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Flashcards in Introduction Deck (16):

What are the big 3 mental health disorders in primary care?

Depression, anxiety, and substance abuse


What are 3 screening tools to address each of the big 3 in primary care?

Depression = PHQ9
Anxiety = GAD7
Substance abuse = CAGE


What is an emergency mental health scenario?

Suicide, homicide, and acute psychosis


You must always ask patients about what?

Ask if they have any intention of hurting themselves or others


If a patient says that they do want to hurt themselves or others, what must you do?

DON’T let them go home! Needs transportation to the ED for safety & STAT psych consult


When do you refer a patient for mental health problems?

Psychosis, bipolar disorder, active suicide/homicide/plan, multiple diagnosis (depression + substance abuse), treatment resistant


So when a patient is a harm to self or others and they must be involuntary hospitalized – what is this known as?

Civil commitment


If you are trying to explain something important to a patient regarding their care/plan but they are not mentally competent and therefore need guardianship, what does this fall under?

Informed consent


What is Tarasoff law?  What is the technical name?

It is Duty to Warn – if a patient tells you they intent to do harm to someone you as a healthcare provider have a duty to disclose/warn the unsuspecting victim


What legally prohibits professionals from revealing information about a client to anyone?



Confidentiality does not apply to specific types of information and therefore may need to be disclosed in a legal setting – which is known as?



When are we most likely to see a combative patient?

Drug & alcohol intoxication or withdrawal, schizo (paranoid), mania, and dementia


What type of DDx do you need to keep when you suspect delirium & violence?

FIND ME (functional [psychiatric], infectious, neurological, drugs, metabolic, and endocrine)


How do we prevent violence?

Ongoing staff education! Adequate personnel, well-designed physical structure (security, alarm buttons, locked unit, metal detectors, and cameras)


How do you manage a violent patient?

Verbal – “you look angry”
              Chemical – Haloperidol & Lorazepam
              Physical Restraint


When we have a patient struggling with mental illness, what must we educate them about?

Stress-coping techniques; building healthy relationships; and getting sleep/eating well/and be active