Psychology Exam on Patient Safety and Recovery
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Questions and Answers

Which of the following is a key principle of the person-driven recovery model?

  • Recovery is a linear process with clear milestones.
  • Individuals have control over their own recovery journey. (correct)
  • The focus is solely on clinical treatment and medication.
  • The healthcare provider is the sole decision-maker in the patient's recovery.
  • According to the content, what is the primary focus of therapeutic communication in nursing?

  • Ensuring the patient understands their diagnosis.
  • Building a therapeutic relationship and promoting positive patient outcomes. (correct)
  • Developing a strong physician-patient bond.
  • Providing medical information to the patient.
  • What is a key component of active listening in therapeutic communication?

  • Acknowledging the patient's concerns and feelings. (correct)
  • Offering advice and solutions to the patient's problems.
  • Focusing solely on the patient's verbal communication.
  • Interrupting the patient to clarify information.
  • Which of the following is NOT an example of a non-therapeutic communication technique?

    <p>Using reflective listening to demonstrate understanding. (D)</p> Signup and view all the answers

    What is the significance of the phrase 'If the patient can have a bad side effect, end up dead, or suffer a consequence in some way -- we WILL let you on it'?

    <p>It highlights the need to prioritize the patient's safety and well-being. (D)</p> Signup and view all the answers

    What is the most important aspect of therapeutic communication in the 'Psych Exam Slam' context?

    <p>Building trust and rapport with the patient. (A)</p> Signup and view all the answers

    According to the provided content, what is the importance of understanding 'LEAPs' from Dr. Touw?

    <p>They are critical for building a therapeutic relationship. (C)</p> Signup and view all the answers

    What is the key concept behind the 'Multiple Pathways' approach to recovery?

    <p>Recognize that recovery can involve various interventions. (C)</p> Signup and view all the answers

    Which of the following best describes the concept of empathy in healthcare?

    <p>Understanding and acknowledging a patient's feelings without judgment, while avoiding getting overwhelmed by their emotions. (A)</p> Signup and view all the answers

    Which ethical principle is primarily involved when a healthcare professional explains the risks and benefits of a medical procedure to a patient?

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

    A patient with a detailed plan to harm themselves, but no immediate plan to act, might be a candidate for involuntary commitment because:

    <p>Their detailed plan demonstrates a significant risk of self-harm, regardless of immediate action. (D)</p> Signup and view all the answers

    Which of the following is NOT a stage in the body's stress response?

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

    Which of the following is an example of a psychosocial factor that could contribute to stress in a patient?

    <p>All of the above. (D)</p> Signup and view all the answers

    How can healthcare professionals support patients experiencing stress?

    <p>By offering coping strategies and resources to manage stress. (A)</p> Signup and view all the answers

    A patient who is experiencing stress due to financial difficulties is an example of:

    <p>A combination of emotional and environmental stress. (D)</p> Signup and view all the answers

    Which of the following is NOT a component of the SOLER technique?

    <p>Leaning towards the patient (B)</p> Signup and view all the answers

    What is a potential side effect of antipsychotics?

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

    Which of the following medications is NOT typically used to treat anxiety?

    <p>Methylphenidate (a stimulant) (B)</p> Signup and view all the answers

    What is the significance of the dopamine hypothesis in schizophrenia?

    <p>It suggests that schizophrenia is caused by an imbalance of dopamine in the brain (B)</p> Signup and view all the answers

    Which of the following is a positive symptom of schizophrenia?

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

    What is the primary goal of cognitive-behavioral therapy (CBT) in the treatment of schizophrenia?

    <p>To help patients identify and change negative thought patterns and behaviors (D)</p> Signup and view all the answers

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

    <p>Electroconvulsive therapy (ECT) (B)</p> Signup and view all the answers

    What is the difference between panic disorder and generalized anxiety disorder (GAD)?

    <p>Panic disorder involves intense, sudden episodes of fear, while GAD is a more persistent and pervasive anxiety (C)</p> Signup and view all the answers

    What is the rationale for using beta-blockers in the treatment of anxiety?

    <p>Beta-blockers help to reduce the physical symptoms of anxiety by blocking the effects of adrenaline (A)</p> Signup and view all the answers

    What is a key mechanism of action for antipsychotic medications?

    <p>Blocking dopamine receptors, primarily D2 receptors (C)</p> Signup and view all the answers

    Which of the following is NOT a common side effect associated with antipsychotic medications?

    <p>Elevated blood pressure (C)</p> Signup and view all the answers

    When teaching a patient about antipsychotic medications, which of these instructions is MOST important to emphasize?

    <p>Report any new or worsening symptoms to your provider immediately (A)</p> Signup and view all the answers

    What is the primary difference between voluntary and involuntary psychiatric hospitalization?

    <p>Voluntary patients are able to leave the facility at any time, while involuntary patients are court-ordered to stay (D)</p> Signup and view all the answers

    Which of the following is a key factor in determining whether a patient with schizophrenia can be safely discharged from a hospital setting?

    <p>All of the above (D)</p> Signup and view all the answers

    What are some risk factors specifically related to suicidal ideation that a nurse would assess for?

    <p>Recent stressors, substance abuse, prior mental health conditions, and previous suicide attempts (A)</p> Signup and view all the answers

    Which of the following are considered protective factors that may help to reduce the risk of suicide?

    <p>Access to supportive relationships, reasons for living, and cultural or religious beliefs that discourage suicide (C)</p> Signup and view all the answers

    What is the best way to assess for suicidal ideation in a client?

    <p>Directly ask the client, &quot;Have you been thinking about suicide?&quot; (D)</p> Signup and view all the answers

    How does a nurse communicate therapeutically with a suicidal client?

    <p>Focus on the client's feelings and listen attentively to their thoughts and concerns (A)</p> Signup and view all the answers

    What should the nurse do if a client expresses suicidal ideation?

    <p>Immediately notify the healthcare provider or mental health professional and implement safety precautions (A)</p> Signup and view all the answers

    Which of the following is NOT a key component of suicide assessment?

    <p>Evaluating the client's past psychiatric history and substance abuse (C)</p> Signup and view all the answers

    What are the key components of managing suicidal thoughts?

    <p>Providing the client with resources and support systems to help them cope with their suicidal thoughts (A)</p> Signup and view all the answers

    Which of the following is NOT an effective resource to support someone in a suicide crisis?

    <p>An attorney specializing in estate planning (D)</p> Signup and view all the answers

    Study Notes

    Psych Exam Slam

    • "KILL" factors for patient safety include: potential for harm, death, or consequences
    • Risk management is essential for patient safety
    • Person-driven recovery emphasizes patient autonomy in their recovery journey
    • Importance of collaboration between healthcare workers, patients, and support systems
    • Multiple pathways recognize diverse recovery approaches (clinical treatment, peer support, community engagement)

    Recovery Model

    • Patient collaboration is essential for mental health recovery
    • Specific therapeutic communication models are not being tested

    Therapeutic Communication

    • Non-therapeutic communication techniques are examined alongside more effective alternatives
    • Active listening, validation, humor, and avoiding stigmatization are key factors
    • LEAPs (from Dr. Touw) are examples of effective communication techniques
    • Effective communication is important for assessment and intervention
    • Therapeutic relationships should be fostered to promote positive outcomes

    Suicide

    • Risk factors for suicide are important to review, including intro and table 16-1 (facts and myths) and sociological theory (Durkheim, Joiner, Klonsky, May).
    • The nursing process, care plans, assessment, and management of suicidal thoughts are crucial

    Anxiety Disorders

    • Focus on Dr. Touw's slides, page 571, and specific diagnoses like Panic, GAD, Social Anxiety, and Agoraphobia
    • Key diagnoses and details in the box 27
    • Medications for anxiety (and their associated side effects) are essential
    • Outcome interventions and rationale (Table 27-3).

    Chemical Name / Brand Name (Medication Management) and Nursing Interventions

    • Critical side effects of various medications (e.g., Lorazepam, Diazepam, Buspirone, Hydroxyzine, Clonidine, Propranolol, Diphenhydramine)
    • Important to note monitoring for dependence, sedation, and other potentially dangerous interactions with these medications
    • Side effects should be outlined in interventions.

    Schizophrenia

    • Understanding the phases & symptoms of schizophrenia is crucial
    • Important terms(p461) related to the diagnosis, such as positive and negative symptoms
    • Psychobiology, particularly the dopamine hypothesis, should not be a major focus this semester
    • Key concepts like disturbed thought processes, care plans, and outcomes are necessary aspects in this study guide
    • Psychological treatment types (group therapy, CBT, social skills, family therapy, etc)

    Medication Management - Antipsychotics

    • Crucial information on indications, actions, side effects, and nursing interventions surrounding antipsychotics.
    • The importance of safety issues and nursing interventions related to the treatment is critical
    • Various medications (e.g., Haloperidol, Olanzapine, Clozapine, Risperidone, Aripiprazole, Fluphenazine, Chlorpromazine).
    • Important side effects (e.g., extrapyramidal symptoms, tardive dyskinesia, and others) should be considered

    DRBA-Induced Movement Disorders

    • Types, descriptions, onset times, durations and potential impacts of movement disorders (e.g., acute dystonia, akathisia, drug-induced parkinsonism, and tardive dyskinesia)
    • Understanding the timing and management of these conditions for patient care

    Schizophrenia Patients

    • Focus on patient well-being (the ability to care for themselves, and to function in society).

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    Description

    This quiz covers critical concepts related to patient safety and recovery in psychology. Topics include risk management, therapeutic communication, and the recovery model emphasizing patient collaboration. Test your understanding of effective communication techniques and patient autonomy in mental health care.

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