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36 Cards in this Set

  • Front
  • Back

Axis I:

Acute Mental Disorders

Axis II:

Personality Disorders and Mental Retardation

Axis III:

Medical Disorders

Axis IV:

Stressors

Axis V:

Global Assessment of Functioning (GAF) Score 0-100

5150

72 hour hold because they have a mental disorder is a danger to himself or others or is gravely disabled and they are placed for treatment and evaluation-for 72 hours

5250

14 day hold if they feel after 5150 they need to be followed up with more intense treatment if the person is found to be a danger to himself or others or gravely disabled.




They will have a hearing within the first 4 days to see if they should continue with it.




The hearing attendees include patient, patient right advocate, family member or friend, facility staff member, and a hearing officer. The hearing officer will hear from all parties then determine course of action. Outcomes include-immediate release, changed from 5250 to voluntary hold, and patient remains involuntary (so still a 5250) the patient may frequent the writ of habeas corpus and go before judge to argue their case.

5260

during the 14 days if the patient attempts suicide, doc may put them on another 14 day hold, patient has right for habeas corpus but no hearing will be held for this hold

5270

involuntary 30 day hold – 30 days after the 14 days of 5250

“word salad”

(incoherent jumble of speech) nurse asks “what is your name?” patient goes “penis radioactive apple brain”

Clang

when they like to rhyme their words – nurse asks “what’s your name” the pt goes “the brain train rained on me”

Echolalia

repeating words or phrases nurse says “whats ur name” pt. says “what’s your name”

Blocking

When person interrupts in the middle of a sentence- example “my name is…mmmm..what was the question again?”

Perseveration

an ability to switch ideas, nurse goes” what’s ur name” pt goes “my name is Gordon I like trains” nurse goes “tell me about ur family” pt goes “I like trains they go really fast” and carries convo to places they wanna go.

Loose association

ideas are loosely apparent or inapparent logical connection nurse “what’s ur name” pt “the sun is yellow”

flight of ideas

Bunch of ideas

Tangential

pt attempts to answer the question but gets sidetracked and never goes back to the original question ex: whats ur name? pt goes my name is Gordon my son is La and is also named Gordon, I love LA I’m a big lakers fan.

Circumstantial

speech that is highly detailed and very delayed-takes a long time to answer the question.

NEOLOGISMS

words made up by the patients.

Know the phases of the Nurse-Patient Relationship




First phase

(p.129)The pre-interaction phase- preparation for first interaction with client. Obtain avail info from his chart, signif others, example: nurse might not like dealing with an alcoholic client if they grew up in an alcohol household.

Know the phases of the Nurse-Patient Relationship




Second phase

Orientation phase - participants may experience anxiety, several visits may be required, get acquainted and make a plan

Know the phases of the Nurse-Patient Relationship




Third phase

Working phase- The Working PhaseThe therapeutic work of the relationship is accomplished during this phase.

Know the phases of the Nurse-Patient Relationship




Last phase phase

Termination phase-Termination of the relationship may occur for a variety of reasons: the mutually agreed-on goals may have been reached; the client may be discharged from the hospital; or, in the case of a student nurse, it may be the end of a clinical rotation. Termination can be a difficult phase for both the client and nurse. The main task involves bringing a therapeutic conclusion to the relationship.



Yalom’s Curative Group Factors




1. Instillation of Hope

encouragement that recovery is possible

Yalom’s Curative Group Factors




2. Universality

feeling of having problems similar to others; not alone

Yalom’s Curative Group Factors




3. Imparting of Information

teaching about problem and recovery

Yalom’s Curative Group Factors




4. Altruism

helping and supporting others

Yalom’s Curative Group Factors




5. Corrective Recapitulation of the Primary Family Group-

identifying and changing the dysfunctional patterns or roles one played in primary family

Yalom’s Curative Group Factors




6. Development of Socializing Techniques

learning new ways to talk about feelings, observations and concerns

Yalom’s Curative Group Factors




7. Imitative Behavior

- modeling another’s manners and recovery skills

Yalom’s Curative Group Factors




8. Interpersonal Learning

finding out about themselves and others from the group

Yalom’s Curative Group Factors




9. Group Cohesiveness

feeling of belonging to the group, valuing the group

Yalom’s Curative Group Factors




10. Catharsis-

release of emotional tension

Yalom’s Curative Group Factors




11. Existential Factors-

life & death are realities

Yalom’s Curative Group Factors




12. Guidance

nurturing support and assistance

Yalom’s Curative Group Factors




What is Milieu therapy

A scientific structuring of the environment in order to effect behavioral changes and to improve the psychological health and functioning of the individual (Skinner, 1979).