Module 5 - Mental Health Flashcards
(29 cards)
What is a stereotype?
Prefabricated opinions and attitudes towards members of certain groups
What is a prejudice?
Emotional reactions associated with a stereotype
What are three general approaches that can be used to reduce stigma and discrimination?
- Information / education about mental illness
- Protest against unfair descriptions of mental illness
- Direct contact with the mentally ill
What are the components of a mental status exam?
- General Appearance
- Emotional State
- Sensory Experience
- Thinking
- Sensorium and Cognitive Processes
What is mood?
Subjective expression of emotional state
What is affect?
Objective view of emotional state
If someone states that they are happy, is this an example of mood or affect?
Mood
Where are hallucinations examined in the mental status exam?
Sensory experience
What is an acronym used in mental health assessment?
PS I LOVE AEIOU
What does PS I LOVE AEIOU stand for?
P = Primary survey
S = Secondary survey
I = Interventions (physically or chemically restrained)
L = Level of certification
O = On arrive complaint
V = Visual and Auditory hallucinations
E = ETOH / drugs / Eye contact
A = Affect / appearance
E = Environment / Events
I = Ideations, SI, HI, Insight
O = Order of thoughts / Overdose
U = Underdose / unusual behaviours
Under what section of the Mental Health Act can people be arrested?
Section 28
Under what situations can a person be given treatment in an emergency sitation without consent to adults (under section 12 of Health Care and Care Facility Act)?
- necessary to preserve life, prevent serious harm (physical or mental)
- adult is impaired by drugs/ETOH
- no substitute decision maker, guardian or representative
What happens under Section 22 of the Mental Health Act?
Involuntary admission for a 48 hour period
- “pink form”
- “Form 4”
What are the 4 criteria for a Form 4?
- Suffering from a mental disorder that seriously impairs a person’s ability to react appropriately
- Requires psychiatric treatment in a facility
- Requires care, supervision, and control in a facility
- Not suitable as a voluntary patient
What happens after 48 hours?
- They are discharged
- They are admitted as a voluntary patient
- A second physician completes the form and they stay for up to 1 month
True or False:
If a patient is arrested under Section 38 of the MHA, they automatically are admitted to the hospital
False
- RCMP arrest under Sec 28
- Need to be seen by a physician who determines admission or not
What is an acronmyn used for violence risk assessment?
STAMPEDAR
- Staring
- Tone of voice
- Anxiety
- Mumbling
- Pacing
- Emotions
- Disease process
- Assertive behaviour
- Resources
What are medications used for suicidal patients?
- TCAs (Tricyclic antidepressants)
- MAOIS (Monoamine Oxidase Inhibitors)
- SSRIs (Selective Serotonin Reuptake Inhibitors
What is a potentially fatal adverse effect of antidepressants?
Serotonin syndrome
What are signs and symptoms of serotonin syndrome?
- hyperactivity
- mental confusion
- agitation
- shivering
- sweating
- fever
- lack of coordination
- serizures
- diarrhea
What is the effect of antipsychotics?
Relieve positive symptoms of schizophrenia
(Hallucination and delusions)
What are three adverse effects of Antipsychotics?
- Extrapyramidal Symptoms
- Hyperglycemia and Diabetes
- Neuroleptic Malignant Syndrome
What are some example of symptoms of EPS?
- Akinesia (reduction of spontaneous activity)
- Akathesia (excessive degree of restlessness)
- Tremor
- Tardive dyskinesia (irregular, jerky movements)
- Dystonia (involuntary muscle spasm)
What is the treatment for EPS?
Anti-cholinergic (Benadryl)
or
Anti-parkinson agent
