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Behavioral Health Nursing > Test Review > Flashcards

Test Review Flashcards

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0
Q

Etiology of mental disorders

A

Abnormal response to stress- stuck in a fight or flight stage

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1
Q

Define mental disorder

A

Maladaptive response to stressors from internal or external environment evidenced by thoughts, feelings, or behaviors incongruent with local or cultural norms

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2
Q

General adaptation syndrome- stages

A

Alarm stage
Resistance stage
Stage of exhaustion or death

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3
Q

Types of admissions

A

Voluntary

Involuntary

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4
Q

Voluntary admission

A

201
Initiated by patient
Formal agreement to be hospitalized

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5
Q

Involuntary admission

A

Not requested by patient
Need for emergency evaluation
Must be formally discharged

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6
Q

When you can force Meds

A

Mentally incompetent
In emergency
Endangers another person

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7
Q

DSM IV

A 
1- clinical disorders 
2- personality disorders
3- general medical conditions
4- psychosocial problems
5- global assessment of functioning (#s)
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8
Q

Phases of nurse patient relationship

A

Preinteraction
Orientation phase
Working phase
Termination phase

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9
Q

Confidentiality

A

Need trust and rapport, be honest

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10
Q

Trust

A

Necessary to develop any relationship, must be earned, keep promises, be honest, be confidential

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11
Q

Therapeutic use of self

A

Ability to use ones personality consistently and to full awareness in attempt to establish relatedness and structure interventions

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12
Q

Being supportive in nurse to relationship

A

Empathy and genuineness

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13
Q

Ethical treatment

A

Christian values- do to others as you would have done to you

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14
Q

Types of therapeutic communication

A

Silence, accepting, recognition, offering yourself, offer general lead, restate, reflect, focus, explore present reality

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15
Q

Non therapeutic communication

A

Reassurance, rejection, giving your opinion or advice, defending, belittling, denial, interpreting

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16
Q

Erik Ericsson

A

Basic assumption that social factor is more important in personality development, critical tasks must be achieved at each stage

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17
Q

Harry stack Sullivan

A

Personality and experiences relate to anxiety- good me, bad me, not me

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18
Q

Need for family therapy

A

Preferred unit of treatment, framework views pt as expressing pathology within his or her family

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19
Q

Benefits of group therapy

A

Explores patients goals, insights, problem solving strategies, concerns, and feelings, modeling

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20
Q

Benefits of group therapy

A

Efficient use of resources, cost effective, therapeutic benefits, logical

21
Q

Stages of group development

A

Initial- anxiety, cliques, attention competition
Middle- group is more cohesive, members talk, help others
Termination- evaluate and discuss resources

22
Q

Roles of groups in therapy

A

Monopolizer
Complainer
Demoralizer
Silent member

23
Q

Monopolizer

A

Talks excessively

24
Q

Complainer

A

Won’t accept help

25
Q

Demoralizer

A

No empathy for others

26
Q

Silent member

A

May not feel safe or sense of belonging

27
Q

Optimum group size

A

8-10

28
Q

Curative factors

A

Instillation of hope, universality, imparting info, altruism, corrective recapulation, development of social techniques, imitate behavior, interpersonal learning, catharsis, extensitial factors, group cohesiveness

29
Q

Instillation of hope

A

Seeing others progress may motivate them to get better

30
Q

Universality

A

Validating they’re not alone

31
Q

Imparting information

A

Formal- info from leader

Informal- info from members

32
Q

Altruism

A

Offering support and feeling better or useful

33
Q

Corrective recapitulation

A

Behavior has been influenced by family

34
Q

Socialization techniques

A

Direct- here to learn social skills

Indirect- through unplanned feedback

35
Q

Imitative behavior

A

Tries to be like another person

36
Q

Interpersonal learning

A

Through interaction with others they acquire insight

37
Q

Catharsis

A

Expressing intense emotion

38
Q

Existential factors

A

Life isn’t fair

39
Q

Group cohesive

A

Sense of belonging

40
Q

Cognitive therapy

A

Client focuses on connections between thoughts, mood, and behavior. Explores between distorted or automatic thoughts and aids in reality based thinking

41
Q

Projective therapy techniques

A

Music therapy, dance therapy, art therapy, bibliotherapy (reading books)

42
Q

Schizophrenia definition

A

Combination of disordered thinking, perceptual disturbance, behavioral abnormalities, affective disruptions, and impaired social function

43
Q

Psychotic symptoms

A

Inappropriate affect, blunted affect, flat affect, anhedonia (can’t experience pleasure), hallucinations, delusions, disorganized thinking, loose associations, echolalia (repeated words), neologism (made up words) word salad, clang association, concrete thinking, poor concentration, memory deficient, impaired problem solving, lack of motivation, social isolation

44
Q

Nursing management of symptoms

A

Help attain highest level of functioning, social skills, self esteem, reduce anxiety, teach, limit hyperactivity, self care

45
Q

Positive schizophrenia symptoms

A

Not normally seen in healthy people- hallucinations, delusions

46
Q

Negative symptoms in schizo

A

Decreased activity, limited speech, minimal self care

47
Q

Anti psychotic drug adverse reactions

A

Dystonic- muscle spasm
Parkinsonism
Akathesia- Inability to sit or stand still
Tardive dyskensia- permanent twitches

48
Q

Primary nursing diagnoses

A

Altered thought process, altered sensory perception, high risk for violence, self care deficit

49
Q

Pharmacological treatment

A

Conventional/neuroleptics- phenothiazines, relieve positive symptoms
New Meds- eliminate both negative and positive symptoms- risperdal

Behavioral Health Nursing (16 decks)

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