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46 Cards in this Set
- Front
- Back
CHAPTER ONE
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(Ignore this card)
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MSE
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Mental Status Examination
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Obtundation
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The client needs to be lightly shaken to elicit a response, but she may be confused and slow to respond
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Stupor
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The client require spainful stimuli to elicit a brief response. She may not e able to respond verbally
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Decorticate rigidity
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Flexion and internal rotation of upper-extremity joints and legs
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Decerebate rigidity
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neck and elbow extension, wrist and finger flexion
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What three areas does the Glasgow Coma Scale assess?
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Eye, verbal, and motor response
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What is the best score on the Glasgow Coma Scale?
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15
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What score on the Glasgow Coma Scale indicates that the client is comatose?
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3
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HEADSS
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Psychosocial assessment tool of risk factors in the adolescent: Home, Education/employment, peer group Activities, Drugs, Sexuality, and Suicide/depression
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MPQ
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McGill Pain Questionnaire
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PAINAD
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Pain Assessment in Advanced Dementia
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Axis I
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Clinical disorders and other conditions that may be a focus of clinical attention
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Axis II
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Personality disorders and mental retardation
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Axis III
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General medical conditions
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Axis IV
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Psychosocial and environmental problems
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Axis V
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GAF scale
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GAF scores of 80-100 indicate
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normal or near-normal function
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GAF scores of 60-80 indicate
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moderate problems
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GAF scores of 40 and below indicate
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serious mental disability and/or functioning impairments
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A GAF score of 50/80 indicates
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a present GAF score of 50 and previous score of 80 in the past year
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CHAPTER TWO
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(Ignore this card)
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MH patients have the right to
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humane Tx and care; voting; and due process of law
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Tort
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A wrongful act or injury committed by an entity or person against another person or another person's property. Can be used to decide liability issues.
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Voluntary commitment
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Client is not required to take medications or treatment, and can leave at any time
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Involuntary (civil) commitment
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Client enters against will; judge may determine the need for commitment; several physicians must certify that the condition requires commitment
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Emergency involuntary commitment
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Client is hospitalized to prevent harm to self or others
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Observational / Temporary Involuntary Commitment
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Client is in need of observation, diagnosis, and Tx plan
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Long-term or formal involuntary commitment
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Must be imposed by court, length varies but usually around 60 - 180 days. Sometimes there is no set release date
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Does a client under involuntary commitment have the right to refuse Tx?
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Yes, unless they have been judged incompetent after a hearing
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Assault
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Making a threat to a client's person
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Battery
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Touching a client in a harmful or offensive way
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Types of intentional torts include (3)
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false imprisonment, assault, battery
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CHAPTER THREE
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(Ignore this card)
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Intrapersonal communication
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Talking to self
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Interpersonal communication
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Talking between 2 or more people in a group
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Public communication
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Communication that occurs within large groups of people
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Transpersonal communication
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Communication that addresses an individual's spiritual needs and provides interventions to meet those needs
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List the types of effective communication
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silence, active listening, open-ended questions, clarifying techniques, offering general leads, broad opening statements, Showing acceptance and recognition, focusing, asking questions, giving information, presenting reality, Summarizing, Offering self, Touch
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List the types of clarifying techniques
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Restating, Reflecting, Paraphrasing, Exploring
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Restating
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Therapeutic technique in which nurse uses the client's exact words
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Reflecting
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Therapeutic technique in which nurse directs the focus back to the client
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Paraphrasing
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Therapeutic technique in which nurse restates the client's feelings and thoughts for the client to confirm what has been communicated
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Exploring
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Therapeutic technique in which nurse gathers more information regarding important topics mentioned by the client
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Focusing
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Therapeutic technique in which nurse helps the client to concentrate on what is important
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List barriers to effective communication
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Asking irrelevant questions, offering personal opinions, giving advice, giving false reassurance, minimizing feelings, changing the topic, asking 'why' questions, offering value judgments, excessive questioning, responding approvingly or disapprovingly
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