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100
what is the definition of mental health
A state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively and fruitfully, and make a contribution to the community.
100
List Maslow's hierarchy of needs.
physiological needs safety needs love and belonging esteem self actualization self transcendence
100
What is battery, veracity, and justice?
battery: Touching a client in a harmful or threatening way, forcing the client to do something they don’t want to do. veracity: One’s duty to communicate truthfully (describing the purpose and side effects of psychotropic medications in a truthful and non-misleading way) justice: Duty to distribute resources or care equally, regardless of personal attributes (equality)
100
Signs and symptoms of stress.
● Uneasiness and concern- anxiety and panic attacks ● Sadness- depression ● Loss of appetite- anorexia/overeating ● Suppression of the immune system- lowered resistance to infections ● Hypertension ● Decreased memory and learning
100
When can you as a nurse tell if a patient is experiencing hallucinations or paranoid delusion?
● Observe for behavioral indications of hallucinations; these include tracking movements (e.g., turning or tilting the head as if to listen to someone), suddenly stopping current activity as if interrupted, talking to oneself, and moving the lips silently.
200
what are the essential components of the psychosocial/ psychiatric nursing assessment?
mental status exam systemic check Appearance, Behavior, Cognition, Thought Process orientation attention span memory new learning
200
What drug group calls for a nursing assessment for development of abnormal movement disorders?
What is antipsychotics
200
What is the difference between involuntary vs. voluntary hospitalization?
● Involuntary admission: admission without the patient’s consent ○ Necessary when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own basic needs ○ Requires the patient retain freedom from unreasonable bodily restraints, the right to informed consent, and the right to refuse medications ○ Specified number of physicians certify that a person’s mental status justifies detention and treatment ○ Can be kept involuntarily hospitalized for up to 60 days ● Voluntary admission: individual came on their own to be admitted ○ If person is under 18, the parent, legal guardian, custodian, or next of kin may have authority to apply on the person’s behalf ○ Have right to request and obtain release
200
What are command hallucinations and risks?
direct the person to take an action must be assessed and monitored carefully assess what pt hears, ask them to tell you about it, does he recognize it is as real
200
Understand catatonic schizophrenia and how should this patient be cared for daily when in this state.
Catatonia: A pronounced increase or decrease in the rate and amount of movement; the most common form is stuporous behavior in which the person moves little or not at all. ● Perform passive ROM
300
definition of resilience
The ability to adapt, the ability to recover, the ability to cope with your stressors and problems.
300
Describe MAOI's.
antidepressant breaks down amines - serotonin and norepinephrine huge food interactions with TYRAMINE and OTC cold meds adverse effects: tremor, ataxia, confusion, convulsions Risk for electrolyte imbalance with Sodium and Potassium
300
describe the phases of a therapeutic nurse client relationship.
pre orientation: Talking with instructor and participating in the supervised peer group discussion will promote confidence, feedback, and suggestions ○ Most experiences psychiatric mental health nursing faculty and staff monitor the unit atmosphere for behaviors that indicate escalating tension orientation: can last for a few mtgs or longer, first nurse pt meeting, nurses role defined, atm established, rapport grows, contract discussed, confidentiality established, awareness of trans and counter ference working: ■ Maintain relationship ■ Share information ■ Gather further data ■ Promote the patient’s problem-solving skills, self-esteem, use of language ■ Facilitate behavioral change ■ Evaluate progress ■ Support the practice of alternative adaptive behaviors termination: discharge, final summary of care, goals, coping skills, exchange memories, parting ways, validating experience
300
What action should a nurse take when dealing with a having hallucinations/experiences with schizophrenia?
ask pt directly about hallucinations watch for clues (eyes tracking, distracted) avoid referring to realness of hallucinations do not negate persons exp focus on here and now be alert to signs of anxiety encourage auditory stimuli and address underlying emotions
300
Understand what is the “acute phase” of schizophrenia and how should care be provided?
● Onset or exacerbation of florid, disruptive symptoms (e.g., hallucinations, delusions, apathy, withdrawal) with resultant loss of functional abilities; increased care or hospitalization may be required ● overall goal is patient safety and stabilization (control of symptoms). (p.209) ● If the patient is at risk for violence to self or others, initial outcome criteria address safety issues (e.g., patient refrains from self injury). ● Another outcome is patient consistently labels hallucinations as “not real—a symptom of an illness.” ● N/I) ○ Psychiatric, medical, and neurological evaluation ○ Psychopharmacology ○ Support, psychoeducation, and guidance ○ Supervision and structure in a therapeutic environment (milieu) ○ Monitor fluid intake
400
what is the role of psychiatric nursing
work with people throughout lifespan assisst healthy people in a crisis The focus of psychiatric mental health nursing is promoting mental health through the assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric disorders
400
How is GABA potentiated in medication administration?
reduces anxiety
400
Know the definition of transference when working with patients.
Feelings that patient has towards health care worker that they originally had towards someone else.
400
How do you describe and recognize a flat affect?
Flat: Immobile or blank facial expression Affect: outward expression of a person’s internal emotional state.
400
Patient on lithium and has an acute dystonic reaction, what are the characteristics of this response?
○ acute contractions of tongue, face, neck, and back (usually tongue and jaw first), which typically occurs from 2 to 5 days after the introduction of antipsychotic medications ○ Abnormal or involuntary eye movements, including oculogyric crisis ○ Facial grimacing ○ Twisting of the torso or other muscle groups
500
definition of cognitive behavioral therapy
An evidence-based therapeutic modality for children, adolescents, and adults that seeks to identify negative and irrational patterns of thought and challenge them based on rational evidence and thoughts. Based on underlying theoretical principle that feelings and behaviors are largely determined by the way people think about the world and their place in it
500
Why aspirin is best choice when taking Lithium?
● Interferes with lithium secretion in the blood and can lead to or cause lithium levels to rise which causes lithium toxicity
500
What are the various forms of therapeutic techniques when conversing with a patient?
● Using silence ● Active listening ● Clarifying techniques ● Paraphrasing ● Restating ● Reflecting ● Exploring
500
What is neuroleptic malignant syndrome, signs, and symptoms of this syndrome?
● Caused by excessive dopamine receptor blockage related to first and second generation antipsychotic drug therapy; rare and potentially fatal ● Characterized by ○ reduced consciousness ○ increased muscle tone (muscular rigidity) ○ autonomic dysfunction— ■ including marked hyperpyrexia, labile hypertension, tachycardia, tachypnea, diaphoresis, and drooling.
500
What are the definitions of word salad, neologism, associative looseness, and ideas of reference.
● Word salad -- jumble of words that is meaningless to the listener—and perhaps to the speaker as well i.e) Throat hoarse strength of policy dreadfully essential Brazilian highlighters on a boat reigning supreme! ● Neologism -- are made-up words (or idiosyncratic uses of existing words) that have meaning for the patient but a different or nonexistent meaning to others. i.e) I was going to tell him the mannerologies of his hospitality won’t do. ● Associative looseness -- threads that tie one thought logically to another are interrupted or disjointed; thinking becomes haphazard, illogical, and difficult to follow. i.e.) I need to get a Band-Aid for my paper cut. My friend was talking about AIDs. Friends talk about French fries and how can you trust the French? They won’t let you take pictures of the menu at McDonald’s. ● Ideas of reference -- Giving personal significance to unrelated or trivial events; perceiving events as relating to you when they are not i.e.) Barbara believes that the birds sing when she walks down the street just for