Communciation
What is the difference between intrapersonal and interpersonal communication?
Intrapersonal is individual communication and interpersonal is a small group (2-5)
Types of commitment to a mental facility
Voluntary and involuntary
What is normal anxiety?
Its a healthy way that help us to survive and motivates us to take action
what are the three categories of anger
Pre-assaultive
assaultive
post-assaulitve
What is electroconvulsive therapy and what are indications?
Its current produce brief seizure while under anesthesia
Its for major depressive disorder, schizophrenia, and acute manic episodes with destructive behavior
Which nonverbal communication is important to observe?
facial expression
Which type of commitment will need a judge to sign off on and why is it done?
involuntary because the patient doesn't have the capability to make decisions on their own or self-harm
what are some defense mechanisms that we use to help with stress in our lives?
altruism
suppression
dissociation
splitting
projection
Risk factor and objective data
Risk factor: Hx of aggression, poor impulse control, violence; poor coping skills, limit support system; comorbidity that leads to violence; living in a violence environment
objective data: hyperactivity, eye contact intense, facial expression, body language, rapid breathing, loud speech
What disorders should not be used for?
substance use disorder
OCD
chronic depression
what are the some obstacles to achieve effective communication?
Giving advise
giving false reassurances
Why is tort law important in mental health?
It is due to the likelihood of violence and patients behavior that can test the staff
What are the four levels of anxiety?
mild
moderate
severe
panic
what are the warning signs of prodromal syndrome
ridged posture
fist clenching
loud/raised voice
Why do we administer atropine or glycopyrrolate?
To decrease secretion and counter vagal stimulation
What are characteristics of therapeutic communication?
Patient centered- not social or reciprocal
purposeful, planned, and goal-directed
open-ended board questions
What are the three types of intentional tort you see in mental health and how are they different?
false imprisonment: confining a patient to a specific area
assault: make a threat
battery: touching a patient in a harmful or offensive way
what are interventions for anxiety?
active listening, evaluate past coping mechanism, encourage activities, or quiet and clam environment.
When a patient is pacing and is getting my aggressive towards staff and other patient. What are some techniques you can use to deescalate the situation.
remove other patients from the area
respond quickly/don't leave the patient alone
encourage to expression feelings
What are you risk at during intubation and mechanical ventilation for ECT?
anoxia or severe hypoxia
Which therapeutic communication technique is being used in this nurse-patient interaction. Patient states "I'm overwhelmed with work and managing my time at home." The nurse asks what have you done in the past to manage stress."
exploring
to help find how the patient has cope with stress in the past.
The patient you are taking care of is increasingly getting more and more agitated about having to stay at the hospital another day. The tech doesn't like the behavior and threaten them with seclusion. As the nurse, what should you do next to prevent outburst?
Explain to the tech that seclusion is only used when the patient us trying to hurt other or self-harm.
You are caring for patient with generalized anxiety disorder (GAD), the patient states that "they have been sweating, and notices tremors since taking their new medications for anxiety." What is the patient experiencing?
Serotonin Syndrome
A patient is in the common area is getting aggressive, clench their firsts and yelling at others. What do you do first?
A. remove others. B. Ask about their feelings
C. Respond quickly. D. Raise your voice at them
C. respond quickly.
To insure that others are not harm or no self harm.
After the ECT, the patient is disorientation. What occur during the procedure that is a complication?
memory loss/confusion