Mental Health Act
The first form 4 is good for 48 hours, after this is renewed the next 4 time periods for renewal are
1 month, 1 month, 3 months, 6 months
The 5 classes of psychiatric medication
What are Antipsychotic, Anti-Anxiety, Mood Stabilizers, Antiparkinsonian, Antidepressant?
An individual is likely experiencing this when they describe a fixed belief that they are Jesus Christ and have the ability to live forever.
What is a Grandiose Delusion?
A nurse suspects this diagnosis after assessing an adult client who during school-age years, mutilated the neighbour's cat.
What is Antisocial Personality Disorder?
This intervention is recommended for those diagnosed with Borderline Personality Disorder
What is Dialectical Behaviour Therapy?
The 3 methods of arranging for involuntary admission
1) Through a physician’s Medical Certificate. This is the preferred method.
2) Through police intervention. If a person will not go to a hospital or a physician’s office, or if a physician cannot visit the person, the police may be able to help.
3) Through an order by a judge. If the police cannot help, a judge may be able to assist.
A reaction to antipsychotic medications where there is an involuntary increase in muscle tone. Often presents with sustained contraction of muscles or muscle groups.
What is Dystonia?
You document this when the patient describes that people can hear what they are thinking
What is Thought Broadcasting?
Most likely diagnosis for a client with history of major depressive disorder but for the last month has been hearing voices and believes someone is following him
What is Schizoaffective Disorder?
The nurse who speaks to an aggressive client about the need to express feelings appropriately for the rest of the day rather than acting out is using this intervention
What is Limit setting?
The 4 criteria for certification under the BC Mental Health Act
• is suffering from a mental disorder that seriously impairs the person’s ability to react appropriately to his or her environment or to associate with others;
• requires psychiatric treatment in or through a designated facility;
• requires care, supervision and control in or through a designated facility to prevent the person’s substantial mental or physical deterioration or for the person’s own protection or the protection of others; and
• is not suitable as a voluntary patient.
The 2 major adverse side effects for a client who has been prescribed Clozapine
What are Myocarditis and Agranulocytosis?
You document this thought process after assessing a patient who's sentences are incoherent and make no connection to each other but the articulation remains intact.
What is Word Salad?
Term that describes a milder but more chronic form of major depressive disorder that includes a depressed mood for most days for at least 2 years, low energy, and insomnia.
What is Dysthymic Disorder?
A treatment the nurse uses to help a client change negative thought patterns as a way to improve mood and behaviours.
What is Cognitive-Behaviour Therapy?
The 2 criteria for section 28 under the mental health act?
The police officer must be satisfied the person is apparently suffering from a mental disorder, as defined in the Act, and is acting in a manner likely to endanger their own safety or that of others
A rare but life threatening syndrome involving muscle rigidity, fever, elevated WBC
What is Neuroleptic Malignant Syndrome?
The nurse is assessing for this when asks the client "what are your plans for the future?" and "what would you do if you noticed things were going downhill?"
What is Judgment?
The symptoms experienced at the initial onset of Schizophrenia
What are prodromal symptoms?
A behavioural strategy often appropriate for those with anxiety, panic, and PTSD
What are Relaxation Strategies/Techniques?
The number of days a form 4 valid for after it is written
Unless the person is admitted, a Medical Certificate is valid for only 14 days following the date of the examination. If the person is not admitted during this 14-day period, the certificate becomes invalid.
These 3 classes of psychoactive medication are most likely to increase a client's risk for obesity?
What are Antipsychotics, Antidepressants, Mood Stabilizers?
The nurse is assessing for this when asks the patient if they ever receive messages from the TV
What are Ideas of Reference?
The main neurotransmitter implicated in anxiety disorders
What is Norepinephrine?
This type of intervention is often used in addictions and uses a patient centred style psychotherapy that looks at their readiness for change
What is Motivational Interviewing?