Podcast
Questions and Answers
What is the primary intervention required when a patient makes threats towards others?
What is the primary intervention required when a patient makes threats towards others?
- Call law enforcement without warning
- Discuss with the patient's family
- Provide therapy immediately
- Notify victims about the threats (correct)
Which of the following is NOT considered a risk factor for intimate partner violence (IPV)?
Which of the following is NOT considered a risk factor for intimate partner violence (IPV)?
- Desire to leave the relationship
- Pregnancy
- Children under 3
- Stable employment (correct)
What is the most crucial step for a nurse when examining a sexual assault victim for evidence?
What is the most crucial step for a nurse when examining a sexual assault victim for evidence?
- Obtain consent from the patient (correct)
- Immediately document findings
- Conduct a full medical history
- Reach out to law enforcement
What is considered the number one priority in the treatment of Bulimia Nervosa?
What is considered the number one priority in the treatment of Bulimia Nervosa?
Which therapy is considered the best treatment for individuals with borderline personality disorder?
Which therapy is considered the best treatment for individuals with borderline personality disorder?
Erosion of tooth enamel is commonly associated with which eating disorder?
Erosion of tooth enamel is commonly associated with which eating disorder?
Which of the following is NOT a symptom of Bulimia Nervosa?
Which of the following is NOT a symptom of Bulimia Nervosa?
What should be the top priority in the treatment of anorexia nervosa?
What should be the top priority in the treatment of anorexia nervosa?
What physical safety concern is emphasized in the treatment of Autism?
What physical safety concern is emphasized in the treatment of Autism?
Which medication class is considered the drug of choice for treating ADHD?
Which medication class is considered the drug of choice for treating ADHD?
What indicates the need for contacting Child Protective Services (CPS)?
What indicates the need for contacting Child Protective Services (CPS)?
Which behavior is a hallmark characteristic of Conduct Disorder in individuals under 18?
Which behavior is a hallmark characteristic of Conduct Disorder in individuals under 18?
In which scenario would using restraints typically be considered appropriate?
In which scenario would using restraints typically be considered appropriate?
What is a common response of children dealing with grief due to death or separation?
What is a common response of children dealing with grief due to death or separation?
Which of the following is a common complication linked to Bulimia Nervosa?
Which of the following is a common complication linked to Bulimia Nervosa?
What type of behavior might negatively impact sibling relationships and lead to behavioral issues?
What type of behavior might negatively impact sibling relationships and lead to behavioral issues?
Flashcards
Least Restrictive Environment
Least Restrictive Environment
Using the least restrictive methods to manage patient behavior, only resorting to more restrictive measures as last resort
Tarasoff Act
Tarasoff Act
A law requiring mental health professionals to warn potential victims of threats made by patients.
Borderline Personality Disorder (BPD)
Borderline Personality Disorder (BPD)
A personality disorder characterized by instability in mood, relationships, and self-image; often includes splitting (extreme black-and-white thinking).
Antisocial Personality Disorder
Antisocial Personality Disorder
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Anorexia Nervosa
Anorexia Nervosa
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Domestic Violence Risk Factors
Domestic Violence Risk Factors
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Sexual Assault Victim Support
Sexual Assault Victim Support
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Management of Aggression
Management of Aggression
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Bulimia Nervosa Treatment
Bulimia Nervosa Treatment
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Bulimia Nervosa Characteristics
Bulimia Nervosa Characteristics
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Childhood Grief Response
Childhood Grief Response
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Autism Treatment Principle
Autism Treatment Principle
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ADHD Medication
ADHD Medication
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Conduct Disorder
Conduct Disorder
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Autism Characteristics
Autism Characteristics
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Conduct Disorder Over 18
Conduct Disorder Over 18
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Study Notes
Legal/Ethical Considerations
- Least restrictive environment is the primary goal.
- Tarasoff Act mandates warning potential victims if a patient threatens them.
- Judgment of harm or imminent danger is necessary.
- Lack of competence often necessitates a legal guardian's involvement.
- Domestic violence interventions often begin with asking for consent.
- Risk factors include pregnancy, children under three, or suspected desire to leave.
- CPS (Child Protective Services) is contacted when abuse or neglect is suspected.
- Sexual abuse is defined as any unwanted physical or emotional contact.
- Sexual assault victims need documented information, 24-hour hotlines, referrals, and follow-up appointments in court.
- Therapeutic communication is needed.
- RNs need to separate vulnerability from guilt.
Management of Aggression
- Restraints should only be used as a last resort.
- An order is required within one hour of needing restraints.
- Least restrictive approaches must be attempted first.
- Psychiatric emergency response protocols need to be followed.
- Removing patients from shared areas and ensuring staff supervision is important.
Personality Disorders
- Borderline Personality Disorder is characterized by:
- Splitting (seeing people strictly as all good or all bad)
- Manipulative behaviors
- Suicidal ideation.
Eating Disorders
- Anorexia Nervosa symptoms: dehydration, osteoporosis, fatigue, enamel erosion, and organ damage.
- Bulimia Nervosa symptoms: purging (vomiting, laxatives, diuretics), hypokalemia, and tooth enamel erosion.
- Treatment priority: Restoring a healthy weight.
- Nutrition rehabilitation: Gradual increase of food intake with promotion of positive body image and sleep.
Childhood Problems
- Grief and Loss: Children may experience grief through somatic complaints and require understanding of their emotional responses.
- Separation and Divorce: Children often react differently and may become hostile.
- Sibling Relationships: positive relationships are protective, while negative ones can lead to problems.
Autism Spectrum Disorder
- Physical Safety: top priority.
- Treatments are individualized.
- Characteristics include severe social impairments and repetitive behaviors (hand-flapping, tiptoeing).
ADHD
- Psychostimulants (Adderall, Ritalin) are often the treatment of choice.
- ADHD can sometimes manifest with behaviors such as disruptive or hyperactive.
Conduct Disorder
- Serious violations of social norms: cruelty to animals or property destruction.
- These behaviors are observed before the age of 18.
- Often accompanied by outbursts, disruptive language, and other antisocial behaviors.
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Description
This quiz explores crucial legal and ethical considerations in nursing, including the responsibility to warn potential victims under the Tarasoff Act and the importance of consent in domestic violence interventions. It also covers management of aggression, including the proper use of restraints. Test your understanding of these vital topics to ensure patient safety and compliance with legal standards.
