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Mental Health 4/24
| Question | Answer |
|---|---|
| 3 concepts of trust: | Caring- being concerned Empathy- relating to others feelings Advocacy- to empower pts. |
| Primary intervention in mental health | Encouraging responsibility |
| 3 things to do if the client does not meet their goal | 1)Do not assume, assess 2)Provide encouragement 3)Provide consistancy |
| 2 guidelines to provide consistency | 1)Set limits 2)Focus on positive changes |
| What is a crisis? | And upset in homeostasis |
| 3 types of coping mechanisms | 1)psycho motor- physical attempts to deal directly with the prob. (Running away) 2)cognitive- ignoring and making comparisons 3)affective- denial and suppression (emotional non intellectual response) |
| 4 stages of a crisis | 1)Denial "This can't be happening to me" 2)Crisis "This is real" 3)Disorganization- only thinking about the problem 4)Recovery- Reorganization |
| Main goal with a crisis situation | help individuals and families manage their crisis situations by offering immediate emotional support |
| Steps to crisis intervention(6) | 1)Immediate care (Safety) 2)gain control 3)Assessment 4)Disposition and determined(how is the pt feeling?) 5)Referral 6)Follow-up |
| maladaptive | Hiding the problem |
| Skills needed for mental health(4) | 1)self awareness 2)Caring 3)Advocacy 4)Insight |
| What does is the DSM? | Diagnostic and Statistical Manual of Mental Disorders |
| DSM Axis (5) | 1) Clinical disorders 2)Personality disorders and retardation 3)Medical conditions 4)Psychosocial/environmental issues(lob loss) 5)GAF (Global assessment of functioning) |
| Alert | Responsive to verbal stimuli |
| Lethargic | "Eyore" |
| Stupor | very drowsy, physically having to keep the client awake |
| Coma | Unresponsive to verbal or painful stimuli |
| Hallucinations | perceptions that have no external stimulus |
| Illusions | alterations in perceptions that have a basis in reality |
| What is the main goal in an interview? | Determine the pts. perception of their illness |
| Flight of ideas | One thought to another related thought |
| Loose | Poorly organized or connected thoughts |
| MMSE (Mini mental state exam) consists of | 1)Orientation to time and place 2)Attention span and ability to calculate 3)Registration and recall 4)Language, commands, and ability to write |
| S.A.V.E.S (Risk factor assessment) | Suicide Abuse Violence Elopement Seizures |
| Levels of Anxiety | 1)Mild 2)Moderate 3)Severe 4)Panic |
| Panic Disorder | Repeated panic attacks |
| Agoraphobic | Fear of having a panic attack in a public place |
| Generalized Anxiety disorder | A lifelong disorder Broad long lasting excessive anxiety Usually develops in adolescents or early adulthood Can't concentrate long enough to complete a task Sleep disturbances, IBS, headaches |
| Defense Mechanisms | Psychological strategies used to help reduce anxiety |
| Displacement | Redirecting to another person |
| Undoing | Acts to "take away" an inappropriate action |
| Reaction formation | Attitudes that are opposite of a way a person wants to feel (a gay person pretending to be straight) |
| Intellectualization | Focus on logical aspects of the situation |
| Isolation | separation of feelings from content |
| Risk factors for anxiety | Female Triggers Substance abuse traumatic event |
| Acute stress disorder | -lasts 2-4 weeks -Occurs weeks from a traumatic event (witnessing a murder) |
| Anxiety Meds | Anxiolytics - Diazapam (valium) Dependency Nonbarbituate- BuSpar no dependency Mood Stabilizers - lithium |
| Suicide risk factors | Male Adolescents Native americans person with comorbid mental disorder Untreated depression in older adults Feelings of powerlessness, lonliness Pysical disorders (Cancer, aids) |
| Ambivalent | thinking about it (death doesn't sound much better than life) |
Created by:
100000696638194
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