Mental Health Exam 1

Front 1

in the mid 1500’s how did mental health professionals record abnormal behaviors

Back 1

behaviors were accurately recorded for personalities associated with melancholia (depression), mania, & psychopathology ielec

Front 2

electroconvulsive therapy was hard to treat what in the 1930’s?

Back 2

it is used to treat severe, long lasting depression

Front 3

what did the hill burton act provide ?

Back 3

funded the construction of psychiatric units throughout the united states

Front 4

describe a frontal lobotomy procedure

Back 4

it’s a surgical procedure that severs the frontal lobes of the brain from the thalamus; it’s performed to eliminate violent behaviors

Front 5

what type of drugs in the 1930’s treated depression ?

Back 5

electroconvulsive therapy (ECT) improves depression & is implemented when a pt w depression is not responding to treatment or tolerating antidepressant agents

Front 6

what occurs when recreational drugs are combined with psychotherapeutic drugs ?

Back 6

overdoses , permanent psychotic states , and death may occur

Front 7

what are the primary responsibilities for a psychiatric nurse ?

Back 7

responsible for clients activities of daily living/environment management & individual , family , and group psychotherapy. coordinates care team activities , supervises technicians & psychiatric assistants. active in various community roles. also transitions from hospital to home

Front 8

clinical psychologists

Back 8

specializes in study of mental processes and treatment of mental disorders , performs diagnostic testing , treats clients

Front 9

social worker

Back 9

evaluates family , studies environmental and social causes of illness , conducts family therapy , admits new clients

Front 10

psychiatrist

Back 10

leader of the team, responsible for administration and planning, diagnostic and medical functions are main tasks

Front 11

inpatient psychiatric care provides the client what

Back 11

safe, stable, and therapeutic surroundings 24 hours a day

Front 12

recidivism

Back 12

relapse of a symptom , disease , or behavior pattern

Front 13

noncompliance

Back 13

informed decision made by a client not to follow a prescribed treatment program

Front 14

when does a patient require inpatient care ?

Back 14

severity of the pt illness, level of dysfunction , the sustainability of the setting for treating the problem , level of client cooperation , & clients ability to pay for services.

Front 15

akinesia

Back 15

(absence of movement)

side effect of most antipsychotic drugs.

demonstrates bradykinesia (slowing of body movements)

Front 16

dystonia

Back 16

(impaired muscle tone)

side effect - oculogyric crisis , the eyes involuntary roll to the back of the head

torticollis- contracted cervical muscles force the neck into a twisted position

laryngeal-pharyngeal- muscles of the throat become rigid (pt chokes & become cyanotic)

Front 17

drug induced parkinson’s

Back 17

(tremors, muscle rigidity & difficult voluntary movements)

seizures

clozapine (clozaril) associates it with seizures so must be closely monitored.

Front 18

akathisia

Back 18

(inability to sit still) they feel nervous , jittery , or have lots of energy.

assaultive behaviors can result if they’re forced to remain in one position

Front 19

SSRI’s side effects

Back 19

dry mouth , constipation , diarrhea, anorexia , changes in alertness, tremor, dizziness , weakness , fatigue, sweating , sexual dysfunction , visual & urinary disturbances

gastrointestinal distress, headache , dizziness , and sexual dysfunction

Hint 19

first choice in treating anxiety , depression & other problems

Front 20

beta blockers (for anxiety)

Back 20

reduces palpitations , sweating , tremors , blood pressure & heart rate

Hint 20

used to treat social phobias

Front 21

what theorist was first to explain human behavior in psychological terms ?

Back 21

sigmund freud

Front 22

what regulatory body determines the scope of practice of nurses ?

Back 22

state of boards

Front 23

mental health nursing practice standards help ensure what?

Back 23

set of guidelines that provide measurable criteria for nurses , clients and others to evaluate the quality and effectiveness of the nursing care provided

Front 24

false imprisonment

Back 24

detention of a competent person against his or her will

Front 25

slander

Back 25

verbal communications that result in harm

Front 26

invasion of privacy

Back 26

violation of a persons space , body, belongings or personal info

Front 27

assault

Back 27

any behavior that presents an immediate threat to another person

Front 28

libel

Back 28

written communication that results in harm

Front 29

defamation

Back 29

any false communication that results in harm

Front 30

negligence

Back 30

omission or commission of an act that a reasonable and prudent person would or would not do

Front 31

who can implement an involuntary commitment to a mental health facility

Back 31

physicians , police , and representatives of a county

a court order is usually required.

Front 32

when can restraints be used

Back 32

those who fight , bite , kick , scratch , spit , and throw things. (engaging in violent behaviors)

Front 33

what must the nurse assess when the clients are on restraints ?

Back 33

monitor the condition of the restraint client q15minutes & use other less drastic measures as soon as the client has regained behavioral control

Front 34

psychotropic meds is affected by what?

Back 34

it’s affected by the bodies nervous system (antacids)

Front 35

culture includes what common beliefs ?

Back 35

race-skin , facial features, hair

ethnicity- cultural habits , & socialization

religion- practiced system of worship

Front 36

paranoia

Back 36

suspicious system of thinking w delusions of persecution and grandeur; pattern of behaviors marked by suspiciousness and mistrust

Front 37

manipulation

Back 37

controlling others for one’s own purposes by influencing them in unfair or false ways

Front 38

territoriality

Back 38

the need to gain control over an area of space and claim it for oneself

Front 39

ego

Back 39

psyche that experiences and maintains conscious contact w reality

defense mechanism to cope w anxiety

Front 40

superego

Back 40

unconscious , develops when the standards of the parents and society are incorporated into the ego

Front 41

ideal

Back 41

rewards w feelings of satisfaction & well beings for good behaviors

Front 42

bio field therapy

Back 42

most used but unmeasured CAM therapy

ex: acupuncture , biofeedback , Qi hong , reiki , therapeutic touch , and color therapy

Front 43

acupuncture

Back 43

inserting of needles into the skin along specific sites on the body

Front 44

bio feedback

Back 44

teaches to control their physical responses by providing visual or auditory info about autonomic body functions (respiration, pulse , or skin responses)

Front 45

qi gong

Back 45

(vital energy) movement , regulation of breathing , and meditation

Front 46

reiki

Back 46

life force energy that flows through one’s body

when it’s low , we’re sick or stressed

Hint 46

laying on the hands

Front 47

therapeutic touch

Back 47

practice of laying on the hands

encourages the body’s energy to return to a balanced state

Front 48

color therapy

Back 48

auras

- when one is sick it’s discolored

-they scan the energy centers for imbalances and expose the body to the appropriate healing color

Front 49

energy medicine

Back 49

believe in viral , life force energy that flows through the human body

Front 50

chelation therapy

Back 50

effective against atherosclerosis

ability to bind w heavy metals

Front 51

mind body therapy

Back 51

mind & body have the ability to affect the body and it’s functions

Front 52

CAM therapy

Back 52

working on body’s natural ability to help heal itself

Front 53

NCAAM

Back 53

dedicated to exploring complementary & alternative healing practices in the context of science

Front 54

identification

Back 54

example- teenage adolescentes dress and behave like the members of a popular singing group

Hint 54

taking on personal characteristics of admired person to conceal own feelings of inadequacy

Front 55

symbolization

Back 55

a girl who feels insignificant draws a pic of her family in which she is the smallest character

Hint 55

use of an unrelated object to represent hidden idea

Front 56

displacement

Back 56

a husband shouts at his wife , then wife then berates her child , who scolds the dog

Hint 56

redirecting of energies to another person or object

Front 57

projection

Back 57

a woman is afraid to leave her house because she knows people will ridicule her

Hint 57

putting of one’s own unacceptable thoughts , wishes , emotions into others

Front 58

humanistic

Back 58

emphasizes the total individual

believe in the innate goodness of human nature & focus on the (+) aspects of humanity

Front 59

maslow

Back 59

grouped human needs into a hierarchy or ranking

physical needs , safety/security, love and belonging , esteem needs, & self actualization

Front 60

bio-behavioral

Back 60

illness is the result of abnormalities in the structure , function , or chemistry of body

history, physical exam , lab tests , imaging techniques C & EEG’s

Front 61

psychobiology theory

Back 61

biochemical foundations of thought , mood , emotion , and behavior

causes of mental illness (genetics , viruses , fetal development, neurotransmitter , immune dysfunction)

Front 62

cognitive theory

Back 62

mental activities of attention C language , imagery , memory , perception , and problem solving

Front 63

psychoanalytical theory

Back 63

explore the unconscious

evolved into theories about the development , structure , and dynamics of the personality

Front 64

autonomy vs shame

Back 64

(1-2) early childhood- self control influence of feelings of self confidence vs shame & doubt in own abilities

Front 65

initiative/guilt

Back 65

(3-6) preschool - explores environment , uses fantasy

Front 66

industry vs inferiority

Back 66

6-12- learning moves from home to school , masters skills , learns to behave w rules

Front 67

identity/diffusion

Back 67

12-18

Hint 67

combines experiences to form sense of personal identity , plans for future , feels confused and indecisive

Front 68

intimacy / isolation

Back 68

18-25- strong sense of identity , committed to relationships & career (love)

Front 69

generativity/stagnation

Back 69

middle adulthood (25-65)- caring. generates or produces children , ideas, products, teaching, guides others

Front 70

integrity vs despair

Back 70

maturity (65-death)- wisdom

adjust to changes, flow of time, accepts worth & uniqueness