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?
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?
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