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314 mental health > final exam > Flashcards

final exam Flashcards

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1
Q

intentional torts

A

false imprisonment
assault: verbal
battery: physical

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2
Q

unintentional tort

A

negligence
malpractice

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3
Q

voluntary admission

A

choice
client may refuse medication/tx
before release client can be evaluated, if needed, MD can initiate involuntary admission (threat to themself or others/cannot care for themselves)

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4
Q

involuntary admission

A

need a court order
2 physicians have to sign off have to appear in court within 60 days

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5
Q

restraint and seclusion

A

Assess every 15 min
Need physician’s order
Least restrictive to most
Expires 24 hours
Assessing pain, potty, possession, position
Released one at a time
Circulation
If an emergency, order is needed within 15-30 min
The physician needs to lay eyes on the patient
Seclusion is a form of restraint
Chemical restraint

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6
Q

duty to warn

A

If a client confides in the nurse about the potential for harm to an intended victim, it is the nurse’s duty to report this information to the psychiatrist and other team members and provide detailed documentation of the encounter.

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7
Q

Assertive community training

A

nurse to place of residence, provide assistance: bills, appts, food

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8
Q

Partial hospitalization programs

A

patient goes to a place every day, Monday through Friday for the day and returns to their residence at night (like behavioral health clinic OSF)

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9
Q

what are neurotransmitters?

A

chemical messenger that transmits messages from one neuron to another, has to pass through the synaptic cleft

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10
Q

Gaba

A

anxiety

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11
Q

Serotonin

A

depression

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12
Q

dopamine

A

schizophrenia

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13
Q

acetylcholine

A

memory

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14
Q

Attention deficit hyperactivity disorder

A

Clinical manifestations: can’t sit still, hard for them to learn, inattention, decreased social cues, energetic, impulsive

Meds: ritalin, vivace - stimulants!!

Monitor weight loss, blood pressure (hypotension is common)

How do we keep them focused? Clear short and concise speech, directions one at a time, don’t give list

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15
Q

Altruism

A

Dealing with anxiety by reaching out to others (taking a bad thing and turning it positive)

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16
Q

Compensation

A

Covering up a real or perceived weakness by emphasizing a trait one considers more desirable

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17
Q

conversion

A

Responding to stress through the unconscious development of physical manifestations not caused by a physical illness

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18
Q

displacement

A

the transfer of feelings from one target to another that is considered less threatening or that is neutral

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19
Q

dissociation

A

a disruption in consciousness, memory, identity, or perception of the environment that results in compartmentalization of uncomfortable or unpleasant aspects of oneself

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20
Q

identification

A

an attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires

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21
Q

intellectualization

A

an attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis

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22
Q

introjection

A

integrating the beliefs and values of another individual into one’s own ego structure

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23
Q

isolation

A

separating a thought or memory from the feeling, tone, or emotion associated with it

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24
Q

projection

A

attributing feelings or impulses unacceptable to one’s self to another person

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25
rationalization
attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors
26
reaction formation
preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors
26
regression
retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning
27
repression
involuntarily blocking unpleasant feelings and experiences from one’s awareness
28
splitting
demonstrating an inability to reconcile negative and positive attributes of self or others into a cohesive image
29
sublimation
rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive
30
suppression
the voluntary blocking of unpleasant feelings and experiences from one’s awareness
31
undoing
symbolically negating or canceling out an experience that one finds intolerable
32
Experiencing a panic attack dt exposure of a phobia
Interventions include: systemic desensitization, benzo, stay with them until the attack is over, low-stimulus environment, calm demeanor, and expression of feelings, if they have panic attacks - they should be on routine meds, PRN for attacks After med administration: assess resp status, sedation (could be taken with alcohol) - synergistic effect Benzo: only PRN, no driving or heavy machinery SSRIs: assess for serotonin syndrome, especially with st johns wart
33
Increased amount of stress, behavioral modifications to recommend:
deep breathing, guided imagery, music therapy, cognitive framing, mindfulness, biofeedback, progressive muscle relaxation, exercise, journaling, priority restructuring, meditation
34
Dissociative disorders: What is the reason?
Dissociating to protect the primary self, know the difference between those disorders
35
Depersonalization/Derealization Disorder
temporary change in awareness characterized by feeling they are observing one’s own personality or body from a distance. Derealization is when the person feels the events are part of a dream or unreal.
36
Dissociative Amnesia
inability to recall personal information related to traumatic or stressful events- common with trauma victims- may not recall the crime or what the perpetrator looks like
37
Dissociative fugue
type of dissociative amnesia where person travels to new area and does not know self or parts of their past.
38
Dissociative Identity Disorder
personality switches to protect the self- client displays more than one personality (at least 2) and will have memory gaps
39
PTSD
Clinical manifestations: nightmares, which can cause insomnia, intrusions (flashbacks), anhedonia, persistent arousal, depersonalization/derealization Commonly see them taking Z-hypnotics The goal for them is to sleep SSRI's first-line treatment
40
False imprisonment
using a form of restraint without probable cause
41
Purpose of AA
maintain recovery, maintain sobriety
42
What are extrapyramidal side effects?
Akathisia, acute dystonia, pseudoparkinsonism, tardive dyskinesia
43
Lithium
Therapeutic lithium level 0.6-1.2 If someone is manic, where do we want the level to be? 1-1.5 What is a toxic lithium level? 1.5-2 Mindful of: levels measured every month in the beginning, once hit therapeutic levels its every other month
44
Electroconvulsive therapy
Who is a candidate? Meds not working or major depression Along with medication, not instead of Don’t do it without trying the medication
45
Anorexia nervosa
weight loss, gradual loss, does not have immediate gratification, self-worth is weight, more nutritional deficits, refeeding syndrome when trying to gain weight
46
Personality disorders guidlines
be firm, set boundaries, be aware of countertransference
47
MAOIs
Tyramine diet! → if not can lead to hypertensive crisis = medical emergency → ICU No other antidepressants
48
Major depressive disorder clinical manifestations
anergia Chronic irritability Anhedonia Isolation Anorexia or binge eating Insomnia or excessive sleeping ALDs are poor Poor hygiene Lack of self-care
49
What leads to delirium
Polypharmacy = client on multiple drugs Long stays in the hospital UTI Infection
50
persecutory
paranoid
51
grandiose
exceptional greatness
52
delusions of reference
cues in the environment are specifically referring to them
53
delusions of control or influence
magical thinking
54
somatic
centered on personal body function
55
nihilistic
the self, part of self, others, or the world is nonexistent or has been destroyed
56
erotomanic
someone of higher status is in love with them
57
jealous
sexual partner is unfaithful
58
hallucinations
false sensory perceptions not associated with real external stimuli - Auditory- most common- voices, clicks, music, other noises - Visual- formed images, unformed images - Tactile- something on or under their skin - Olfactory- smell - Gustatory- unpleasant tastes
59
Illusions
misperceptions or misinterpretations of real external stimuli
60
echopraxia
imitating movement of others
61
Disorganized thinking manifested in speech:
Loose associations- shift of one idea to another without connection of ideas Neologisms-newly invented words that are meaningless to others Clang associations- using words in a sentence that rhyme Word salad- words that are put together without meaning Circumstantiality- unable to express point of topic due to unnecessary or tedious details Tangentiality- unable to focus on topic, veers off topic Perseveration- speaking same word or idea in response to different questions Echolalia- repeating words or phrases spoken by another
62
negative symptoms
Apathy- indifference or disinterest in the environment Avolition- inadequate interest, lack of motivation, neglect of ADLs, hygiene, and appearance Ambivalence - can cling or intrude on others Associality - withdraw from others Anosognosia - lack of insight to illness Anergia- lack of energy to carry out ADLs or interact with others Alogia- decreased verbal communication Anhedonia- Inability to feel pleasure Lack of abstract thinking- become concrete thinkers
63
Unconventional antipsychotics
agranulocytosis, neuroleptic malignant syndrome (fever, muscle rigidity, tachycardia)
64
cluster a
paranoid schizoid schizotypal
65
cluster b
antisocial borderline histrionic narcissistic
66
cluster c
avoidant dependent obsessive-compulsive
67
SSRI's
Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline assessing for serotonin syndrome (especially with st johns wart) (Sx: tachy, n/v, confusion, sweating, coma)
68
SNRI's
venlafaxine duloxetine
69
TCA's
amitriptyline imipramine nortriptyline assessing for agranulocytosis, anticholinergic effects
70
MAOI's
phenelzine tranylcypromine selegline isocarboxazid TYRAMINE! not OTC decongestants or other antidepressants
71
conventional antipsychotics
heloperidol fluphenazine thiothixene perpenazine assess for extraprimidal side effects (high five the powerful)
72
unconventional antipsychotics
clozapine risperdone olanzapine ziprasidone aripiprazole paliperidone assess for agranulocytosis, and neuroleptic malignant syndrome (fever, muscle rigidity, tachy) (CROZy Atypicals are Powerful)

314 mental health (1 decks)

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