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pyschosocial midterm
hondros 2010
| Question | Answer |
|---|---|
| What is Mental Health? | the embodiment of social, emotional and spiritual wellbeing. It provides individuals with the vitality necessary for active living, to achieve goals and to interact with one another in ways that are respectful and just. |
| Key Determinants of Mental Health | Social inclusion Freedom from discrimination and violence Economic participation |
| What type of discrimination is responsible for 30% of symptoms of depression in high schools? | Bullying |
| What is re-entry? | When a person person who has been confined or isolated for a period of time must go through this process |
| what is nurse role in duty to warn others? | others must communicate this to other professionals and take steps to protect the potential recipient of harm. Not all comments or vague threats should be reported. Must be “specific threat” to a “readily identifiable” person or persons When possible, |
| define a part of Assault | No actual contact is necessary. Verbally threatening a patient that you are going to force him or her to take medication against the patient’s will is assault |
| What is an important aspect of Battery? | Intentional conduct that violates the physical security of another. The receiver of battery does NOT have to be aware that a battery has occurred |
| What is an important aspect of False imprisonment? | Person experiences a reasonable fear that force. which may be implied by words, threats, or gestures, will be used to detain or intimidate him or her without legal justification |
| Example of false imprisonment | Excessive force used to restrain a patient. Preventing a patient from leaving a healthcare facility. Wrongfully committing a patient to a psychiatric facility |
| Voluntary Patients are assessed in what time frame? | Grace period (48-72 hrs) for assessment |
| For incapacitated Persons: | adults are still presumed competent before the law, even when undergoing severe mental and emotional upheaval |
| what are some important patient rights on restraints? | Physician’s order within 1 hour Careful documentation of justification.PRN orders not allowed. Involuntary patients do NOT lose their right to give informed consent Death of any pt while in restraints is required to be reported to the FDA Orders co |
| Perceived stressors are: | external and visible to others (objective). internal and less evident to observers (subjective) |
| Subjective anxiety is what? | experience that can be detected only by objective behaviors that result from it Emotional pain Warning sign of a perceived danger or threat Emotional response that triggers behaviors aimed at eliminating the anxiety Alerting an individual to prepare. |
| Etiology of Anxiety is: | observed by the objective measurements of structural and clinical changes in the body. Increased epinephrine and norepinephrine Increased endogenous opiate release Increased cortisol levels Increased peripheral sympathetic nervous system activity |
| Describe Maladaptive Anxiety? | Unsuccessful attempts to decrease the anxiety without attempting to solve the problem the anxiety remains. |
| Describe Dysfunctional? | not successful in reducing anxiety or solving the problem. Even minimal functioning becomes difficult, and new problems begin to develop. |
| What are some adapative coping techniques that are taught? | Problem solving Assertiveness Positive self-talk and self-acceptance Stress and anger management Communication and relationship skills Conflict resolution Time management Community living skills |
| what is relationship between Anxiety and Illness? | increasing pain and discomfort. long-term maladaptive or dysfunctional coping behaviors. physiologic health problem, or even psychosis. alters the thyroid system and depresses the immune system. |
| Principals that will increase the probability of a behavor are: | Conditioning - strengthening of a response by reinforcement. 2.When a person enjoys an activity, the opportunity to engage in that activity can be used as a reinforcer for other behaviors that occur less frequent.3.Shaping - reinforcing successive appro |
| Principals that decrease probability of behavior are: | Differential reinforcement - another behavior, incompatible with the undesired behavior, is reinforced. Extinction - gradual decrease in the rate of responses when the reinforcement is no longer available Negative consequence - immediately follows a be |
| Principals that decrease probability of behavior are: | Differential reinforcement - another behavior, incompatible with the undesired behavior, is reinforced. Extinction - gradual decrease in the rate of responses when the reinforcement is no longer available Negative consequence - immediately follows a be |
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