mental health exam 2

5 stages of Aggression

100

What are the interventions for the triggering phase?

- approach in non threatening manner

- clear, simple, short, sentences

- verbal expression of feelings

- physical activity

200

This is the most serious phase and nurse needs to provide safety and stop any environmental stimuli

Crisis

300

What are interventions for recovery phase?

- coping skills

- encourage pt to talk about situation and triggers

- document injuries

- pt regains physical and emotional control

400

What are signs and symptoms that a patient has entered the post crisis phase

- apologies

- quiet

- withdrawn

- crying

500

A patient exhibits clenched fists, pale face, agitation, and threatening gestures, what phase of the cycle is the patient displaying

Escalation

Legal and Ethics

100

What is an voluntary admission

- pt agrees to admission

- most likely to participate in care

- can request a 72 hour hold

- can leave against medical advice if not in danger

200

What is an involuntary admission

- requires 2 medical DR or 1 DR and 1 psychiatrist

- 6 criteria for admission

- MUST be harm to self or others

300

What determines if a patient should remain in the hospital against his or her will called... think about a document

Notice of Hearing

400

What is the insanity defense

A patient found not criminally responsible or not guilty by reason of insanity

500

What is inappropriate for a suicidal person to be put in?

Seclusion

Trauma and stress

100

What is the difference between Acute stress and PTSD

Acute stress the event occurred within 3 months and PTSD the even occurred after 3 months

200

What are the 3 elements of PTSD

- dreams or reoccurring thoughts of event

- emotional numbing

- hyperarousal

300

What are treatments for PTSD

- group therapy

- assess pt for suicidal- take precautions

- encourage sharing of feelings

- safe, non threatening, and routine environment

- decrease anxiety

400

What disorder allows patient to detach from reality and to forget or remove themselves from painful situation

Dissociative Disorder

500

What are assessment findings for disassociated disorder

- hyperalert

- anxiety

- restless

- increased personal space

- fetal position

medications

100

What are your typical 1st generation antipsychotics

- chlorpromazine

- flupenazine

- haloperidol

- trilafon

200

What medication do you give to help treat akathisia

Benadryl

300

What are your second generation antipsychotics

- clozapine

- risperidone 

400

What is benzodiazepine used for

helps to reduce irritability and agitation in older adults with dementia

500

What is haloperidol and lorazepam used for

Helps to decrease agitation and aggression and psychotic symptoms

Schizophrenia

100

What is the number 1 thing for anyone who is schizophrenic

adherence to medications

200

What are some positive symptoms of schizphrenia

- ambivalence

- delusions

- hallucinations

- bizarre behavior

- flights of ideas

300

What are some negative symptoms of schizophrenia

- catatonia

- flat affect

- anhedonia

- avoilition

- alogia

400

What are assessment findings for someone with schizophrenia

- disorganized thoughts

- odd movements

- disheveled, dirty, poor hygiene

- waxy flexibility

- ritualistic

500

What are some interventions for schizophrenia

- make them a functional member of community

- acknowledge feelings and make pt feel safe