psych exam 1

Question 1

family/party files form with local magistrate describing patient’s symptoms and behavior. judge signs warrant and deputies take patient to jps for evaluation. person may be discharged, admitted voluntarily or have a CME filed.

Answer 1

magistrate’s warrant

Question 2

is filed with the court and if the presiding judge signs, an order of proective custody is issued

Answer 2

CME

Question 3

any creditable person that has knowledge of the person’s behavior

Answer 3

applicant

Question 4

issued by judge after pt. is evaluated by a dr and a CME for menal illness is filled out and given to clerk

Answer 4

order of protective custody

Question 5

involuntary admission

Answer 5

pts. 18 and younger

if thought to be danger to self, others or unable to perform self-care

Question 6

must be converted to an order of protective custody or a voluntary admission or a pt. must be discharged after evaluation

Answer 6

application for detention

Question 7

can be obtained by any peace officer

Answer 7

application for detention

Question 8

treatment will be up to ___ days

Answer 8

90

Question 9

person can be discharge before the 90 day commitment on a _______

Answer 9

furlough status

Question 10

pt. can be returned to the hospital if…?

Answer 10

person decompensates before the end of the commitment

Question 11

evaluated by a dr. and either return to jail or are admitted. admission must be voluntary. officer or deputy remain w/ pt. until a disposition is made

Answer 11

county hold

Question 12

voluntary patient may….

Answer 12

be discharged by treatment team

request to be discharged

Question 13

if discharge is requested

Answer 13

pt. must be evaluated within 4 hours

Question 14

if dr. thinks pt. could be a danger to self or others or unable to perform self care

Answer 14

dr. can initiate paperwork for involuntary admission

Question 15

persons with mental illness are guaranteed the same rights under

Answer 15

federal and state law as any other citizen

Question 16

Rights of citizen/patients

Answer 16

vote
enter into contractual agreement
religious freedom
legal counsel
informed of research and refusal to participate
send and recieve mail
be present for inspection of mail
partic. in planning treatment

Question 17

protected under HIPAA

Answer 17

receive treatment and have medical records kept confidential

Question 18

pt.’s permission must be obtained to share info with

Answer 18

persons who are not directly involved in care

Question 19

exceptions to confidentiality rule

Answer 19

duty to warn and protect 3rd parties
notify secret service of threats
report child and elder abuse

Question 20

cannot administer psychotropic drugs w/o

Answer 20

patient’s informed consent

Question 21

informed consent

Answer 21

nature of problem
purpose of medication
risks/benefits of med
alternative treatment options
probability of success
risks if not consenting treatment

Question 22

don’t need informed consent in which 2 instances

Answer 22

pt. behavior out of control

judge issues an order to administer med w/o consent after a med. commitment hearing

Question 23

last resorts in behavioral interventions

Answer 23

seclusion and restraint

Question 24

levels of seclusion and restraint

Answer 24

talking to pt.
moving pt. to less stimulating setting
prn med
seclusion
restraint

Question 25

use of seclusion or restraint

Answer 25

requires a writen order

Question 26

restraint order must be

Answer 26

for a limited time period | specify seclusion or type of restraint

Question 27

nurse can ptu a pt in seclsion/restraint

Answer 27

emergency conditions | obtain an oder as soon as possible post incident

Question 28

everytihbng in regard to incidnet

Answer 28

must be fully documented

Question 29

pt. must be told why

Answer 29

the seclusion/restraint was initiated | what behavior need to be changed to be released

Question 30

contraindication to seclusion or restraint

Answer 30

``` unstable delirium or dementia suicidal overdoses convenience of staff to punish a patient ```

Question 31

threat to use force, no contact

Answer 31

assault

Question 32

offensive touching of another person

Answer 32

battery

Question 33

inappropriate seclusion, confining a person to a speific area

Answer 33

false imprisonment

Question 34

act or omission to act that results in injury to the pt

Answer 34

negligence

Question 35

capacity of nure to assume safe care of pt

Answer 35

duty

Question 36

conduct that exposed pt to risk of harm

Answer 36

breach of duty

Question 37

except for what the nurse did or didn't do, would this injury have occurred

Answer 37

cause in fact

Question 38

were there any intervening actions or persons taht were in fact causes of harm to the patient?

Answer 38

proximate cause

Question 39

loss of earnings, medical expenses

Answer 39

damages

Question 40

5 elements required to prove negligence

Answer 40

``` duty breach of duty cause in fact proximate cause damages ```

Question 41

3 precautions r/t pt. safety

Answer 41

suicide elopement/AWOL assault

Question 42

check w/ staff before you

Answer 42

hand out anything

Question 43

3 staff safety precaustions

Answer 43

training least restrictive means working as a team

Question 44

student safety

Answer 44

``` stay in day area don't go in a pt. room psotiion around exit no long cord wearing stud earrings ```

Question 45

dopamine

Answer 45

fine muscle movemen integration of emotions/thoughts decision making hormonal release by hypothalamus

Question 46

NE

Answer 46

mood | fight or flight

Question 47

5-HT

Answer 47

``` sleep regulation hunger mood pain perception aggression sexual behavior ```

Question 48

GABA

Answer 48

``` inhibition reduces aggression/excitation/anxiety pain perception anticonvulsant properties muscle relaxant properties ```

Question 49

Ach

Answer 49

assists in learning, memory regulates mood: mania, sexual aggression stimulates PNS

Question 50

order of brainstem

Answer 50

midbrain pons medulla oblongata

Question 51

emotions learning memory basic drives

Answer 51

amygdala | hippocampus

Question 52

regulates basic drives links higher brain activities and internal organs hormonal secretions

Answer 52

hypothalamus

Question 53

4 A's of schizo

Answer 53

affec associative looseness autism ambivalence

Question 54

assessment for ____ is crucial in those with schizo | why?

Answer 54

depression - impending relapse, increases suicide risk

Question 55

3 nursing diagnosis for positive symptoms

Answer 55

disturbed sensory perception risk for self-directd or other directed violence disturbed thought processes

Question 56

2 nursing diagnosis for negative symptoms

Answer 56

social isolation | chronic low self-esteem

Question 57

patient safety and medical stabilization

Answer 57

acute phase

Question 58

adhere to treatment stabilize meds control or cope with symptoms

Answer 58

stabilization phase

Question 59

maintain achievement prevent relapse achieve independence, satisfactory quality of life

Answer 59

maintenance phase

Question 60

shared beliefs, values and practices that guide a group's members in patterned ways

Answer 60

culture

Question 61

culture helps develop what is ___ and ____

Answer 61

normal | abnormal

Question 62

more related to economic and social standing

Answer 62

minority

Question 63

used to categorize people in social and political ways rather in biological mode

Answer 63

race

Question 64

for mental health nurses, it is better to focus on ___ rather than on ____

Answer 64

ethnicity rather than on race

Question 65

members of a cultural group are introduced to cultural worldview, beliefs, values and practices

Answer 65

enculturation

Question 66

degree wo which a person fulfills the expectations of the culture

Answer 66

mental health

Question 67

belief that one's own group is superior

Answer 67

ethnocentrism

Question 68

key to mental health care

Answer 68

communication

Question 69

lifetime commitment to self-evaluation and criique of one's level of culural awareness

Answer 69

3 cultural intersections during an encounter with a patient

Question 70

ability to perform a cultural assessment in a sensitive way

Answer 70

cultural skill

Question 71

genuine concern for pt. welfare and a willingness to listen to each pt's viewpoint

Answer 71

cultural desire