Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

COC N126 Psych 🧠 > Week 1 > Flashcards

Week 1 Flashcards

You may prefer our related Brainscape-certified flashcards:
GRE® Psychology flashcards Psychology 101 flashcards
1
Q

Therapeutic Communication is…

A

Communication geared towards meeting the patient’s needs as opposed to an assessment that is geared towards meeting a nurse’s needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What percentage of communication is nonverbal?

A

90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Will you say the wrong thing?

Will saying the wrong thing be harmful to the patient?

A

“Yes, but that is how we will learn to find more useful and effective ways of helping individuals reach their goals”

“Hardly, especially if your intent is honest, your approach is respectful, and you have a genuine concern for the patient”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Therapeutic communication techniques discussed in YouTube video

Q) What would you like to talk about today?

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

B) Broad opening remarks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Therapeutic communication techniques discussed in YouTube video

Q) Can you tell me more about the voices in your head?

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

A) Open ended questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Therapeutic communication techniques discussed in YouTube video

Q) You seem a little sad to me today

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

E) Sharing observations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Therapeutic communication techniques discussed in YouTube video

Q) Do I understand you correctly when you say _?

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

D) Clarification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Therapeutic communication techniques discussed in YouTube video

Q) Patient: Do you think I should try that new medication?
SRN: Well, do you think you should take those new medications?

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

C) Reflection

Returning the question back to the patient so that they decide for themselves.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Therapeutic communication techniques discussed in YouTube video

Q) Patient: I’m so anxious that I can’t get to sleep
SRN: So your anxiety is keeping you up at night?

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

F) Restating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Therapeutic communication techniques discussed in YouTube video

Q) Patient: Do you hear what she said? The voice?
SRN: I understand that you are hearing a voice, but I do not hear any voice.

Is an example of…

A) Open ended questions
B) Broad opening remarks
C) Reflection
D) Clarification/Validation
E) Sharing observations
F) Restating
G) Presenting reality/Orienting

A

G) Presenting reality/Orienting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) SRN: Everything is going to be ok in the end

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

E) False reassurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) Patient: Did I do the right thing?
SRN: Yes, you did the right thing

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

D) Passing judgment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) Patient: What do you think I should do?
SRN: You should…

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

A) Giving advice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) SRN: Are you feeling sad?
Patient: Yes

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

C) Closed ended questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) SRN: Why are you so angry?

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

B “Why” questions
Puts the patient on the defensive when using these type of questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) SRN: You don’t smoke…do you?

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

F) Leading questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

NON-therapeutic communication techniques discussed in YouTube video

Q) Patient: I was abused when I was a little boy
SRN: What do you like to do for fun?

Is an example of…

A) Giving advice
B) “Why” questions
C) Closed ended questions
D) Passing judgement (approving/disapproving)
E) False reassurance
F) Leading questions
G) Changing the subject

A

G) Changing the subject

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Therapeutic Techniques Based on the Book

Example: “I would like to spend time with you”; or, “I’ll stay here and sit with you for a while”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

D) Offering self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Therapeutic Techniques Based on the Book

Example: “Tell me about it”; or, “And then what happened?”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

E) Offering general leads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Therapeutic Techniques Based on the Book

Example: “What do these voices seem to be saying?”; or, “What is happening now?”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

I) Encouraging description of perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Therapeutic Techniques Based on the Book

Example: “Where would you like to begin?”; or, “What would you like to discuss?”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

F) Giving broad opening remarks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Therapeutic Techniques Based on the Book

Example: “When did this happen?”; or, “What happened before?”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

G) Placing the events in time or sequence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Therapeutic Techniques Based on the Book

Example: Encourage a person to talk by waiting for the answers

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

Using silence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Therapeutic Techniques Based on the Book

Example: “You appear nervous whenever Mikael enters the room”; or, “You appear tense”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

H) Offering observations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Therapeutic Techniques Based on the Book

Example: “I follow what you say”; or, “Okay”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

B) Accepting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Therapeutic Techniques Based on the Book

Example: “Good morning, Mr. James”; or, “I noticed that you shaved today”

A) Using Silence
B) Accepting
C) Giving Recognition
D) Offering Self
E) Offering General Leads
F) Giving Broad Opening Remarks
G) Placing the Events in Time or Sequence
H) Offering Observations
I) Encouraging Description of Perception

A

C) Giving recognition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Therapeutic Techniques Based on the Book

Example: “That was Dr. Todd, not a terrorist stalking and trying to harm you.”; or, “Your mother is not here, I am a nurse”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

H) Presenting reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Therapeutic Techniques Based on the Book

Example: “Tell me more about that”; or, “Would you describe it more fully?”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

E) Exploring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Therapeutic Techniques Based on the Book

Example: Patient: “I can’t sleep. I stay awake all night.”
SRN: “You can’t sleep and stay awake all night”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

B) Restating

Per Professor Houghton, restating must be verbatim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Therapeutic Techniques Based on the Book

Example: “Has this ever happened before?”; or, “Is this how you felt when…?”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

A) Encouraging comparison

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Therapeutic Techniques Based on the Book

Example: “This medication is for…”; or, “This test will determine…”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

F) Giving information

32
Q

Therapeutic Techniques Based on the Book

Example: “I am not sure I understand”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

G. Seeking clarification

33
Q

Therapeutic Techniques Based on the Book

Example: “You’ve mentioned many things, lets go back to your thinking of ‘ending it all,’”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

D) Focusing

34
Q

Therapeutic Techniques Based on the Book

Example: Patient: “What should I do about my husband’s affair?
SRN: “What do you think you should do?”

A) Encouraging Comparison
B) Restating
C) Reflecting
D) Focusing
E) Exploring
F) Giving Information
G) Seeking Clarification
H) Presenting Reality

A

C) Reflecting

35
Q

Therapeutic Techniques Based on the Book

Example: “I find that hard to believe”; or, “Isn’t that unusual?”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

A) Voicing doubt

36
Q

Therapeutic Techniques Based on the Book

Example: “What did it mean to you when he said he couldn’t stay?”; or, “How do you feel about…?”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

D) Encouraging Evaluation

37
Q

Therapeutic Techniques Based on the Book

Example: “Perhaps you and I can discover what produces your anxiety.”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

F) Suggesting collaboration

38
Q

Therapeutic Techniques Based on the Book

Example: “The next time this comes up, what might you do differently to handle it?”; or, “What could you do to let out your anger harmlessly?”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

H) Encouraging formulation of a plan of action

39
Q

Therapeutic Techniques Based on the Book

Example: “Tell me whether my understanding agrees with you”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

B) Seeking consensual validation

40
Q

Therapeutic Techniques Based on the Book

Example: Patient: “I am dead inside”
SRN: “Are you saying that you feel lifeless? Does life seem meaningless to you?”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

E) Attempting to translate into feelings

41
Q

Therapeutic Techniques Based on the Book

Example: Patient: “I can’t talk to you or anyone else. It’s a waste of time.”
SRN: “Do you feel that no one understands?”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

C) Verbalizing the implied

42
Q

Therapeutic Techniques Based on the Book

Example: “During the past hour, we discussed…”

A) Voicing Doubt
B) Seeking Consensual Validation
C) Verbalizing the Implied
D) Encouraging Evaluation
E) Attempting to Translate Into Feelings
F) Suggesting Collaboration
G) Summarizing
H) Encouraging Formulation of a Plan of Action

A

G) Summarizing

43
Q

NON-Therapeutic Techniques Based on the Book

Example: “How come you still smoke when your wife has lung cancer?”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

D) Making value judgements

A more appropriate approach would be through the therapeutic communication technique of “Making Observations”

“I notice you are still smoking even though your wife has lung cancer. Is this a problem?”

44
Q

NON-Therapeutic Techniques Based on the Book

Example: You should definitely break up with your boyfriend”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

A) Giving premature advice

A more appropriate approach would be through the therapeutic communication technique of, “Encouraging problem solving”

“What are some pros and cons of your relationship?”

“What are some ways you two can prevent this from happening again?”

45
Q

NON-Therapeutic Techniques Based on the Book

Example: Why did you stop taking your medications?”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

E) Asking why questions

A more appropriate approach would be through the therapeutic communication technique of, “Asking open-ended questions; giving a broad opening”

“Tell me some of the reasons that led up to you not taking your medications”

46
Q

NON-Therapeutic Techniques Based on the Book

Example: “You will be just fine, don’t worry” or “Everything will work out in the end”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

C) Falsely reassuring

A more appropriate approach would be through the therapeutic communication technique of, “Clarifying the patient’s message”

“What specifically are you worried about?”

“What are you concerned might happen?”

47
Q

NON-Therapeutic Techniques Based on the Book

Example: Patient: “I’d like to die”
SRN: “Are you going to the Alcoholics Anonymous meeting tomorrow?”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

I) Changing the subject

A more appropriate approach would be through the therapeutic communication technique of “Validating and exploring”

Patient: “I’d like to die”
SRN: “This sounds serious. Have you thought of harming yourself?”

48
Q

NON-Therapeutic Techniques Based on the Book

Example: Patient: “I wish I were dead”
SRN: “I know what you mean”; or, “Things get worse before they get better”; or, “ You should feel happy you’re getting better”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
F) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

B) Minimizing feelings

A more appropriate approach would be through the therapeutic communication technique of, “Emphasizing and exploring”

“You must be feeling very upset. Are you thinking of hurting yourself?”

49
Q

NON-Therapeutic Techniques Based on the Book

Example: “You should have shown up for the medication group”; or, “I disagree with that”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
f) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

H) Disapproving; disagreeing

A more appropriate approach would be through the therapeutic communication technique of, “Exploring”

“What was going through your mind when you decided not to come to your medication group?”

50
Q

NON-Therapeutic Techniques Based on the Book

Example: SRN, “How’s your appetite? Are you losing weight? Are you eating enough?”
Patient: “No”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
f) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

F) Asking excessive questions

A more appropriate approach would be through the therapeutic communication technique of, “Clarifying”

“Tell me about your eating habits since you’ve been depressed”

51
Q

NON-Therapeutic Techniques Based on the Book

Example: “I’m proud of you for applying for that job”

A) Giving Premature Advice
B) Minimizing Feelings
C) Falsely Reassuring
D) Making Value Judgements
E) Asking “Why” Questions
f) Asking Excessive Questions
G) Giving Approval; Agreeing
H) Disapproving; Disagreeing
I) Changing the Subject

A

G) Giving approval; agreeing

A more appropriate approach would be through the therapeutic communication technique of, “Making observations”

“I noticed that you applied for that job”

“What factors led you to change your mind about applying for that job?”

52
Q

Define: Transference

A

When a patient sees the nurse as someone whom has significant impact on them (ie: Mom, brother, cousin, best friend etc…) and as a result shows the same feelings to the nurse that they would on the person they remind them of.

53
Q

Define: Countertransference

A

When a patient reminds the nurse of someone they know which may have an impact on the care that the patient receives.

54
Q

Define: Countertransference

A

When a patient reminds the nurse of someone they know which may have an impact on the care that the patient receives.

55
Q

Phases of the nurse-patient relationship

A

Orientation phase
Working phase
Termination phase

56
Q

What occurs in the orientation phase?

A

Establishing rapport: Learning how to address the patient to their preference and introducing yourself.

Parameters of the relationship: Provide basic information about yourself such as being a student nurse to set parameters.

Formal or informal contract: Not done in our class but essentially is an agreement between patient and student regarding the best time and date for both parties to engage in communication to discuss realistic goals but it is imperative that the agreement is mutual.

Confidentiality: Be aware of the patient’s rights to confidentiality and discuss who else will be given the information shared with the nurse and other providers.

Termination: Termination begins in the orientation phase when setting the contract, the patient will know when the last day will be.

57
Q

What occurs in the working phase?

A

Maintaining the relationship

Gathering further data

Promoting the patient’s problem-solving sills, self-esteem, and use of language

Facilitate behavioral change

Overcome resistance behaviors

Evaluate problems and goals, and redefine them as necessary

Promote, practice, and express alternative adaptive behaviors

58
Q

What occurs in the termination phase?

A

Summarize the goals and objectives in the relationship

Discuss ways for the patient to incorporate into daily life any new coping strategies learned during the time spent with the nurse

Reviewing situations that occurred during the time spent together

Exchanging memories, which can help validate the experience for both nurse and patient and facilitate closure of that relationship.

59
Q

Define Pacing in psychiatrist nursing

A

Letting the patient set the pace and letting the pace be adjusted to fit the patient’s moods.

60
Q

Define empathy

A

“entering the private perceptual world of the other and becoming thoroughly at home with it.”

“Meeting the patient at their level”

“Putting yourself in their shoes”

61
Q

Define complete suicide

A

An intentional act to self harm resulting in death

62
Q

Define copy cat suicide

A

Emulation of a suicide of another individual as seen either in person or in the media.
(This has occurred when celebrities have committed suicide)

63
Q

Define No-harm plan

A

When a patient agrees to not do harm to self or others.

64
Q

Risk factors for suicide

A

Marital status (Single never married persons, divorces, and widowers)

Gender (70% men use more lethal means but women have more attempts)

Age (Men 45-64 years old)

Adolescents (firearms male, suffocation female)

Severe Insomnia

Affliction with a chronic, painful, or disabling illness (Assisted suicides is legal in some states)

Ethnicity (Caucasian, native Americans, hispanic Americans, asian Americans, African Americans in that order)

Psychiatric illness (Hospitalized more than non hospitalized)

Early in tx with antidepressants (SSRIs)

Hx of previous suicide attempt

65
Q

True or False

Asking a depressed person about suicide may put the idea in their heads

A

False

66
Q

True or False

There’s no point in asking about suicidal thoughts…if someone is going to do it, they won’t tell you

A

False

67
Q

True or False

Someone that makes suicidal threats won’t really do it, they’re just looking for attention”

A

False

68
Q

Nurse assessment of suicidal ideation should include…

A

Idea (thoughts)

Plan (intention)

Attempts (behavior)

When the patient has attempted self injury (Distinguish between suicidal self-injury and non-suicidal self-injury

69
Q

Verbal cues of suicide…

A

“I can’t take it anymore”

“Everyone would be better off if I died”

“I just want to go to sleep and not wake up”

70
Q

Behavioral cues of suicide…

A

Giving away prized possessions

Writing farewell notes

Making out a will

Putting personal affairs in order

Neglecting personal hygiene

Sudden improvement in mood after being depressed or withdrawn

71
Q

True or False

A more detailed plan = a more lethal plan

A

True

72
Q

Lethal means of suicide (4)

A

Guns

Hanging

Staging a car crash

Carbon monoxide poisoning

73
Q

Non-lethal plans (2)

A

Wrist cutting

Overdosing on pills

74
Q

What is the assessment acronym for SI?

What does it stand for?

A

IS PATH WARM?

Ideation

Substance abuse

Purposelessness

Anger: Expressess uncontrolled anger

Trapped: Expresses belief that there is no way out of the current situation

Hopelessness

Withdrawn

Anxiety

Recklessness

Mood

75
Q

What is a Sad Person’s Scale?

What does it stand for? and how many points per section?

A

SI risk assessment

S: Male sex = 1
A: Age, if less than 19 or more than 45: 1
D: Depression or hopelessness: 2

P: Previous suicidal attempts or psychiatric care: 1
E: Excessive ethanol or drug use: 1
R: Rational thinking loss (Psychotic or organic illness): 2
S: Separated or widowed or divorced: 1
O: Organized plan or serious attempt: 2
N: No social support: 1
S: Stated future intent: 1

76
Q

What do each section require based on the SAD PERSONS scale

0-5 points on the SAD PERSONS scale

6-8 points on SAD PERSONS scale

> 8 points on SAD PERSONS scale

A

0-5 Safe for discharge with family or friends with a follow up appointment

6-8 Require an immediate psychiatric consultation

> 8 Requires hospital admission

77
Q

What do each section require based on the SAD PERSONS scale

0-5 points on the SAD PERSONS scale

6-8 points on SAD PERSONS scale

> 8 points on SAD PERSONS scale

A

0-5 Safe for discharge with family or friends with a follow up appointment

6-8 Require an immediate psychiatric consultation

> 8 Requires hospital admission

COC N126 Psych 🧠 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions