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Mental Health Care > Week 2 - Important concepts > Flashcards

Week 2 - Important concepts Flashcards

1
Q

Primary intention is to regulate the administration of mental health care in Ontario

A

Ontario Mental Health Act

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2
Q

deprived of oxygen at birth – challenges in emotional lability – got a frontal lobotomy

A

Rosemary Kennedy

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3
Q

induces seizures – led to ECT

A

insulin therapy

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4
Q

behaviours would change when certain degrees of seizures were induced – sometimes still used

A

ECT

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5
Q

neuroleptic – administered to patients and found that it had sedating effects – decreased agitation and restlessness

A

chlorpromazine - drug in the 50s

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6
Q

used in psychotic syndromes and ADHD

A

Thorazine and its derivatives - 50s drugs

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7
Q

What were some notable side effects related to thorazine and its derivatives, and chlorpromazine?

A

Drowsiness, dry mouth, tardive dyskenisia, orthostatic hypotension, weight gain, neuroleptic malignant syndrome

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8
Q

involuntary, uncoordinated movements of the face – choking risk

A

tardive dyskinesia

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9
Q

mood stabilizer used in treatment of bipolar disorder (sometimes MDD if other antidepressants do not work)

A

lithium (carbonate)

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10
Q

What monitoring is required when administering lithium?

A

Hydration status, thyroid and kidney function

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11
Q

behaviours always motivated; repressed memories and early childhood experiences

A

Freudian

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12
Q

similar to Freud but less strict on everything had a sexual motivation

A

Jungian

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13
Q

environmental interactions and biologic interactions at play with one another

A

Pluralism

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14
Q

clinical judgements about individual, family or community responses to actual or potential life processes

A

nursing diagnoses

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15
Q

What are the two major types of nursing interventions?

A

Direct - apply directly to client

Indirect - involving service for the care, or team meeting to discuss where to go next

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16
Q

therapeutic communities that have people living and functioning together and being responsible for aspects of their community; often a consequence system set in place

A

milieu therapy - social domain intervention

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17
Q

nurse uses their experience to help the patient without burdening them with their experience.

A

therapeutic use of self

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18
Q

• A form of psychotherapy that identifies, analyzes, and ultimately changes habitually inflexible and negative cognitions

A

CBT

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19
Q

Most widely researched form of psychotherapy

A

CBT

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20
Q

What is the cognitive model?

A

Think –> feel –> behave

21
Q

What is the cognitive behavioural sequence?

A

Thoughts –> emotions –> bodily sensations –> behaviour

22
Q

What are the levels of cognition?

A

Automatic thoughts
Intermediate beliefs
Core beliefs

23
Q

one that doesn’t have to make sense, but just pops into your mind – the most superficial and easiest to change

A

automatic thoughts

24
Q

things you truly believe; cognitive products, automatic thoughts
- If, should or must statements – often fairly rigid but unrealistic

A

intermediate beliefs

25
Q

accepted as absolute truths; fundamental and hard to articular  require exploration

A

core beliefs

26
Q

What is the pathological nature of the levels of cognition? How does treatment using CBT go about it?

A

Pathological nature is bottom-up; CBT treatment is top down (i.e. start at automatic thoughts)

27
Q

Initial CBT sessions are directed by whom?

A

the therapist

28
Q

CBT patients encouraged to view their thoughts and feelings in hypotheses
Their viewpoint is one of many that are plausible

A

inductive reasoning

29
Q

Specific way of questioning that supports inductive reasoning
Reasoned dialogue helping the patient to determine how own broader perspective on the validity, accuracy, and functionality of his or her thought process
How would this change if you tried this instead?

A

Socratic questioning

30
Q

• Provided at the end of each session with the expectation that the patient will work on them throughout the week and be prepared to discuss them at the beginning of the following session

A

Self-reflection

31
Q

What is the goal of self-reflection?

A

Experience new insights

32
Q

a way to test and challenge both maladaptive thinking patterns and newly acquired rational thoughts

A

behavioural experiments

33
Q

include exposure techniques, relaxation training, and activity monitoring

A

behavioural strategies to modify symptoms

34
Q

not a replacement for CBT, but a nice adjunct therapy; form of self-trained self-observation based on meditation practices.

A

mindfulness

35
Q

Who is at risk for suicide?

A

unemployed, vulnerable populations, lives alone, depressed or other mental health disorder

36
Q

the voluntary and intentional act of killing onself

A

suicide

37
Q

thinking about or planning one’s own death

A

SI

38
Q

self-inflicted actions, with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die

A

suicidal behaviour or attempted suicide

39
Q

self-injurious or self-harm that may mimic suicidal behaviour; primary intention NOT to kill oneself

A

parasuicide

40
Q

the probability that an individual will be successful in completing suicide – varies by method, means and availability of means

A

lethality

41
Q

Describe gender and suicide.

A

women try it 4x more; men complete it 3x more

42
Q

How many survivors are left after each suicide?

A

around 6

43
Q

What are some pediatric considerations for suicide?

A

rare under 10
more somatic symptoms
SI and self harm are highest in adolescents; serious risk at 15-19 for suicide

44
Q

How are survivors impacted by suicide?

A

Increased stigmatization and social rejection

45
Q

When was suicide decriminalized?

A

1972

46
Q

What are the factors for MAID application?

A

cannot be used for children
must be mentally competent to make the decision
no secondary decision makers can decide

47
Q

What are the indicators for a form 1?

A

Threatening harm to self or others
Violent behaviour
incompetence and safety risk

48
Q

What is the form 1 timeline?

A

72 hours

49
Q

When performing a suicide assessment, what are the factors to focus on?

A

Risk factors AND protective factors

Mental Health Care (11 decks)

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