibition
Ego syntonic vs ego dystonic
Syntonic: ego goes w/ who they are.
No insight to problem/dx.
Believes their fine
Dystonic: symptoms match w/ who they are
Insight to problem dx
Know there’s something wrong
Pt medication process BHUs & exceptions
Pt needs to sign a consent from to take ROUTINELY SCHEDULED medications while at the unit. They have a right to refuse
Exceptions:
A riese order
Emergency situations
-if chemical restraint is needed usually PRN which is NOT a routine med so you don’t need a riese
What is riese
When the court order make pt take meds against their will if it’s clear the other will not get better w/o them
For scheduled routine medications doesn’t apply for chemical restraints (prn meds)
Least-most restrictive methods
Ask pt to return to room
Offer PRN meds
Place in seclusion
Emergency medications (chemical restraints)
Physical restraint
Positive symptoms of schiz
Hallucinations
Delusions
Bizarre behavior
Formal thought disorder:
-FOI
-Tangential
-LOA
-clanging/echolalia
-echopraxia (copy mvmnt)
Negative symptoms of schiz
Apathy
Lack of motivation
Anhedonia
Flat/blunted affect
Poverty and speech
Social withdrawal
Examples of delusions (10)
Ideas of reference:
-everything is about them.
Ex: People in a Conversation are talking about them, something on the tv is a cue for them
Persecution: paranoia
Ex: someone’s out to get them
Grandeur: they think they’re someone with authority/power
Somatic: r/t body
Ex: believe they’re pregnant when they’re not
Jealousy: jealous impulsions w/ no cues
Ex: believes husband is cheating on them just because (no evidence)
Erotomania: believes someone (famous) is in love with them
Ex: Kim K is my wife
Nihilistic: end of the world
Thought broadcasting:
Their thoughts can be heard
Thought withdrawal:
Someone’s taking their thoughts away
Though insertion:
Someone’s putting thoughts in their head
Hallucination features
Sensory:
Auditory
Visual
Tactile
Gustatory
Olfactory
Altered perception:
Illusion
Ex: wire cord is a snake
Depersonalization
derealization
