MENTAL HEALTH STUDY GUIDE Flashcards
(25 cards)
TRUE OR FALSE? - the purpose of a psychosocial exam in a mental health setting is to assess the patients emotional, psychological and social wellbeing.
true
what are the 6 parts of a psychosocial exam?
- perception of own health/ beliefs of their illness + wellness
- what they do for leisure
- assess use of substances/ Hx. of substance use/ abuse
4.assess stress level/ coping skills - cultural beliefs + practices
- spiritual + religious beliefs
When doing a psychosocial exam and assessing emotional status, what 4 things are we looking at?
mood
cognition
behavior
coping mechanisms
when doing a psychosocial exam and assessing social well-being, what 5 things are we looking at?
leisure activities
cultural/ spiritual/ religious beliefs
relationships
employment/ financial stability
support systems
when doing a psychosocial exam and assessing psychological status, what are we looking at?
SI
self harm
substance use
potential harm to others
what does the Mental Health Parity and Addiction Equity Act mean for mental health? (2010)
this makes it so that mental health care can’t be more restrictive than other medical (physical health) coverage
What is the Patient Self Determination Act? (PSDA) - 1990
this is the patients bill of rights
which nursing ethic is the ethical principal of truthfulness in healthcare - ensure honesty and transparency is upheld and the patient is receiving accurate information?
veracity
what is the bioethical principal that ensures you you act in the best interest of the patient and promote their well-being?
beneficence
what is the bioethical principal that means “do no harm?”
non-maleficence
which mental health commitment status is being described?
-agreeable to seek treatment (voluntary)
-72 hour notice - this means they are held for 72 hours but can leave if wanting to after that
-they sign a consent to be treated for at least 72 hours, then after that they can stay to continue treatment or leave/ be discharged
-201 (voluntary)
which mental health commitment status is being described?
-court ordered treatment (involuntary)
-ANYONE can file it
-this is emergent
-the behaviors being filed against must have been demonstrated within 30 days of the petition being filed
-302 (involuntary)
what are the criteria for a 302 hold?
acute psychosis and actions or threats of:
-self harm
-suicide
-violence
-homicide
-property destruction
A 302 is seen by a judge within 2-3 days; the case will either be dismissed and the patient will be discharged or a ____ is granted, which is an extension of a 302 status - court ordered inpatient psychiatric admission, ranging from 10-20 days
303
TRUE OR FALSE?
if you are ever committed under a 302 you will never be able to legally buy a firearm.
true. true. true.
Cognitive Behavioral Therapy. talk about it….
CBT- evidence based
-focuses on relationship between thoughts, feelings, beliefs and behaviors
-negative or inaccurate thoughts are restated in more positive ways
-rethink and re-evaluate thoughts
4 goals of group therapy.
-share common feelings/ concerns
-share stories/ experiences
-decrease feeling of isolation
-create community of healing
what is the PRIORITY when patient is experiencing SI, HI or CH?
safety!!!
which type of crisis is being described?
-cause: an unexpected life event that disrupts normal functioning
-i.e.: job loss, divorce, sudden illness or death of a loved one
-this is leading to emotional distress that requires coping strategies and support
situational
which type of crisis is being described?
-cause: an unpredictable, large scale event that causes trauma
-i.e.: natural disaster, terrorist attacks, violent crimes or wars
-this is affecting entire communities, leading to widespread psychological distress + crisis intervention is required
adventitious
adVENTitious - EVENT
which type of crisis is being described?
-causes: normal life transitions that challenge coping abilities
-i.e.: adolescence, marriage, parenthood, retirement, aging
- these can cause stress or emotional difficulty as adjustments are made to new roles and expectations
maturational
what are the symptoms of alcohol withdrawal?
- they occur 4-6 hours after last drink
-tremors
-diaphoresis
-increased HR + BP
-N/V
-anxiety
-Irritability
-seizures
how many hours do delerium tremens peak after the last drink or a significant decrease?
48-72 hours
alcohol withdrawal delerium aka _______ ________. What are the signs and symptoms of DT?
delerium tremens.
-severe tremors
-altered mental status
-agitation
-anxiety
-hallucinations
-diaphoresis
-fever
-rapid heart rate
-seizures
