Psychology Exam on Patient Recovery Models

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Questions and Answers

Which of the following is NOT a common symptom of Generalized Anxiety Disorder (GAD)?

Restlessness

Excessive worry

Fatigue

Hallucinations (correct)

What type of medication is Vistaril (hydroxyzine) classified as?

Antipsychotic

Antihistamine (correct)

Anxiolytic

Antidepressant

Which of the following is NOT a common nursing intervention for a patient experiencing anxiety?

Providing a quiet and calming environment

Challenging the patient's irrational thoughts (correct)

Administering prescribed medications

Encouraging relaxation techniques

Which of the following medication classes is NOT typically used to manage anxiety?

Antivirals (C) Signup and view all the answers

What is the significance of the dopamine hypothesis in relation to schizophrenia?

It suggests that dopamine imbalances contribute to the development of the disorder (C) Signup and view all the answers

Which of the following is considered a positive symptom of schizophrenia?

Disorganized speech (A) Signup and view all the answers

What is the main focus of psychological treatment for schizophrenia?

Managing symptoms and improving social functioning (B) Signup and view all the answers

What is the main significance of the side effects of antipsychotic medications?

They require careful monitoring and may necessitate adjusting treatment plans (B) Signup and view all the answers

What does empathy primarily require in a patient care setting?

Acknowledging the patient's feelings without judgment (C) Signup and view all the answers

Which ethical principle emphasizes the importance of truthfulness in patient care?

Veracity (D) Signup and view all the answers

Why might a client with a detailed plan to harm themselves require involuntary commitment?

Their autonomy is overridden by significant self-harm risk (A) Signup and view all the answers

What are the stages of stress response as identified in stress management?

Alarm reaction, Resistance, Exhaustion (D) Signup and view all the answers

Which of the following best describes holistic care?

Considering psychosocial factors and individualized care (A) Signup and view all the answers

Which ethical principle focuses on minimizing harm to the patient?

Non-maleficence (C) Signup and view all the answers

What is a key goal when assessing stress in clinical practice?

Understanding the emotional and environmental factors of stress (D) Signup and view all the answers

What does the TIPL acronym help emphasize regarding stress?

Seeing stress as a universal experience beyond medical conditions (B) Signup and view all the answers

What is the primary mechanism of action for antipsychotic medications?

Blocking dopamine receptors (A) Signup and view all the answers

Which of the following is NOT a potential side effect of antipsychotic medications?

Increased appetite (D) Signup and view all the answers

Which of the following situations would require a patient to contact their primary care provider (PCP) regarding their antipsychotic medication?

Feeling faint and lightheaded after taking the medication (D) Signup and view all the answers

What is the key distinction between voluntary and involuntary patients in a mental health setting?

Voluntary patients have the right to leave, while involuntary patients do not (A) Signup and view all the answers

Which of the following best describes the role of the ATI (Assessment Technologies Institute) in mental health nursing education?

ATI offers a comprehensive resource library for mental health nursing content and practice questions (A) Signup and view all the answers

Which of the following is NOT a risk factor for suicide?

Strong social support systems (C) Signup and view all the answers

When assessing a patient for suicidal thoughts, which aspect should a nurse prioritize first?

Ask directly about suicidal thoughts (B) Signup and view all the answers

What is the purpose of investigating the specifics of a suicide plan?

To identify the seriousness of the intent to commit suicide (C) Signup and view all the answers

Which communication strategy is recommended when talking with a suicidal client?

Use open-ended questions to encourage dialogue (B) Signup and view all the answers

What type of factors should be identified that strengthen a client's hope against suicide?

Reasons for living and support systems (A) Signup and view all the answers

Which of the following actions is part of assessing a patient's suicidal intent?

Investigating any preparatory actions (C) Signup and view all the answers

Which protective factor may help reduce the risk of suicide?

Cultural beliefs that discourage suicide (C) Signup and view all the answers

What is a primary focus of the person-driven recovery model?

Collaboration between healthcare workers and patients (D) Signup and view all the answers

Which of the following is NOT a component of effective therapeutic communication?

Avoiding patient concerns (C) Signup and view all the answers

What does the 'Multiple Pathways' model emphasize in recovery?

The significance of peer support and community engagement (A) Signup and view all the answers

What is an example of a non-therapeutic communication technique?

Offering reassurance without validation (D) Signup and view all the answers

Why is risk management crucial in patient care?

To keep patients safe and prevent harmful outcomes (B) Signup and view all the answers

Which statement best describes the importance of active listening in therapeutic communication?

It enables understanding and acknowledgment of patient concerns (D) Signup and view all the answers

What is the significance of LEAPs in therapeutic communication?

It enhances engagement and collaboration in communication (B) Signup and view all the answers

Which factor is critical for promoting positive patient outcomes?

Developing a strong therapeutic relationship (A) Signup and view all the answers

Study Notes

Psych Exam Slam

"KILL" patient intervention cues: If a patient is at risk of a serious consequence (e.g., death, harm), intervention is crucial.
Stable vs. unstable patients: Focus on interventions for patients with unstable conditions.
Risk management: Keeping patients safe is a key responsibility.
Person-driven recovery: Individuals should control their recovery process.
Collaborative approach (HCWs): Healthcare professionals should work alongside patients.
Multifaceted recovery: Recovery involves multiple interventions including, clinical treatment, peer support, and community engagement.
Recovery Model: Recognizes that there's no one-size-fits-all approach.

Recovery Model

Patient collaboration: Essential for mental health recovery.
Specific models not tested: Focus on general concepts, not specific models.
Therapeutic communication (Chapter 7): Includes active listening, validation, and other techniques.

Therapeutic Communication

Alternative statements: Using more effective communication strategies.
Active listening techniques: Examples like voicing doubt, validation, empathy, understanding the patient.
Clarifying & refocusing: Techniques to better guide the patient.
LEAPs (from Dr. Touw): Effective communication techniques.
Verbal & nonverbal communication: Importance of consistent and clear communication.
Building therapeutic relationships: Crucial for positive patient outcomes.
Key elements of therapeutic communication: The specifics are not included.

Legal & Ethical Considerations

Ethical theories: Not the focus.
Ethical principles: Such as autonomy, beneficence, non-maleficence. Crucial to ethical decision-making.
Legal considerations: Focuses on rights, commitment, assault, battery, etc.

Stress & Coping

Stages of stress: Alarm, resistance, exhaustion.
Coping strategies: Different ways to deal with stress.
Stress & medical conditions: The link between stress and physical health issues.

Suicide (Chapter 16)

Risk factors: Factors that indicate heightened risk of suicide.
Suicide assessment: How to assess suicidal ideation.
Crisis management: Resources for supporting individuals with suicidal thoughts.
Risk factors: Current suicidal ideation, thoughts of suicide, plan, access to lethal means, previous attempts & significant life changes.
Protective factors: social support systems, reasons for living, cultural/religious beliefs, etc

Anxiety Disorders

Diagnosis & symptoms: Focus on symptoms and not diagnostic tools.
Nursing interventions: Treatment and support for anxiety.
Medication management: Treatment for anxiety, including medications like benzodiazepines & anti-histamines.
Anxiety & other conditions: Anxiety as a symptom or comorbidity.
Common anxiety disorders: Panic, GAD, Agoraphobia, Social anxiety. The textbook explicitly states NOT to focus on diagnostic criteria.

Schizophrenia (Chapter 24)

Phases & symptoms: Understanding different phases and the related symptoms.
Psychobiology: Dopamine hypothesis is a critical concept related to the disease, including neurotransmitters.
Treatment & outcomes: Treatment and possible outcomes.
Interventions: Including therapy types.
Key terms: Refer to the textbook.

Medication Management (Antipsychotics)

Indications, actions, & significance: Important aspects to understand.
Side effects: Specific side effects to be mindful of.
Teaching interventions: How to educate patients and families.
Medication management principles: When to take specific actions, such as refilling a prescription, contacting the PCP or ER.

DRBA-induced Movement Disorders

EPS Types: Detailing different types like Acute Dystonia, Akathisia, and Tardive Dyskinesia (and induced parkinsonism).
Symptoms: Common symptoms for each type.
Onset timelines: Timeframes associated with onset/development for each particular disorder
Treatment & management: Interventions for treating each movement disorder.

Schizophrenia Patients

Patient Expectations: Expectations to hold when working with patients with schizo.
Resource Utilization: Ability to access support systems, etc.
Self-sufficiency: Ability to live and function independently.

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Description

This quiz tests your understanding of key concepts related to the recovery model in psychology, including patient interventions, risk management, and collaborative approaches. Focus on patient-driven recovery and therapeutic communication as you prepare for your exam.