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34 Cards in this Set

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Define Assault, Battery, Neglect, Nonmaleficence, and Breach of Confidentiality, Fidelity, and Beneficence? (P.132, 140)
- Assault – Threatened or Physical Attempt to Cause Bodily Harm
- Battery – Assault Assailant makes Physical Contact (Doing Without Consent)
- Neglect – Behaving in a way a Prudent Individual would Not
or Failing to Use Diligence
- Nonmaleficence – View that Careproviders Must Do No Harm
- Breach of Confidentiality – Must Not Release Information without Authorization
- Fidelity – Individual’s Obligation to be Faithful to Commitments and Contracts
- Beneficence – All Treatment Must be for Client’s Good
What is a Writ of Habeus Corpus? (P.136)
- Actual Judgment
- Proceeding to Seek Judicial Discharge
- Legal Judgment Determining if a Person can be Detained for Psychiatric Treatment
What is a Probate Proceeding; Incompetence and Conservator? (P.135)
- Probate Proceeding – Judge Hears Evidence of Ability to Function
- Decision is made on “Competence” or “Incompetence”
- Incompetence – Mental Disorder with Inability to make Decisions
- Conservator – Person Responsible for Handling the Estate
What are Client Rights? (P.133)
- Law Based on Complementary Social Concepts of Responsibility
- Duties Rights and Privileges; Freedom from Harm; Participate in Plan of Care
- Protect Mentally Ill from Unwanted Treatment & Loss of Liberty
- Pt. Bill of Rights, Mental Health Pt. Bill of Rights
- Right to Privacy, Keep Personal Items, Enter Legal Contracts, Habeus Corpus
- Informed Consent, Refuse Treatment, Free from Unecessary or Excessive Meds.
What happens if a Nurse Gives a Treatment without a Patients Consent? What are the Liabilities? (P.140)
- Client May bring Suit Against Mental Health Professionals
What does it mean when a client is Voluntary or Involuntary? (P.138)
- Voluntary – Pt. Seeks Treatment of Own Free Choice
- Pt. has Knowledge of Facility, Appearance, and Condition of Hospitalization
- Pt. is Informed of Alternatives to Hospitalization
- Leave Whenever Pt. Wants

- Involuntary – Emergency Hospitalization – 48 to 72 hrs
- Allows Court Proceedings & Evaluation
- Civil Commitment – Procedures for Denying or Approving Civil Commitment
- Criminal Commitment – Guilty of Crimes or Not Guilty by Reason of Insanity
What is the M’Naughten Test /Rule? (P.136)
- Defendant Does Not Know Significance of Action
- Does Not Know it was Wrong
- Cannot be Held Legally Accountable
What is the Difference Between Anxiety vs. Fear? (P.191)
- Anxiety – State where Person Feels Strong Sense of Dread; Physical Symptoms Include Increased HR, RR, BP Without having Specific Source or Reason for Emotions
- Fear – Person Feels Strong Sense of Dread; ANS Focused on Specific Event Tornado, Surgery, Failing in Job
What are the Stages of Anxiety- What are the Differences between the stages? (P.194)
- Mild – Tension of Day-to-Day; Individual has Alert Perceptual Field; Can Motivate Learning
- Moderate – Focus is on Immediate Concerns; Perceptual Field is Narrowed; Selective Inattention.
- Severe – Focus is On Specific Detail; Perceptual Field is Greatly Reduced
- Panic – Individual Experiences Sense of Awe, Dread, and Terror; Loses Control; Disorganization of Personality; Impending Doom
What are Physical Manifestations of Anxiety? (P.191)
- Increased Heart Rate, Respiratory Rate, Elevated Blood Pressure
Know Behaviors and Symptomatology, Nursing Interventions and Diagnosis of; Generalized Anxiety Disorder, Panic Disorder, Obsessive Compulsive Disorder, Post Traumatic Stress Disorder and Phobias. (P.194, 200)
- Too Many, Refer to Book
What are Medications used in Anxiety Disorders? (P.208)
- Antidepressants are Used to Treat Anxiety Disorders
- Tricyclics (Amitryptiline, Clomipramine)
- SSRI (Prozac, Paxil, Zoloft) (Fluoxetine, Fluvoxamine, Paroxetine)
- Atypical – Buspirone, Anticonvulasants, MAOI
What are Beta Blockers? What conditions does this drug treat? (P.207)
- Inhibit Beta-Adrenergic Receptor; Generalized Effect of Sedation
- Acute Symptoms of Performance Anxiety
- Social Phobia
What side effects and problems can one experience with Benzodiazepines? (P.207)
- Significant Physical Dependence; Insomnia, Anxiety, Seizures
- Partially Relieves Symptoms
What are Withdrawal Signs from Benzodiazepines? (P.207)
- Insomnia, Anxiety, Seizures
What Non-Benzodiazepine is Used for Anxiety? What are its Properties? (P.207)
- Ambien works on Same Receptors Non-Benzodiazepine
- Short Half-Life; Does Not Effect REM Sleep
Define the Stages of Crisis; What are the Different Types of Crisis; Give Examples? (P.165, 166)
- 1st - Situation or Threat to Individual Resulting in Anxiety; Individual Uses Coping Mechanism to Overcome Anxiety. If Anxiety Not Reduced then Person Goes to 2nd Stage.
-2nd - Anxiety Increases, Persons Ability to Coping Decreases; If Person Feels Pressure and is Unable to Respond then Third Phase.
-3rd - Uses Every Means to Bring Escalating Anxiety and Situation Under Control; Uses Cognitive Skills to Redefine Crisis; May Seek Counseling or Support
- 4th – Panic when Anxiety Cannot be Controlled; Depression or Psychosis.

- Situational - Event Poses Threat or Challenge; Accidental Injury, Loss of Employment, Diagnosis of Illness
- Maturational - Stage in a Persons Life where Adjustment and Adaptation to New Responsibilities and Life Patterns are Necessary
- Cultural Crisis - Person Experiences Cultural Shock in Process of Adapting/Adjusting to a Culture or Returning to Ones Own Culture
What is a Crisis? (Notes, P.164)
- Upset in Steady State, Acute and Time Limited
- Stressor that Forces Individual to Respond and/or Adapt in Some Way
- Oxford Dictionary – Turning Point in Disease, Decisive Stage in Progress of Anything
- Time Limited
What are Priorities with Someone in a Crisis? What Must You Assess? (Notes)
- Suicidal or Homicidal (Have You Considered Killing Yourself or Someone?)
- Situational Support (What Resources do You Have?)
- Personal Coping Skills (Exhaustion of Coping Resources)
What are Potential Nursing Diagnosis for Individuals in a Crisis? (P.175, Notes)
- Anxiety R/T Sense of Unknown; Fear R/T Precipitating Event
- Ineffective Coping; Powerlessness
- Hopelessness; Disturbed Sleep Pattern
What are the stages of Grief and Bereavement? What are Kubler-Ross’s Stages of Grief? (P.267)
- Bereavement – Has Diagnosis, but No Diagnostic Criteria (Normal Condition)
- Shock – Feeling of “Numbness”
- Reality – Most Painful Experience Here
- Recovery – Person Integrates Loss into Life

- Kubler- Ross – Stages are Not Linear
- Denial, Anger, Bargaining, Depression, Acceptance
What is Abnormal Grieving? (P.269)
- Grief if Overwhelming and Resorts to Maladaptive Behaviours
- Chronic- Grief Never Reaches Conclusion
- Delayed – Grief Work Not Accomplished at Time of Loss
- Exaggerated – Overwhelming Grief
- Masked – Masked by Physical Symptom or Maladaptive Behaviour
What is the Difference Between a Major Depression and Dysthymia? What Behaviors does One see with these Disorders? What Symptoms? (P.262, 265)
- Major Depression – 1.) Last 2 wks; 2.) Represent Change from Previous Functioning 3.) Cause Impairment in Social or Occupational Function
Feeling of Sadness, Hopelessness, or Feeling Empty; Discrete Episode
- Dysthymia – Feel Depressed All the Time. Depressed Mood for Most of the Day More Days than Not for 2 yrs.
What are the DSMIV-TR criteria for a Major Depression? (P.262)
- Last At Least 2 wks
- Change from Previous Functioning
- Change in Social or Occupational Functioning
What is Diagnostic Criteria for Dysthymia? (P.265)
- Depressed Most of Day More Days than Not for 2yrs
- Appetite Disturbance, Sleep Disturbance, Fatigue
- Low Self-Esteem, Poor Concentration
What are the Main Drugs Used to Treat Depression? What are the Most Common Side Effects of SSRI’s, MAOI’S, Tricyclics? ***Note Know Your SSRI’s Very Well (P.273)
- Tricyclics – 1st Medication to Prove Effective in Management of Depression
- Dry Mouth, Constipation, Inability to Pass Urine, Orthostatic Effects
- Cardiotoxic in Elderly; Have Sedative Effects
- Overdose is Dangerous

- SSRI – Sexual Dysfunction; Seratonin Syndrome
- Zoloft – Good for Older Adults
- Prozac, Luvox, Paxil
- Less Anticholinergic and Orthostatic Effects of Tricyclic
- Less Chance of Seziures

- MAOI – Increase Availability of Brain Neurotransmitters
- Rise in BP, Stroke, or Cardiovascular Catastrophe
- Hypertensive Crisis
What are the Nursing Diagnoses Used with the Depressed Client, Review Good Communication Techniques with Depressed Clients? (P.277)
- Self Care Deficit Theory – Compensation Needed for Client’s Inability
- Nurse Encourage Client to Meet Own Needs (Self Care Agency)
- Supportive Educative Role – Carry On without Nursing Support
Differentiate between Bipolar I, II, and Cyclothymic Disorders? (P.302, Notes)
- Bipolar I – Psychosis, Rapid Mood Cycling, Recurrent Depression,
- Bipolar II – Seasonal, PMS, Alcohol, Rapid Mood Cycling, Recurrent Depression
- Cyclothymic – Cycle Between Hypomanic and Melancholi but Not Major Depressive (Bipolar III)
What are the Signs and Symptoms of Mania? (P.298)
- Inflated Self-Esteem, Decreased Sleep; Grandiosity
- More Talkative, Flight of Ideas; Sexual Indiscretions
- Distractibility, Increased Goal Directed Activity
- Excessive Involvement in Pleasurable Activities
What Other Medical Conditions Look Like Mania? (P.307)
- Borderline Personality – React to Environment Rather than Moods
- SAD, Dysthmia, Depression, Mood Disorders
Differentiate between Mania and Hypomania? (P.300)
- Three Symptoms of Mania Present
- Lasted Only 4 days
- No Difference in Functioning but Observable by Others
Know the Properties of Lithium (LICO3) What are the Side Effects? (P.309)
- Effects Thyroid Gland, Kidneys, Nervous System
- Thirst, Appetite, Weight Gain, Memory Problems, Impaired Motor Coordination
- Poor Concentration, Hand Tremor
Why are Anticonvulsants and Antipsychotics Useful in the Treatment of Bipolar Disorders? Know the Drugs in Each of these Classifications. (P.311)
- Clients who do Not Respond to Lithium; Too Many Side Effects of Lithium
- Anticonvulsants
- Carbamazepine, Valproic Acid

- Safety Advantage Over Lithium
- Antipsychotics
- Thioridazine, Haloperidol
Know Nursing Diagnoses and Interventions for Bipolar Disorder? (P.313, 315)
- Self Care Deficit Theory