PSYCH EXAM 1 Flashcards

Question

What should you do if a patient has more than one Axis I disorder?

Answer 1

List them all with the chief complaint listed first

Answer 2

• Personality disorders o Examples: borderline personality disorder, antisocial personality disorder • Intellectual development disorder • Other prominent maladaptive and defense mechanisms

Answer 3

• General medical conditions that may be relevant to understanding and/or managing the mental disorder• Does not include medical disorders that are thought to be a direct cause for a mental disorder—these are coded on axis 1

Answer 4

* Problems with primary support group * Problems related to social environment * Educational, Occupational, Housing or Economic problems * Problems with access to health care services * Problems with legal system *  Specific problems that an individual is facing

Answer 5

* Clinician makes a judgment about person’s overall level of functioning * GAF Scale: 0-100 * The lower the number, the lower the level of function

Answer 6

* Antipsychotics: ex. Zyprexa & Seroquel * Slow thought process slowing speech * Inhibit aggression * Decrease psychomotor activity

Answer 7

Klonopin & Ativan• Exhaustion • Coronary collapse • Death – individual so accelerated and ramped up that they can become high risk

Answer 8

a tort action that a consumer plaintiff brings against a professional defendant when the plaintiff believes the professional injured him or her within the consumer-professional relationship

Answer 9

published false statements about someone else (written)

Answer 10

false spoken statements

Answer 11

obtained in these instances where competency is in question o Health Care Proxy o Guardian o Next of Kin

Answer 12

: paperwork signed by patient | o Patient is competent enough to make this decision

Answer 13

``` o Individual is a danger to self, others and has an inability to care for themselves o Types of procedures  Judicial  Administrative  Agency ```

Answer 14

to control an immediate threat to self or others

Answer 15

for diagnosis and short-term therapy

Answer 16

for treatment until determined ready for discharge

Answer 17

the study of philosophical beliefs about what is considered right or wrong in a society

Answer 18

situation that requires a choice between morally conflicting alternatives

Answer 19

used in relation to ethical dilemmas surrounding client care

Answer 20

The duty to promote good (prevent harm)

Answer 21

The right to make one's own decisions and respect for the rights of others to make their own decisions

Answer 22

treating others fairly and equally

Answer 23

Maintaining loyalty commitment; doing no wrong to a client

Answer 24

One's duty to always tell the truth (exception: when the truth would be knowingly harmful to a client)

Answer 25

* Nurse practice acts * Hospital and organizational polices * Patient bill of rights * Code of Ethics for Nurses with Interpretive Statements of the American Nurses Association * Standards of Care from the Scope and Standards of Psychiatric-Mental Health Nursing Practice

Answer 26

right to treatment right to treatment in the least restrictive environment right to refuse right to after care

Answer 27

hospital technique in which patients can practice life skills in a safe environment

Answer 28

inequality of coverage most effective vs. what recieved

Answer 29

1) decreasing length of stay 2) deinstitutionalization 3) managed care mandates 4) lack of community support

Answer 30

1) safety 2) psychiatric and medical interventions 3) individual and group therapy 4) cognitive-behavioral therapy (CBT) 5) Family education

Answer 31

``` health teaching health promotion and maintenance vocational rehabilitation assertive community treatment (ACT) TOO- treatment over objection Intensive case management (ICM) Continuum of care ```

Answer 32

``` Distraction: external stimuli Interaction: avoid isolation Activity Social involvement: tasks, games Physical activity ```

PSYCH EXAM 1 Flashcards

(56 cards)