Psych Exam 1 Ch 4 7 9

  1. What type of prevention focuses on promoting health and preventing mental health problems from occurring?
  2. What type of prevention focuses on early detection of mental illness
  3. What type of prevention focuses on rehabilitation and prevention of further problems in clients recently diagnosed
  4. Name the four phases of Nurse-patient relationship
    • Preorientation
    • Orientation
    • Working
    • Termination
  5. What is decompensation
    deterioration of mental health
  6. What is the PCP role in psychiatric illness
    They need to recognize that psychiatric illness can be manifested by physical symptoms and that they can intensify preexisting conditions
  7. What are Medicare's required four elements for Psychiatric home care
    • Homebound
    • Psychiatric dx
    • Need for psychiatric RN
    • Plan of care under physician orders
  8. What is the patient's inability to leave the home independently to access community mental health care because of physical or mental conditions
  9. What is an intensive type of case management developed in response to the often times, hard to engage, community-living needs of people with serious, persistent, psychiatric symptoms and patterns of repeat hospitalizations for services such as ER and inpatient care?
    Assertive Community Treatment (ACT)
  10. What needs to be evaluated in the biopsychosocial assessment
    • housing
    • income
    • support system
    • Substance abuse hx
    • physical well-being
  11. What type of setting includes intermittent supervision, and allows the patient to live independently with self-care, interventions are more LONG TERM
  12. What type of setting includes 24 hour supervision, and therapeutic milieu with hospital staff and supported healing environment, more SHORT TERM
  13. What is the primary goal of the ER during a psychiatric crisis
    triage and stabilization
  14. What is the admission criteria to a hospital regarding psychiatric patients?
    • harm to self
    • harm to others
    • Unable to care for basic needs, impaired judgement, unable to protect oneself
  15. Name 6 QSEN competencies
    • pt-centered care
    • quality improvement
    • safety
    • informatics
    • teamwork/collaboration
    • EB practice
  16. What is the hallmark of psychiatric disorders in children
  17. How should children be assessed for psychiatric conditions
    interview and OBSERVATION
  18. What interview should be used for adolescents?
    • H-home
    • E-education/employment
    • A-Activities
    • D-drugs, alcohol
    • S-sexuality
    • S-Suicide risk
    • S-Savagery (violence/abuse in home)
  19. What are the components of the Mental Status Exam (MSE)
    • Appearance
    • Behavior
    • Speech
    • Mood
    • Thought disorder
    • Perceptual disturbances
    • Cognition
    • Ideas of Self-harm or others
  20. What are the components of the psychosocial assessment
    • Previous hospitalization
    • Education
    • Occupation
    • Social pattern
    • Sexual
    • Interests/abilities
    • Substance abuse
    • Coping
    • Spiritual
  21. 3 dimensions of spirituality
    • cognitive (belief, values)
    • experiential (love, forgiveness)
    • behavioral (morals, choices, obligations)
  22. A group of two or more nursing diagnoses that typically happen together
  23. What is the operational definition of communication?
    • Stimulus
    • Sender
    • Message
    • Person receives message
    • Formulation of feedback
    • Back to sender
  24. What is the most common problem in a relationship
    Ineffective communication
  25. Name 4 methods of clarification
    • Paraphrasing
    • Restating
    • Reflecting
    • Exploring
  26. Name 4 different types of questioning
    • open-ended
    • closed-ended
    • projective
    • Presupposition
  27. When are closed ended questions more useful
    initial assessment or intake interview or to ascertain results
  28. Name 9 members of the multidisciplinary treatment team for mental health
    • RN
    • ARN
    • Psychiatrist
    • Psychologist
    • Social Worker
    • Counselor
    • Occupational therapists
    • MD
    • Psychiatric techs/specialists
    • Pharmacists
  29. What does ABC stand for in the mnemonic ABC STAMP LICKER for MSE
    • A: Appearance
    • B: Behavior
    • C: Cooperation
  30. What does STAMP stand for in the mnemonic ABC STAMP LICKER for MSE
    • S: Speech
    • T: Thought
    • A: Affect
    • M: Mood
    • P: Perception
  31. What does LICKER stand for in the mnemonic ABC STAMP LICKER for MSE
    • L: Level of Consciousness
    • I: Insight/judgement
    • C: Cognitive function (A&O, memory)
    • K: Knowledge base
    • E: Endings (suicide/homicide)
    • R: Reliability of info
  32. What is NAMI? Who founded it? What was it's purpose?
    • National Alliance of Mental Illness
    • People with mental illness and families
    • Fought to include the patient in decisions regarding their treatment
  33. Name the 3 components of Glascow Coma Scale
    • Eye Opening Response
    • Verbal Response
    • Motor Response
  34. What is the best Glascow coma scale score? The worst?
    • 15
    • 3
  35. How is the eye opening score graded for GLASCOW
    • Spontaneous, open with blinking at baseline: 4
    • To verbal stimuli, command, speech: 3
    • To pain only (not applied to face): 2
    • No response: 1
  36. How is the verbal response graded for GLASCOW
    • Oriented: 5
    • Confused conversation, but able to answer questions: 4
    • Inappropriate words: 3
    • Incomprehensible speech: 2
    • No response: 1
  37. How is the motor response graded for GLASCOW
    • Obeys commands for movement: 6 
    • Purposeful movement to painful stimulus: 5 
    • Withdraws in response to pain: 4 
    • Flexion in response to pain (decorticate posturing): 3
    • Extension response in response to pain (decerebrate posturing): 2
    • No response: 1
  38. What are double messages
    conflicting messages
  39. What is Communication that contains two contradictory messages given by the same
    person at the same time, to which the receiver is expected to respond.
    Constant double-mind situations result in feelings of helplessness,
    fear, and anxiety in the recipient of such messages.
    Double bind messages
  40. Name four tools used for nurses when communicating with their patients
    • silence
    • active listening
    • clarifying techniques
    • questions
  41. What are a form of cultural bias or cultural prejudice that determines what we pay attention to and what we ignore
    Culture filter
  42. What is the length of intimate distance
    0-18 in
  43. What is the length of Personal distance
    18-40 in
  44. What is the length of Social distance
    4-12 ft
  45. What is the length of public distance?
    12 ft or more
  46. What are written records of segment of the nurse/patient session that reflect closely as possible the verbal and nonverbal behaviors of both patient and nurse?
    Process Recordings
Card Set
Psych Exam 1 Ch 4 7 9
Ch. 3-5