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31 Cards in this Set
- Front
- Back
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UTILITARIIANISM
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THE GREATEST GOOD FOR THE GREATEST NUMBER
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AUTONOMY
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CLIENTS HAVE THE RIGHT TO SELF DETERMINATION AND INDEPENDENCE
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BENEFICENCE
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ALL TX MUST BE FOR THE CLIENTS
GOOD |
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NONMALEFICENCE
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ABOVE ALL,CARE PROVIDERS MUST DO NO HARM
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FIDELITY
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BE FAITHFUL TO COMMITMENTS AND CONTRACTS
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JUSTICE
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FAIRNESS, EQUITY AND HONESTY
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INVOLUNTARY DETENTION
72 HOUR HOLD OR 5150 |
Causes: DTS,DTO,GD
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INVOLUNTARY DETENTION
14 DAY HOLD/5250 |
Causes: continues to be DTS,DTO,GD, not willing or able to accept voluntary tx,Requires certification review hearing w/in 4d at the end of 72hr hold, Right for certification hearing is given up when client requests a writ of habeas corpus
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INVOLUNTARY DETENTION
RECERTIFICATION FOR INTENSIVE TX 5260 |
Cause: attempted or threatened
to take own life during 14day hold- DTS |
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INVOLUNTARY DETENTION
ADDITIONAL 30D HOLD/5270 |
Cause: remains GD and unwilling to accept voluntary
tx |
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INVOLUNTARY DETENTION
POST CERTIFICATION FOR DANGEROUSNESS/5300 |
Causes: continues DTO
not to exceed 180 days |
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LEGAL ISSUES
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abandonement
Tarasoff Duty to Warn Sexual involvement c client Breaching confidentiality Failure to honor individual rights |
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Seclusion
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the involuntary confinement of a client in a roor where the client is prevented from physically leaving, for any period of time
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Behavioral Restraint
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any form of restraint employed to control a cllient in order to prevent the person from causing harm to self or others
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Chemical Restraint
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A drug used to control behavior and in a manner not required to treat the clients physical symptoms.
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Justification for the use of Restraints
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to prevent immediate injury to the person or others and only when there is no less restrictive method to prevent injurious behavior
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RESTRAINTS ORDERS SHOULD INCLUDE.
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The reason for the restraint or seclusion in specific behavioral terms.
Date and time of order The type of restraint and the number of points. |
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ORDERS FOR SECLUSION OR RESTRAINT SHALL NOT EXCEED
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24 HOURS IN DURATION
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A TELEPHONE ORDER MUST BE OBTAINED WITHIN
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1 HOUR- in case of emergency a licensed nurse may place a client in seclusion/restraint
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SECLUSION AND RESTRAINT ORDERS ARE TIME LIMITED
18 YRS UP 9-17 AGES UNDER 9 |
18YRS AND UP - 4 HOURS
9-17- 2 HOURS UNDER 9- 1 HOUR |
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WHAT IS STRESS
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state of physiologic/pschologic/emotional disequilibrium.2.demand on aperson that requires coping or adapting.3.manifested by Fight or Flight Syndrome
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What is a stressor ?
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A biological,psychological, social or chemical factor that causes physcial or emotional tension
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Stages of Stress General Adaptation Syndrome
ALARM |
Body defenses are mobilized
Sympathetic nervous system and endocrine system activate lg amts fo adrenaline and cortisone. Fight or Flight response is activated. |
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Stages of Stress General Adaptation Syndrome
RESISTENCE |
adaptive responses used in attempt to adapt to stressors
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Stages of Stress General Adaptation Syndrome
EXHAUSTION |
occur in prolonged exposure to stressor.
adaptive energy is depleted need for rest and recuperation may lead to illness or death |
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Concepts of Stress
Sources of Stress.... Stress can .... Stress is more evident during.. Individual vulnerability to stress depends on predisposing factors... The greater number of stressful life events... Response to stress depends on.. |
1.internal and external life events
2.motivate and challenge 3.during periods of transition and change. 4.biologic, psychologic, and sociocultural 5.the more likely the person is to develop illness 6.individual perception and coping resources |
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LIST 7 STRESS MANAGEMENT TECHNIQUES.
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1.AWARENESS, RELAXATION, MEDITATION, INTERPERSONAL COMMUNICATION WITH A CARING OTHER, PROBLEM SOLVING, PETS AND MUSIC
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WHAT IS ANXIETY
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subjective emotional response to stress.
Feeling of apprehension,dread and uncertainty resulting from real or perceived threat, the actual source which is unknown. |
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CONCEPTS OF ANXIETY
ANXIETY IS.... |
universal experience
subjective cant be directly observed but inferred from behavior changes may be constructive by increasing alertness&ability can be destructive by producing physical and behavioral symptoms can be communicated interpersonally different from fear threats to biologic integrity and self esteem |
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LIST 4 LEVELS OF ANXIETY
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MILD
MODERATE SEVERE PANIC |
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NAME THE TWO COPING MECHANISMS
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1.TASK ORIENTED (positive aim to problem solve)
2. DEFENSE ORENTED (unconscious effort to relieve anxiety) |
