Mental Health Exam 3

Front 1

Clients receiving mental health care rest in all civil rights afforded to all people except ________

Back 1

The right to leave the hospital in the case of involuntary commitment

Front 2

Mental health client's rights

Back 2

1. Right to refuse treatment

2. Right to send and receive sealed mail

3. Right to refuse visitors

Front 3

Mental health patient's bill of rights

Back 3

1. To be informed

2. Least restricted environment

3. Confidentiality

4. Choice of providers

5. Treatment determined by professionals, not third-party payer

6. Parity

7. Nondiscrimination

8. All benefits within scope of benefit plan

9. Treatment that affords greatest protection and benefit

10. Fair and valid treatment review processes

11. Professionals held accountable for injury caused by gross incompetence, negligence, or clinically unjustified decisions

Hint 3

11

Front 4

Clients hospitalized involuntarily are committed to a facility for psychiatric care until __________

Back 4

They no longer pose a danger to themselves or anyone

Front 5

Length of time someone can be detained in a psychiatric facility

Back 5

48-72 hours

Front 6

If a voluntary client who is dangerous to himself or others signs AMA, the psychiatrist may _________________

Back 6

File for a civil commitment to detain client against his or her will until a hearing can take place

Front 7

A direct application of physical force to a person, without his of her permission to restrict freedom

Back 7

Restraint

Front 8

3 types of restraints

Back 8

Human

Mechanical

Chemical

Front 9

Involuntary confinement of a client in a specially constructed locked room with cameras and a security window

Back 9

Seclusion

Front 10

What all does Seclusion do?

Back 10

1. Decrease Stimulation

2. Protects others from client

3. Prevents property destruction

4. Provides privacy for the client

Front 11

Goal of seclusion is to_______________

Back 11

Give the client the opportunity to regain physical and emotional self control

Front 12

For adult clients, use of restraints and seclusion requires ___________ documented assessment by nurse every 1 to 2 hours, and close supervision of the client

Back 12

1 hour of restraint and every 8 hours, a physician's order every 4 hours

Front 13

The nurse documents __________________

Back 13

1. Client's skin condition

2. Blood circulation in hands and feet

3. Emotional we being.

4. Readiness to discontiument smale

Front 14

The care they provide to clients meets set expectations and is what any nurse in a similar situation

Back 14

Standards of care

Front 15

Nurses are responsible for providing _____________ to clients and families.

Back 15

safe, competent, legal, and ethical care

Front 16

A situation in which ethical principles inflict or there's no one clear of course

Back 16

Ethical dilemmas

Front 17

Ethical dilemmas are often ______ and __________,

Back 17

Complicated and charged with emotion

Front 18

Many dilemmas in mental health involved

Back 18

Right to self destroy (autonomy)

Front 19

________________are the predominantly emotional responses to loss

Back 19

Anger, sadness, and anxiety

Hint 19

3

Front 20

Levels of grief according to my mental health book

Back 20

1. Stunned

2.denial

3. Hopelessness

Front 21

During disorganization or working through work, the thought that redefining ______________ is essential, and difficult

Back 21

self identity

Front 22

The phase of representatives

Back 22

Recovery

Front 23

Physiologic symptoms and problems associated with grief responses ate often a source of ___________ and _____________

Back 23

Anxiety

Concern for the grieving person as while are your carb-higher

Front 24

Physical side effects of grieving

Back 24

Insomnia, loss of energy, weight loss, lack of energy, palpitations, indigestion, immune changes, endocrine issues

Front 25

Altering cultural values or behaviors as a way to adapt to another culture

Back 25

Acculturation

Front 26

The nurse must encourage clients to discover and use what is ___________

Back 26

effective and meaningful for them

Front 27

______ and ___________ pay an important role in the healing process

Back 27

Memorials

Public services

Front 28

Brief over a loss that not or cannot be acknowledged openly mortal

Back 28

Disenfranchised grief

Front 29

Disenfranchised grief process is more complex because _____________

Back 29

The usual support that facilitates grieving and healing are absent

Front 30

__________ relationships receives the most attention in cases of death

Back 30

Kin-based

Front 31

______ and ________ experience limited social recognition for their losses and need to mourn

Back 31

Older adults

Children

Front 32

Effective assessment involves observing what dimensions of human response

Back 32

Cognitive

Emotional

Spiritual

Behavioral

Physiologic

Hint 32

5

Front 33

While observing client responses in the dimensions of grieving, the nurse explores three critical components

Back 33

1.Adequate perception regarding loss

2. Adequate support while grieving for the loss

3. Adequate coping behaviors during the process

Front 34

Exploring what the person believes about the ______________

_

Back 34

Grieving process

Front 35

Purposeful assessment of support systems provides the grieving client...

Back 35

Who can meet his or her emotional and spiritual needs for security and love

Front 36

What gives the nurse the easiest and most concrete information

Back 36

The client's behavior

Front 37

The client gradually adjusts to the reality of the loss

Back 37

Adaptive denial

Front 38

Intervention involves giving the client the opportunity to ______&_______ in which he / she has open with loss in the past

Back 38

Compare and contrast

Front 39

Encouraging the client into _________ is another intervention that helps clients cope

Back 39

Caring for himself or herself

Front 40

Tools the client should expect

Back 40

1. Using non judgement statements I want you so up and down

2. Referring to a loved or

3. Use silence.

4. Respect clients unique process of grieving

5. Being honest dependable consistent, and worthy of the client's trust

Front 41

An emotion expressed through verbal abuse, lack of cooperation, violence of rules or norms; intended to intimdate

Back 41

Hostility

Front 42

Behavior in which a person attacks or injuries another person or to force someone into compliance

Back 42

Physical aggression

Front 43

Anger becomes negative when ______________

Back 43

A person denies it, suppresses or expresses inappropriately

Front 44

Using ____________ helps express anger with ______________

Back 44

Assertive communication

I statements

Front 45

Aggressive, but safe activities such as punching a punching bag

Back 45

Catharsis

Front 46

Can increase rather than decrease angry feeling safe

Back 46

Catharsis

Front 47

Anger suppression is common in ____________

Back 47

Women

Front 48

An event or circumstances in the environment initiates the client's response, which is often anger and hostility

Back 48

Triggering phases

Front 49

Restless, anxiety, irritability, pacing, muscle tension, rapid breathing

Back 49

Triggering phase side effects

Front 50

Pale or flushed face, yelling, swearing

Back 50

Escalation phase

Front 51

During an emotional and physical crisis, the client loses control

Back 51

Crisis phase

Front 52

Loss of emotional and physical control

Back 52

Crisis phase side effects

Front 53

The client regains physical and emotional control

Back 53

Recovery phase

Front 54

Lowering voice, clearer, decreased muscle tension

Back 54

Recovery phase side effects

Front 55

The client attempts reconciliation with others and returns to the level of functioning before

Back 55

Postcrisis phase

Front 56

Remorse; apologies; crying

Back 56

Postcrisis phase signs

Front 57

For many clients with aggressive behavior, ____________ is the key to controlling aggression

Back 57

Management of the comorbid psychiatric disorder

Front 58

What community based task can help

Back 58

Regular follow up appointment, compliance with PRESCRIBED medication,

Front 59

Intentional injury of a child

Back 59

Child abuse

Front 60

Adults with a history of ______________ _______________ are at greater risk for depression, suicide attempts, marital problems, alcoholic, smoking,

Back 60

Childhood sexual abuse

Front 61

Physical abuse of children often results from

Back 61

Unreasonably severe corporal punishment or unjustifiable punishment

Front 62

Child abuse by _________ is the most prevalent type of maltreatment

Back 62

Neglect

Front 63

Parents who abuse their children often have ___________

Back 63

Minimal parenting knowledge and skill

Front 64

The abuser views the his or her children as....

Back 64

Property

Front 65

Children who have been sexually abused may have a ____________

Back 65

UTI

swollen bruised red genitalia

Tears in rectum or vagina

Front 66

Should a nurse interview the child further about abuse

Back 66

NO

Front 67

First part of treatment for child abuse or neglect is to

Back 67

Ensure the child's safety and well being

Front 68

Maltreatment of older adults by family members or others in a caregiver role

Back 68

Elder abuse

Front 69

Abuse is more likely when the elder has ____________

Back 69

multiple chronic mental and physical health problems

Front 70

Elders are often reluctant to report abuse because ___________

Back 70

it usually involves a family member whom the elder wishes to protect and lose support

Front 71

Crime of violence and humiliation of the victim expressed through sexual means

Back 71

Rape

Front 72

The highest incidence of rape is in women ages ___________

Back 72

16 to 24

Front 73

The physical examination for a rape victim should occur ____________

Back 73

before the women has showered, brushed her hair, brushed her teeth, changed clothes, or had anything to drink

Front 74

Victims of rape fare best when

Back 74

They receive support and can express emotion with people that believe them

Front 75

The nurse should allow the rape victim to proceed with the process at ___________

Back 75

Her own pace and not rush her through any interview or exam procedures

Front 76

Something that is very important to rape victims is

Back 76

Giving back to the victim as much control as possible