FINAL (JAY) Flashcards

Question

Health Beliefs, Habits and Practices considerations?

Answer 1

What are your beliefs about health, illness, birth, death, time, and health care providers? Which cultural group do you identify with?

Answer 2

Have you experienced discrimination because of your ethnic background? If so, how? What type of cultural stereotyping have you experienced?

Answer 3

Social Status (age, sex, family status, occupation)  Membership in groups (cultural, membership)  Social labels (i.e. mentally ill, unemployed)  Derived statuses (war veteran, rec overing alcoholic)  Social types (perceptions, attitudes as self defined).  Personality identity (nickname, preferred name, title)

Answer 4

visual assessment tool depicting the various systems in an individual’s life. These include relationships, communities, work, education

Answer 5

concise visual depiction of the family structure and relevant situational information used in nursing assessments.

Answer 6

CRISIS* (Stress, Anxiety) COMFORT* (pain) HOPE* (hopelessness) LOSS (grief) POWER* (powerlessness) RESILIENCY* (coping, strengths) INTEGRITY (death, dying, acceptance)

Answer 7

1) Physiological Component 2) Cognitive Component 3) Emotional Component

Answer 8

Fight or flight response.

Answer 9

Stage 1: Alarm reaction Stage 2: Resistance stage Stage 3: Exhaustion stage

Answer 10

Cardiovascular Respiratory Gastrointestinal Musculoskeletal Genitourinary Dermatologic

Answer 11

The person is under stress only if they perceive themselves to be. * Primary appraisal: what does this situation mean to me? * Secondary appraisal: can I cope with it

Answer 12

The cognitive triangle: thoughts, behavior, emotions

Answer 13

Mild: Slight arousal that enhances perception, learning and productivity. (what most people have) Moderate: Increased arousal with tension, nervousness and perception is narrowed. Severe/Panic: It is consuming, poor focus, very uncomfortable and requires intervention. overpowering and frightening.

Answer 14

Strategies that minimize/reduce or eliminate the stress response. Strategies can be short term/immediate, or longer term adaptations.

Answer 15

May temporarily be “effective”, but cause longer term negative consequences and results in worsening distress. Defense mechanisms- denial, projection, regression.

Answer 16

gaining or maintaining control or influence over aspects on one’s environment. A client receiving mental health treatment can at times feel powerless. Recognize & minimize the power differential inherent in our therapeutic relationships and our practices as RPN’s. The goal is to empower our clients by mobilizing their strengths

Answer 17

Developmental: puberty, empty nest, retirement Situational: illness, job loss, traumatic experience

Answer 18

Early intervention Stabilization Facilitate understanding Problem solving Encourage self reliance

Answer 19

Grief: The emotional response (subjective) to the perception of loss Actual Loss: A loss of a person or object that can no longer be felt, heard, known or experienced Perceived Loss: A loss that can’t be seen by others Bereavement: The response to the loss or death of a loved one

Answer 20

Feel physically drained Can’t sleep Forgetful, can’t think clearly Appetite changes

Answer 21

- knowledge, skills, and personal attributes req. by nurses to provide appropriate care and services in relation to cultural characteristics of their clients - ask relevant Q's, be curious, don't fall for stereotypes

Answer 22

- involves considering the redistribution of power and resources in a relationship - can refer to any people that differ from the nurse bc of SE status, age, etc.

Answer 23

B4: recognizes and respects diversity and that a person's cultural may influence health practices and decision making C5: recognizes the role of culture and spirituality in health promotion, illness prevention, and in recovery

Answer 24

Standard 3 - Professional Responsibility: integrates cultural safety into psychiatric nursing practice

Answer 25

- new practice standard; 2022 - be aware of indigenous specific racism - can lead to lower life expectancy, higher infant mortality, and increased presence of chronic health conditions - purpose: set clear expectations for how BCCNM registrants are to provide culturally safe care for indigenous clients; organized into 6 core concepts

Answer 26

1. self reflective practice 2. building knowledge through education 3. anti-racist practice 4. creating safe health care experiences 5. person-led care 6. strengths based and trauma informed practice

Answer 27

1. be culturally knowledgeable 2. being client centered 3. being self reflective 4. recognizing conflict of client/nurse values 5. facilitating client choice 6. incorporating client's cultural preferences 7. accommodating client's belief and practices

Answer 28

- address by last name - introduce self, explain role - use appropriate eye contact - be genuine and honest about lack of knowledge - respectful language based on preference or norms - don't make assumptions - respect client's values, beliefs, practices - show respect for client's supports/family

Answer 29

1. language and communication patterns 2. cultural roles and expectations 3. social history 4. relationships/SOs 5. health beliefs, habits, practices 6. ethnicity and race

Answer 30

1. growth 2. development 3. lifespan 4. expected life events 5. unexpected life events 6. transition

Answer 31

- genetics - disease - injury - traumatic events

Answer 32

Personality Culture The circumstance of the loss Support Systems

Answer 33

self esteem is intact good days and bad day feeling of hope and able to experience pleasure

Answer 34

self esteem is disturbed hopeless feelings no perception of pleasure

Answer 35

Stuck in the grieving process. at least 6 months of unhealthy morning: daily living impacted recurrent intrusive images

Answer 36

the emotional experience of the norm al grief response before the loss actually occurs

Answer 37

Assess the client’s stage in the grief process (gather an accurate baseline) — Develop trust. Show empathy and unconditional positive regard. — Provide ongoing support (friends, support groups…)

Answer 38

The quality of having an inner sense of ‘wholeness’ and consistency of character. Demonstrate a consistency in your values, beliefs and actions in all areas of your life.

Answer 39

- adolescence: 12-18 yrs - young adult: 19-39 years - middle adult: 40-64 years - older adult: 65+

Answer 40

- physical changes: increase in bone and muscle growth, puberty - massive brain growth and pruning, poor impulse control - self identity: gender identity, peer relationships, sexuality, independence - health risks: MVA accidents, violence, suicide, substance abuse, EDs, STIs, depression

Answer 41

- physical changes: growth completed at 2- yrs, at physical peak, tend to avoid seeking help - psychosocial changes: choosing occupation, pursing education, developing intimate mature relationships, achieving financial independence, parenthood, body image issues - health risks: lifestyle habits, accidents, substance abuse, fertility issues, stress, pregnancy, MI

Answer 42

- physical changes: grey hair, wrinkles, metabolic changes, hearing and vision loss, hormone fluctuations - psychosocial changes: assisting w/ children as they leave the nest, dealing with separation/divorce, death - health risks: stress, anxiety, depression, obesity, long term effects of poor lifestyle choices

Answer 43

- physical changes: occur in most body systems - psychosocial changes: retirement, role change, social isolation, maintaining sexual identity - health risks: cancer, heart disease, delirium, dementia, arthritis, falls

Answer 44

- Erikson believed personality developed in a series of stages - in each stage, each person needs to accomplish tasks to move onto the next - each stage builds upon the success of previous challenges - unsuccessful resolution of one stage will result in the chronic inability to master these tasks

Answer 45

- teens into early 20s - identity vs. role confusion: teens work at refining a sense of self by testing roles and then integrating them to form a single identity, or they become confused about who they are

Answer 46

- 20's to early 40's - intimacy vs isolation: struggle to form close relationships and to gain capacity for intimacy, or they feel socially isolated

Answer 47

- 40s to 60s - generativity vs stagnation - middle aged discover a sense of contributing to the world, usually through family and work, or they feel a lack of purpose

Answer 48

- late 60s and up - integrity vs despair - when reflecting on their life the older adult may feel satisfaction or failure

Answer 49

- a structured approach to assessing psychological, emotional, social, and neurological functioning - an attempt to objectively describe the behaviours, thoughts, feelings, and perceptions of the pt throughout the interview - provides an overall pic of current MH status

Answer 50

- woven throughout the interview - sensitive q's should be asked after more general, less sensitive topics are addressed

Answer 51

- during initial assessment - throughout the tx process - behavioural changes are evident - event or injury that may impact mental states - all the time!

Answer 52

1. appearance/behaviour 2. mood/affect 3. speech 4. thought form 5. thought content 6. perception 7. cognition 8. insight and judgement 9. risk assessment

Answer 53

- objective characteristics such as age, weight, race, hygiene, distinguishing features - gives insight into mental status - helps in case you need to file a police report

Answer 54

- objective data - psychomotor retardation or agitation - hyperactivity, restlessness, repetitive movements - eye contact - attentiveness - mannerisms, gestures - general attitude/attitude towards interviewer

Answer 55

- subjective data - how the client is feeling - ex; happy, neutral, depressed, nervous

Answer 56

- objective data - physical manifestation of mood - ex; bright, flat, labile, euthymic - note range, appropriateness to context/situation, congruency

Answer 57

- objective data - rate, volume/tone, spontaneity/hesitant, characteristics, response time, speech production

Answer 58

- objective and subjective - process is determined by flow of conversation and quality of thoughts; how the person is thinking - can only be determined through the pts speech and how they describe thinking - ex; logical/organized, disorganized, loose associations, racing thoughts, thought blocking, neologisms

Answer 59

- objective and subjective - what the client is thinking - what the client spends their time thinking about - looking for bothersome thoughts, preoccupations, sx of psychosis (delusions) and phobias or obsessions

Answer 60

- objective and subjective - hallucinations - illusions - assess content of hallucinations, client's interpretation/extent of belief, client's reaction

Answer 61

- objective and subjective - level of arousal - orientation - concentration and attention - memory - intellectual capacity/knowledge - abstraction/concrete

Answer 62

- awareness of situation, context - recognition of illness, need for help - understanding of factors contributing to illness - motivation to work on problems - "full, partial, limited, impaired, no"

Answer 63

- behavioural manifestation of insight - process one uses to reach a decision or take action - ability to consider pros and cons of choices

Answer 64

assess for both self harm and suicide - ask routinely during initial assessment and periodically throughout tx process - assess when a change in behaviour occurs that might indicate risk - following a major stressor - when we get clues that the client may be feeling hopeless - consider: suicidal thoughts, plan, intent, means, impulsivity, risk, and protective factors

Answer 65

- age - sex - hx of psychiatric disorders - current dx - characteristic sx - hx of suicidal behaviour - hx of abuse, trauma - substance use - situational risk factors - family hx of suicide and MI - living alone - social relationship problems - access to lethal means - physical health issues

Answer 66

- family factors: sense of responsibility to family, relationships characterized by warmth and belonging - community: opportunities to participate, affordable/accessible supportive resources, hope for the future, community self-determination and solidarity

Answer 67

Non-existent Mild Moderate High Imminent

Answer 68

Thoughts of harming or killing others Plan/intent to harm others Means to harm others Previous history of violence Substance abuse Psychotic processes

Answer 69

- avoid judgement terms - use proper sentence structure - be clear and concise - avoid qualifiers - don't use too many adjectives - do not repeat data; use headings - do not include personal impressions: stick to data - avoid terms like appears, seems - avoid pt did, pt had, pt said, pt was - use "client" in community settings, "patient" in hospital settings - never use normal

Answer 70

- psychosocial rehabilitation - a MH tx philosophy or approach that promotes reslience, personal recovery, full community integration and a sense of purpose and meaning for those who have been dx with a MH condition/addiction issue

Answer 71

1. PSR practitioners convey hope and respect 2. PSR practitioners recognize that culture and diversity are ventral to recovery and strive to ensure all services are culturally relevant 3. PSR practitioners engage in informed and shared decision. making and facilitate partnerships with people the client identifies 4. PSR practitioners build on strengths of clients 5. PSR practices are person-centered 6. PSR practices support full integration of people in recovery into their communities 7. PSR practices promote self-determination and empowerment 8. facilitate development of personal support networks 9. strive to help clients improve the quality of all aspects of their lives (variables) 10. promote health and wellness 11. emphasize evidence-based practices congruent with personal recovery 12. must be readily accessible to all ppl when they need them and integrated with other tx

Answer 72

- PSR is a recovery approach; harm reduction - recover: living a satisfying life despite illness - recovery is a process, not an outcome - it is individually defined - recovery is possible and expected - considered a grassroots movement w/ a focus on advocacy

Answer 73

- hope - dignity - self determination - responsibility

Answer 74

- motivation, power, and achievement - Nick Blackman

Answer 75

- implements semi-independent living programs - uses housing first - court services - helps ppl get support workers that align w/ their goals - has licensed, enhanced, supportive housing

Answer 76

- providing information and education - providing a sense of community and humour - informed risk taking

Answer 77

- umbrella legislation that provides a common regulatory framework for health professions in BC - gives BCCNM mandate and power - each health profession under the Act has its own regulatory body - each regulatory body has its own bylaws; details of the operation, responsibilities, qualifications, regulation of conduct

Answer 78

1. Access to Information Act (federal) 2. E-Health Act (provincial) 3. FOIPPA (provincial) 4. Personal Information Protection and Electronics Act (federal) 5. Privacy Act (provincial) 6. Mental Health Act (provincial)

Answer 79

- main purpose: make public bodies more accountable to the public and to protect personal information - dictates how public bodies collect, store, and share information - confidentiality - continuity of care

Answer 80

- Consistent purpose (continuity of care): we can share info w/ others if it is being shared for the same reason it was collected: to offer health care - consider implications for sharing information with family; try your best to get consent

Answer 81

19. disclosure harmful to individual or public safety 22. disclosure harmful to personal privacy 25. information must be disclosed if in the public interest

Answer 82

Attempts to balance the goal of giving citizens access to their health records and medical information, while protecting privacy, through electronic health records.

Answer 83

- BC Mental Health Act because psychiatric care is usually involuntary; many MI ppl don't have the ability or knowledge to get help - it is a useful guide to figure out obligations and restrictions for each situation - it outlines rights of pts and responsibilities of personnel

Answer 84

- S. 20 - an adult may voluntarily seek admission to a designated facility for tx of a mental disorder under either the Hospital Act or the MHA - req. person to req. admission using Form I: Request for Admission (Voluntary Patient) - a physician and director just agree and sign Form 2: Consent for Treatment (Voluntary Patient) - voluntary pts may discharge themselves at any time

Answer 85

A place that accepts involuntary admins ; needs a psych unit

Answer 86

1. Medical Certification (Section 22; Form 4) 2. Police Intervention (Section 28 (I)) 3. Judge's Order (Section 28 (3); Forms 9 and 10)

Answer 87

- Section 22 - one medical certification (Form 4) detains someone for 48 hours - a second Form 4 must be completed by a different physician within 48 hrs of admission to continue and is valid for a month

Answer 88

- Section 28 (I) - gives police the authority to apprehend a person and take them to a physician for examination - criteria used by police is different from physicians - an officer must be satisfied that the person has a mental disorder and is acting in a manner that is likely to endanger their own safety or the safety of others - it is a higher standard to meet than section 22

Answer 89

- Section 28 (3) - anyone who has reason to believe a person has a mental disorder and meets the criteria for involuntary admission according to S. 22 can apply to a provincial court judge or justice of the peace to have a person apprehended for assessment by a physician - Form 9: Application for Warrant is completed by friend/family member or someone else and submitted to judge - if the judge is satisfied that the conditions are met, the judge may issue a warrant under S. 28 (4) Form 10, giving police authority to apprehend

Answer 90

- Form 13 1. to know the name and location of the facility 2. to know the reason why they are there 3. to contact a lawyer 4. to be examined regularly by a medical doctor to see if you should be discharged 5. to apply to the Review Panel for a hearing '' 6. to apply to the court to ask a judge if your medical certificates are in order 7. to appeal to the court your medical dr's decision to keep you in the facility 8. to request a second medical opinion on the appropriateness of your tx

FINAL (JAY) Flashcards

(115 cards)