Legal & Ethics
Safe, structured social environment to promote positive emotional and behavior changes. Often called "healing environment".
What is a therapeutic milieu?
Danger to self or others; unable to meet basic needs; mental illness preventing recognition or need for care
Involuntary admission
False, fixed ideas incongruent with reality
What is delusional?
Can occur throughout lifespan, triggered by stressors, loss, trauma, hormonal imbalance, stress, lasts at least 2 weeks
What is major depressive disorder?
Simple scale to immediately assess all client for risk of suicide
What is SAD PERSONS?
Rights: doing good, preventing harm
What is beneficence?
Two physicians or physician with psychologist evaluates within 6 hours
What is an emergency admission evaluation?
Genes, neurodevelopment, hypoxia, chronic cortisol exposure, cannabis use, dysfunctional
What are risk factors of Schizophrenia?
Mild, predictable mood disturbance occurring after delivery of a baby including sadness, crying spells, anxiety.
What is postpartum depression?
What are suicide risk factors?
No criminal responsibility if mental illness or deficit; did not realize what was doing or wrongness
What is insanity defense?
What is malpractice?
Hallucinations, delusions, bizarre behavior, disorganized speech
What are positive symptoms?
Client experiences episodes of depression and mania
What is bipolar disorder?
What are warning signs of suicide?
Occurs in emergency situation when client is unconscious and unable to provide consent
What is implied consent?
Seclusion, restraints, held in facility, held in room
What is false imprisonment?
Seeing images that do not exist at all, such as lights or a person
What are visual hallucinations?
Euphoric, grandiose, energetic, poor judgment, rapid thoughts, fast speech, impulsive and high risk activities
What is the manic phase of bipolar?
Remove sharp objects, belts, lighters, pencils, pens, drawstrings, meds, sharps, observe one to one
What is providing a safe environment?
Exceptions to confidentiality and privacy including telling someone if they are in danger
What is duty to warn?
Unstable people, working in isolated areas, working where services are provided for alcohol and drug care, working in high crime areas, working in mental health
What are risks of workplace violence?
Neurological disorder causing involuntary repetitive movements, such as facial grimacing, twitching, tongue rolling due to long term use of dopamine blocking drugs.
What is tardive dyskinesia?
Medication used for bipolar that hastens destruction of catecholamines; peaks in 5-14 days; MUST have labs drawn regularly to monitor for toxicity
What is Lithium?
Client recognizes need for help and seeks help willingly.
What is voluntary admission?