Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
64 Cards in this Set
- Front
- Back
Mental Health Act: - Involuntary criteria (Section 8) (5)
|
1. APPEAR TO BE MENTALLY ILL
2. NEEDS IMMEDIATE TREATMENT 3. A DANGER TO THEMSELVES OR OTHERS 4. UNWILLING OR UNABLE TO CONSENT 5. LEAST RESTRICTIVE ENVIRONMENT |
|
Involuntary admission legal requirements (4)
|
1. A REQUEST FORM (CAN BE DONE BY FAMILY)
2. A RECOMMENDATION FORM FROM A MEDICAL PRACTITIONER 3. PHYSICAL AND MENTAL HEALTH EXAMINATION BY A MEDICAL PRACTITIONER UPON ADMISSION TO A N AUTHORISED FACILITY 4. AN INDEPENDENT PSYCHIATRIC EXAM WITHIN 24 HOURS |
|
RESTRAINT WHEN IS IT USED (3)
|
1. A DANGER TO THEM SELVES OR OTHERS
2. PERSISTENTLY DESTROYING THINGS 3. MEDICAL TREATMENT |
|
SECLUSION WHEN IS IT USED (2)
|
1. A DANGER TO THEMSELVES OR OTHERS
2. ABSCONDING |
|
SECLUSION RULES (3)
|
1. RN TO OBSERVE EVERY 15 MINUTES
2. MEDICAL PR ACTIONER TO ASSESS EVERY 4 HOURS 3. PROVIDED WITH CLOTHES/TOILET/BEDDING/FOOD/DRINK |
|
Treatment plans DEFINITION
|
EVERY PATIENT UNDER THE MENTAL HEALTH ACT 1986 MUST HAVE A TREATMENT PLAN
TREATMENT PLANS ARE NOT A SUBSTITUTE FOR A RECOVERY PLAN OR THE INDIVIDUAL SERVICE PLAN |
|
THE PURPOSE OF THE TREATMENT PLANS ARE (2)
|
1. TO IMPROVE COMMUNICATION BETWEEN THE TREATMENT TEAM AND THE PATIENT
2. TO PROVIDE A CLEAR STATEMENT ABOUT TREATMENT AND EXPECTATIONS |
|
THE PROCESS OF A TREATMENT PLAN (8)THE AUTHORISED PSYCHIATRIST MUST TAKE INTO ACCOUNT
|
1. THE WISHES OF THE PATIENT
2. THE WISHES OF THE FAMILY/CARERS UNLESS THE PATIENT OBJECTS 3. WHETHER THE TREATMENT IS ONLY TO PROMOTE AN MAINTAIN THE PATIENTS HEALTH OR WELLBEING 4. BENEFICIAL ALTERNATIVE TREATMENTS 5. THE RISKS AND BENEFITS ASSOCIATED WITH THE TREATMENT 6. DISCUSSES THE PLAN WITH PATIENT 7. ENSURE PATIENT WILL RECEIVE A COPY 8. REVIEWED REGULARLY |
|
A TREATMENT PLAN LOOKS LIKE (6)
|
1. BRIEF, CLEAR AND PLAIN LANGUAGE
2. FOCUS ON PERSONS PRIORITY NEEDS 3. ESTABLISHES RESPONSIBILITIES FOR TREATMENT TEAM AND PATIENT 4. REALISTIC AND ACHIEVABLE 5. FOCUSED ON RECOVERY 6. REFLECTS INVOLVEMENT OF PATIENT AND TREATMENT TEAM |
|
Schizophrenia : - Signs and symptoms (characteristics (5)
|
1. HALLUCINATIONS
2. DELUSIONS 3. NEGATIVE SYMPTOMS – RESTRICTED FUNCTIONING (ANYTHING THAT STOPS NORMAL FUNCTIONING) AVOLITION – LACK OF MOTIVATION 4. DISORGANIZED BEHAVIOUR AND THOUGHT 5. GROSSLY IMPAIRED UNDERSTANDING OF REALITY |
|
SCHIZOPHRENIA Subtypes AND THERE MEANING (5)
|
1. PARANOID – DELUSION AND AUDITORY HALLUCINATIONS
2. DISORGANIZED – INAPPROPRIATE EMOTIONS 3. CATATONIC – WAXY FLEXIBILITY 4. UNDIFFERENTIATED – MAY HAVE SOME SYMPTOMS FROM ALL AREAS 5. RESIDUAL – PAST HISTORY OF EPISODE |
|
Nursing Care FOR SCHIZOPHRENIA (10)
|
1. TREATMENT OF ACUTE PSYCHOSIS
2. STABILIZATION 3. MAINTENANCE 4. SUPPORT AND SOCIAL REINTEGRATION 5. REDUCE HARM TO SELF/STAFF/FAMILY/OTHERS 6. REDUCE DISTRESS 7. PLAN FOR FURTHER INTERVENTION 8. ENGAGE FAMILY 9. THERAPEUTIC COMMUNICATION 10. OBSERVATION |
|
PERCEPTION INCLUDES (4)
|
1. GUSTATORY
2. OLFACTORY 3. TACTILE 4. AUDITORY |
|
AFFECT/MOOD INCLUDES (6)
|
1. FLAT
2. BLUNTED 3. RESTRICTED 4. INAPPROPRIATE 5. ANGRY 6. LABILE – ALTERING BETWEEN EXTREMES |
|
MEMORY
|
SHORT OR LONG TERM
|
|
STATE OF CONSCIENCE
|
NEUROLOGICAL OBSERVATIONS
|
|
GENERAL APPEARANCE (3)
|
1. SHABBY
2. HYPERVIGILANT 3. MANNERISMS |
|
ORIENTATION
|
PPT – PLACE PERSON TIME
|
|
THOUGHT – ONLY WAY TO KNOW IS BY THEIR SPEECH (15)
|
1. A LOGIA - POVERTY OF SPEECH
2. POVERTY OF CONTENT – LACK OF SUBSTANCE IN CONVERSATIONS 3. DEREALISATION – THEIR ENVIRONMENT IS NOT REAL 4. VOLUMINOUS – USES TOO MANY WORDS 5. THOUGHT BROADCASTING – THOUGHTS CAN BE HEARD BY OTHER 6. THOUGHT WITHDRAWAL – THOUGHTS ARE REMOVED BY OTHERS 7. THOUGHT CONTROL – THOUGHTS CONTROLLED BY OTHERS/FORCES 8. THOUGHT INSERTION – THOUGHTS ARE BEING IMPLANTED 9. THOUGHT BLOCKING – ABRUPT GAPS IN FLOW OF THOUGHT 10. CONFABULATION – UNCONSCIOUS REPLACEMENT OF FACT WITH IMAGINARY OR FALSE EXPERIENCE 11. CIRCUMSTANTIALITY – AFTER GOING ON A TANGENT THEY GET BACK ON TRACK 12. TANGENTIALITY – GOES OFF ON A TANGENT AND DOESN’T RETURN 13. DEPERSONALIZATION – THEIR BODIES DON’T FEEL REAL 14. PUNNING – PLAYS WITH WORDS IE. SCENTS-CENT 15. CLANGING – WORD CHOSEN FOR SOUND NOT MEANING |
|
JUDGEMENT
|
GOOD OR POOR ABILITY TO MAKE DECISIONS
|
|
INSIGHT (2)
|
1. AWARENESS OF THEIR CONDITION
2. WILLINGNESS TO ACCEPT TREATMENT |
|
MOTOR FUNCTION (5)
|
1. ANERGIA – ABNORMAL LACK OF ENERGY
2. ATAXIA – LOSS OF COORDINATION 3. AKATHISIA – RESTLESS LEG SYNDROME 4. DYSTONIA – INVOLUNTARY MUSCLE CONTRACTIONS 5. MOVEMENTS ARE FAST OR SLOW |
|
INTELLIGENCE
|
WE DON’T TEST THAT
|
|
Depression :-Signs and Symptoms (characteristics) Major Depression DEFINING CHARACTERISTICS IS 2 WEEKS OR MORE OF THE EITHER (18)
|
1. DEPRESSED MOOD THAT LASTS MOST OR ALL OF EACH DAY O
2. ANHEDONIA (LOSS ON INTEREST OR PLEASURE IN NEARLY ALL ACTIVITIES IN ADDITION A LEAST 5 OR MORE OF THE FOLLOWING SYMPTOMS 1. DEPRESSED MOOD 2. ANERGIA – LACK OF ENERGY 3. WEIGHT CHANGES 4. SLEEP DISTURBANCE 5. RECURRING THOUGHTS OF SUICIDE OR DEATH 6. PSYCHOMOTOR AGITATION OR RETARDATION 7. SOCIAL AND OR EMOTIONAL WITHDRAWAL 8. FEELINGS OF WORTHLESSNESS 9. DIFFICULTY CONCENTRATION 10. EGOCENTRIC 11. THOUGHTS ABOUT THEMSELVES RO OTHER ARE NEGATIVE 12. CATASTROPHIC THINKING 13. SEE THEMSELVES AS A FAILURE 14. WORLD IS SEEN AS A PLACE OF DESPAIR AND DESOLATION 15. FATIGUE 16. DIMINISHED LIBIDO 17. DIFFICULTY ENGAGING IN CONVERSATION 18. SLOWED SPEECH |
|
DEPRESSION Nursing Care (14)
|
1. T.A.L.K. TELL ABOUT YOUR THOUGHTS OF SUICIDE / ASK / LISTEN / KEEP SAFE AND GET HELP
2. ASSESSMENT - SUICIDE 3. ASSESSMENT - RISK 4. OBSERVE 5. OBJECTS REMOVAL 6. ENCOURAGE - SOCIAL PARTICIPATION 7. ENCOURAGE - ADLs 8. CHART - FLUID 9. CHART - HIGH CALORIE FOOD 1. PSYCHO-EDUCATION 2. GROUP THERAPY 3. INDIVIDUAL THERAPY 4. PHARMACOLOGICAL 5. E.C.T. |
|
Borderline Personality disorder: - Signs and symptoms (characteristics)
DIAGNOSIS REQUIRES 5 OF THE FOLLOWING (10) |
1. ABANDONMENT
2. ANGER 3. EMPTINESS 4. IMPULSIVITY 5. MOODY 6. PARANOID 7. SUICIDAL 8. UNSTABLE RELATIONSHIPS USUALLY IDEALIZATION OR DEVALUATION 9. UNSTABLE SELF IMAGE 10. DISASSOCIATION |
|
NURSING CARE FOR BORDERLINE PERSONALITY DISORDER (10)
|
1. CONSISTENCY
2. EMPATHY 3. STAFF SPLITTING AWARENESS 4. SUICIDE OR SELF HARM AWARENESS 5. REFER FOR DBT – DIALECTICAL BEHAVIOUR THERAPY 6. RISK ASSESSMENT 7. MULTIDISCIPLINE MANAGEMENT PLAN 8. SEXUAL RISK ASSESSMENT 9. OBSERVE – 15 MIN 10. GIVE THE PERSON THE RESPONSIBILITY TO MANAGE THEIR OWN DISTRESS |
|
NURSING MANAGEMENT FOR SELF HARM (6)
|
1. CANCEL LEAVE
2. CANCEL PRIVACY 3. CANCEL PRIVILEGES 4. INCREASE OBSERVATION 5. REMOVE POSSESSIONS 6. SECLUSION |
|
Bipolar I :-Signs and symptoms (characteristics) (7) MANIA
|
1. HEDONISTIC
2. IRRITABLE 3. POOR SLEEP 4. EUPHORIA 5. OMNIPOTENT 6. SARCASTIC 7. MANIFESTS IN DRINKING/SPENDING/TALKING |
|
Bipolar I :-Signs and symptoms (characteristics (3) DEPRESSION
|
1. HYPERSOMNIA
2. HYPERPHAGIA 3. WEIGHT GAIN |
|
BIPOLAR 1 NURSING CARE (8)
|
1. COUNSELLING
2. REDUCE ENVIRONMENTAL STIMULI 3. REDIRECT 4. REMIND OF ADLs 5. ENCOURAGE FLUIDS 6. INPUT/OUTPUT RECORD 7. AVOID GROUPS 8. USE PERSUASION NOT FORCE |
|
Suicide INDICATORS (13)
|
2. WITHDRAWAL
3. LOSS OF INTEREST IN HOBBIES 4. ABUSE OF ALCOHOL AND DRUGS 5. RECKLESS BEHAVIOUR 6. EXTREME BEHAVIOUR CHANGES 7. IMPULSIVITY 8. SELF MUTILATION 9. LACK OF INTEREST IN APPEARANCE 10. CHANGE IN SEX INTEREST 11. DISTURBED SLEEP 12. CHANGE IN APPETITE 13. SOMATIC COMPLAINTS (PHYSICAL) |
|
SUICIDE HIGH RISK GROUPS (6)
|
1. MEN
2. ATSI 3. PSYCHIATRIC PATIENTS 4. PREVIOUS ATTEMPTS 5. INDIVIDUALS BEREAVED BY SUICIDE 6. SOME CULTURALLY DIVERSE BACKGROUNDS |
|
Management of people at risk of suicide
|
1. HOW THEY PLAN TO DO IT
2. HOW PREPARED THEY ARE 3. WHEN 4. HAVE THEY TRIED IT BEFORE 5. ENCOURAGE – SPIRITUALITY/CARING FOR OTHERS/ACCOMMODATION/GOOD PHYSICAL HEALTH/FINANCIAL RESOURCES |
|
Aggression :-Behaviours that indicate a person is escalating (7)
|
1. CHANGE IN EXPRESSION
2. CHANGE IN MOTOR ACTIVITY 3. CHANGE IN SPEECH PATTERN (VOLUME AND TONE) 4. CHANGE IN MENTAL STATE 5. MAKING THREATS BOTH VERBAL AND PHYSICAL 6. PROPERTY DESTRUCTION 7. HARM TO OTHERS AND SELF |
|
De-escalation strategies (4)
|
1. VENTILATE – ALLOW CLIENT TO STATE POSITION WITHOUT INTERRUPTING
2. VALIDATE – USE NAME, ACKNOWLEDGE, PERSPECTIVE, PROVIDE FEEDBACK 3. LIMIT SET – PROVIDE CLEAR LIMITS WHERE POSSIBLE IN A POSITIVE WAY 4. PROBLEM SOLVE – COLLABORATIVE PROCESS, SIT DON’T STAND AVOID POWER STRUGGLES |
|
Stigma : - Effects (5)
|
1. SELF ESTEEM
2. WITHDRAWAL 3. STOPS PEOPLE SEEKING TREATMENT 4. STOPS FAMILY SUPPORT 5. NON-ADHERENCE TO TREATMENT |
|
STIGMA STRATEGIES (3)
|
1. COMMUNITY EDUCATION
2. PRIMARY EDUCATION 3. USE CORRECT TERMINOLOGY –IE. ILLNESS |
|
Risk Assessment (4)
|
1. RISK TO SELF
2. RISK TO OTHERS 3. RISK OF ABSCONDING 4. RISK OF SUICIDE |
|
Generalized Anxiety Disorder (6)
|
1. RESTLESSNESS
2. BEING EASILY FATIGUED 3. DIFFICULTY CONCENTRATION 4. IRRITABILITY 5. MUSCLE TENSION 6. DISTURBED SLEEP |
|
PTSD (7)
|
1. RECURRENT, INTRUSIVE RECOLLECTIONS OF THE EVENT
2. RECURRENT DISTRESSING DREAMS OF THE EVENT 3. ACTING OR FEELING AS IF THE TRAUMA WAS CURRENTLY OCCURRING 4. INTENSE DISTRESS AT TRIGGERS 5. DECREASED INTEREST IN ACTIVITIES 6. FEELS DETACHED FROM OTHERS 7. NO LONGER EXPECT TO LIVE A LONG LIFE |
|
Obsessive Compulsive disorder (5)
|
1. RECURRENT COMPULSION TO PERFORM RITUALS
2. RELIEF OF ANXIETY REINFORCES THE RITUAL; 3. RITUAL INTERFERES WITH DAILY LIVING 4. ONSET IS GRADUAL 5. STRESS WILL EXACERBATE THE RITUALISTIC BEHAVIOUR |
|
Panic Attack (4)
|
1. INTENSE FEAR IN THE ABSENSE OF REAL DANGER
2. SHORT LIVED 3. OFTEN ACCOMPANIED WITH PHYSICAL COMPLAINTS SUCH AS CHEST PAIN 4. URGENT DESIRE TO FLEE |
|
Eating Disorders :-Anorexia Nervosa Characteristics (6)
|
1. REFUSAL TO MAINTAIN BODY WEIGHT
2. INTENSE FEAR OF GAINING WEIGHT 3. DISTURBANCE IN SELF EVALUATION 4. THE ABSENCE OF A LEAST 3 CONSECUTIVE MENSTRUAL CYCLES 5. RESTRICTING TYPE 6. BINGE EATING/PURGING TYPE |
|
Eating Disorders :-Anorexia Nervosa nursing management. (11)
|
1. ACKNOWLEDGE ANXIETY
2. INCREASE SELF AWARENESS AND TRIGGERS 3. FIND STRENGTHS AND WEAKNESSES 4. REDUCE SHAME 5. EDUCATE 6. INCREASE COPING SKILLS 7. MEDICATION 8. COGNITIVE THERAPY 9. FAMILY THERAPY 10. GROUP THERAPY 11. BEHAVIOURAL THERAPY |
|
Multi-Disciplinary teams SOCIAL WORKER (2)
|
1. ADVOCATES WITH THE CLIENTS IN REALTION TO RIGHTS AND RESOURCES
2. DEVELOPS A RANGE OF PSYCHO SOCIAL INTERVENTIONS WITH THE CLIENT |
|
PSCHOLOGIST (2)
|
1. CBT
2. DBT |
|
RN (2)
|
1. PERFORM ASSESSMENTS
2. OBSERVE TREATMENT |
|
AMBULANCE PERSONAL (2)
|
1. ASSESS CLIENTS
2. TREAT ACUTE INJURIES |
|
MEDICAL PRACTITIONER IN ED (2)
|
1. REFERS TO A AMHS
2. ASSESS PATIENT |
|
PSYCHIATRIST (6)
|
1. DETAINS PERSON IN THE AMHS
2. MAKES A COMMUNITY TREATMENT ORDER 3. DISCHARGE AN INVOLUNTARY PATIENT 4. CAN CONSENT TO TREATMENT ON BEHALF OF THE PATIENT WHO IS UNABLE OR REFUSES TREATMENT 5. GRANT LEAVE FROM HOSPITAL TO AN INVOLUNTARY PATIENT 6. ORDER TRANSFER OF THE PATIENT TO ANOTHER PSYCHIATRIC IN-PATIENT SERVICE |
|
ECT
USAGE (5) |
1. SEVERE MOOD DISORDER THAT IS NOT RESPONDING TO DRUGS
2. SEVERE SIDE EFFECTS OF DRUGS 3. SEVERE SYMPTOMS NEEDING A RAPID RESPONSE 4. HOSTORY OF GOOD ECT 5. NUTRITIONAL AT RISK PATIENTS |
|
ECT SIDE EFFECTS (5)
|
1. SHORT TEM MEMORY LOSS
2. HEADACHE 3. CONFUSION 4. NAUSEA 5. MUSCLE ACHES |
|
Therapeutic relationships DEFINITION AND THREE POINTS
|
IS THE RELATIONSHIP BETWEEN A HEALTHCARE PROFESSIONAL AND A CLIENT WORKING TOGETHER TO EFFECT A BENEFICIAL CHANGE IN THE CLIENT
1. EMPATHY 2. UNCONDITIONAL POSITIVE REGARD 3. GENUINENESS |
|
Psychological treatments: - CBT (3)
|
1. ACKNOWLEDGES THAT SOME BEHAVIOURS CANT BE CONTROLLED BY RATIONAL THOUGHT
2. IT SI PROBLEM FOCUSED 3. IT IS ACTION ORIENTED |
|
DBT (3)
|
1. OBSERVE – NON-JUDGMENTALLY
2. DESCRIBE – MINDFULLY (NOT DISTRACTED) 3. PARTICIPATE – EFFECTIVELY |
|
Antidepressants
|
1. SERTRALINE
2. FLUOXETINE 3. PAROXETINE |
|
Antidepressants SIDE EFFECTS (4)
|
1. SEDATION
2. HEADACHES 3. NAUSEA 4. DRY MOUTH |
|
Mood Stabilizers
|
1. LITHIUM CARBONATE
2. SODIUM VALPROATE 3. CARBAMAZEPINE |
|
Mood Stabilizers SIDE EFFECTS (4)
|
1. TREMORS
2. WEIGHT GAIN 3. POLYURIA 4. THIRST |
|
Anxiolytics
|
1. OXAZEPAM
2. DIAZEPAM 3. CLONAZEPAM |
|
Anxiolytics SIDE EFFECTS (3)
|
1. BLURRED VISION
2. CONCENTRATION 3. DROWSINESS |
|
Antipsychotics
|
1. RISPERIDONE
2. QUETIAPINE 3. HALOPERIDOL |
|
Antipsychotics SIDE EFFECTS (4)
|
1. SEDATION
2. HEADACHE 3. NAUSEA 4. LOSS OF SEX DRIVE |