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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?
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?
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?
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?
Regarding environmental influences on a child's psychological development, which system is considered most influential?
Under which circumstance is a court required to act upon receiving notice that a patient has been admitted to a psychiatric hospital without consent?
Under which circumstance is a court required to act upon receiving notice that a patient has been admitted to a psychiatric hospital without consent?
According to the ICD-10 classification, how are codes F60-F69 categorized?
According to the ICD-10 classification, how are codes F60-F69 categorized?
During which years was the National Programme for the Protection of Mental Health implemented according to the Decree of the Council of Ministers?
During which years was the National Programme for the Protection of Mental Health implemented according to the Decree of the Council of Ministers?
What change in serotonin levels is the primary cause of serotonergic syndrome?
What change in serotonin levels is the primary cause of serotonergic syndrome?
What is a primary goal of community psychiatry?
What is a primary goal of community psychiatry?
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?
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?
Which psychoactive substance is most strongly associated with an increased risk of suicide attempts and other self-injurious behavior?
Which psychoactive substance is most strongly associated with an increased risk of suicide attempts and other self-injurious behavior?
When establishing contact and communication with a patient with a mental disorder, which of the following is NOT a therapeutic behavior?
When establishing contact and communication with a patient with a mental disorder, which of the following is NOT a therapeutic behavior?
Which of the following is NOT a qualitative disorder of consciousness?
Which of the following is NOT a qualitative disorder of consciousness?
What communication techniques are recommended when interacting with patients experiencing anxiety disorders?
What communication techniques are recommended when interacting with patients experiencing anxiety disorders?
Which of the following infectious diseases can have a detrimental effect on the fetus, potentially causing mental retardation?
Which of the following infectious diseases can have a detrimental effect on the fetus, potentially causing mental retardation?
What is the most prevalent cause of dementia?
What is the most prevalent cause of dementia?
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?
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?
Which of the following is NOT classified as an atypical antipsychotic medication?
Which of the following is NOT classified as an atypical antipsychotic medication?
For which type of addiction is methadone substitution treatment typically provided?
For which type of addiction is methadone substitution treatment typically provided?
Why is authenticity particularly important when working with mentally ill patients?
Why is authenticity particularly important when working with mentally ill patients?
What does offering yourself in communication involve when working with the mentally ill?
What does offering yourself in communication involve when working with the mentally ill?
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?
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?
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?
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?
What does paraphrasing involve in therapeutic communication?
What does paraphrasing involve in therapeutic communication?
How important is tolerance when working with a mentally ill patient?
How important is tolerance when working with a mentally ill patient?
Flashcards
Suicidal patient care
Suicidal patient care
Those with suicidal thoughts and plans in a stressful situation need immediate hospitalization.
Kazimierz Dąbrowski's definition of mental health
Kazimierz Dąbrowski's definition of mental health
Mental health as developing understanding, experiencing, discovering, and creating values.
Forensic ward rules
Forensic ward rules
In forensic psychiatric wards, treatment and safeguarding of patients are equally important.
Child's psychological development
Child's psychological development
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ICD-10: F60-69
ICD-10: F60-69
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Community mental health
Community mental health
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Serotonin syndrome cause
Serotonin syndrome cause
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Community psychiatry aims
Community psychiatry aims
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Offering yourself
Offering yourself
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Paraphrasing
Paraphrasing
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Goals communication
Goals communication
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Common cause of dementia
Common cause of dementia
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Authenticity with patients
Authenticity with patients
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Tolerance and mentally ill
Tolerance and mentally ill
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Communication with Anxiety
Communication with Anxiety
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Physical restraint limit
Physical restraint limit
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Aggressive patient personalities
Aggressive patient personalities
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Disease Classifications?
Disease Classifications?
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Main suicide risk
Main suicide risk
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Anti psychotic
Anti psychotic
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patient with anxiety
patient with anxiety
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Provided for opiates
Provided for opiates
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Infectious diseases
Infectious diseases
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Positive symptoms
Positive symptoms
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Wrong step
Wrong step
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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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