Therapeutic Relationships
This phase of Peplau's nurse-client relationship focuses on building rapport and establishing goals. .
What is the orientation phase?
Approximate time that it takes for benzodiazepine to work
What is 30-60 minutes
Name at least three Patients’ Rights Under the Law
•Right to Treatment
•Right to Refuse Treatment
•Right to Informed Consent
•Rights Regarding Psychiatric Advance Directives
•Rights Regarding Restraint and Seclusion
•Rights Regarding Confidentiality
•Failure to Protect Patients
This neurotransmitter stimulates the sympathetic nervous system for “fight or flight” in response to stress and its increase is associated with
•Mania
•Anxiety
Schizophrenia
What is NE
This class of medications is considered first-line treatment for generalized anxiety disorder, panic disorder, social anxiety disorder, and OCD.
What are SSRIs?
This communication technique involves restating what the client said to verify understanding.
What is reflection?
This level of anxiety is good for test taking
What is mild
This legal document allows a client to challenge unlawful detention in a psychiatric facility.
What is a writ of habeas corpus?
This neurotransmitter has anticonvulsant and muscle-relaxing properties, and its decrease is associated with
•Anxiety
•Schizophrenia
•Mania
•Huntington’s Disease
What is GABA
This potentially life-threatening condition may occur when multiple serotonergic medications are combined and is characterized by sweating, dilated pupils, tachycardia, and muscle rigidity.
What is serotonin syndrome?
This occurs when a client unconsciously transfers feelings about an important person onto the nurse.
What is transference?
The process of exposing the patient to a large amount of an undesirable stimulus in an effort to extinguish the response in OCD
What is flooding
Before using restraints or seclusion, nurses should first attempt these less restrictive interventions. Name two.
What are verbal de-escalation, reducing stimulation, active listening, diversion, and PRN medications?
Decreased levels of these three neurotransmitters are associated with Depression
NE, DA, 5HT
This anxiolytic is not a controlled substance, takes 2–4 weeks to become effective, and is often compared to benzodiazepines.
What is buspirone?
The four stages of motivational interviewing are Engage, Focus, Evoke, and this final stage.
What is Plan?
Thoughts, impulses, or images that persist and recur so that they cannot be dismissed from the mind even though the individual attempts to do so.
What are obsessions
The five elements required to prove malpractice include duty, breach of duty, cause in fact, proximate cause, and this final element.
What are damages?
This neurotransmitter is involved in fine motor movement and its increase is associated with
•Schizophrenia
•Mania
What is DA
This medication is a chemical analogue of GABA, must be tapered rather than stopped abruptly, and is commonly used for neuropathy, seizures, and anxiety.
What is gabapentin?
This doctrine requires healthcare providers to use the least drastic intervention necessary to achieve a therapeutic goal.
What is the least restrictive alternative doctrine?
What medication should the nurse anticipate administering to a patient experiencing benzodiazepine toxicity?
What is Flumazenil
Involuntary commitment criteria and the legal standards under which the court decides whether admission is necessary
•Diagnosed with mental illness
•Posing a danger to self or others
•Gravely disabled (unable to provide for basic necessities such as food, clothing, and shelter)
•In need of treatment and the mental illness itself prevents voluntary help-seeking
This neurotransmitter has an excitatory effect on nerve cells and its decrease is associated with psychosis
What is GLU
Unlike SSRIs, SNRIs may cause changes in these two vital signs because they affect norepinephrine in addition to serotonin.
What are increased heart rate and blood pressure?