Going
Places
Places
WSH Outdoors
What is Western State Hospital and where can you go there?
TDO - Deeds Difference
What is a Temporary Detention Order and who made it work right? post Deeds tragedy is 3 biz days with functional bed finding. Issued by magistrate.
Ψchosis
What is psychosis? Impaired reality testing, or perceptual disturbances. Delusions- false beliefs, often paranoid or Hallucinations- false perceptions.
+ NVP
What's a + Neurovegetative Profile? Changes in 1)Appetite 2)Psychomotor 3)Sleep
EPS
What are the ExtraPyramidal Symptoms? Drug-induced Parkinsonism - tremor, rigidity, bradykinesia. SE esp antipsychotics. Other SE's- dystonia, akathisia and TD.
WRC Acupressure
What is Wellness Recovery Center and what do they do there? Also yoga, Ψtherapy groups, DBT, 2 week stay
ECO- takes two
What is an Emergency Containment Order? A civilian, family, or police can use it to get person to ED. Police issue, requires 2 police persons.
Anosognosia
What is Greek for “to not know a disease”? In PMH when someone is unaware of or can’t perceive their mental health condition accurately.
SI, SA, HI - Can we talk?
What is Suicidal Ideation, Suicide Attempt, Homicidal Ideation? What is a subtle way to open a conversation about SI?
Can't see, pee, spit, or s-t
What are the anticholinergic side-effects? Wrst offenders! 1st gen Anti Ψ's- Clozaril & Thorazine; 2nd Gen- Zyprexa. BONUS: Least offensive Anti-Ψ's- Abilify, Geodon, Risperdal
SNF
What is a Skilled Nursing Facility? We may be the transition point, very hard for families, from home to SNF.
Voluntary Commitment
What is the oddest of the 3 outcomes of a commitment hearing? Which are commitment, release, and voluntary commitment
Anhedonia and the other sx's
What is the inability to feel pleasure? And the other MDD sx? SIGECAPS (Sleep, Interest, Guilt, Energy, Concentration, App, Psychomotor, SI)
DBT/CBT
What is Dialectical Behavioral Therapy, Cognitive Behavioral therapy? DBT is practiced in some of our groups and at WRC.
Benzos Why? Why not?
What are benzodiazepines? We use Librium and Ativan for ETOH detox. Why not always Librium? Why not use benzos more?
"Sleeping at the Sallie"
Where else to sleep?
What is the Salvation Army Shelter? "Sleeping at the Churches" means using PACEM, a community winter shelter.
Risk of harm to self, or others, inability to care for self
By Virginia law, what are the 3 criteria for commitment?
BPAD, GAD, MDD
What is Bipolar Affective Disorder, Generalized Anxiety Disorder, Major Depressive Disorder?
STM loss
What is short-term memory loss? It is a sign of dementia, and what else?
CIWA -Why?
What is the Clinical Institute Withdrawal Scale for ETOH and Benzo’s? Why does CIWA Score matter? What could happen if neglected? Why should you learn it if you're not going into psych?
Getting “RACked”
What is meeting with the Regional Assessment Committee? for disposition esp to WSH.
Right to know, right to attend, right to appeal
What rights does a person have in relation to their commitment hearing? How can nurses help protect these rights?
"That's Axis II stuff"
What is a somewhat uninformed and reductionist way to describe problems? (Refers to Axis II in the DSM)
R/o ψ Sx 2o GMC
What is r/o ψ sx due to a general medical condition?What GMC -> paranoia in women over 60? What GMC -> impaired judgment in college students?
5-2-50
What is the med combo in an urgent situation of agitation 2o psychosis? 5mg haloperidol; 2mg lorazepam; 50 mg diphenhydramine. Offer PO, then IM