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37 Cards in this Set
- Front
- Back
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Voluntary Admission |
- pts. have right to demand and obtain release - if staff feels client is of danger to themselves or others they can proceed with being committed |
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Involuntary Admission |
- if after 72 hours it is felt patient needs to stay longer a court hearing must be conducted - Court hearing can be scheduled from 7 - 21 days since commitment - Minors are always considered involuntary |
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Can be committed under 1 of these 3 criteria |
1. danger to themselves or others 2. gravely disabled 3. suicidal or homicidal |
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Who determines if a patient is incompetent? |
- determination made by courts - if found incompetent court-appointed legal guardian, who is then responsible for giving or refusing consent - don't have to be incompetent forever, another hearing can take place |
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Rights regarding restraints |
doctrine of least restrictive means of restraint for shortest time always the rule |
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Hierarchy of least restrictive to most |
1. 1:1 interaction/verbal redirection 2. Decreased external stimuli ("quiet time") 3. PRN Meds 4. Locked seclusion (emergent meds) 5. 2 point restraint 6. 4 point restraint DOCUMENTATION IS CRITICAL |
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Duty to warn |
law regarding duty to warn third parties of potential life threats |
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Elements necessary to prove negligence |
duty breach of duty cause in fact proximate cause |
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Code gray - Patient Elopement |
what degree did you know? what was instituted to protect pt. before? tell security tell police |
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Insanity |
Legal term not medical |
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Mental status examination |
1. appearance 2. motor activity 3. speech patterns 4. general attitude 5. mood 6. affect 7. form of thought 8. content of thought 9. perceptual disturbances 10. sensorium and cognitive ability 11. impulse control 12. judgment & insight |
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Akinesia |
absence of movement |
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bradykinesia |
slow movement |
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echopraxia |
mimicking |
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hypokinesia |
decreased movement |
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Mood is what .. |
subjective |
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Labile |
fluctuating mood |
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Affect |
facial expressions, and is objective |
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Neologisms |
makes up words |
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Top 4 Delusions |
1. erotomanic - sexual 2. grandiose - over exaggerated sense of self 3. persecutory 4. religious |
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Top 2 Hallucinations |
1. Auditory 2. Visual |
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Axis 1 |
Psychiatric Diagnosis, can have more than 1 |
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Axis II |
Personality Disorders & Mental Retardation |
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Axis III |
Medical Conditions |
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Axis IV |
Psychosocial Factors |
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Axis V |
Global Assessment Function (GAF) |
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Usual GAF for admitted clients |
25 - 35 |
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Id |
Unconscious mind, most people with mental illness driven by it, very impulsive |
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Ego |
Conscious mind |
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Oral stage |
birth to 1-year sucking, swallowing, biting |
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Anal stage |
1 to 3 years expelling feces, retaining feces |
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Phallic stage |
3 to 5 or 6 years touching penis or clitoris, Oedipus complex |
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Latent period |
5 or 6 to puberty sexual interest suppressed |
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Genital stage |
puberty onward sexual contact with other people |
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Affiliation |
we turn to others for help or support |
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Altruism |
we feel better about our problems when we help others with theirs |
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Crisis |
occurs in all individuals at one time or another, are acute never chronic, last about 4 - 6 weeks. |
