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Mental health/subs abuse Flashcards

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1
Q

things to remember when answering these type questions:

A
  1. Safety
  2. Expressing feelings
  3. Assessing
  4. Solving problem
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2
Q

Suicide
risk factors

A

Risk: depression/job loss
isolation/powerlessness
prior attempts
change in functional ability
loss of loved one
substance use

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3
Q

Crisis management
types

A

Types: situational/external: unanticipated loss/change
Maturational/internal: learn new coping mechanisms
Adventitious: psychological trauma
natural disasters

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4
Q

Anger management
seclusion and restraints

A

Needs prescription
Risk of harm to client is prevented
Client is evaluated by healthcare provider
1 hr.
Continuous learning
Observe for injuries
Monitor breathing/physical difficulties
Anticipate need for hydration/toileting
Hourly RN checks
Range of motion q 2 hrs
IM injections for agitation

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5
Q

Death and dying
Stages of grief

A

Denial
Anger
Bargaining
Depression
Acceptance

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6
Q

family and community violence
assessment

A

Family abuse
Direct/Honest/Professional
Speak on their level
Open ended questions
Referral

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7
Q

Sexual assault
nursing care

A

Self-assessment
Clients anxiety
Private environment for examination
Nonjudgmental/empathetic care
Informed consent
Assess suicidal ideation
Prophylactic treatment
Pregnancy risk
Support systems

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8
Q

suicide
expected findings

A

Expected: suicide ideation
does the client have a plan
Serious: mood swings
plan/collecting pills/supplies
anxious agitated
change eating/sleeping
seek revenge/have guilt/shame

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9
Q

suicide precautions

A

constant supervision
document pt behavior q 15
Remove items that can cause injury
count silverware before and after meals
med watch
keep door open/hands visible
restrict visitors

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9
Q

suicide
client education

A

No-suicide contract
seek help

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10
Q

crisis management
assessment

A

suicidal/homicidal ideation
perception of event
support system/coping skills
physical assessment
disorganization/anxiety
anger or aggression

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11
Q

crisis management
risk factors

A

Accumulation of unresolved losses
current life stressors
mental/physical health issue
Excessive fatigue or pain
Age and developmental age

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12
Q

Crisis management
nursing care

A

Crisis intervention
Sense of safety
Identify problem
Take a direct role
Help client make realistic, attainable goals
Decrease anxiety/listen/observe
Teach relaxation techniques/ coping skills
Plan of action
CISD

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13
Q

Anger management
pt centered care

A

Provide safe environment
Assess for triggers
Self assessment/awareness
Reward desired behavior

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14
Q

Death and dying
assessment

A

Emotions change to acceptance in 6 mos
Somatic manifestations
Normal or complicated grief

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15
Q

Death and dying
psychosocial care

A

Provide care to pt/family
Discuss concerns
Referrals
Therapeutic communication
Facilitate communication btwn
client/family
Participation in religious stuff
Clarify personal values

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16
Q

Family and community violence
risk factors

A

Female
Vulnerable person
Pregnancy
Older adults
Child under 4

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17
Q

Family and community violence
types of violence

A

Physical
Sexual
Emotional
Neglect
Economic

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18
Q

Family and Community violence
vulnerable person characteristics

A

Low -self esteem
Help/hopelessness
Protect perpetrator
Denial of severity of situation

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19
Q

Family community violence
age specific assessments

A

Infants: Shaken baby syndrome
Bruising
Preschooler-adolescents: unusual bruising
Assess MOI/burns/Fx/bite marks
Assess head injuries

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20
Q

Family and community violence
nursing care

A

Document objective/subjective data
Basic care to treat injuries
Referrals
Safety plan
Crisis intervention techniques

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21
Q

Sexual assessment
nursing actions

A

Provide numbers for hotline
Promote self-care activities
Referrals
Follow up calls
After care

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22
Q

A client is experiencing moderate anxiety. Which is an appropriate nursing intervention?

A

Demonstrate calm manner and use simple and clear language

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23
Q

A client who has OCD is applying, removing, and then reapplying makeup. What behavior is this?

A

Attempt to reduce anxiety

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24
A client is depressed withdrawing from alcohol. What is the priority nursing intervention?
Determine the presence and degree of risk of suicide
25
What type of client is seclusion contraindicated?
A client following a suicide attempt
26
In group therapy, a client suddenly jumps up screaming then runs out. Which is the most appropriate action?
Follow the client to determine the cause of the behavior
27
You are planning care for a client with fear of heights. Which behavior should you implement?
systematic desensitization therapy
28
A client who is admitted for suspected abuse is withdrawn and quiet. Which should you implement to promote communication?
Be direct and honest when communicating.
29
The nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is short-staffed. What is this called?
False imprisonment
30
Which of the following requires a temporary emergency admission?
Client with personality disorder that assaulted someone
31
A client is having a panic attack and starts to hyperventilate. What should the nurse do first?
Escort the client to a quiet area
32
You discuss concerns with client and care team. This is what level of communication?
Small group
33
A client states, I'm feeling anxious about going home. The nurse responds, "So, you are anxious about leaving." This is called?
Paraphrasing
34
The client tells the RN "someone put a bomb under the couch." What should the nurse do first?
Look under the couch for a bomb
35
What is a barrier to therapeutic communication?
Offering own opinion
36
The client spends most of his day flicking the lights off and on. This is indicative of:
OCD
37
A client says she is experiencing increased stress because her mother is pressuring her to move. What do you do?
Use assertive communication with her mother.
38
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. What is a priority for this pt?
Identify the clients perception of their mental health status.
39
Which of the following should the nurse assess to determine contributing factors to the client's depression? (SATA)
⁜ Recent life transitions and whether they were expected or unexpected. ⁜Status of employment and housing ⁜Client's knowledge and use of positive coping behaviors. ⁜Client's knowledge and use of stress reduction techniques
40
What is a sign of active listening:
Attention to body language
41
A client is experiencing moderate anxiety. Which is an appropriate nursing intervention?
Demonstrate calm manner and use simple and clear language.
42
A client asks you to stay when he talks to his family. You remain with him during the talk. Which ethical principle?
Fidelity
43
Which of the following requires a temporary emergency admission?
A client with personality disorder that assaulted someone
44
What are the two defense mechanisms that are always healthy?
Altruism and sublimation ## Footnote These mechanisms are considered healthy coping strategies.
45
What is the overall goal of stress management?
To modify the response to stress ## Footnote This involves changing how individuals react to stressors.
46
What is milieu therapy?
A therapeutic environment that promotes safety and healing ## Footnote It includes structured interactions and supportive care.
47
Name three benefits of creating a therapeutic and safe environment.
* Boundaries * Physical safety * Effective communication
48
Why is communication foundational to the nurse-client relationship?
It facilitates understanding and trust ## Footnote Effective communication is essential for patient care.
49
List two types of communication important in mental health nursing.
* Verbal communication * Nonverbal communication
50
What is therapeutic communication?
A communication technique essential in mental health nursing ## Footnote It relates to the emotional and physical effects of disorders on clients.
51
What is one barrier to effective communication?
Misinterpretation of messages ## Footnote Various factors can hinder clear communication.
52
What is the Mini-mental state examination (MMSE) used for?
Screening cognitive function ## Footnote It helps assess cognitive impairment.
53
What does the HEADSSS assessment tool evaluate?
Home environment, Education/employment, Activities, Drug use, Sexuality, Suicide/depression, Savagery ## Footnote This tool is often used with adolescents.
54
What is the purpose of the Geriatric Depression Scale?
To assess depression in older adults ## Footnote It is a specific tool for evaluating depressive symptoms.
55
What does the DSM-5 provide for nurses?
Diagnoses and diagnostic criteria ## Footnote It guides the nursing process in mental health care.
56
What should be assessed regarding a patient's perception of health?
Beliefs about illness and wellness ## Footnote Understanding these beliefs is crucial for effective care.
57
What cultural aspects should be considered in mental health assessments?
Diet, health care practices, cultural views of diagnosis ## Footnote Cultural beliefs can significantly impact health perceptions.
58
What does the mental status examination assess?
LOC, physical appearance, behavior, cognition ## Footnote It helps evaluate a patient's mental state.
59
What civil rights do clients with mental health disorders have?
The same civil rights as any other client ## Footnote This is important for ethical and legal considerations.
60
What is a tort in the context of health care?
A wrongful act or injury committed against another person ## Footnote Torts can lead to legal action in health care settings.
61
What are ethical principles in mental health care?
Guidelines that inform moral conduct and decision-making ## Footnote These principles help navigate complex situations in care.
62
What are the types of admissions to a mental health facility?
Voluntary and involuntary admissions ## Footnote Understanding the nature of admission is crucial for treatment planning.
63
What is psychoanalysis?
A therapeutic approach that focuses on exploring unconscious thoughts and feelings. ## Footnote Developed by Sigmund Freud, psychoanalysis emphasizes the role of the unconscious mind in influencing behavior.
64
Define psychotherapy.
A treatment method that involves talking to a trained professional to address emotional and psychological issues. ## Footnote Psychotherapy can encompass various techniques, including cognitive-behavioral therapy and humanistic therapy.
65
What is cognitive therapy?
A type of psychotherapy that focuses on changing negative thought patterns. ## Footnote Cognitive therapy aims to improve emotional regulation and develop personal coping strategies.
66
What does cognitive reframing entail?
Changing the way one thinks about a situation to alter its emotional impact. ## Footnote It is often used in cognitive-behavioral therapy to help individuals view challenges in a more positive light.
67
What is priority restructuring?
A technique used to help individuals identify and prioritize their most important goals. ## Footnote This method can facilitate better decision-making and time management.
68
What is journal keeping in therapy?
The practice of writing about thoughts and feelings to gain insight and promote emotional processing. ## Footnote This technique can enhance self-awareness and emotional regulation.
69
What is assertiveness training?
A type of therapy that teaches individuals how to express their thoughts and feelings confidently and respectfully. ## Footnote Assertiveness training aims to improve communication skills and reduce anxiety in social situations.
70
What involves monitoring thoughts?
The practice of being aware of and tracking one's own thought patterns. ## Footnote This technique is often used in cognitive-behavioral therapy to identify negative thoughts.
71
What is electroconvulsive therapy (ECT)?
A brain stimulation therapy used to treat severe depression and other mental health conditions. ## Footnote ECT involves sending small electric currents through the brain to induce a seizure.
72
List some indications for electroconvulsive therapy.
* Severe depression * Treatment-resistant depression * Severe mania * Catatonia ## Footnote ECT is typically considered when other treatments have failed.
73
What is involved in procedural care for ECT?
Ensuring patient safety and comfort during the ECT procedure. ## Footnote This includes pre-treatment assessments and monitoring during the procedure.
74
What does medication management in ECT entail?
Adjusting and monitoring medications in conjunction with ECT treatment. ## Footnote This is crucial for optimizing treatment outcomes and minimizing side effects.
75
What are some complications of ECT?
* Memory loss * Confusion * Physical side effects ## Footnote Complications can vary in severity and duration.
76
Define behavioral therapy.
A type of therapy that focuses on changing maladaptive behaviors through conditioning techniques. ## Footnote Behavioral therapy includes methods like operant conditioning and exposure therapy.
77
What is modeling in behavioral therapy?
A technique where individuals learn behaviors by observing and imitating others. ## Footnote This method is often used in social skills training.
78
What is operant conditioning?
A learning process through which the consequences of a behavior influence its future occurrence. ## Footnote It involves reinforcement and punishment to shape behavior.
79
What does systematic desensitization involve?
Gradual exposure to a feared stimulus while practicing relaxation techniques. ## Footnote This method is commonly used to treat phobias and anxiety disorders.
80
What is aversion therapy?
A behavioral therapy technique that uses negative stimuli to discourage unwanted behaviors. ## Footnote It is often used in treating addictions.
81
What does General Adaptation Syndrome (GAS) describe?
The body's response to stress, consisting of three stages: alarm, resistance, and exhaustion. ## Footnote This concept was introduced by Hans Selye.
82
What is acute stress?
A short-term response to an immediate perceived threat, often referred to as 'fight or flight.' ## Footnote Acute stress can trigger physiological responses that prepare the body for action.
83
What is prolonged stress?
A long-term stress response that can lead to maladaptive coping strategies. ## Footnote Prolonged stress can contribute to various mental and physical health issues.
84
What are the focus and goals of group therapy?
To provide support and facilitate interpersonal interactions among members. ## Footnote Group therapy often aims to enhance social skills and provide a sense of community.
85
What are the focus and goals of family therapy?
To improve family dynamics and communication patterns. ## Footnote Family therapy addresses issues affecting the family unit as a whole.
86
What distinguishes healthy from dysfunctional areas of functioning in therapy?
Healthy areas promote positive interactions, while dysfunctional areas lead to conflict and maladaptive behaviors. ## Footnote Identifying these areas is crucial for effective therapeutic intervention.
87
What role does communication play in therapy?
Effective communication is essential for expressing needs and resolving conflicts. ## Footnote Therapy often focuses on improving communication skills within relationships.
88
What is meant by management in the context of therapy?
The ability to handle emotions, behaviors, and interpersonal relationships effectively. ## Footnote Management strategies are key components of many therapeutic approaches.
89
What are boundaries in therapy?
Limits that individuals set in relationships to maintain their emotional and physical well-being. ## Footnote Healthy boundaries are vital for fostering respect and safety in relationships.
90
What is the significance of socialization in therapy?
Socialization helps individuals develop and maintain relationships, which is critical for mental health. ## Footnote Therapy often addresses social skills to improve social interactions.
91
What are emotional areas of functioning in therapy?
Aspects of emotional health that involve recognizing, expressing, and regulating emotions. ## Footnote Emotional well-being is a focus of many therapeutic modalities.

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