510 Mental Health Final Exam Notes

Front 1

Mental Health Act: - Involuntary criteria (Section 8) (5)

Back 1

1. APPEAR TO BE MENTALLY ILL
2. NEEDS IMMEDIATE TREATMENT
3. A DANGER TO THEMSELVES OR OTHERS
4. UNWILLING OR UNABLE TO CONSENT
5. LEAST RESTRICTIVE ENVIRONMENT

Front 2

Involuntary admission legal requirements (4)

Back 2

1. A REQUEST FORM (CAN BE DONE BY FAMILY)
2. A RECOMMENDATION FORM FROM A MEDICAL PRACTITIONER
3. PHYSICAL AND MENTAL HEALTH EXAMINATION BY A MEDICAL PRACTITIONER UPON ADMISSION TO A N AUTHORISED FACILITY
4. AN INDEPENDENT PSYCHIATRIC EXAM WITHIN 24 HOURS

Front 3

RESTRAINT WHEN IS IT USED (3)

Back 3

1. A DANGER TO THEM SELVES OR OTHERS
2. PERSISTENTLY DESTROYING THINGS
3. MEDICAL TREATMENT

Front 4

SECLUSION WHEN IS IT USED (2)

Back 4

1. A DANGER TO THEMSELVES OR OTHERS
2. ABSCONDING

Front 5

SECLUSION RULES (3)

Back 5

1. RN TO OBSERVE EVERY 15 MINUTES
2. MEDICAL PR ACTIONER TO ASSESS EVERY 4 HOURS
3. PROVIDED WITH CLOTHES/TOILET/BEDDING/FOOD/DRINK

Front 6

Treatment plans DEFINITION

Back 6

EVERY PATIENT UNDER THE MENTAL HEALTH ACT 1986 MUST HAVE A TREATMENT PLAN
TREATMENT PLANS ARE NOT A SUBSTITUTE FOR A RECOVERY PLAN OR THE INDIVIDUAL SERVICE PLAN

Front 7

THE PURPOSE OF THE TREATMENT PLANS ARE (2)

Back 7

1. TO IMPROVE COMMUNICATION BETWEEN THE TREATMENT TEAM AND THE PATIENT
2. TO PROVIDE A CLEAR STATEMENT ABOUT TREATMENT AND EXPECTATIONS

Front 8

THE PROCESS OF A TREATMENT PLAN (8)THE AUTHORISED PSYCHIATRIST MUST TAKE INTO ACCOUNT

Back 8

1. THE WISHES OF THE PATIENT
2. THE WISHES OF THE FAMILY/CARERS UNLESS THE PATIENT OBJECTS
3. WHETHER THE TREATMENT IS ONLY TO PROMOTE AN MAINTAIN THE PATIENTS HEALTH OR WELLBEING
4. BENEFICIAL ALTERNATIVE TREATMENTS
5. THE RISKS AND BENEFITS ASSOCIATED WITH THE TREATMENT
6. DISCUSSES THE PLAN WITH PATIENT
7. ENSURE PATIENT WILL RECEIVE A COPY
8. REVIEWED REGULARLY

Front 9

A TREATMENT PLAN LOOKS LIKE (6)

Back 9

1. BRIEF, CLEAR AND PLAIN LANGUAGE
2. FOCUS ON PERSONS PRIORITY NEEDS
3. ESTABLISHES RESPONSIBILITIES FOR TREATMENT TEAM AND PATIENT
4. REALISTIC AND ACHIEVABLE
5. FOCUSED ON RECOVERY
6. REFLECTS INVOLVEMENT OF PATIENT AND TREATMENT TEAM

Front 10

Schizophrenia : - Signs and symptoms (characteristics (5)

Back 10

1. HALLUCINATIONS
2. DELUSIONS
3. NEGATIVE SYMPTOMS – RESTRICTED FUNCTIONING (ANYTHING THAT STOPS NORMAL FUNCTIONING) AVOLITION – LACK OF MOTIVATION
4. DISORGANIZED BEHAVIOUR AND THOUGHT
5. GROSSLY IMPAIRED UNDERSTANDING OF REALITY

Front 11

SCHIZOPHRENIA Subtypes AND THERE MEANING (5)

Back 11

1. PARANOID – DELUSION AND AUDITORY HALLUCINATIONS
2. DISORGANIZED – INAPPROPRIATE EMOTIONS
3. CATATONIC – WAXY FLEXIBILITY
4. UNDIFFERENTIATED – MAY HAVE SOME SYMPTOMS FROM ALL AREAS
5. RESIDUAL – PAST HISTORY OF EPISODE

Front 12

Nursing Care FOR SCHIZOPHRENIA (10)

Back 12

1. TREATMENT OF ACUTE PSYCHOSIS
2. STABILIZATION
3. MAINTENANCE
4. SUPPORT AND SOCIAL REINTEGRATION
5. REDUCE HARM TO SELF/STAFF/FAMILY/OTHERS
6. REDUCE DISTRESS
7. PLAN FOR FURTHER INTERVENTION
8. ENGAGE FAMILY
9. THERAPEUTIC COMMUNICATION
10. OBSERVATION

Front 13

PERCEPTION INCLUDES (4)

Back 13

1. GUSTATORY
2. OLFACTORY
3. TACTILE
4. AUDITORY

Front 14

AFFECT/MOOD INCLUDES (6)

Back 14

1. FLAT
2. BLUNTED
3. RESTRICTED
4. INAPPROPRIATE
5. ANGRY
6. LABILE – ALTERING BETWEEN EXTREMES

Front 15

MEMORY

Back 15

SHORT OR LONG TERM

Front 16

STATE OF CONSCIENCE

Back 16

NEUROLOGICAL OBSERVATIONS

Front 17

GENERAL APPEARANCE (3)

Back 17

1. SHABBY
2. HYPERVIGILANT
3. MANNERISMS

Front 18

ORIENTATION

Back 18

PPT – PLACE PERSON TIME

Front 19

THOUGHT – ONLY WAY TO KNOW IS BY THEIR SPEECH (15)

Back 19

1. A LOGIA - POVERTY OF SPEECH
2. POVERTY OF CONTENT – LACK OF SUBSTANCE IN CONVERSATIONS
3. DEREALISATION – THEIR ENVIRONMENT IS NOT REAL
4. VOLUMINOUS – USES TOO MANY WORDS
5. THOUGHT BROADCASTING – THOUGHTS CAN BE HEARD BY OTHER
6. THOUGHT WITHDRAWAL – THOUGHTS ARE REMOVED BY OTHERS
7. THOUGHT CONTROL – THOUGHTS CONTROLLED BY OTHERS/FORCES
8. THOUGHT INSERTION – THOUGHTS ARE BEING IMPLANTED
9. THOUGHT BLOCKING – ABRUPT GAPS IN FLOW OF THOUGHT
10. CONFABULATION – UNCONSCIOUS REPLACEMENT OF FACT WITH IMAGINARY OR FALSE EXPERIENCE
11. CIRCUMSTANTIALITY – AFTER GOING ON A TANGENT THEY GET BACK ON TRACK
12. TANGENTIALITY – GOES OFF ON A TANGENT AND DOESN’T RETURN
13. DEPERSONALIZATION – THEIR BODIES DON’T FEEL REAL
14. PUNNING – PLAYS WITH WORDS IE. SCENTS-CENT
15. CLANGING – WORD CHOSEN FOR SOUND NOT MEANING

Front 20

JUDGEMENT

Back 20

GOOD OR POOR ABILITY TO MAKE DECISIONS

Front 21

INSIGHT (2)

Back 21

1. AWARENESS OF THEIR CONDITION
2. WILLINGNESS TO ACCEPT TREATMENT

Front 22

MOTOR FUNCTION (5)

Back 22

1. ANERGIA – ABNORMAL LACK OF ENERGY
2. ATAXIA – LOSS OF COORDINATION
3. AKATHISIA – RESTLESS LEG SYNDROME
4. DYSTONIA – INVOLUNTARY MUSCLE CONTRACTIONS
5. MOVEMENTS ARE FAST OR SLOW

Front 23

INTELLIGENCE

Back 23

WE DON’T TEST THAT

Front 24

Depression :-Signs and Symptoms (characteristics) Major Depression DEFINING CHARACTERISTICS IS 2 WEEKS OR MORE OF THE EITHER (18)

Back 24

1. DEPRESSED MOOD THAT LASTS MOST OR ALL OF EACH DAY O
2. ANHEDONIA (LOSS ON INTEREST OR PLEASURE IN NEARLY ALL ACTIVITIES
IN ADDITION A LEAST 5 OR MORE OF THE FOLLOWING SYMPTOMS
1. DEPRESSED MOOD
2. ANERGIA – LACK OF ENERGY
3. WEIGHT CHANGES
4. SLEEP DISTURBANCE
5. RECURRING THOUGHTS OF SUICIDE OR DEATH
6. PSYCHOMOTOR AGITATION OR RETARDATION
7. SOCIAL AND OR EMOTIONAL WITHDRAWAL
8. FEELINGS OF WORTHLESSNESS
9. DIFFICULTY CONCENTRATION
10. EGOCENTRIC
11. THOUGHTS ABOUT THEMSELVES RO OTHER ARE NEGATIVE
12. CATASTROPHIC THINKING
13. SEE THEMSELVES AS A FAILURE
14. WORLD IS SEEN AS A PLACE OF DESPAIR AND DESOLATION
15. FATIGUE
16. DIMINISHED LIBIDO
17. DIFFICULTY ENGAGING IN CONVERSATION
18. SLOWED SPEECH

Front 25

DEPRESSION Nursing Care (14)

Back 25

1. T.A.L.K. TELL ABOUT YOUR THOUGHTS OF SUICIDE / ASK / LISTEN / KEEP SAFE AND GET HELP
2. ASSESSMENT - SUICIDE
3. ASSESSMENT - RISK
4. OBSERVE
5. OBJECTS REMOVAL
6. ENCOURAGE - SOCIAL PARTICIPATION
7. ENCOURAGE - ADLs
8. CHART - FLUID
9. CHART - HIGH CALORIE FOOD

1. PSYCHO-EDUCATION
2. GROUP THERAPY
3. INDIVIDUAL THERAPY
4. PHARMACOLOGICAL
5. E.C.T.

Front 26

Borderline Personality disorder: - Signs and symptoms (characteristics)
DIAGNOSIS REQUIRES 5 OF THE FOLLOWING (10)

Back 26

1. ABANDONMENT
2. ANGER
3. EMPTINESS
4. IMPULSIVITY
5. MOODY
6. PARANOID
7. SUICIDAL
8. UNSTABLE RELATIONSHIPS USUALLY IDEALIZATION OR DEVALUATION
9. UNSTABLE SELF IMAGE
10. DISASSOCIATION

Front 27

NURSING CARE FOR BORDERLINE PERSONALITY DISORDER (10)

Back 27

1. CONSISTENCY
2. EMPATHY
3. STAFF SPLITTING AWARENESS
4. SUICIDE OR SELF HARM AWARENESS
5. REFER FOR DBT – DIALECTICAL BEHAVIOUR THERAPY
6. RISK ASSESSMENT
7. MULTIDISCIPLINE MANAGEMENT PLAN
8. SEXUAL RISK ASSESSMENT
9. OBSERVE – 15 MIN
10. GIVE THE PERSON THE RESPONSIBILITY TO MANAGE THEIR OWN DISTRESS

Front 28

NURSING MANAGEMENT FOR SELF HARM (6)

Back 28

1. CANCEL LEAVE
2. CANCEL PRIVACY
3. CANCEL PRIVILEGES
4. INCREASE OBSERVATION
5. REMOVE POSSESSIONS
6. SECLUSION

Front 29

Bipolar I :-Signs and symptoms (characteristics) (7) MANIA

Back 29

1. HEDONISTIC
2. IRRITABLE
3. POOR SLEEP
4. EUPHORIA
5. OMNIPOTENT
6. SARCASTIC
7. MANIFESTS IN DRINKING/SPENDING/TALKING

Front 30

Bipolar I :-Signs and symptoms (characteristics (3) DEPRESSION

Back 30

1. HYPERSOMNIA
2. HYPERPHAGIA
3. WEIGHT GAIN

Front 31

BIPOLAR 1 NURSING CARE (8)

Back 31

1. COUNSELLING
2. REDUCE ENVIRONMENTAL STIMULI
3. REDIRECT
4. REMIND OF ADLs
5. ENCOURAGE FLUIDS
6. INPUT/OUTPUT RECORD
7. AVOID GROUPS
8. USE PERSUASION NOT FORCE

Front 32

Suicide INDICATORS (13)

Back 32

2. WITHDRAWAL
3. LOSS OF INTEREST IN HOBBIES
4. ABUSE OF ALCOHOL AND DRUGS
5. RECKLESS BEHAVIOUR
6. EXTREME BEHAVIOUR CHANGES
7. IMPULSIVITY
8. SELF MUTILATION
9. LACK OF INTEREST IN APPEARANCE
10. CHANGE IN SEX INTEREST
11. DISTURBED SLEEP
12. CHANGE IN APPETITE
13. SOMATIC COMPLAINTS (PHYSICAL)

Front 33

SUICIDE HIGH RISK GROUPS (6)

Back 33

1. MEN
2. ATSI
3. PSYCHIATRIC PATIENTS
4. PREVIOUS ATTEMPTS
5. INDIVIDUALS BEREAVED BY SUICIDE
6. SOME CULTURALLY DIVERSE BACKGROUNDS

Front 34

Management of people at risk of suicide

Back 34

1. HOW THEY PLAN TO DO IT
2. HOW PREPARED THEY ARE
3. WHEN
4. HAVE THEY TRIED IT BEFORE
5. ENCOURAGE – SPIRITUALITY/CARING FOR OTHERS/ACCOMMODATION/GOOD PHYSICAL HEALTH/FINANCIAL RESOURCES

Front 35

Aggression :-Behaviours that indicate a person is escalating (7)

Back 35

1. CHANGE IN EXPRESSION
2. CHANGE IN MOTOR ACTIVITY
3. CHANGE IN SPEECH PATTERN (VOLUME AND TONE)
4. CHANGE IN MENTAL STATE
5. MAKING THREATS BOTH VERBAL AND PHYSICAL
6. PROPERTY DESTRUCTION
7. HARM TO OTHERS AND SELF

Front 36

De-escalation strategies (4)

Back 36

1. VENTILATE – ALLOW CLIENT TO STATE POSITION WITHOUT INTERRUPTING
2. VALIDATE – USE NAME, ACKNOWLEDGE, PERSPECTIVE, PROVIDE FEEDBACK
3. LIMIT SET – PROVIDE CLEAR LIMITS WHERE POSSIBLE IN A POSITIVE WAY
4. PROBLEM SOLVE – COLLABORATIVE PROCESS, SIT DON’T STAND AVOID POWER STRUGGLES

Front 37

Stigma : - Effects (5)

Back 37

1. SELF ESTEEM
2. WITHDRAWAL
3. STOPS PEOPLE SEEKING TREATMENT
4. STOPS FAMILY SUPPORT
5. NON-ADHERENCE TO TREATMENT

Front 38

STIGMA STRATEGIES (3)

Back 38

1. COMMUNITY EDUCATION
2. PRIMARY EDUCATION
3. USE CORRECT TERMINOLOGY –IE. ILLNESS

Front 39

Risk Assessment (4)

Back 39

1. RISK TO SELF
2. RISK TO OTHERS
3. RISK OF ABSCONDING
4. RISK OF SUICIDE

Front 40

Generalized Anxiety Disorder (6)

Back 40

1. RESTLESSNESS
2. BEING EASILY FATIGUED
3. DIFFICULTY CONCENTRATION
4. IRRITABILITY
5. MUSCLE TENSION
6. DISTURBED SLEEP

Front 41

PTSD (7)

Back 41

1. RECURRENT, INTRUSIVE RECOLLECTIONS OF THE EVENT
2. RECURRENT DISTRESSING DREAMS OF THE EVENT
3. ACTING OR FEELING AS IF THE TRAUMA WAS CURRENTLY OCCURRING
4. INTENSE DISTRESS AT TRIGGERS
5. DECREASED INTEREST IN ACTIVITIES
6. FEELS DETACHED FROM OTHERS
7. NO LONGER EXPECT TO LIVE A LONG LIFE

Front 42

Obsessive Compulsive disorder (5)

Back 42

1. RECURRENT COMPULSION TO PERFORM RITUALS
2. RELIEF OF ANXIETY REINFORCES THE RITUAL;
3. RITUAL INTERFERES WITH DAILY LIVING
4. ONSET IS GRADUAL
5. STRESS WILL EXACERBATE THE RITUALISTIC BEHAVIOUR

Front 43

Panic Attack (4)

Back 43

1. INTENSE FEAR IN THE ABSENSE OF REAL DANGER
2. SHORT LIVED
3. OFTEN ACCOMPANIED WITH PHYSICAL COMPLAINTS SUCH AS CHEST PAIN
4. URGENT DESIRE TO FLEE

Front 44

Eating Disorders :-Anorexia Nervosa Characteristics (6)

Back 44

1. REFUSAL TO MAINTAIN BODY WEIGHT
2. INTENSE FEAR OF GAINING WEIGHT
3. DISTURBANCE IN SELF EVALUATION
4. THE ABSENCE OF A LEAST 3 CONSECUTIVE MENSTRUAL CYCLES
5. RESTRICTING TYPE
6. BINGE EATING/PURGING TYPE

Front 45

Eating Disorders :-Anorexia Nervosa nursing management. (11)

Back 45

1. ACKNOWLEDGE ANXIETY
2. INCREASE SELF AWARENESS AND TRIGGERS
3. FIND STRENGTHS AND WEAKNESSES
4. REDUCE SHAME
5. EDUCATE
6. INCREASE COPING SKILLS
7. MEDICATION
8. COGNITIVE THERAPY
9. FAMILY THERAPY
10. GROUP THERAPY
11. BEHAVIOURAL THERAPY

Front 46

Multi-Disciplinary teams SOCIAL WORKER (2)

Back 46

1. ADVOCATES WITH THE CLIENTS IN REALTION TO RIGHTS AND RESOURCES
2. DEVELOPS A RANGE OF PSYCHO SOCIAL INTERVENTIONS WITH THE CLIENT

Front 47

PSCHOLOGIST (2)

Back 47

1. CBT
2. DBT

Front 48

RN (2)

Back 48

1. PERFORM ASSESSMENTS
2. OBSERVE TREATMENT

Front 49

AMBULANCE PERSONAL (2)

Back 49

1. ASSESS CLIENTS
2. TREAT ACUTE INJURIES

Front 50

MEDICAL PRACTITIONER IN ED (2)

Back 50

1. REFERS TO A AMHS
2. ASSESS PATIENT

Front 51

PSYCHIATRIST (6)

Back 51

1. DETAINS PERSON IN THE AMHS
2. MAKES A COMMUNITY TREATMENT ORDER
3. DISCHARGE AN INVOLUNTARY PATIENT
4. CAN CONSENT TO TREATMENT ON BEHALF OF THE PATIENT WHO IS UNABLE OR REFUSES TREATMENT
5. GRANT LEAVE FROM HOSPITAL TO AN INVOLUNTARY PATIENT
6. ORDER TRANSFER OF THE PATIENT TO ANOTHER PSYCHIATRIC IN-PATIENT SERVICE

Front 52

ECT
USAGE (5)

Back 52

1. SEVERE MOOD DISORDER THAT IS NOT RESPONDING TO DRUGS
2. SEVERE SIDE EFFECTS OF DRUGS
3. SEVERE SYMPTOMS NEEDING A RAPID RESPONSE
4. HOSTORY OF GOOD ECT
5. NUTRITIONAL AT RISK PATIENTS

Front 53

ECT SIDE EFFECTS (5)

Back 53

1. SHORT TEM MEMORY LOSS
2. HEADACHE
3. CONFUSION
4. NAUSEA
5. MUSCLE ACHES

Front 54

Therapeutic relationships DEFINITION AND THREE POINTS

Back 54

IS THE RELATIONSHIP BETWEEN A HEALTHCARE PROFESSIONAL AND A CLIENT WORKING TOGETHER TO EFFECT A BENEFICIAL CHANGE IN THE CLIENT
1. EMPATHY
2. UNCONDITIONAL POSITIVE REGARD
3. GENUINENESS

Front 55

Psychological treatments: - CBT (3)

Back 55

1. ACKNOWLEDGES THAT SOME BEHAVIOURS CANT BE CONTROLLED BY RATIONAL THOUGHT
2. IT SI PROBLEM FOCUSED
3. IT IS ACTION ORIENTED

Front 56

DBT (3)

Back 56

1. OBSERVE – NON-JUDGMENTALLY
2. DESCRIBE – MINDFULLY (NOT DISTRACTED)
3. PARTICIPATE – EFFECTIVELY

Front 57

Antidepressants

Back 57

1. SERTRALINE
2. FLUOXETINE
3. PAROXETINE

Front 58

Antidepressants SIDE EFFECTS (4)

Back 58

1. SEDATION
2. HEADACHES
3. NAUSEA
4. DRY MOUTH

Front 59

Mood Stabilizers

Back 59

1. LITHIUM CARBONATE
2. SODIUM VALPROATE
3. CARBAMAZEPINE

Front 60

Mood Stabilizers SIDE EFFECTS (4)

Back 60

1. TREMORS
2. WEIGHT GAIN
3. POLYURIA
4. THIRST

Front 61

Anxiolytics

Back 61

1. OXAZEPAM
2. DIAZEPAM
3. CLONAZEPAM

Front 62

Anxiolytics SIDE EFFECTS (3)

Back 62

1. BLURRED VISION
2. CONCENTRATION
3. DROWSINESS

Front 63

Antipsychotics

Back 63

1. RISPERIDONE
2. QUETIAPINE
3. HALOPERIDOL

Front 64

Antipsychotics SIDE EFFECTS (4)

Back 64

1. SEDATION
2. HEADACHE
3. NAUSEA
4. LOSS OF SEX DRIVE