Week 2 - Important concepts

Question 1

Primary intention is to regulate the administration of mental health care in Ontario

Answer 1

Ontario Mental Health Act

Question 2

deprived of oxygen at birth – challenges in emotional lability – got a frontal lobotomy

Answer 2

Rosemary Kennedy

Question 3

induces seizures – led to ECT

Answer 3

insulin therapy

Question 4

behaviours would change when certain degrees of seizures were induced – sometimes still used

Answer 4

ECT

Question 5

neuroleptic – administered to patients and found that it had sedating effects – decreased agitation and restlessness

Answer 5

chlorpromazine - drug in the 50s

Question 6

used in psychotic syndromes and ADHD

Answer 6

Thorazine and its derivatives - 50s drugs

Question 7

What were some notable side effects related to thorazine and its derivatives, and chlorpromazine?

Answer 7

Drowsiness, dry mouth, tardive dyskenisia, orthostatic hypotension, weight gain, neuroleptic malignant syndrome

Question 8

involuntary, uncoordinated movements of the face – choking risk

Answer 8

tardive dyskinesia

Question 9

mood stabilizer used in treatment of bipolar disorder (sometimes MDD if other antidepressants do not work)

Answer 9

lithium (carbonate)

Question 10

What monitoring is required when administering lithium?

Answer 10

Hydration status, thyroid and kidney function

Question 11

behaviours always motivated; repressed memories and early childhood experiences

Answer 11

Freudian

Question 12

similar to Freud but less strict on everything had a sexual motivation

Answer 12

Jungian

Question 13

environmental interactions and biologic interactions at play with one another

Answer 13

Pluralism

Question 14

clinical judgements about individual, family or community responses to actual or potential life processes

Answer 14

nursing diagnoses

Question 15

What are the two major types of nursing interventions?

Answer 15

Direct - apply directly to client

Indirect - involving service for the care, or team meeting to discuss where to go next

Question 16

therapeutic communities that have people living and functioning together and being responsible for aspects of their community; often a consequence system set in place

Answer 16

milieu therapy - social domain intervention

Question 17

nurse uses their experience to help the patient without burdening them with their experience.

Answer 17

therapeutic use of self

Question 18

• A form of psychotherapy that identifies, analyzes, and ultimately changes habitually inflexible and negative cognitions

Answer 18

CBT

Question 19

Most widely researched form of psychotherapy

Answer 19

CBT

Question 20

What is the cognitive model?

Answer 20

Think –> feel –> behave

Question 21

What is the cognitive behavioural sequence?

Answer 21

Thoughts –> emotions –> bodily sensations –> behaviour

Question 22

What are the levels of cognition?

Answer 22

Automatic thoughts
Intermediate beliefs
Core beliefs

Question 23

one that doesn’t have to make sense, but just pops into your mind – the most superficial and easiest to change

Answer 23

automatic thoughts

Question 24

things you truly believe; cognitive products, automatic thoughts
- If, should or must statements – often fairly rigid but unrealistic

Answer 24

intermediate beliefs

Question 25

accepted as absolute truths; fundamental and hard to articular  require exploration

Answer 25

core beliefs

Question 26

What is the pathological nature of the levels of cognition? How does treatment using CBT go about it?

Answer 26

Pathological nature is bottom-up; CBT treatment is top down (i.e. start at automatic thoughts)

Question 27

Initial CBT sessions are directed by whom?

Answer 27

the therapist

Question 28

CBT patients encouraged to view their thoughts and feelings in hypotheses Their viewpoint is one of many that are plausible

Answer 28

inductive reasoning

Question 29

Specific way of questioning that supports inductive reasoning Reasoned dialogue helping the patient to determine how own broader perspective on the validity, accuracy, and functionality of his or her thought process How would this change if you tried this instead?

Answer 29

Socratic questioning

Question 30

• Provided at the end of each session with the expectation that the patient will work on them throughout the week and be prepared to discuss them at the beginning of the following session

Answer 30

Self-reflection

Question 31

What is the goal of self-reflection?

Answer 31

Experience new insights

Question 32

a way to test and challenge both maladaptive thinking patterns and newly acquired rational thoughts

Answer 32

behavioural experiments

Question 33

include exposure techniques, relaxation training, and activity monitoring

Answer 33

behavioural strategies to modify symptoms

Question 34

not a replacement for CBT, but a nice adjunct therapy; form of self-trained self-observation based on meditation practices.

Answer 34

mindfulness

Question 35

Who is at risk for suicide?

Answer 35

unemployed, vulnerable populations, lives alone, depressed or other mental health disorder

Question 36

the voluntary and intentional act of killing onself

Answer 36

suicide

Question 37

thinking about or planning one’s own death

Answer 37

SI

Question 38

self-inflicted actions, with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die

Answer 38

suicidal behaviour or attempted suicide

Question 39

self-injurious or self-harm that may mimic suicidal behaviour; primary intention NOT to kill oneself

Answer 39

parasuicide

Question 40

the probability that an individual will be successful in completing suicide – varies by method, means and availability of means

Answer 40

lethality

Question 41

Describe gender and suicide.

Answer 41

women try it 4x more; men complete it 3x more

Question 42

How many survivors are left after each suicide?

Answer 42

around 6

Question 43

What are some pediatric considerations for suicide?

Answer 43

rare under 10 more somatic symptoms SI and self harm are highest in adolescents; serious risk at 15-19 for suicide

Question 44

How are survivors impacted by suicide?

Answer 44

Increased stigmatization and social rejection

Question 45

When was suicide decriminalized?

Answer 45

1972

Question 46

What are the factors for MAID application?

Answer 46

cannot be used for children must be mentally competent to make the decision no secondary decision makers can decide

Question 47

What are the indicators for a form 1?

Answer 47

Threatening harm to self or others Violent behaviour incompetence and safety risk

Question 48

What is the form 1 timeline?

Answer 48

72 hours

Question 49

When performing a suicide assessment, what are the factors to focus on?

Answer 49

Risk factors AND protective factors