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Title:	psych text
Description:	psych
Number of Cards:	29
Save Count:	0
Author:	tinkerbell0531849
Created:	2012-01-02
Tags:	psych
Private	No

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- Question
- Answer
- Side 3

- Who was Dorthea Lynde Dix?
- Crusader for the humane treatment of pts with mental illness. Reformed mental health in the 1800's.
- What did Mary Adelaide Nutting do?
- psych nurse that said nursing care should be basedon scientific study and conceptualized in terms of diagnosis, care, and treatment.
- What is psychiatric pleuralism?
- Integrating the physical part with the environmental and social parts.
- What is Freud's psychoanalytic theory?
- Trauma in the oral, anal, or genital stage caused psychosis (severe breaks in reality) or neurosis (less severe, but distressing problems)
- What is acculturation?
- Minority group melds in to predominant culture and assumes language, belierfs, values, and practices.
- What is the difference b/w prejudice and discrimination?
- Prejudice is a hostile attitude
  
  Discrimination is differential treatment by ifnoring, name calling, denying services.
- What is animism?
- Souls embodied in all beings and everything in nature.
- What is maoism?
- faith centered in Communist party - major belief is to move away from personal desires toward serving people as a whole.
- What is the definition of mental health?
- A person that can deal with normal human emotion, is productive, has successful relationships with others, can adapt to change, and can cope with adversity.
- What is a mental health problem?
- S/S of mental illness that do not fit criteria for a specific disorder.
- What is a mental illness?
- Diagnosable mental disorder
- What is a mental disorder?
- Health condition characterized by alterations in thinking, mood, or behavior associated with distress or impaired functioning.
- What do the 5 axes describe?
- Axis I - Clinical disorder
  Axis II - Personality disorder/mental retardation
  Axis III - general medical conditions that affect the psych disorder
  Axis IV - Psychosocial or environmental problems that produce added stress
  Axis V - Estimate of overall functioning according to the GAF
- What qualifies a pt as competant to give consent?
- Pt should be able to repeat what is heard, paraphrase,discuss disorder/need for tx/outcomes, discuss logical reasons for choice of tx.
- What is the difference b/w guilty but mentally ill and not guilty by reason of insanity?
- Not guilty by eason of insanity are those who demonstrate they had no understanding of their actions and no control over them. They are committed to mental hospital and then discharged.
  
  Guilty but mentally ill applies to those who demonstrate they knew the wrongfulness of their actions and had the ability to act otherwise. They enter the correctional system and receive tx, but are returned after tx to serve their sentences.
- What is 23 hour observation used for?
- Short term monitoring for transient disruption of baseline function which will resolve quickly like...
  
  Rape
  Acute trauma
  Alcohol/narcotic detox
  Axis II personality disorders who present with self-injurous behaviors.
- What is the 1 hour rule?
- Physician or LPN must evaluate a pt within 1 hr of application of restraint or seclusion.
- What is the difference b/w partial hospitalization and intensive outpatient programs?
- Partial hospitalization is all day everyday but not overnight for people who cannot function autonomously on a daily basis but are not a threat to themselves or others.
  
  Intensive outpatient is more teaching, and only last 3-4hours/day 2-3 days/week.
- What is an example of... multimodal outpatient care?
- Aftercare
- What is an example of acute ambulatory care?
- Day hospital, intensive in-home crisis intervention oupt detox, 23-hour observation beds
- What is assertive community treatment?
- 24 hour intensive community services within pt's natural setting to help people with severe mental illness live in the community.
- Alternative housing...
  
  What is...
  
  Personal care homes?
  Board and care homes?
  Supervised apartments?
  Therapeutic foster care?
- Personal care homes - 6-10 people live in one house with health care attendant providing 24-hour supervision. Med monitoring, trasportation to appts, meals, self-care skills taught.
  
  Board and care homes - 50-150 pts assistance with meds, meals, and some self-care assistance. 24-hour supervision
  
  Therapeutic foster care - just like child foster care. Pt may be required to attend an outpt program during the day.
  
  Supervised apartments - Individual apartment or with roommate. Staff member stops by routinely to evaluate how well pt is doing, make sure they take their meds, ensure household is being maintained, mediate disagreements.
- What is the nurse's role in managed care?
- Teach social skills and self-reliance, educate pt about illness, community resources, and meds, document info regarding pt condition, crisis intervention, case management
- Nursing assessment in psych
- Assess biologic, psychological, and social functioning to determine where the pt need and type of care. Assess suicidal and homicidal thoughts.
- Piaget's 4 stages -
  
  Describe sensorimotor
- 1st stage - birth to age 2
  
  Child learns about the world through the senses. Frown or a stern voice is appropriate for discipline.
- Piaget's 4 stages -
  
  Describe preoperational
- 2nd stage - when child begins to talk to age 7
  
  Fantasy thinking, no concept of time. Use things child can touch to teach. Can think of things that are not immediately there though.
- Piaget's 4 stages -
  
  Describe concrete
- 3rd stage - first grade to early adolecense
  
  Able to think abstractly. Teaching includes saying stuff and having them repeat it back.
- Piaget's 4 stages -
  
  Describe formal operations
- Last stage.
  
  Adolescence
  
  Wide ranging teaching. Capable of hypothetical and deductive reasoning.
- Describe the 4 levels of anxiety
- 1. Mild - awareness heightens
  2. Moderate - awareness narrows
  3. Severe - focused narrow awareness
  4. Panic - unable to function