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test 1 Flashcards

1
Q

the successful performance of mental functions; where you are able to engage in productive activities, relationships, and like adversity

A

mental health

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2
Q

bible for mental health

A

dsm 5

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3
Q

diagnostic and statistical manual and it is something that classifies mental disorders

A

dsm

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4
Q

6 stages

A

maslow theory

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5
Q

hildegrade paplau

A

described the first patient- nurse relationship; stages of the nurse client relationship

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6
Q

termination phase begins when

A

at the orientation phase

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7
Q

nursing role is clarified in this phase

A

orientation phase

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8
Q

patient puts some of the past experiences onto the nurse

A

transference

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9
Q

nurse puts some past experience on the patient

A

counter transference

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10
Q

who provides structure to the nurse client relationship

A

the nurse ; formal relationship

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11
Q

power of understanding things going on in a persons life

A

empathy

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12
Q

over involvement and sharing of your own feelings

A

sympathy

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13
Q

feeling with someone

A

empathy

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14
Q

feeling sorry for someone

A

sympathy

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15
Q

cognitive behavioral therapy

A

active, time limited, structured, homework is assigned

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16
Q

surroundings and the physical environment

A

Milieu

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17
Q

QSEN

A

quality safety and education for nurses

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18
Q

evaluates the cognitive process; critical component for the assessment on your patient

A

mental status exam- MSE

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19
Q

focuses on the client problem and needs

A

therapeutic relationship

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20
Q

friendship, intimacy

A

social relationship

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21
Q

hospitalization to stabilize crisis

A

acute care

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22
Q

voluntary and involuntary admission

A

look up

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23
Q

restraining someone is a

A

last ditch effort

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24
Q

patient is in a room and you have to close the door and lock them in their

A

seclusion

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25
Q

when do you renew restraints

A

less than 24 hours

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26
Q

most chronic psych illness

A

schiz

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27
Q

malfunction of dopamine and typically the frontal lobe is effected

A

schiz

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28
Q

least chronic psych disorder

A

adhd

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29
Q

what 2 disorders look very similar to each other

A

austism and schiz

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30
Q

schizoeffective disorder

A

symptoms of schizophrenia plus symptoms of mood or effective disorders like bipolar disorder

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31
Q

positive symptoms

A 
delusions
hallucinations
psychosis
paranoia 
jealousy
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32
Q

ideas of reference

A

patient saw staff talking and believed they were plotting against her

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33
Q

first thing to ask a patient who Is experiencing hallucinations

A

what are the voices telling you to do?; identify feeling, tell then reality then divert

34
Q

includes only positive symptoms

A

psychosis

35
Q

incudes positive and negative symptoms

A

schiz

36
Q

Successful performance of mental functions
Able to engage in productive activities
Enjoy fulfilling relationships
Cope with adversity

A

mental health

37
Q

what is mallows theory

A

basic needs of life; physiological, safety, social, esteem, self fulfillment

38
Q

Wrote Interpersonal Relations In Nursing; nurse client relationship

A

Hildegard Peplau

39
Q

Trust is established
Nurse establishes parameters of the
relationship

A

orientation phase

40
Q 
Maintain the relationship
Gather further data
Promote client’s problem solving skills
Facilitate change
  Overcome resistance
A

working phase

41
Q

Feelings: both client and nurse
(client may withdraw; regress)
Summarize the goals/objectives

A

termination phase

42
Q

Power of understanding and entering into another person’s life

A

empathy

43
Q

Overinvolvement and sharing of your own feelings after hearing about another person’s similar experience.

A

sympathy

44
Q

who came up with cognitive behavioral therapy

A

aaron becks method

45
Q

Focus on client problem and needs

A

therapeutic

46
Q

someone calls the nurses station asking about a patient what do you do

A

I can neither confirm nor deny

47
Q

what is the purpose of therapeutic communication

A

To promote growth and change for your client

48
Q

hospitalization crisis, length of stay decreases,

A

acute care

49
Q

Person enters treatment facility, participates in the treatment planning process, and follows through with the treatment.

A

voluntary

50
Q

can a voluntary admission leave against medical advice

A

yes

51
Q

Confined hospitalization of a person without the person’s consent but with a court order.

A

involuntary commitment

52
Q

may be indicated for actively suicidal client, meaning that there needs to be one staff member assigned to watch client at all times.
may be indicated for client who is escalating and getting upset

A

1:1

53
Q

mobile treatment units that respond to clients in the community

A

assertive community treatment ; act

54
Q

what is the goal of act

A

prevent hospitalization

55
Q

Haloperidol / Haldol

A

Traditional antipsychotic/ 1st Gen/ schiz/ Blocks dopamine/

Sedation, anticholinergic, wt gain, EPS, TD, NMS

56
Q

Risperidone/ Risperdal

A

Atypical antipsychotic/ 2nd Gen/ Schizophrenia, Bipolar, aggression/ blocks dopamine and serotonin/ Sedation, increased vs, wt gain, metabolic synd, EPS

57
Q

Olanzapine/ Zyprexa

A

Atypical antipsychotic/ 2nd Gen/ schiz and mania/ blocks dopamine and serotonin/ Sedation, wt gain, increased cholesterol, EPS

58
Q

Benztropine Mesylate/ Cogentin

A

antiparkinson/ Parkinson’s, treat/prevent EPS/dystonia/ dopamine inhibitor/ Drowsiness, dizziness, orthostatic hypotension, nausea

59
Q

Behaviors which may be added as client becomes more ill

A

positive

60
Q

Behaviors that may be taken away from client as illness takes hold

A

negative

61
Q

positive symptoms of schiz

A

delusions, ideas of reference, hallucinations, paranoia, personal boundary difficulties, alterations with behavior, speech alterations, catatonia

62
Q

which symptoms do older meds work

A

positive

63
Q

negative symptoms of schiz

A

apathy
anhedonia-lack of pleasure
decrease social
poverty of thought

64
Q

newer meds work where

A

on positive and negative symptoms

65
Q

inability to move normally and have normal functions

A

catatonia

66
Q

perceiving events as relating to you when they are not

A

ideas of reference

67
Q

Disorganization of the personality, deterioration in social functioning, and loss of contact with, or distortion of, reality.

A

psychosis

68
Q

Feeling that the person has lost his/ her identity /that body has changed

A

depersonalization

69
Q

Positive symptom

loosely associated, haphazard, illogical, confused speech that can sometimes be decoded

A

associative looseness

70
Q

Newly coined words having meaning only for the client

A

neologism

71
Q

in the withdrawn phase of the catatonia, the client may demonstrate posturing

A

waxy flexibility

72
Q

Restlessness
Patient can be “hyper”, agitated, pacing the halls
Sometimes this is misinterpreted as part of the psychosis, when really it is a side effect of the med

A

Akathisia

73
Q

Caused more by traditionals than atypicals

A

Extra pyramidal Side Effects ; EPS

74
Q

Akathisia
Acute dystonia
Pseudo parkinsonism
Tardive dyskinesia

A

eps

75
Q

muscle cramping of the head and neck

A

dystonia

76
Q

Client looks like they have Parkinson’s disease:

Tremor, impaired gait, stiff muscles, flat affect

A

pseudo parkinsin

77
Q

Involuntary tonic muscular contractions
“Guppy-like”mouth movement, tongue protrusions
Involve the tongue, fingers, toes, neck, trunk or pelvis

A

Tardive dyskinesia

78
Q

Decreased level of consciousness
Increased muscle tone
Fever, hypertension, tachycardia, tachypnea, diaphoresis, drooling

A

neuroleptic malignant syndrome

79
Q

Criteria to be admitted to inpatient Psychiatric Unit: Harm to:

A

Clear risk of client danger
Danger to self or others
Failure of outpatient treatment
Detox from heavy alcohol/drug abuse

80
Q

Disorganization of the personality, deterioration in social functioning, and loss of contact with, or distortion of, reality.

A

psychosis

81
Q

Helps patient readjust to community living by promoting necessary skills, such as social skills training and basic job skills

A

psychosocial rehab

psych (4 decks)

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