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46 Cards in this Set

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