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56 Cards in this Set
- Front
- Back
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DSM-IV-TR Classifies ________ and not _______ |
Mental Health disorders not PEOPLE |
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What is most prevalent mental health disorder and what is it's prevalence |
Alzheimer's 10% in those over 65 50% in those over 85 |
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Newer findings have shown that ________ is more likely to have biological rather than psychological origins |
Schizophrenia |
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What does the supergo (Freud) Contain? |
Moral standards internalized from actions with significant others |
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According to Erickson, what is the developmental task of infancy> |
Development of trust |
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According to Maslow's hierarchy of needs, the need for food and hygiene are the most basic _________ _______ |
Physiological Needs |
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Hildegard Peplau's interpersonal theory is focused on what? |
Providing a model for adaptive interpersonal relationships |
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What is Cognitive Behavioral Therapy focused on? |
Promoting emotional self-control
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While a PET scan can helo diagnose schizophrenia and mental health disorders , when ruling out a tumor what is best test |
MRI |
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When are mood stabilizers such as Lithium prescribed? |
When patients are showing manic behaviors like agitation and talkativeness |
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What is the Social Security Disability Insurance meant for? |
Those who have worked in the workforce and then disabled by a physical or mental disorder
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When experiencing a mental illness it is important to ensure what? |
That the patient is involved with the plan of care and permission is given to family to be involved |
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Cultural competence is very __________ with mental health issues why? |
Important Because many cultures see time in a different way than in the western culture |
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If patient information is shared with a nurse that indicates a desire to cause harm to self or others, what should is priority action by the nurse? |
Report it right away |
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What is important for a patient experiencing command hallucinations who are in potential acute danger of harm to self or others? |
Immediate treatment |
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During an initial assessment of patient experiencing hallucinations expresses a desire not to answer a question, what should nurse do at that time? |
Not push patient to answer and move on to next question |
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What is milieu management used for and what should patient know about unit to be an active participant? |
Milieu is used to help patients feel safe and comfortable Patients should know the rules so they can be an active participant |
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When a patient moves from one provider to a new provider what must happen? |
The building of a new therapeutic relationship must begin |
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What must take place if a nurse is having negative thoughts about a patient and this is done to avoid what? |
Close supervision to avoid mutual withdrawal from patient and nurse from the therapeutic relationship |
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What should always be maintained with a patient? |
Appropriate boundaries |
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Rather than argue with a patient about their perceptions what could the nurse do? |
Address the focus of fear without agreeing with the patient on the unrealistic issue |
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Why is silence helpful during interview session? |
Because it allows for time of reflection |
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While patients may not meet/reach the same goals as others they need help understanding what? |
That they can still find contentment in meeting their own goals |
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What do Beta Blockers do? |
Slow sympathetic nervous system activity, alleviate anxiety symptoms associated with social phobias |
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Why is Buspirone considered effective in the long-term management of anxiety? |
It is effective in treating the anxiety and is non-habit forming |
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Suicidal ideation has been known to increase with what and what should this be a part of? |
SSRI use Paitent education |
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What is neologism? |
A newly coined word having special meaning to the patient but is not recognized by others |
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With an anorexic patient what is criteria for hospitalization? |
eight loss of more than 30% in 6 months Temp. below 96.8 HR less than 40BPM Systolic BP less than 70mmHg |
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What should you provide a patient experiencing acute delirium? |
A quiet well lit room |
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What can cognitive impairment interfere with? |
Patients ability to perform ADL's |
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What can postoperative delirium cause? |
It can cause a patient to not recognize their surroundings and become fearful |
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What is a positive outcome be for someone experiencing postoperative delirium and why? |
Helping the patient become oriented to their surroundings this is so they feel safe and understand they don't need to leave |
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When do alcohol withdrawal symptoms usually occur |
48 hours after last drink |
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What does alcohol withdrawal present as? |
Shakiness, anxiety, and hallucinations |
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When a patient is experiencing withdrawal what can help patient feel safe and maybe realize they have a problem? |
Support and empathy from the nurse |
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What does splitting involve? |
Inability to recognize that an individual can have both negative and positive qualities |
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What do secondary gains do? |
Reinforce maladaptive behavior and should be assessed when these behaviors have continued for an extended period of time |
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Crisis interventions should focus on what when a patient is experiencing multiple crises? |
The most recent crisis |
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What is adventitious crisis ? |
It includes being unplanned, violent, traumatizing and not a part of everyday life |
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What is vicarious traumatization? |
Applies to survivors of trauma who are exposed to trauma themselves who are exposed to trauma themselves an can experiences the same sort of responses as those who experience trauma directly |
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Risk of self inflicted violence following and attempted suicide can be compounded when? |
There is no normal support system around |
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What may patients be looking for when they ask to have suicide precautions lifted |
More opportunity to which they can commit suicide therefor it is important to carefully revise the care plan |
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What is important to do for family members to decrease their anxiety? |
Keep them updated and continue communication with them |
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How should an interview with a person who may be being abused take place and what kind of remarks should be made to build therapeutic communication? |
A non-blaming and non-threatening way Empathetic remarks |
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What must you always get from patient no matter what is going on with them? |
Consent |
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What is priority aspect of assessment when interviewing rape victim? |
Assessing coping mechanism in which the patient is using |
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What should always be provided to a rape victim and why? |
Written and verbal instructions and referrals due to lack of remembering what is said to them because of trauma |
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What is an outcome for a patient with a diagnosis of Powerlessness? |
They are empowering themselves |
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What should be encouraged to a family who is feeling overwhelmed that are dealing with Serious Mental Illness? |
Participate and get involved with NAMI and also investigate ways to help their loved one become more independent |
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People with SMI die on average of when? |
28 years younger than their peers |
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What can attribute to the earlier deaths with SMI patients? |
Healthcare providers attribute somatic complaints to mental illness |
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What do researchers support the use of when it comes to mental illness and why? |
Use of mental health courts because they can be sentenced to treatment instead of jail |
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It is with CBT patients learn what? |
How to reframe dysfunctional thoughts and extinguish maladaptive behaviors |
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What is a desired outcome when the parents have impaired parenting skills d/t grief of ineffective coping? |
Effective parental role function |
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What must happen in order for family therapy to work? |
Each family member must be heard in regards to their perspectives and feelings about what is taking place |
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What is important to remember about experienced nurses and what could be an undesired outcome? |
That they may not be up to date on evidenced based practice and could lose sight of the individuality of patients thus potentially compromise care |
