Psychiatric Nursing Interventions Quiz
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Questions and Answers

A patient experiencing panic anxiety is unable to process their environment. What impact does this have on their problem-solving abilities?

  • Intact, but they may have limited ability to learn new skills.
  • They are able to solve problems effectively.
  • Not intact, they may be disorganized or irrational. (correct)
  • Severely limited, they may display ineffective reasoning.
  • Which of the following nursing interventions is most appropriate for a patient experiencing severe anxiety?

  • Actively listen and recognize the client's distress.
  • Explore solutions with the patient to address their anxiety.
  • Encourage the patient to discuss and evaluate their coping skills.
  • Set firm limits and provide brief, simple directions. (correct)
  • A patient displaying symptoms of impending doom, withdrawal, and nausea is likely experiencing:

  • Severe Anxiety (correct)
  • Panic Anxiety
  • Moderate Anxiety
  • Mild Anxiety
  • Which of the following defense mechanisms involves unconsciously pushing away painful or uncomfortable thoughts and memories?

    <p>Repression (A)</p> Signup and view all the answers

    What is a key characteristic of a patient experiencing moderate anxiety?

    <p>Increased vital signs due to sympathetic nervous system activation. (C)</p> Signup and view all the answers

    What is the primary purpose of defense mechanisms?

    <p>To help the individual cope with difficult emotions and situations. (B)</p> Signup and view all the answers

    Which of the following is an example of maladaptive use of the defense mechanism 'sublimation'?

    <p>Engaging in risky behaviors to seek excitement. (B)</p> Signup and view all the answers

    Which nursing intervention is most appropriate for a patient experiencing mild anxiety?

    <p>Remain calm and use simple and clear directions. (A)</p> Signup and view all the answers

    Which leadership style provides minimal supervision and encourages team autonomy?

    <p>Laissez-faire (C)</p> Signup and view all the answers

    Which group therapy phase focuses on establishing trust and understanding group goals?

    <p>Orientation Phase (D)</p> Signup and view all the answers

    Which type of group aims to provide support and guidance to members facing similar challenges?

    <p>Supportive-Therapeutic Groups (B)</p> Signup and view all the answers

    Which group function involves sharing knowledge, skills, or information among members?

    <p>Information sharing (C)</p> Signup and view all the answers

    Which therapeutic group factor involves members experiencing a sense of relief knowing they're not alone in their struggles?

    <p>Universality (B)</p> Signup and view all the answers

    Which aspect of family functioning involves setting and maintaining boundaries between family members?

    <p>Boundaries (D)</p> Signup and view all the answers

    What is the primary function of the peripheral nervous system?

    <p>To carry signals between the brain and the body (D)</p> Signup and view all the answers

    Which of these statements is true regarding group therapy in an acute unit?

    <p>Unit activities and changes in membership can impact the group dynamic (C)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for aggressive behavior in an inpatient unit?

    <p>Previous history of medication intervention (C)</p> Signup and view all the answers

    What is the primary focus of the planning phase in crisis intervention?

    <p>Establishing desired outcome criteria and selecting appropriate nursing actions (D)</p> Signup and view all the answers

    Which of the following is an example of how anger can be manifested?

    <p>Intense eye contact or avoidance of eye contact (D)</p> Signup and view all the answers

    What is the most important principle in managing aggressive or violent behavior in an inpatient unit?

    <p>Prevention (C)</p> Signup and view all the answers

    Which of the following medications is NOT typically included in a PRN medication cocktail for agitation?

    <p>Lithium (D)</p> Signup and view all the answers

    What is the purpose of a reality-oriented approach when managing aggressive behavior?

    <p>To help the individual distinguish between reality and fantasy (C)</p> Signup and view all the answers

    Which of the following is NOT a typical presentation of a crisis situation?

    <p>Increased appetite and sleep (A)</p> Signup and view all the answers

    What is the primary goal in crisis intervention?

    <p>To resolve the immediate crisis (B)</p> Signup and view all the answers

    What are the two groups of individuals in the US guaranteed healthcare?

    <p>Criminals and Native Americans (B)</p> Signup and view all the answers

    What is the core principle of self-determinism?

    <p>The right to make decisions about one's own life (A)</p> Signup and view all the answers

    Which of the following is NOT a core value associated with self-determinism?

    <p>Right to privacy (A)</p> Signup and view all the answers

    The Patient Self-Determination Act (1990) requires providers to inform all adult patients about their right to:

    <p>Accept or refuse medical treatment (D)</p> Signup and view all the answers

    What is the difference between a living will and a durable power of attorney?

    <p>A living will outlines your wishes for end-of-life care, while a durable power of attorney appoints someone to make healthcare decisions for you if you are unable. (D)</p> Signup and view all the answers

    Which of the following is NOT a right protected by the Bill of Rights for mental health patients?

    <p>Right to refuse treatment (A)</p> Signup and view all the answers

    Which of the following is the most accurate definition of competency?

    <p>The ability to understand and process information at a specific time (C)</p> Signup and view all the answers

    What is the main challenge of informed consent in mental health treatment?

    <p>The compromised decision-making ability in mental illness (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of mental illness?

    <p>Thoughts, feelings, and behaviors congruent with social norms (D)</p> Signup and view all the answers

    According to Maslow's Hierarchy of Needs, which need is considered a basic survival need?

    <p>Physiological (C)</p> Signup and view all the answers

    Which of the following is NOT a stage in the General Adaptation Syndrome (GAS)?

    <p>Fight-or-Flight Stage (B)</p> Signup and view all the answers

    What is the primary focus of the Resistance Stage in the General Adaptation Syndrome?

    <p>Adaptation to ongoing stress (B)</p> Signup and view all the answers

    Which of the following is a characteristic of the 'Flight' response to stress?

    <p>Feeling trapped (B)</p> Signup and view all the answers

    What is the primary difference between spirituality and religion?

    <p>Spirituality is an individual experience, while religion is a collective belief system. (A)</p> Signup and view all the answers

    Which of the following is a potential consequence of prolonged stress in the Exhaustion Stage of GAS?

    <p>Burnout and illness (C)</p> Signup and view all the answers

    What is the relevance of considering 'cultural relativity' when assessing mental health?

    <p>Cultural norms vary in their understanding of mental illness, making it important to avoid cultural bias. (A)</p> Signup and view all the answers

    What does the Alabama law require for an involuntary admission?

    <p>Both a doctor's and a court order. (C)</p> Signup and view all the answers

    What is the main goal of House Bill 70?

    <p>To provide more options for outpatient treatment. (D)</p> Signup and view all the answers

    What are two examples of mandated reporting in the context of mental health?

    <p>Suspected child abuse and endangerment. (C)</p> Signup and view all the answers

    Which of the following is NOT a criterion for involuntary admission in Alabama?

    <p>The patient has a history of violence or criminal activity. (D)</p> Signup and view all the answers

    What does the term "commitment" refer to in the context of mental health?

    <p>A legal order requiring a person to stay in psychiatric treatment for a longer period. (B)</p> Signup and view all the answers

    Which of the following is a key difference between involuntary admission and commitment?

    <p>Involuntary admission is temporary, while commitment can be long-term. (D)</p> Signup and view all the answers

    What is a "duty to warn" in the context of mental health confidentiality?

    <p>The legal obligation to disclose patient information if they pose a threat to others. (C)</p> Signup and view all the answers

    Why is confidentiality challenging to maintain in healthcare?

    <p>Sometimes it is necessary to disclose patient information without their consent, for example, when complying with legal obligations. (B)</p> Signup and view all the answers

    Flashcards

    Self-Determinism

    Empowerment to make personal moral judgments and choices based on individual goals.

    Patient Self-Determination Act

    1990 law requiring providers to inform adult patients of their rights to accept or refuse treatment.

    Advance Care Directives

    Legal documents allowing individuals to outline their healthcare preferences in advance.

    Bill of Rights for Mental Health Patients

    Set of rights ensuring mental health patients receive care and treatment fairly and confidentially.

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    Competency

    Degree to which a patient can comprehend information during the consent process.

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    Informed Consent

    Legal procedure ensuring patients understand benefits and risks before treatment.

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    Least Restrictive Environment

    Principle advocating for treatment options that do not limit freedom unnecessarily.

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    Non-maleficence

    Ethical principle to avoid causing harm to patients.

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    Spirituality

    A personal connection to meaning and purpose, existing in everyone.

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    Religion

    System of beliefs, values, and rituals organized by a group.

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    Mental Health

    Successful adaptation to stressors with congruent thoughts and behaviors.

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    Mental Illness

    Maladaptive responses to stressors affecting functioning and norms.

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    Maslow’s Hierarchy of Needs

    A pyramid of human needs from basic survival to self-actualization.

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    General Adaptation Syndrome (GAS)

    The body's three-stage response to stress: Alarm, Resistance, Exhaustion.

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    Fight or Flight Response

    Physiological response options when facing a stressor: fight, flight, faint, or freeze.

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    Fight Response

    Directly confronting a stressor with aggression or anger.

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    Severe Anxiety

    Characterized by ineffective reasoning and impending doom; perceives stressor as threatening.

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    Panic Anxiety

    Inability to process the environment; symptoms may include hallucinations and disorganized thoughts.

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    Defense Mechanisms

    Psychological strategies used to cope with stress; can be adaptive or maladaptive.

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    Altruism

    Selfless concern for others, transforming emotions by helping those similar to oneself.

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    Sublimation

    Channeling difficult feelings into acceptable actions, such as exercise.

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    Repression

    Unconsciously pushing away painful memories or thoughts.

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    Suppression

    Consciously avoiding thoughts about distressing situations or feelings.

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    Mild and Moderate Anxiety Interventions

    Remain calm, listen, explore solutions, encourage physical activity.

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    Manifestations of Anger

    Physical or verbal signs indicating anger, such as clenched fists, yelling, or intense eye contact.

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    Anger Risk Factors

    Elements that may increase the likelihood of aggressive behavior, like history of violence and poor coping skills.

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    Crisis Definition

    A situation where general functioning is severely impaired and emotional control is limited.

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    Phases of Crisis Intervention

    Three steps: Assessment, Planning, and Intervention to manage a crisis.

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    Prevention in Crisis Management

    Foreseeing and rectifying aggressive behaviors before they escalate.

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    Pharmacological Intervention

    Medications used as needed (PRN) for controlling severe agitation, including antipsychotics and benzodiazepines.

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    Therapeutic Intervention Planning

    Selecting appropriate nursing actions based on crisis assessment prioritizing safety.

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    Signs of Agitation

    Indicators such as defensiveness, facial grimacing, and restlessness observed during an emotional crisis.

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    Involuntary Admission

    Placing a person in a psychiatric facility without consent due to inability to care for themselves or being a threat.

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    Commitment

    A legal process where a court decides a person must stay in psychiatric treatment for a specified time.

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    Criteria for Involuntary Admission

    Conditions that justify involuntary admission, including threat to self or others and inability to make treatment decisions.

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    Alabama House Bill 70

    Legislation allowing transport of persons unable to care for themselves without needing imminent danger criteria.

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    Privacy

    A part of an individual's life not governed by societal laws or government intrusion.

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    Confidentiality

    An ethical duty to protect patient information and not disclose it without consent.

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    Breach of Confidentiality

    Unauthorized release of patient information without consent in absence of legal reason.

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    Duty to Warn

    Legal obligation to breach confidentiality if a patient poses a threat of harm to others.

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    Democratic Leadership

    A leadership style where the leader involves the team in decision-making and values everyone's input.

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    Laissez-faire Leadership

    A leadership style where the leader allows the team a high degree of freedom in decision-making with minimal supervision.

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    Autocratic Leadership

    A leadership style where the leader makes decisions unilaterally without input from the team.

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    Orientation Phase

    The initial phase of group therapy where members get to know each other and establish trust and goals.

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    Working Phase

    The phase in group therapy where members openly discuss issues, share support, and explore emotions.

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    Termination Phase

    The final phase of group therapy where members reflect on progress and prepare to end therapy.

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    Group Norm

    The accepted standards of behavior and beliefs that guide a group's interactions.

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    Group Cohesiveness

    The degree of interaction and commitment among group members that fosters unity and support.

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    Study Notes

    • Two groups of people in the US are guaranteed healthcare:
      • Criminals
      • Native Americans
    • Self-determination allows people to make moral judgments based on personal goals and values.
    • Key values include personal autonomy and avoiding dependence on others. Self-determination is a fundamental psychological need.
    • Self-determination is rooted in veracity (truthfulness), beneficence (acting in the patient's best interest), autonomy (making one's own choices), justice (fairness), and non-maleficence (avoiding harm).
    • The Patient Self-Determination Act (1990) protects patients' rights to accept or refuse medical treatment and to make health care decisions.
    • Advance care directives for mental health patients include the right to the least restrictive treatment alternative, informed consent, confidentiality, retaining personal items, and refusing treatment.
    • Patient rights are limited based on patient safety, and medical staff can override patient refusals in certain cases.
    • Competency to consent is related to cognitive ability to understand information, differing across states, and often compromised in mental illness.
    • Informed consent is a legal procedure to ensure patients understand treatment benefits and costs.

    Mental Health Patient Rights

    • Patients have the right to the least restrictive treatment alternative.
    • Right to informed consent.
    • Right to confidentiality (using patient IDs).
    • Right to retain personal items.
    • Right to refuse treatment (with limitations).

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    Description

    Test your knowledge on psychiatric nursing interventions and the impact of anxiety on patients. This quiz covers various symptoms of anxiety, defense mechanisms, and effective nursing strategies. Enhance your understanding of how to support patients dealing with anxiety-related challenges.

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