Neurobiology & Pharmacotherapy
This neurotransmitter is potentiated by benzodiazepines.
What is GABA?
Occurs when a person applies in writing for admission to a healthcare facility.
What is voluntary admission?
This basic worldview believes self is the starting point of identity; time is linear; individuality is accompanied by the values of autonomy, independence, and self-reliance; and health is the absence of disease.
What is Western Tradition?
This theory believes human beings are motivated by unmet needs. The model is conceptualized in a pyramid with the strongest, most fundamental needs placed on the lower levels. The higher needs-the more distinctly human needs-occupy the top sections of the pyramid. When lower-level needs are met, higher needs are able to emerge.
What is Maslow's Hierarchy of Needs?
As citizens, patients admitted to any psychiatric unit retain these. Laws require that these be provided in a timely fasion, and that the treatment team is always aware. Any infringement by the team during hospitalization- such as failure to protect patient safety- must be documented and actions must be justifiable. Must provide a written statement of...
What are patients' rights in an acute psychiatric setting?
This class of antidepressants requires special dietary restrictions to prevent the possible development of hypertensive crisis.
What is monoamine oxidase inhibitors (MAOIs)?
Staff nurses are obligated to report a patient's threats of harm against specified victims or class of victims to the treatment team. APRN's are obligated to warn the endangered third parties themselves.
What is duty to warn?
Failure to provide this to patients diagnosed with mental illness may result in negative outcomes, such as stigmatization, misdiagnosis, and/or unclear communication.
What is culturally competent care?
Unconscious feelings that the patient has toward a healthcare worker that were originally felt in childhood for a significant other.
What is transference?
Protecting the patient is essential, but equally important is the safety of the staff and other patients.
For example, while in the dayroom, a patient becomes agitated and begins throwing things. The staff immediately begin removing the other patients from the common area.
A decrease in this neurotransmitter is associated with depression.
What is serotonin?
A legal term that means the patient has been provided with basic information regarding risks and benefits, and alternatives to treatment.
What is informed consent?
Psychological distress is experienced as physical problems. This is common in cultures where the body and mind are considered one entity or in those where a high degree of stigma is associated with mental health problems.
What is somatization?
Unconscious feelings that the healthcare worker has toward the patient.
What is countertransference?
Admission to this treatment setting is commonly reserved for those people who are suicidal, homicidal, or extremely disabled and in need of acute care.
What are inpatient care settings?
This antipsychotic medication decreases dopamine activity and can cause side effects, such as extrapyramidal symptoms (EPS) or neuroleptic malignant syndrome (NMS).
What are first-generation antipsychotics?
This temporary admission is used for people who are so confused they cannot make decisions on their own or for people who are so ill they need emergency admission.
What is emergency commitment?
These are specific ways of expressing distress that people in particular cultures understand. For example, "I was as sick as a dog".
What are cultural idioms of distress?
Using this behavioral therapy, the individual learns through imitation. An example is use of role-playing.
What is modeling?
This is a subset of telemedicine and provides therapy and even prescription services from a distance, usually through videoconferencing.
What is telepsychiatry?
An increase in this neurotransmitter is associated with schizophrenia and mania.
What is dopamine?
What is confidentiality?
The ability to perform a cultural assessment in a sensitive way. For example, instead of making assumptions about the dietary restrictions and preferences of a Jewish patient, the nurse should first assess to identify dietary considerations that may exist.
What is cultural skill?
This therapeutic modality is based on the underlying theoretical principle that feelings and behaviors are largely determined by the way people think about the world and their place in it. Specifically, it includes schemas, automatic thoughts, and cognitive distortions.
What is cognitive behavioral therapy (CBT)?
Refers to the overall environment and interactions within that environment. It is an all-inclusive term that recognizes the people, setting, structure, and emotional climate as important to healing. Structured aspects include activities, rules, reality orientation practices, and environment.
What is a therapeutic milieu?