Settings for Psychiatric Care
Psychiatric admission is reserved for clients who are suicidal, homicidal, or _________
What is gravely disabled?
This principle guides nurses to take actions that promote good, such as preventing or protecting clients from self-harm.
What is beneficence?
To diagnose Major Depressive Disorder, a patient must have at least one of two key symptoms: depressed mood or this loss of interest or pleasure.
What is anhedonia?
Low levels of this neurotransmitter are linked to an increased risk of suicide.
What is serotonin?
Children with this disorder are consistently inhibited, emotionally withdrawn, and avoid seeking comfort, making attachment difficult.
What is Reactive Attachment Disorder (RAD)?
Practicing positive coping strategies during a stay-at-home order or handwashing to prevent illness are examples of this level of prevention.
What is primary prevention?
This principle refers to the duty to be honest and communicate truthfully with patients.
What is veracity?
According to the DSM-5, a diagnosis of Major Depressive Disorder requires 5 of 9 symptoms lasting most of the day, nearly every day, for at least this minimum length of time.
What is two weeks?
This emotion is considered the most predictive of suicide risk and should always be assessed during evaluation.
What is hopelessness?
Children who lack “stranger danger,” are overly friendly, and have poor boundaries may be diagnosed with this disorder.
What is Disinhibited Social Engagement Disorder?
Providing treatment for a diagnosed mental illness to reduce symptoms and improve functioning is an example of this level of prevention.
What is tertiary prevention?
A client can be placed on this type of admission if they are a danger to themselves, a danger to others, or gravely disabled.
What is an involuntary admission/5150 hold?
This chronic, milder form of depression requires at least three symptoms, has early onset in childhood or adolescence, and lasts at least 2 years in adults or 1 year in children.
What is Persistent Depressive Disorder (dysthymia)?
This type of observation requires that the patient be kept within arm’s length at all times to ensure safety.
What is one-to-one observation?
In adults, this disorder is marked by flashbacks, avoidance of trauma-related stimuli, and hypervigilance.
What is Posttraumatic Stress Disorder (PTSD)?
Screening individuals at risk for depression or suicide in psychiatric nursing is an example of this type of prevention.
What is secondary prevention?
This landmark California Supreme Court case established a therapist’s duty to warn and protect potential victims when a client makes a credible threat.
What is Tarasoff?
This class of antidepressants includes duloxetine and venlafaxine, works by inhibiting the reuptake of both serotonin and norepinephrine, and must be used cautiously in patients with hypertension.
What are SNRIs?
Using a gun, jumping from a high place, hanging, or carbon monoxide poisoning are examples of these types of suicide methods.
What are high-risk (or hard) methods?
This trauma-related disorder may develop within 3 days to 1 month of a traumatic event, but resolves in less than a month.
What is Acute Stress Disorder?
This term refers to the overall surroundings and physical environment in a psychiatric setting that provide safety, support, and therapeutic opportunities.
What is the therapeutic milieu?
This occurs when a healthcare provider’s action, or failure to act, breaches the duty of care and results in patient injury.
What is malpractice?
Patients prescribed phenelzine, a medication in this antidepressant class, must avoid foods high in tyramine or risk a hypertensive crisis.
What are MAOIs?
A patient says, “It’s okay now. Soon everything will be fine.” This type of communication is an example of this kind of suicidal statement.
What is a covert suicidal statement?
This dissociative condition involves sudden, unplanned travel away from home with no recall of one’s identity or past, sometimes living under a new identity until memories return.
What is Dissociative Fugue?