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116 Cards in this Set

  • Front
  • Back
Signs of Mental Health
Functionality
Satisfactory Relationships
Realistic Perception
Ability to cope with stress and anxiety
Self-Control
Signs of a mental illness
DEFICITS IN FUNCTIONING
Culturally based
Distored perceptions
Physical Characteristics
PHYSICAL CHARACTERISTICS: (NEXT 11 SLIDES)
Appearance
Approirate dress for climate or age
Attitude
Angry, sad, hostile
Speech
Quality or quantity
Behavior
eye contact, what they are doing
Mood
temperment
AFFECT
What you as the nurse sees...
Objective!
Thought process
racing or blocked
Thought content
Approiriate reality, they think they are rich...
Perceptions
Hallicunations
Insight
Do they understand that they have an illness?
Vegetative profile
Mental/Coma status
The classification system used to DX 5 axes
DSM IV
1st axis is the for _____ clinical dx including bipolar or szcherpherina
Major Dx
2nd Axis is for the ______ diagnosis which includes mental retardation or personality disorder
Secondary
3rd axis is for ______ medical condition
General
$th axis is _______ and environmental issues including being homeless
Psychosocial
5th axis is GAF which stands for ____- _________ ___ ________ which states that 100 is most functioning and 50 or lower is usally pt in psycho ward
Global Assessment of functioning
Nursing interventions includes active _______, anger _____, assertivesness training, behavior ________, body image enhancement or caregiver support.
Listening
Control
Management
More nursing interventions include:
Communication enhancement
Delusion ________
Eating disorder Management
Grief Work
Hallinuation Management
_____ control therapy
Mileu therapy
Management
Impulse
Delusion is a _____ fixed belief, while a hallination is due to the _____
False
Senses
Impulse control training is when you begin to ____ sbout ways that worked in the past
Talk
Milieu therapy is when you ask...
Are you safe?
More nursing interventions include:
Mood Managment
Role _________
Spiritual support
Substance abuse treatment
______ prevention
Teaching
Enhancement
Suicide
Almost 1/3 of people admitted to the ward have an _____ ____ problem also
Substance abuse
Treatment modalities include Psycholotherapy, ______________, social services, art/music therapy, OT/RT and _________________
Pharmocogical
ECT
The best way to treat is to use 2 types of modalities which are:
Psychotherapy and Pharmacological
Main side effect of ECT is
Memory Loss
A _________ gives the Dx
Psychiatrist
Admission is giving ONLY when there is an ___________ danger to hurt themselves or someone else or cannot take care of themselves
IMMEDIATE
2 ways to get into ward is by -
voluntary and involuntary
If you are admitted involuntary you have either a ECO or TDO...which is
Emergency Custody Order
Temporary Detention Order
NGRI stands for
Not guilty by reason of insanity
The McNaughten test is when the person did not know the ____ or _____ of the act
Nature or Quality
The _________- _______ Act is when a person is impulsably driven to perform an act and it HAS TO LACK PREMEDIATION
Irresistible impulse act
The American Law Institutes Test lacks to appreciate ____ illness and they cannot conform to law
Wrong
When a patient is _____ is the only time that you can medicate against their will
Violent
The behavior of one family member effects all, so the family has to ____ goals for change
Set
These kind of families produce these things:
open to others
permeable boundaries
clear communication and generational lines
power shared between parents
autonomous thing and behavior
warm and caring emotions
values and beliefs
Optimal or Functional Families
_______ family communication includes:
Discounting (put downs)
scapegoating (blaming others)
Triangling
passive -aggression
Dysfunctional Families
Autocratic Group Therapy
Focus on leader, with low moral
Democratice Group therapy
Focuses on member
Lassierez Faire Group therapy
Anything goes, low moral
Content oriented group
works on goals
Process oriented group
focuses on relationships
Mid-range group
combo of content and process
Educational groups
How to take care of yourself
Pavlov gave an ________ response ex: classical conditioning
Unconscious
Skinner gave the ____ response ex: operant conditioning
Operant
Cognitive behavioral deals with the pts interpretation of ______
ex: picture of cat looking at lion
Self
These are goals of ______ therapy:
Cost effective
Increase coping
Task oriented homework
practical changes
Cognitive
Psychoanalytical model of treatment was developed by _____.
Frued
Freuds based thisto _____ a persons reality
Distort
Freud is based on:
Unconscious factors
Treatment traces patterns to _______
Repression keeps experiences out of conciousness
Id, Ego and Superego
Stages of development
Childhood
Aviodance of disagreeable realties by ignoring or refusing to reconize them
"Important one"
Denial
Attributing one's thoughts or impulses to another person
Projection
Offering a socially acceptable or apprently logical explanation to justify or make acceptable otherwise unacceptable impulses, feelings, behaviors or motives
Rationalization
Intense identification in which a person incorporates qualities or values of another person or group into his own ego structure.
Introjection
Freuds defense mechanisms is based on a person denial that they have a _______
problem
Shift of emotion from a person or object to another
Displacement
Development of conscious attitudes and beahvior patterns that are opposite to what one really feels or would like to do
Reaction formation
Conscious counterpart of repression in which it intentional exculsion of material from consciousness.
Suppression
Acceptance of socially approved substitute goal for a drive whose normal channel of expression is blocked
Sublimination
People use symbols rather than direct
ex: giving a rose to show attention
Symbolism
Retreat to behavior characteristic of an earlier level of development
Regression
Involuntary exclusion of a painful or conflictual thought, impulse or memory from awareness
Ex: Husband doesn't recall hitting wife when pregnant
Repression
_____ are important for developing a childs personality
Parents
Peplau believed in the theraputic use of _____; self developed w/ primary relationship
Self
The existential model of treatment deals with ___ and ____. Rogers gives the unconditional positve regard
Here and Now
Mental illness is due to ______ in the brain
Dysfunction
Dysfunctions in the brain can be from:
Anatomical _____
Maldistribution of neurotransmitors
Malfunction of biochemical pathways
Abnormality
Theraputic NPR principles focuses on the ______; it helps them understand behavior, explore problems and develop coping skills
Client
Theraputic NPR have mutually determined ____, and the nurse must remember to be accepting and nonjudgemental
Goals
Problems with NPR include _____ (missing appts, avoding topics, acting out, superficial talk), ______ (pt feels therapist looking at the as mother father figure and messes us relationship), and ________________ (nurse sees pt as a family member)
Resistance, Transference, Countertransference
Some other problems with NPR include _____ violations like:
distance
gift-giving
use of touch
self-disclosure
Value clash
Boundary
ALWAYS keep personal ______ out of communication
Values
3 phases of Therpautic NPR include:
Orientation
working phase
termination
The _____ phase is when you are the most active and this is when you give assessment and diagnosis
Orientation
The _____ phase is when outcome identification, planning and interventions come into play. This is when the pts talk
Working
The ______ phase is when you do your evaluation
Termination
Enhancers to theraputic communication include:
reflecting (Youre feeling tense and anxious, is this related to a converation you had last night)
Clarifying (I am not sure what you mean)
_____-ended questions (What are you thinking about)
Open
Ability to enter into the life of another person to accurately percieve his or her current feelings and their meanings and to communicate this understanding to the patient
Empathy
Nurse is open, honest, sincere person who is actively involved in the relationship
Genuineness
Also called non-possessive warmth or unconditonal positive regard
Respect
presentation of alternative ideas
Suggesting
Using specific terminology rather than abstractions when discussing the patients feelings, experiences and behavior
Concreteness
expression by the nurse of perceived discripences in the patients behavior
Confrontation
These are _____ to theraputic communication:
False reassurance
minimizing/ belittling
"WHY"
Advising
Blockers
These are also blockers:
Agreeing or disagreeing
_____-ended questions
providing answerwith the ?
Changing the subject
Aprroving or disapproving
Close
Acute care setting are for _____ stabilization; preventrs self harm or harm to others
crisis
These 3 things give good clinical function
Support, safety and structure
Mangement of Milieu include:
Maintain theraputic for _____ and growth
keep communication open and ______
Safety
Communication between shifts
healing
constructive
Psychiatric and medical side effects include: _____ and _____
Diabetes and obesity
Milieu does 2 things:
Sets limits on _____ and maladaptive behavior
Teaches psychosocial skills
Disturbing
5 D's of disturbing behaviors in Milieu:
Destructiveness
Disorganization
Deviancy
Dysphoria
Dependence
Withdrawl from environment, obsessional behaviors, intrusiveness or hyperreligiosity
Dysphoria
Partial hospilation is ____ or can be ______
Days or outpatient
Partial hospilization is used for ______; to build communication and social skills
problem solving
med monitoring
education
leisure-occupational skills
Transition
Treats patients in the community
Community care setting
PACT is a community care setting
Program of assertive community therapy
These are goals of _____ mental health:
maintance of stability
client active in treatment
improve ability to function
work w/ family and community resources
Community
Nursing interventions include:
_____ access & boundaries
Negotiate medication adherence
Long-Term _______
Assist client in adequate self-care
Assist client with services needed in community
negiotate
Relationships
3 types of threats; ____ (get out of my face now), _______ (1 more time and I will...), _____ " last person who brought up my mom is in the cemetarry)
Direct
Conditional
Veiled
3 phases of the cycle of violence are; ______ building (abuser blames victim for problem), _____ (actual violence, tension released), _____ (wants to believe abuser is better)
Tension Building
Expolsion
Honeymoon
These are ______ about violence:
"Its nobody elses business" She deserves it, "why doesn't she just leave"
Misonceptions
Characteristics of a ____ in domestic violence:
Poor impulse control
extremely jealous
lack of trust in others
wide range of insecurities
desire for control and power
Hx of abuse as a child
Drug/alcohol abuse
Batterer
Characteristics of the _____ of Domestic Violence:
Low Self-esteem
Shameful or guilty
depressed
helpless or powerless
fearful
Surviover
You ____ client and provide _____ for surviviors of domestic violence
Educate
Resources
these are all signs of what?
Behavioral extremes
fear of parent or caregiver
hyperactive, ditractible, irritable
lower school performance
regression
depressed
disorganized
slef-injourous
substance abuse
run away
sexual acting out
Child Abuse
Physical problems in children with sexual abuse include:
STI
bleeding soreness, itchness around genital and anus
________
__________ pregnancies
UTI
Unintended
If child abuse is suspected always interview the child _______
Separte
20% of _____ are abused
Physical
sexual
psychological
finicial
neglect or abandonment
Elder
______ factors for elder abuse:
Dependent on others for ADL's
physically impaired
Self-Neglected
Social Isolation
Problematic behaviors
Females greater at risk
Risk
S&S of elder abuse include
physical injury
anxiety or fear
hopelessness
depression
spiritual distress
guilt
poor self esteem
Characteristics of ______ in elders:
ill-prepared
personal life in disarray
dependent upon survivior for money
abused as child
Hx of violence
poor coping and communication skills