Assessment
This tool measures childhood trauma.
Adverse Childhood Experiences (ACEs)
True or False: A patient admitted to the psych unit for an involuntary committal cannot refuse medication or therapy.
False
False, it is mental illness
This neurotransmitter is responsible for activating the pleasure and reward center of the brain.
Dopamine
This psychotherapy helps patients identify and change negative thought patterns and behaviors that contribute to anxiety and depression.
What is cognitive behavioral therapy (CBT)?
True or False: The global function scale measures the severity of mental illness.
True
Ensuring to tell the patient the truth is the definition of ________________.
Veracity
The three concepts of psychiatric mental health are:
caring, attending, and advocating
The neurotransmitter responsible for promoting relaxation, reducing anxiety, and slowing brain activity is __________.
GABA
A patient with a severe phobia of dogs gradually progresses from looking at pictures of dogs to being in the same room with a dog in a controlled therapeutic environment. What type of therapy is being used?
What is exposure therapy?
This tool is used to screen for mood symptoms linked to depression by asking about mood over the past 2 weeks.
PHQ 9
Haldol used for an aggressive and seclusion in a quite locked room are examples of what?
Restraints (non-chemical)
This model of care focuses on symptom management, reducing psychosocial disability, and improving performance instead of disease and illness.
The recover model
Name four side effects of anticholinergics.
Blurred vision, dry mouth, urinary retention, constipation
h/a, tachycardia, arrhythmias, heart failure, dizziness, postural hypotension, anxiety, insomnia
This therapy emphasizes mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness and is commonly used for patients with borderline personality disorder.
What is dialectical behavior therapy (DBT)?
mental status, verbal and non-verbal behaviors, psychosocial status, physical status, safety, SI, HI, goals of therapy, secondary sources
Can a patient that sough treatment at a psychiatric facility sign out AMA?
Yes, as they sought treatment voluntarily
What is the basis of trauma informed care?
trauma is almost universal and contributes to mental health
we avoid traumatization and work to empower patients
focus is what happened to you not what's wrong with you
A 28 y/o female is brought into the ED by a coworker after exhibiting confusion, hyperreflexia, and fever. The patient recently increased her Lexapro and has been taking OTC cough and cold meds for a URI. What is the patient likely experiencing?
Serotonin Syndrome
A patient with PTSD participates in a structured psychotherapy that helps them examine and modify unhelpful beliefs about the traumatic event, including feelings of guilt, shame, and self-blame. What psychotherapy is being used?
What is cognitive processing therapy (CPT)?
The HEADSSS interview technique stands for what?
Home environment, Education and Employment, Activities, Drug/ETOH/Tobacco, Sexuality, Suicide, Savagrey
What is the purpose of a psychiatric advanced directive?
For patients to express wishes for psychiatric care
(therapies, medications, surrogate decision maker, visitors)
Name 4 factors that can affect mental health.
negative influences, hormones, genes, stress, poverty, abuse, impaired parenting, spirituality, religion, culture, support systems, personality traits, health beliefs, environmental experiences
This neurotransmitter's action include attention, arousal, and mood regulations.
Serotonin
A patient with borderline personality disorder reports intense emotions and urges to engage in self-harm following an argument with a partner. The therapist encourages the patient to use the TIPP skills, including temperature change, intense exercise, paced breathing, and paired muscle relaxation. Which psychotherapy is being demonstrated?
What is dialectical behavior therapy (DBT), specifically distress tolerance skills?