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Challenging |Leaders |in |Group: |Democratic |Leader |- |correct |answer |✔decide |how |to |do |it |or |make |decisions |as |a |group
What |is |mental |health? |- |correct |answer |✔o |State |of |well |being
o |People |are |able |to |realize |their |own |potential, |cope |with |normal |stress |of |life, |work |productively, |make |contributions |to |community |and |able |to |function |normally
o |Able |to |find |help |when |stressed |and |deal |with |life's |problems
o |With |mental |illness, |there |is |significant |dysfunction |of |daily |living
What |is |resilience? |- |correct |answer |✔o |Ability |and |capacity |to |secure |resources |needed |to |support |well-being
o |Essential |to |recovery. |We |have |to |learn |to |be |resilient |and |work |through |things.
Diathesis-Stress |Model |- |correct |answer |✔o |biological |predisposition |or |genetics
(First |degree |relative |who |suffers |from |illness |predisposes |us |to |suffering |from |the |same |illness)
o |Stress: |environmental |stress |or |trauma
(Ex |hurricane |Katrina |and |those |survivors |never |being |the |same |again)
o |Most |accepted |explanation |for |mental |illness
o |Combination |of |genetic |vulnerability |and |negative |environmental |stressors
DSM | 5 |Book |- |"The |Diagnostic |and |Statistical |Manual |of |Mental |Disorders, |5th |edition" |- |correct |answer |✔o |Official |medical |guidelines |of |the |American |Psychiatric |Association |for |diagnosing |psychiatric |disorders
o |Criteria |for |diagnosing |someone |with |a |psychiatric |disorder
Social |Influences |on |psychiatric |care |settings: |1950s |- |correct |answer |✔Thorazine: |First |medication |developed |that |would |help |calm |down |agitated/aggressive |patients. |Sedation
Social |Influences |on |psychiatric |care |settings: |1960s |- |correct |answer |✔Community |Mental |Health |Centers |Act: |Deinstitutionalization
Social |Influences |on |psychiatric |care |settings: |1980s |- |correct |answer |✔o |Carters |Commission |on |Mental |Health |- |recommended |more |community |based |care
Affordable |Care |Act |- |correct |answer |✔2010: |Insurance |available |to |those |who |didn't |have |it |before. |People |were |able |to |be |covered |for |mental |health |issues
Primary |Prevention |Strategy |- |correct |answer |✔§ |Occurs |before |problem |is |manifested
§ |Seeks |to |reduce |the |incidence |of |new |cases
§ |Educating |them |about |their |disease, |coping |strategies
Secondary |Prevention |Strategy |- |correct |answer |✔§ |Aimed |at |reducing |the |prevalence |of |new |and |old |cases
§ |Autonomy
Roles |of |Outpatient |Psych |Nurses |- |correct |answer |✔§ |Biopsychosocial |assessment
§ |Case |management
§ |Promoting |continuation |of |treatment
§ |Teamwork |and |collaboration
What |are |some |reasons |individuals |would |be |admitted |to |Inpatient |Pysch |Facilities? |- |correct |answer |✔§ |Suicidal
§ |Homicidal
§ |Extremely |disabled |and |in |need |of |short-term |acute |care
Do |patients |lose |their |rights |while |being |admitted |to |an |inpatient |psych |facility? |- |correct |answer |✔§ |Patients |reserve |their |rights |ALWAYS
o |Patients |need |for |safety |must |be |balanced |against |patients' |rights |as |a |citizen
o |Mental |health |facilities |have |written |statements |of |patients |right |and |applicable |state |laws
o |Refusal, |medications, |visitation, |informed |consent, |confidentiality
A |95-year-old |woman |is |reported |by |neighbors |for |leaving |her |front |door |wide |open |all |night |long |and |noticing |the |smell |of |gas |consistently |because |the |stove |is |not |being |turned |off. |She |is |deemed |to |be |a |danger |to |herself. |Would |she |need |inpatient |or |outpatient |care? |- |correct |answer |✔Inpatient
What |does |"milieu" |mean? |- |correct |answer |✔The |unit |- |a |therapeutic |environment. |"The |milieu |is |organized |and |calm |today."
Culturally |competent |care: |Western |Tradition |- |correct |answer |✔o |More |scientific. |Identity |found |in |individuality.
o |Values: |autonomy, |independence, |self-reliance
o |Mind |and |body |separate
Culturally |Competent |Care: |Eastern |Tradition |- |correct |answer |✔o |Family |is |basis |for |identity
o |Body-mind-spirit |one |entity
o |Time |is |circular |and |recurring
o |Born |into |a |fate; |duty |to |comply
Culturally |Competent |Care: |Indigenous |Culture |- |correct |answer |✔o |Places |significance |on |place |of |humans |in |natural |world
o |Basis |of |identity |is |the |tribe
o |Person |is |an |entity |only |in |relation |to |others
o |Disease: |lack |of |harmony |between |individual |and |environment
Culture |and |Mental |Health: |Define |Enculturation |- |correct |answer |✔process |in |which |a |cultures |worldview, |beliefs, |values, |and |practices |are |transmitted |to |its |member
This |often |surrounds |mental |health |in |many |cultures. |- |correct |answer |✔Stigma
5 |Principles |of |Bioethics: |Autonomy |- |correct |answer |✔respecting |the |rights |of |others |to |make |their |own |decisions
5 |Principles |of |Bioethics: |Justice |- |correct |answer |✔distribute |resources |or |care |equally
5 |Principles |of |Bioethics: |Fidelity |- |correct |answer |✔maintaining |loyalty |and |commitment; |do |no |harm |to |a |patient, |staying |up |to |date |on |diseases |and |best |intervention |and |treatments
5 |Principles |of |Bioethics: |Veracity |- |correct |answer |✔ones |duty |to |always |communicate |truthfully
Admission |Procedures: |Voluntary |Admission |- |correct |answer |✔§ |Sought |by |patient |or |guardian
§ |Need |to |understand |the |need |for |tx |and |be |willing |to |be |admitted
§ |Have |the |right |to |request |and |obtain |discharge |(reevaluation)
Admission |Procedures: |Temporary |admission/Emergency |Commitment |- |correct |answer |✔§ |Person |confused |and/or |demented
§ |So |ill |they |need |emergency |admission
§ |Need |for |admission |must |be |confirmed |by |provider
§ |Observe, |diagnose, |tx |those |with |mental |illness |or |those |who |post |a |danger |to |self/others
Admission |Procedures: |Involuntary |Admission |- |correct |answer |✔§ |Without |patients |consent
§ |Mentally |ill/danger |to |self |or |others/gravely |disabled |(unable |to |meet |basic |needs/in |need |of |tx |& |their |MI |prevents |help |seeking |on |a |voluntary |basis)
3 |requirements |for |a |patient |to |be |Involuntarily |admitted |to |a |psych |facility: |- |correct |answer |✔1-Mentally |ill
2-Danger |to |themselves |or |others
3-Mental |illness |is |preventing |them |from |seeking |the |treatment |they |need
Admission |Procedures: |Long-term |involuntary |admission |- |correct |answer |✔§ |Medical |certification
§ |Judicial |review
§ |Administrative |action
Admission |Procedures: |Involuntary |outpatient |admission/assisted |outpatient |treatment |- |correct |answer |✔§ |Alternative |to |forced |inpatient |tx
§ |Can |be |preventative
§ |May |be |tied |to |receipt |of |goods |and |services |provided |by |social |welfare |agencies
§ |May |face |inpatient |admission |for |failing |to |participate
Discharge: |Conditional |Release |- |correct |answer |✔required |outpatient |tx |for |a |specified |period |of |time
Discharge: |Unconditional |Release |- |correct |answer |✔termination |of |patient- institution |relationship
Patient |Confidentiality: |Professional |Communications |- |correct |answer |✔exists |to |protect |the |confidentiality |of |certain |professional |communications
Patient |Confidentiality: |social |media |and |the |internet |- |correct |answer |✔The |internet |is |not |private, |and |what |you |put |on |the |internet |will |be |there |forever. |We |are |always |to |main |HIPAA |and |never |post |about |a |patient |online |or |in |any |way |that |could |insinuate |we |know |the |patient |or |are |discussing |them |on |a |social |platform.
Patient |Confidentiality: |Nurses |Duty |to |Warn |and |protect |third |parties |- |correct |answer |✔· |Assess/predict |the |patients |danger |of |violence |toward |another
· |Identifying |the |specific |persons |being |threatened
· |Take |appropriate |action |to |protect |the |identified |victim
· |Staff |nurses |are |obligated |to |report |a |patients |threats |of |harm |against |specified |victims |or |classes |of |victims |to |other |members |of |the |treatment |team
Patient |Confidentiality: |Child |and |elder |abuse |reporting |statues |- |correct |answer |✔· |Mandated |in |all | 50 |states
· |Most |include |civil |penalties |for |failure |to |report
Last |resort: |Seclusion |and |Restraint |- |correct |answer |✔o |Always |a |last |resort. |Try |every |single |other |intervention |such |as |de-escalation |techniques |before |deciding |upon |seclusion |and |restraint.
o |Risk |of |harm |to |patient, |staff |and |trauma
Tort |Law |- |correct |answer |✔civil |wrong |for |which |money |damages |may |be |collected |by |the |injured |party |(plaintiff) |from |the |responsible |party |(the |defendant)
Intentional |Tort |- |correct |answer |✔willful |or |intention |acts |that |violate |another |person |rights |or |property
Intentional |Tort: |Assault |- |correct |answer |✔intentional |threat |of |harming |someone
Intentional |Tort: |Battery |- |correct |answer |✔actual |harmful |or |offensive |touching |of |another |person, |physical |contact
Intentional |Tort: |False |Imprisonment |- |correct |answer |✔confining |someone |to |an |area |against |their |will |with |no |reason
Unintentional |Tort |- |correct |answer |✔unintended |acts |against |another |that |produce |injury |or |harm
Unintentional |Tort: |Negligence |- |correct |answer |✔§ |failure |to |protect |and |provide |care
· |Most |common
· |Failure |to |use |ordinary |care |in |a |situation |when |you |have |a |duty |to |do |so
· |Examples: |failure |to |question |a |providers |order, |failure |to |protect |a |patient |from |self-harm, |failure |to |provide |patient |teaching
Unintentional |Tort: |Malpractice |- |correct |answer |✔§ |Special |type |of |professional |negligence
Eriksons |Theory: |Adolescence |- |correct |answer |✔12-20 |yr |Identity |vs |Role |Confusion
Development |Task: |Making |transition |from |childhood |to |adulthood; |developing |sense |of |identity
Eriksons |Theory: |Early |Adulthood |- |correct |answer |✔20-35 |yrs |Intimacy |vs |isolation
Development |task: |establishing |intimate |bonds |of |love |and |friendship
Eriksons |Theory: |Middle |Adulthood |- |correct |answer |✔35-65 |yrs |Generavity |vs |self-absorption
Development |task: |fulfilling |life |goals |that |involve |family, |career, |and |society' |developing |concerns |that |embrace |future |generations
Eriksons |Theory: |Later |Years |- |correct |answer |✔ 65 |to |death. |Integrity |vs |despair
Development |task: |Looking |back |over |ones |life |and |accepting |its |meaning
Peplaus |theory |on |the |art |of |nursing |- |correct |answer |✔Described |nurse-pt |relationship |as |the |foundation |of |nursing |practice. |The |art |of |nursing: |prove |care, |compassion, |and |advocacy, |enhance |comfort |and |well-being.
Maslows |Hierarchy |of |Needs |- |correct |answer |✔o |Human |beings |are |active |participants |in |life, |striving |for |self-actualization.
o |When |lower |needs |are |met, |higher |needs |are |able |to |emerge
o |Emphasis |on |human |potential |and |the |patients |strengths
o |Prioritize |nursing |actions
Maslows |Hierarchy |of |Needs: |Physiological |- |correct |answer |✔#1 |Highest |Tier |- |needing |food, |oxygen, |water, |sleep, |sex, |and |a |constant |body |temperature. |If |all |needs |were |deprived, |this |level |takes |priority |over |the |rest. |(You |can't |worry |about |a |patient's |depression |if |they |aren't |breathing. |Breathing |is |more |important |for |survival)
Maslows |Hierarchy |of |Needs: |Safety |Needs |- |correct |answer |✔#2- |security, |protection, |freedom |from |fear |and |anxiety |and |chaos; |the |need |for |law,, |order, |and |limits.
Maslows |Hierarchy |of |Needs: |Belonging |and |Love |- |correct |answer |✔#3- |People |have |a |need |for |intimate |relationships, |love, |affection, |and |belonging |and |will |seek |to |overcome |feelings |of |loneliness |and |alienation. |Maslow |stressed |the |importance |of |having |a |family |and |a |home |and |being |part |of |identifiable |groups
Maslows |Hierarchy |of |Needs: |Esteem |- |correct |answer |✔#4- |people |need |to |have |a |high |self-regard |and |have |it |reflected |to |them |from |others.
Maslows |Hierarchy |of |Needs: |Self-Actualization |- |correct |answer |✔#5 |Lowest |tier |- |human |beings |are |preset |to |strive |to |be |everything |they |are |capable |of |becoming. |"What |a |man |can |be, |he |must |be." |It |is |up |to |each |person |to |choose |a |path |that |will |bring |inner |peace |and |fulfillment..
Maslows |hierarchy |of |Needs |Diagram |- |correct |answer |✔
Nursing |Process |in |Psych: |Assessment |- |correct |answer |✔o |Gathering |data/History
Special |Considerations |of |Assessment: |Adolescents |- |correct |answer |✔o |everything |is |a |secret
§ |Love, |relationships
§ |"Are |you |going |to |tell |my |mom?" |response: |we |will |keep |everything |as |confidential |as |we |can, |but |if |you |are |a |threat |to |yourself |or |others |we |have |to |report |that." |We |want |to |be |trustworthy
Special |Considerations |of |Assessment: |Older |Adults |- |correct |answer |✔o |barriers |such |as |hearing |or |vision |problems, |consider |helping |them |with |their |glasses |or |hearing |aid
§ |Don't |stereotype
Language |barriers: |unable |to |read
Function |and |Activities |of |the |Brain: |Homeostasis |- |correct |answer
|✔Maintenance |of |homeostasis
§ |Respond |to |internal |and |external |stimuli |by |activating |the |sympathetic |nervous |system
· |Ex |internal: |low |BP, |HR |changes
· |Ex |external: |seeing |things, |feeling |things
Function |and |Activities |of |the |Brain: |Sleep |and |Wakefulness |- |correct |answer
|✔§ |Sleep |disturbances |are |in |almost |every |psychiatric |disorders
Problems |going |to |sleep, |staying |asleep. |Problems |waking |up, |staying |awake.
Function |and |Activities |of |the |Brain: |Conscious |mental |activity |- |correct |answer |✔o |problem |solving, |social |skills, |retaining |information
§ |Deficits |are |common |in |these |areas |like |memory |loss
Circadian |rhythms |- |correct |answer |✔natural |process |that |regulates |our |sleep |wake |cycle. |Deficits |are |common |in |mental |health |disorders.
Cellular |Composition |of |the |Brain: |Neurons |- |correct |answer |✔o |respond |to |stimuli, |conduct |electrical |impulses |from |one |end |of |the |cell |to |the |other, |release |chemicals
§ |Sodium |and |potassium
§ |Electrical |impulses |reach |end |of |neurons |to |release |a |neurotransmitter
Cellular |Composition |of |the |Brain: |Neuronal |Action |- |correct |answer |✔o |Neurons |can |release |more |than |one |chemical |at |the |same |time
o |Neuropeptides: |long-term |changes |in |cells
o |Neurotrophic |factors
§ |Proteins
§ |Gases
§ |Can |cause |changes |for |the |presynaptic |cells
Effect |of |steroid |hormones
Neurotransmitter: |Dopamine |- |correct |answer |✔mood |and |movement
§ |not |enough |= |depression |& |Parkinsons
§ |too |much |is |hyper |= |mania |& |schizophrenic
Not |Enough |Dopamine |- |correct |answer |✔Depression |and |Parkinsons
Function |of |Brain |stem: |Core |- |correct |answer |✔regulates |internal |organs |and |vital |functions
Function |of |Brain |stem: |Hypothalamus |- |correct |answer |✔basic |drives |and |link |between |thought |and |emotion |and |function |of |internal |organs
Function |of |Brain |stem: |Brain |stem |- |correct |answer |✔processing |center |for |sensory |information, |helps |control |heart |rate, |digestion, |breathing |and |sleeping
Disturbances |of |Mental |Function: |Environment |- |correct |answer |✔substances |(drugs), |steroids, |hormones, |infection, |trauma
Disturbances |of |Mental |Function: |Genes |- |correct |answer |✔genetic |predisposition |to |mental |illness
Disturbances |of |Mental |Function: |Altered |neurons |- |correct |answer |✔norepinephrine, |serotonin, |dopamine, |glutamate, |GABA
Mechanisms |Of |Action |of |Psychotropic |Drugs: |Agonist |- |correct |answer |✔mimics |an |effect |of |a |neurotransmitter |when |there |is |TOO |LITTLE. |Binds |to |it |and |stimulates |receptor |site.
Mechanisms |Of |Action |of |Psychotropic |Drugs: |Antagonist |- |correct |answer
|✔blocks |neurotransmitter |when |there |is |TOO |MUCH.
Serotonin |Syndrome |- |correct |answer |✔life |threatening, |WILL |stop |medications. |Pt |might |be |hospitalized
Signs |& |Symptoms |of |Serotonin |Syndrome |- |correct |answer |✔high |temp, |tachycardia, |high |BP, |confusion, |restlessness, |irritability |and |nausea
In |Psych, |we |encourage |patients |to |never |suddenly |stop |taking |an |antidepressant |due |to |adverse |side |effects |and |increase |risk |of |suicidal |ideation. |A |patient |presents |with |signs |of |Serotonin |Syndrome |after |starting |a |new |antidepressant. |Do |we |suddenly |stop |taking |the |medication |now? |True |or
|False. |- |correct |answer |✔True. |Serotonin |Syndrome |is |life |threatening, |and |the |medication |creating |this |adverse |effect |needs |to |be |discontinued |immediately.
Neuromalignant |Syndrome |(NMS) |- |correct |answer |✔medical |emergency. |Excessive |dopamine |blocking. |Non |responsive, |decreased |consciousness, |rigid |muscles. |High |fever. |Sweating. |Tachycardia. |Kidney |failure
Characteristics |that |influence |a |therapeutic |group |- |correct |answer |✔o |Size, |defined |purpose, |degree |of |similarity |among |members, |rules, |boundaries, |content |(what |is |said |in |the |group), |process |(underlying |dynamics |among |group |members)
Group |Member |Roles: |Task |Roles |- |correct |answer |✔focus |group |on |main |purpose, |get |the |work |accomplished
Group |Member |Roles: |Maintenance |Roles |- |correct |answer |✔Keep |the |group |together, |help |individuals |to |feel |worthwhile |and |included, |create |group |cohesion
