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34 Cards in this Set
- Front
- Back
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Define Assault, Battery, Neglect, Nonmaleficence, and Breach of Confidentiality, Fidelity, and Beneficence? (P.132, 140)
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- 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 |
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What is a Writ of Habeus Corpus? (P.136)
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- Actual Judgment
- Proceeding to Seek Judicial Discharge - Legal Judgment Determining if a Person can be Detained for Psychiatric Treatment |
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What is a Probate Proceeding; Incompetence and Conservator? (P.135)
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- 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 |
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What are Client Rights? (P.133)
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- 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. |
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What happens if a Nurse Gives a Treatment without a Patients Consent? What are the Liabilities? (P.140)
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- Client May bring Suit Against Mental Health Professionals
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What does it mean when a client is Voluntary or Involuntary? (P.138)
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- 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 |
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What is the M’Naughten Test /Rule? (P.136)
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- Defendant Does Not Know Significance of Action
- Does Not Know it was Wrong - Cannot be Held Legally Accountable |
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What is the Difference Between Anxiety vs. Fear? (P.191)
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- 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 |
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What are the Stages of Anxiety- What are the Differences between the stages? (P.194)
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- 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 |
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What are Physical Manifestations of Anxiety? (P.191)
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- Increased Heart Rate, Respiratory Rate, Elevated Blood Pressure
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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)
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- Too Many, Refer to Book
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What are Medications used in Anxiety Disorders? (P.208)
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- Antidepressants are Used to Treat Anxiety Disorders
- Tricyclics (Amitryptiline, Clomipramine) - SSRI (Prozac, Paxil, Zoloft) (Fluoxetine, Fluvoxamine, Paroxetine) - Atypical – Buspirone, Anticonvulasants, MAOI |
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What are Beta Blockers? What conditions does this drug treat? (P.207)
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- Inhibit Beta-Adrenergic Receptor; Generalized Effect of Sedation
- Acute Symptoms of Performance Anxiety - Social Phobia |
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What side effects and problems can one experience with Benzodiazepines? (P.207)
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- Significant Physical Dependence; Insomnia, Anxiety, Seizures
- Partially Relieves Symptoms |
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What are Withdrawal Signs from Benzodiazepines? (P.207)
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- Insomnia, Anxiety, Seizures
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What Non-Benzodiazepine is Used for Anxiety? What are its Properties? (P.207)
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- Ambien works on Same Receptors Non-Benzodiazepine
- Short Half-Life; Does Not Effect REM Sleep |
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Define the Stages of Crisis; What are the Different Types of Crisis; Give Examples? (P.165, 166)
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- 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 |
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What is a Crisis? (Notes, P.164)
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- 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 |
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What are Priorities with Someone in a Crisis? What Must You Assess? (Notes)
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- Suicidal or Homicidal (Have You Considered Killing Yourself or Someone?)
- Situational Support (What Resources do You Have?) - Personal Coping Skills (Exhaustion of Coping Resources) |
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What are Potential Nursing Diagnosis for Individuals in a Crisis? (P.175, Notes)
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- Anxiety R/T Sense of Unknown; Fear R/T Precipitating Event
- Ineffective Coping; Powerlessness - Hopelessness; Disturbed Sleep Pattern |
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What are the stages of Grief and Bereavement? What are Kubler-Ross’s Stages of Grief? (P.267)
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- 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 |
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What is Abnormal Grieving? (P.269)
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- 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 |
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What is the Difference Between a Major Depression and Dysthymia? What Behaviors does One see with these Disorders? What Symptoms? (P.262, 265)
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- 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. |
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What are the DSMIV-TR criteria for a Major Depression? (P.262)
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- Last At Least 2 wks
- Change from Previous Functioning - Change in Social or Occupational Functioning |
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What is Diagnostic Criteria for Dysthymia? (P.265)
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- Depressed Most of Day More Days than Not for 2yrs
- Appetite Disturbance, Sleep Disturbance, Fatigue - Low Self-Esteem, Poor Concentration |
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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)
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- 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 |
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What are the Nursing Diagnoses Used with the Depressed Client, Review Good Communication Techniques with Depressed Clients? (P.277)
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- 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 |
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Differentiate between Bipolar I, II, and Cyclothymic Disorders? (P.302, Notes)
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- 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) |
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What are the Signs and Symptoms of Mania? (P.298)
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- Inflated Self-Esteem, Decreased Sleep; Grandiosity
- More Talkative, Flight of Ideas; Sexual Indiscretions - Distractibility, Increased Goal Directed Activity - Excessive Involvement in Pleasurable Activities |
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What Other Medical Conditions Look Like Mania? (P.307)
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- Borderline Personality – React to Environment Rather than Moods
- SAD, Dysthmia, Depression, Mood Disorders |
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Differentiate between Mania and Hypomania? (P.300)
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- Three Symptoms of Mania Present
- Lasted Only 4 days - No Difference in Functioning but Observable by Others |
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Know the Properties of Lithium (LICO3) What are the Side Effects? (P.309)
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- Effects Thyroid Gland, Kidneys, Nervous System
- Thirst, Appetite, Weight Gain, Memory Problems, Impaired Motor Coordination - Poor Concentration, Hand Tremor |
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Why are Anticonvulsants and Antipsychotics Useful in the Treatment of Bipolar Disorders? Know the Drugs in Each of these Classifications. (P.311)
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- Clients who do Not Respond to Lithium; Too Many Side Effects of Lithium
- Anticonvulsants - Carbamazepine, Valproic Acid - Safety Advantage Over Lithium - Antipsychotics - Thioridazine, Haloperidol |
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Know Nursing Diagnoses and Interventions for Bipolar Disorder? (P.313, 315)
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- Self Care Deficit Theory
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