BASICs
A___________tool used to determine the level of consciousness int the clinical setting that has four categories
What is an MSE Mental Status Exam? Categories include: Alert, Lethargic, Stuporous, Comatose
Alert
Lethargic-pt can open eyes & respond but drowsy. Stuporous-pt vigorous & painful stimuli to elicit a brief response
Comatose-unconscious-abnormal posturing decorticate or decerebrate rigidity.
A provider writes an order for restraints on a mental health client, he or she knows the order needs to be rewritten every_____________depending on______
24 hours for sure. Depends on the age of the pt:
18 yrs+: 4hr
9-17y: 2 hr
8 & younger- 1 hr
Environment that is supportive, therapeutic and safe is _________
What is Milieu therapy?
A married woman who is attracted to another man accuses her husband of having an affair, this is an example of_______________ defense mechanism.
What is projection?
______focuses on individual thoughts & behaviors to solve current problems such as depression, anxiety, eating disorders that can improve by changing a pt's attitude.
Examples include priority restructuring, journal keeping, assertiveness training, monitoring thoughts.
What is Cognitive Therapy?
an emotion that the patient is feeling
What is Mood?
Complete documentation every 15 minutes, 2 fingers must fit, check circulation, constant 1 on 1, NO PRN
Assess patient & offer food, fluid, toilet every 15 minutes
What are RN interventions when a patient is in restraints?
Set contracts, establish boundaries, discuss confidentiality, build trust, develop/set goals, explore pts ideas, issues, and needs, enforce limits, start the relationship with the patient
What is the Orientation phase of the therapeutic relationship?
The patient has increase ability to perceive reality and identifiable, as they are waiting to be called they are tapping their feet and fidgeting in their chair. This is ______________anxiety.
What is mild anxiety?
___________Behavioral therapy to control pain, tension, & anxiety uses a mechanical device to help gain voluntary control or autonomic nervous system such as HR & BP.
What is Biofeedback?
Objective expression of mood
Threaten somebody that you will do something
If you don't take these meds, I will force them down your throat!
What is Assault?
Maintain the relationship, reassess problems & goals and revise the plan as necessary is ________phase of the therapeutic relationship.
In New York after the stock exchange took a hit in the market, ER, a patient comes in a suit who has severe hyperactivity, dilated pupils, and severe SOB. He is experiencing ___________level of anxiety.
What is panic anxiety?
This behavioral therapy is defined as exposure to events that cause anxiety then practicing RELAXATION techniques
A. visitors from current day purpose of current appt is_________ memory
B. _________memory is facts from past, DOB, mother's name
A. What is Recent memory?
B. What is Remote memory?
The nurse threatens the patient who doesn't want to take their pills and then forces the medication down the throat is an example of___________
What is battery?
Discussion, summarize goals & achievements is _______ therapeutic relationship
What is the Termination phase?
An 8-year patient named Jim comes into the PCP office with his mother and 2-year-old sister Jane. The mother of reprimands the Jim for running around the waiting room. Jim a few moments later disciplines Jane for playing in the waiting room. This is an example of __________ defense mechanism.
What is displacement?
This type of behavioral therapy is defined as a pairing of bad behavior with punishment or unpleasant stimuli to promote change.
Example- Patient who suffers from alcohol abuse is taking Disulfiram.
What is Aversion Therapy?
1. "Self-talk" is _______ communication
2. One-on-one like nurse asking a patient something is _______Communication
3. Spiritual needs such as RN assisting a patient with obtaining medication for relaxation is _Communication
1. What is Intrapersonal communication?
2. What is Interpersonal communication?
3. What is Transpersonal communication?
What is False Imprisonment?
What is transference?
What type of level of anxiety patient can the RN educate?
Mild & Moderate Anxiety
Severe & Panic Anxiety treat the anxiety not educate
The therapeutic process of assessing unconscious thoughts & feelings, and resolving conflict by having therapy for months to years to help find the CAUSE of anxiety such as past relationships.
What is Classical psychoanalysis?