Podcast
Questions and Answers
A patient experiencing panic anxiety is unable to process their environment. What impact does this have on their problem-solving abilities?
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?
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:
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?
Which of the following defense mechanisms involves unconsciously pushing away painful or uncomfortable thoughts and memories?
What is a key characteristic of a patient experiencing moderate anxiety?
What is a key characteristic of a patient experiencing moderate anxiety?
What is the primary purpose of defense mechanisms?
What is the primary purpose of defense mechanisms?
Which of the following is an example of maladaptive use of the defense mechanism 'sublimation'?
Which of the following is an example of maladaptive use of the defense mechanism 'sublimation'?
Which nursing intervention is most appropriate for a patient experiencing mild anxiety?
Which nursing intervention is most appropriate for a patient experiencing mild anxiety?
Which leadership style provides minimal supervision and encourages team autonomy?
Which leadership style provides minimal supervision and encourages team autonomy?
Which group therapy phase focuses on establishing trust and understanding group goals?
Which group therapy phase focuses on establishing trust and understanding group goals?
Which type of group aims to provide support and guidance to members facing similar challenges?
Which type of group aims to provide support and guidance to members facing similar challenges?
Which group function involves sharing knowledge, skills, or information among members?
Which group function involves sharing knowledge, skills, or information among members?
Which therapeutic group factor involves members experiencing a sense of relief knowing they're not alone in their struggles?
Which therapeutic group factor involves members experiencing a sense of relief knowing they're not alone in their struggles?
Which aspect of family functioning involves setting and maintaining boundaries between family members?
Which aspect of family functioning involves setting and maintaining boundaries between family members?
What is the primary function of the peripheral nervous system?
What is the primary function of the peripheral nervous system?
Which of these statements is true regarding group therapy in an acute unit?
Which of these statements is true regarding group therapy in an acute unit?
Which of the following is NOT a risk factor for aggressive behavior in an inpatient unit?
Which of the following is NOT a risk factor for aggressive behavior in an inpatient unit?
What is the primary focus of the planning phase in crisis intervention?
What is the primary focus of the planning phase in crisis intervention?
Which of the following is an example of how anger can be manifested?
Which of the following is an example of how anger can be manifested?
What is the most important principle in managing aggressive or violent behavior in an inpatient unit?
What is the most important principle in managing aggressive or violent behavior in an inpatient unit?
Which of the following medications is NOT typically included in a PRN medication cocktail for agitation?
Which of the following medications is NOT typically included in a PRN medication cocktail for agitation?
What is the purpose of a reality-oriented approach when managing aggressive behavior?
What is the purpose of a reality-oriented approach when managing aggressive behavior?
Which of the following is NOT a typical presentation of a crisis situation?
Which of the following is NOT a typical presentation of a crisis situation?
What is the primary goal in crisis intervention?
What is the primary goal in crisis intervention?
What are the two groups of individuals in the US guaranteed healthcare?
What are the two groups of individuals in the US guaranteed healthcare?
What is the core principle of self-determinism?
What is the core principle of self-determinism?
Which of the following is NOT a core value associated with self-determinism?
Which of the following is NOT a core value associated with self-determinism?
The Patient Self-Determination Act (1990) requires providers to inform all adult patients about their right to:
The Patient Self-Determination Act (1990) requires providers to inform all adult patients about their right to:
What is the difference between a living will and a durable power of attorney?
What is the difference between a living will and a durable power of attorney?
Which of the following is NOT a right protected by the Bill of Rights for mental health patients?
Which of the following is NOT a right protected by the Bill of Rights for mental health patients?
Which of the following is the most accurate definition of competency?
Which of the following is the most accurate definition of competency?
What is the main challenge of informed consent in mental health treatment?
What is the main challenge of informed consent in mental health treatment?
Which of the following is NOT a characteristic of mental illness?
Which of the following is NOT a characteristic of mental illness?
According to Maslow's Hierarchy of Needs, which need is considered a basic survival need?
According to Maslow's Hierarchy of Needs, which need is considered a basic survival need?
Which of the following is NOT a stage in the General Adaptation Syndrome (GAS)?
Which of the following is NOT a stage in the General Adaptation Syndrome (GAS)?
What is the primary focus of the Resistance Stage in the General Adaptation Syndrome?
What is the primary focus of the Resistance Stage in the General Adaptation Syndrome?
Which of the following is a characteristic of the 'Flight' response to stress?
Which of the following is a characteristic of the 'Flight' response to stress?
What is the primary difference between spirituality and religion?
What is the primary difference between spirituality and religion?
Which of the following is a potential consequence of prolonged stress in the Exhaustion Stage of GAS?
Which of the following is a potential consequence of prolonged stress in the Exhaustion Stage of GAS?
What is the relevance of considering 'cultural relativity' when assessing mental health?
What is the relevance of considering 'cultural relativity' when assessing mental health?
What does the Alabama law require for an involuntary admission?
What does the Alabama law require for an involuntary admission?
What is the main goal of House Bill 70?
What is the main goal of House Bill 70?
What are two examples of mandated reporting in the context of mental health?
What are two examples of mandated reporting in the context of mental health?
Which of the following is NOT a criterion for involuntary admission in Alabama?
Which of the following is NOT a criterion for involuntary admission in Alabama?
What does the term "commitment" refer to in the context of mental health?
What does the term "commitment" refer to in the context of mental health?
Which of the following is a key difference between involuntary admission and commitment?
Which of the following is a key difference between involuntary admission and commitment?
What is a "duty to warn" in the context of mental health confidentiality?
What is a "duty to warn" in the context of mental health confidentiality?
Why is confidentiality challenging to maintain in healthcare?
Why is confidentiality challenging to maintain in healthcare?
Flashcards
Self-Determinism
Self-Determinism
Empowerment to make personal moral judgments and choices based on individual goals.
Patient Self-Determination Act
Patient Self-Determination Act
1990 law requiring providers to inform adult patients of their rights to accept or refuse treatment.
Advance Care Directives
Advance Care Directives
Legal documents allowing individuals to outline their healthcare preferences in advance.
Bill of Rights for Mental Health Patients
Bill of Rights for Mental Health Patients
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Competency
Competency
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Informed Consent
Informed Consent
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Least Restrictive Environment
Least Restrictive Environment
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Non-maleficence
Non-maleficence
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Spirituality
Spirituality
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Religion
Religion
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Mental Health
Mental Health
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Mental Illness
Mental Illness
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Maslow’s Hierarchy of Needs
Maslow’s Hierarchy of Needs
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General Adaptation Syndrome (GAS)
General Adaptation Syndrome (GAS)
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Fight or Flight Response
Fight or Flight Response
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Fight Response
Fight Response
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Severe Anxiety
Severe Anxiety
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Panic Anxiety
Panic Anxiety
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Defense Mechanisms
Defense Mechanisms
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Altruism
Altruism
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Sublimation
Sublimation
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Repression
Repression
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Suppression
Suppression
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Mild and Moderate Anxiety Interventions
Mild and Moderate Anxiety Interventions
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Manifestations of Anger
Manifestations of Anger
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Anger Risk Factors
Anger Risk Factors
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Crisis Definition
Crisis Definition
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Phases of Crisis Intervention
Phases of Crisis Intervention
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Prevention in Crisis Management
Prevention in Crisis Management
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Pharmacological Intervention
Pharmacological Intervention
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Therapeutic Intervention Planning
Therapeutic Intervention Planning
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Signs of Agitation
Signs of Agitation
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Involuntary Admission
Involuntary Admission
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Commitment
Commitment
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Criteria for Involuntary Admission
Criteria for Involuntary Admission
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Alabama House Bill 70
Alabama House Bill 70
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Privacy
Privacy
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Confidentiality
Confidentiality
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Breach of Confidentiality
Breach of Confidentiality
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Duty to Warn
Duty to Warn
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Democratic Leadership
Democratic Leadership
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Laissez-faire Leadership
Laissez-faire Leadership
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Autocratic Leadership
Autocratic Leadership
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Orientation Phase
Orientation Phase
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Working Phase
Working Phase
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Termination Phase
Termination Phase
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Group Norm
Group Norm
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Group Cohesiveness
Group Cohesiveness
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Study Notes
Patient Rights and Legal Issues
- 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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