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Questions and Answers

What is the most appropriate treatment setting for depressed patients in a stressful psychosocial situation who express suicidal thoughts, plans, and intentions?

  • Hospital setting (correct)
  • Outpatient setting
  • Residential inpatient care (if no access to suicide means)
  • Day wards

Which author's definition describes mental health as the ability to develop towards a comprehensive understanding, experiencing, discovering, and creating an ever-higher hierarchy of reality and values, up to a concrete individual and social ideal?

  • Maxwell Jones
  • Aaron Antonovsky
  • Tadeusz Bilikiewicz
  • Kazimierz Dąbrowski (correct)

In psychiatric wards for insane offenders, what principle should guide patient care?

  • Prioritize treatment over safeguarding
  • Prioritize security over treatment
  • Equal treatment of treatment and safeguards (correct)
  • Transfer is impossible from maximum to basic security ward and vice versa

Regarding environmental influences on a child's psychological development, which system is considered most influential?

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

Under which circumstance is a court required to act upon receiving notice that a patient has been admitted to a psychiatric hospital without consent?

<p>In any case of admission against the patient's will (B)</p> Signup and view all the answers

According to the ICD-10 classification, how are codes F60-F69 categorized?

<p>Adult personality and behavioral disorders (A)</p> Signup and view all the answers

During which years was the National Programme for the Protection of Mental Health implemented according to the Decree of the Council of Ministers?

<p>2017-2022 (C)</p> Signup and view all the answers

What change in serotonin levels is the primary cause of serotonergic syndrome?

<p>A sharp increase in serotonin levels (A)</p> Signup and view all the answers

What is a primary goal of community psychiatry?

<p>Treatment of the patient in the least repressive conditions for the patient (C)</p> Signup and view all the answers

What is considered an indispensable direction of change and a prerequisite for the development of Psychiatric Health Care in the Republic of Poland regarding mental health care models?

<p>An indispensable direction of change and a prerequisite for the development of Psychiatric Health Care in the Republic of Poland (D)</p> Signup and view all the answers

Which psychoactive substance is most strongly associated with an increased risk of suicide attempts and other self-injurious behavior?

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

When establishing contact and communication with a patient with a mental disorder, which of the following is NOT a therapeutic behavior?

<p>Perception of change (B)</p> Signup and view all the answers

Which of the following is NOT a qualitative disorder of consciousness?

<p>Semi-sleeping (D)</p> Signup and view all the answers

What communication techniques are recommended when interacting with patients experiencing anxiety disorders?

<p>All answers are correct (A)</p> Signup and view all the answers

Which of the following infectious diseases can have a detrimental effect on the fetus, potentially causing mental retardation?

<p>All answers are correct (A)</p> Signup and view all the answers

What is the most prevalent cause of dementia?

<p>Alzheimer's disease (A)</p> Signup and view all the answers

Excessive sensitivity to failure, an inability to forgive insults, suspicion, and a tendency to distort experiences by misinterpreting indifferent behavior as hostile are characteristics of which personality?

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

Which of the following is NOT classified as an atypical antipsychotic medication?

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

For which type of addiction is methadone substitution treatment typically provided?

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

Why is authenticity particularly important when working with mentally ill patients?

<p>It is necessary because patients are very sensitive to any inauthentic behavior (B)</p> Signup and view all the answers

What does offering yourself in communication involve when working with the mentally ill?

<p>Focusing attention on the patient, on their needs, ensuring that they are always present and willing to talk (C)</p> Signup and view all the answers

In a therapeutic relationship between a psychiatric nurse and a mentally ill patient, how should phrases like 'Keep your head up' or 'Everything will be OK' be used?

<p>Avoid, as they are often a source of irritation for the patient (C)</p> Signup and view all the answers

An increase in stress management skills, an increase in social skills, and an enhanced sense of efficacy are the goals of therapeutic communication when working with which type of patient?

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

What does paraphrasing involve in therapeutic communication?

<p>Repeating after the patient some of the essential elements of their speech (D)</p> Signup and view all the answers

How important is tolerance when working with a mentally ill patient?

<p>It is indispensable in building a sense of acceptance of the patient (B)</p> Signup and view all the answers

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Flashcards

Suicidal patient care

Those with suicidal thoughts and plans in a stressful situation need immediate hospitalization.

Kazimierz Dąbrowski's definition of mental health

Mental health as developing understanding, experiencing, discovering, and creating values.

Forensic ward rules

In forensic psychiatric wards, treatment and safeguarding of patients are equally important.

Child's psychological development

Family is the environmental factor with the most influence on a child's psychological development.

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ICD-10: F60-69

ICD-10 classifies F60-69 as adult personality and behavioural disorders.

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Community mental health

A community-based model is vital for mental health in Poland.

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Serotonin syndrome cause

Serotonin Syndrome is caused by a sharp increase in serotonin levels.

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Community psychiatry aims

Community psychiatry aims to treat patients with the least restrictions possible.

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Offering yourself

Offering yourself means focus on needs and willingness to talk.

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Paraphrasing

Paraphrasing is repeating essential parts of what the patient said.

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Goals communication

Treatment goals include increased stress management and social skills, and enhanced self-efficacy.

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Common cause of dementia

The most frequent cause of dementia is Alzheimer's disease.

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Authenticity with patients

The most vital is authenticity because mentally ill patients are very sensitive to inauthentic behaviors.

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Tolerance and mentally ill

Essential for building acceptance of the patient.

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Communication with Anxiety

Start by gathering information of circumstances.

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Physical restraint limit

Physical restraint cannot exceeding 16 hours.

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Aggressive patient personalities

Anti-social

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Disease Classifications?

Current disease classifications are ICD-11 and DSM-V.

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Main suicide risk

An increase in the risk of suicide attempts and self-injurious behavior.

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Anti psychotic

Atypical antipsychotis do not include Perphenazine.

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patient with anxiety

Sentences should be avoided

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Provided for opiates

Methadone.

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Infectious diseases

All infectious diseases.

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Positive symptoms

Hallucinations, Delusions.

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Wrong step

Lack of organising when the patient cannot sleep

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Study Notes

Depressed Patients with Suicidal Thoughts

  • Depressed patients in stressful situations exhibiting suicidal thoughts require hospital treatment

Define Mental Health

  • Mental health involves developing a comprehensive understanding of reality and values, leading to individual and social ideals, according to Kazimierz Dąbrowski

Rules in Psychiatric Wards

  • In psychiatric wards for insane offenders, treatment and safeguarding receive equal consideration

Key Environmental Factor for Child Development

  • Family is the most important environmental factor influencing a child's psychological development

Court Action after Unconsented Psychiatric Admission

  • The court must proceed in any case of a patient's admission to a psychiatric hospital without consent

ICD-10 Classification Codes

  • The ICD-10 classifies codes F60-69 as adult personality and behavioural disorders

National Mental Health Programme

  • The National Programme for the Protection of Mental Health was implemented from 2017-2022

Cause of Serotonergic Syndrome

  • Serotonergic syndrome results from a sharp increase in serotonin levels

Goals of Community Psychiatry

  • Community psychiatry aims to treat patients in the least repressive conditions possible

Community-Based Mental Healthcare

  • This implemention is a prerequisite for developing psychiatric healthcare in Poland, including accessible care close to home

Risk Factors for Self-Harm

  • Alcohol is a major psychoactive substance increasing the risk of suicide attempts and self-harm

Communication in Mental Health

  • Actions that do not include paraphrasing are therapeutic behaviors that begin contact and communication in relationships with a patient with mental disorder

Disorders of Consciousness

  • Semi-sleeping is not a qualitative disorder of consciousness

Techniques for Anxiety Disorders

  • Recommended techniques for communicating with patients that have anxiety disorders include offering support, and actively listening

Infectious Diseases and Mental Retardation

  • Rubella, toxoplasmosis and chickenpox are infectious diseases that can harm the foetus and cause mental retardation

Common Cause of Dementia

  • Alzheimer's disease is the most common cause of dementia

Characteristics of Paranoid Personality

  • Paranoid personalities show excessive sensitivity to failure, are unable to forgive insults and tend to distort experiences

Atypical Antipsychotics

  • Perphenazine (Trilafon) are not included in atypical antipsychotics

Treatment for Addicts

  • Opiates are treated with methadone substitution treatment

Authenticity with Mentally ill Patients

  • Authenticity is vital because mentally ill patients are sensitive to inauthentic behaviour

Communicating with Mentally Ill Patients

  • Focus on their needs, ensuring a willingness to talk, while communicating with the mentally ill patient

Sentences to Avoid

  • Comforting sentences should be avoided, as they irritate the patient

Goals of Therapeutic Communication

  • Improving stress management, social skills, and self-efficacy happen with therapeutic communication when a patient is addicted

What is Paraphrasing

  • Repeating the essential elements of the patient speech is paraphrasing

Tolerance with Mentally Ill Patients

  • Tolerance is vital in creating acceptance of the patient with mental illness

Composition of Treatment Teams

  • The treatment team includes qualified individuals with relevant experience collaboratively achieving therapeutic goals

Communicating with Anxious Patients

  • Collect psychological information about the anxiety when communicating with a patient

Goals in Caring for Autistic Children

  • Focus on improving speech, self-care, and social competence

Actions to avoid when caring for a patient with Mania

  • Lack of assistance in organizing time until the morning when the patient can not sleep

Electroconvulsive Therapy Requirements

  • Double consent is always required for electroconvulsive treatment of the mentally ill

Childhood Schizophrenia indicators

  • Heraldic symptoms in adolescence and weirdness in children is associated with the onset of schizophrenia later in life

Conceptual Model of Nursing

  • Betty Neuman's model views the patient as an open system affected by environmental stressors

Psychological Aspects of Occupational Therapy

  • Occupational therapy improves self-esteem, understanding of patient needs, and increases self esteem

Admission Staff Responsibilities

  • Recognizing problems and making diagnoses are the staff's responsibilities during admission

Reducing Suicide Risk

  • Showing patients calmness, implementing decisiveness, and showing activity achieves risk reduction of suicide in a depressed patient

Elderly Anxiety Symptoms

  • Immaturity, alcohol dependence, dependence on sedative medication, and lack of support are symptoms shown in elderly people with anxiety

Limits on Physical Restraint

  • The use of physical restraint cannot exceed 16 hours

Reasons for Lack of Cooperation

  • Psychotic sensations are the main reason a mania patient does not want to cooperate with the treatment team

Obsessive-Compulsive Disorder

  • Neurosurgical treatment (deep brain stimulation) is used when a patient with obsessive-compulsive disorder is treated with therapy and medication for years with no improvement

Assessing Nutritional Status

  • Measuring weight and arm circumference and assessing skin folds is needed in a patient whom sufferers from an eating disorder

Statements Not Indicating Suicide Risk

  • Depressed Patients do have thoughts of suicide but if they state the family will suffer

Rehab unit activities

  • Addicts are directed in nursing activities towards abstinence, knowledge, and health improvement

Handling Escalating Aggression

  • Ensuring staff numbers, staff competence, and following protocols counters escalating aggression

Theory of Self-Care Deficits

  • Dorothea Orem developed the theory of self-care deficits

Recognizing Delusions

  • "I am being followed" are statements indicating delusions

Caring for Elderly Patients

  • The aim when feeling symptoms of hopelessness, depression and loneliness is to protect from loneliness and giving the patient hope

Therapeutic Interventions for Schizophrenia

  • Show acceptance, empathy, respect and being authentic with the patient in therapeutic intervention if social contract is withdrawn by patient

Nurse's Responsibilities

  • A nurse caring for a patient should not not consider if the patient has proper insight into their own health situation if they are not on psychotropic medication

Neuroleptic Side Effects

  • Compulsion to walk is akathisia and tazkinesia

Caring for Patients in a Depressive Catatonic Stupor

  • Act on behalf of the patient to assist with feeding

Building Trust and Care for a patient with a mental disorder

  • Show authenticity to inspire trust

Phototherapy indications

  • Seasonal depression is the main indication

Sleep Disorders in Depressed Patients

  • Characterized by lack of sleep or short sleep

Preventing Drug Hoarding

  • Check that the patient has not stored medication in the cupboard

Patient Symptoms Indicate

  • The patient being lethargic, sleep deprived indicates they have an affective disorder

Intellectual Capacity of 15-year-old with Mental Retardation

  • A fifteen year old with mental retardation is important to bear in mind the mental age of the person as they are between 9-12 years of age

Caring for Elderly of Depression

  • To arouse and strengthen the patient's sense of self-worth

Situations in ECW Care

  • Experiencing anxiety and general anaesthesia

Admission of Tongue and Mandible

  • These symptoms are indicative of late dyskinesias.

Patients at Risk Actions That Are Not Taken

  • Periodically staying with the patient and avoiding talking about feelings related to suicide

Direct Coercion Powers

  • Prolonging physical restraint for up to 4 hours in a social welfare unit is available for the nurse to action if cannot get obtain an order

Risk Factors for Aggression

  • Anti-social personality is particularly associated with predisposition to aggressive behavior

Nicotine Withdrawal Symptoms

  • Excessive sleepiness is not a symptom of nicotine withdrawl

Consequence of Stigmatization

  • Stigmatization leads to less societal status, exclusion, and discrimination.

Psychopathological Consequences of Drinking

  • Lowered mood, irritability, and personality changes are common

Bleuer's Symptoms of Schizophrenia

  • Ambivalence, autism, association, and affect are symptoms.

Hallucinations, Delusions

  • Positive symptoms of schizophrenia

Current Disease Classifications

  • ICD-11 (Europe) and DSM-V (USA)

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