Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
PSYC Test 2
Crisis Intervention / Ethical / Sexual Assault
| Question | Answer |
|---|---|
| Sudden event in one's life which disturbs homeostasis, in which one's usual coping skills are compromised | crisis |
| 3 types of crisis | maturational / situational / adventitious |
| loss of job, death of loved one, abortion, severe mental/physical illness is example of? | situational crisis (usually anticipated) |
| overwhelming perception of event; usually resolved in 4-6wks; strugg for equalibirium | crisis |
| unplanned, crisis of disaster, accidental(flood, rape, fire, assault, murder) | adventitious crisis |
| interruption in stage of growth/development(midlife crisis) | maturational crisis |
| 3 short term meds used for crisis | antidepressants, sedatives/hypnotics, benzodiazepines (antianxiety) |
| 4 Phases of crisis | Phase 1 = exposure to stressor, Phase 2 = trial & error, Phase 3 = fight/fligt (anxiety increases to severe/panic level) Phase 4 = Breaking point (depression, suicide, confusion, personality disorganization) |
| 3 Counseling Strategies | Primary (client education), Secondary (crisis intervention), Tertiary (rehab) |
| 2 main goals of crisis intervention | client safety & decrease anxiety |
| True/False ? = Person in crisis, assumed to be mentally health & has functioned well in past, just presently in state of disequalibirum | TRUE |
| 4 important factors in assessment of client | safety, perception of event, support system, coping skills |
| Provide safety, assess problem, crisis intervention is what type of counseling strategy | Secondary |
| teach coping skills, assist client in making life changes, educate client is what type of counseling strategy | primary |
| CISD, Rehab, shelters, promoting optimal level of functioning is what type of crisis intervention? | tertiary |
| Used to debrief staff, schoolchildren, rescue/healthcare workers after tragic event | CISD (critical incident stress debriefing) |
| Consists of 7 phase group meeting in safe controlled environment | Critical incident stress debriefing (CISD) |
| Crisis can lead to what 3 things? | Personality disorder, Dissociative disorder, depression |
| Any type of sexual activity that victim doesnt want/agree to | Sexual Assault |
| Ex: RAPE, but can be over phone/internet, Can be inappropriate touching / intercourse | Sexual assault |
| CRIME of violence, aggression, anger & power. Weapon used is SEX. Nonconsensual. Person usually KNOWN (69%) | Rape |
| Occurs in 1 in 6 women.Most people suffer: LONG TERM & SEVERE emotional TRAUMA | Rape |
| 4 date rape drugs | GSB, Rohypnol, Ketamine, Burundanga |
| Most common/least common rapes? What do each experience? | Most common = marital/date rape - EXPERIENCE: depression & sexual distressLease Common = stranger - EXPERIENCE: depression, fear & anxiety |
| Similiar to PTSD. Contains an: Acute phase & Long-term reorganization phase | Rape-Trauma Syndrome |
| Occurs immediately & LASTS up to 2wks after rape. Emotions are EXPRESSED (crying, laughing) or CONTROLLED (confusion, numb) | ACUTE phase of Rape-Trauma Syndrome |
| What phase of crisis does feelings of helplessness occur (since coping skills failed)? Also experience confusion & disorganization | Phase 2 (Trial & Error) |
| Deals w/persons present problem & resolution of IMMEDIATE crisis only; Nurse takes ACTIVE, DIRECT role | Crisis intervention |
| lessens time person is mentally disabled DURING a crisis: (counseling strat) | Secondary Care |
| promotes mental health & reduces mental illness (counseling) | primary care |
| support 4 those RECOVERING from disabling mental state | tertiary care |
| Occurs 2 or more wks after RapeConsists of: Intrusive thoughts, increased motor activity, increase motional liability, fear & phobias | Long-Term Reorganizational phase of Rape-Trauma syndrome |
| Increased motor activity is ? (Long-Term Reorganization) | moving, changing phone#'s, contacting old friends |
| Increased motional liability would be? | crying, mood swings, depression, intense anxiety |
| intrusive thoughts are? | nightmares, flashbacks, insomnia, re-experiencing event |
| fears & phobias associated w/long-term reorganization is: | fear of outside/inside, fear of being alone/in crowds, fear of males, avoidance of significant others, fear of sexual encounters |
| True/False : Rape is usually NOT impulsive act, most are PLANNED & over 50% involve a weapon | True |
| situation that requires choice between morally conflicting alternatives | Ethical Dilemma |
| known to every society & most members of society comform to these norms | Social Norm |
| 3 Methods of changing human behavior | Behavior Modification Tech / psychotherapy / psychotropic drugs |
| values related to human conduct; Right/wrong of actions or Good/Bad of motives | Ethics |
| Ethical conecpts w/in scope of nursing, medicine & allied health | Bioethics |
| 5 principles of Bioethics | Autonomy / Beneficence / Fidelity / Justice / Veracity |
| Principles of Bioethics: 1. Treat everyone the same(fair & equal)2. (Nonmaleficence) Do NOT harm (loyal)3. Always tell the TRUTH | 1. Justice2. Fidelity3. Veracity |
| Bioethic Principles: 1. Act on others BEHALF2. RESPECT client decisions | 1. Beneficence2. Autonomy |
| PERSONAL beliefs | Values |
| process of SELF discovery where PERSONAL values & value ranking are identified | Values Clarification |
| what a person is entitled to have, do or recieve from others w/in limits of the law | Rights |
| Nice to know, but do NOT override lawCan influence lawsApproved by ANA | Code of Ethics |
| 2 TYPES of Law | Statutory & Common |
| Type of law enacted by legislative body (Nurse Practice Act) | Statutory |
| Type of law that applies to body of principles that eveolve from court decisions made in previous cases | Common Law |
| 2 CLASSIFICATIONS of Law | Criminal & Civil |
| addresses PUBLIC WELFARE. Violations are punisahable by imprisonment, loss of license | Criminal Law |
| Injury to patient or Felonies such as: selling narcotics, abuse, theft are example of what classification of law? | Criminal Law |
| addresses reckless conduct of an individual/organization. Violations = monetary compensations | Civil Law |
| Civil wrong for which money damages may be collected by injured party(plaintiff) from wrongdoer(defendant) | Tort |
| Assault, battery, false imprisonment, slander(oral) & liable(written) are what kind of tort? | Intentional Tort |
| Negligence & Malpractice are what kinds of tort? | Unintential Torts |
| Less expensive than hospital & less restrictive threatment setting | Outpatient treatment |
| 6 Clients Rights | Consent, Communication, Confidentiality, Dignity/Respect, Freedom from Harm, Participation in Plan of Care |
| Required for specific therapies/treatment (Client Rights) | Consent |
| clients Right to communicate privately w/outside visitors, phone, mail | Communication |
| Clients right to unnecessary physical restraint; isolation, meds, abuse, neglect | Freedom from Harm |
| Clients right that is ethically important but also LEGALLY protected | Dignity/Respect |
| Clients right to share w/only those who have need & right to know | Confidentiality |
| Clients right to be involved in treatment plan | participation in Plan of Care |
| procedure used to challenge unlawful detention by gov; "Free the Person" | Writ of Habeas Corpus |
| Admission sought by client/guardian | Voluntary admission |
| Admission made without clients consent; Client is danger to self/others, client can NOT meed own basic needs | Involuntary Admission (Committment) |
| True/False: Client is NOT capable of consenting to treatment if he is INVOLUNTARLY Admitted | FALSE |
| True/False: With Involuntary admission, requires client retain freedom from unreasonable bodily restraints, rights to refuse meds(including psychotropic & antipsychotic meds) | TRUE |
| 3 types of involuntary admission (committment) | emergency / temporary / long-term |
| (Committment) 1-10 daysPrevent dangerous behavior to self/othersAuthorized by police, dr., mental health professional | EMERGENCY involuntary committment: |
| Admission that is longer than 1-10 daysObserve, diagnose, treat person w/mental illnessREQUIRES medical certification by 2 or more drs that person is mentally ill & in need of treatment | TEMPORARY (Observational) Involuntary Admission |
| Admission that lasts 60-180 days (extended care) Committed through court action or medical certification. Still considered competent | LONG-TERM (Formal) Involuntary Committment |
| Preventative measure, allowing court order before onset of a PSYC crisis that would RESULT in an inpatient committment | Involuntary OUTPATIENT Commitment |
| Tied to disability, welfare, housing that says must participate in treatment to avoid inpatient admission & to USE SERVICES | Involuntary Outpatient Committment |
| Requires outpatient treatment for a SPECIFIC time to determine compliance w/ MEDS, ADL"S, & ABILITY TO REINTEGRATE INTO COMMUNITY | Conditional Release |
| UNCONDITIONAL release / termination of client-institution relationship (may be court ordered) | Discharge |
| Requires that medical/pysc care & treatment be provided to ALL persons admitted to public hospital | RIGHT to TREATMENT |
| 3 Criterias for "Right To Treatment" | 1. Environment must be humane2. Staff must be qualified/sufficient to provide adequate treatment3. Plan of Care must be INDIVIDUALIZED |
| True/False: "Right to Refuse Treatment" allows client to withdraw consent @ any time & the right to refuse psychotropic drugs | TRUE |
| What client right is being informed of their condition, treatment, risks, benefits, alternatives | Right to Informed Consent |
| Based on persons "Right to Self Determination" | Right to Informed Consent |
| Intervention for the following:behavior is harmful to self/othersAlternative/less restrictive measures are insufficientDecrease in overstimulation is needClient anticipates that controlled environment would be best | Restraints / Seclusion |
| Requires drs written orders, with specific time periods, condition reviewed every 15min, | Restraints / Seclusion |
| When can a nurse use seclusion/restraints WITHOUT a drs orders | only in an EMERGENCY (risk of harm to self/others) |
| Legal duty to maintain patient confdentiality is acting to protect clients | Right to Privacy |
| Do not release info to clients employerDo not release even after persons deathHIV does not give reason to disclose info ALL are an example of | Patient Confidentiality |
| Voluntary act performed w/intent to bring about physical consequence | Intentional tort |
| Ex: Left suicidal client alone w/knife or open window | Intentional tort |
| No PHYSICAL contact, THREAT to use forceEx: Come here or I will give u this injection | Assault |
| Harmful/Offensive TOUCHING of another person"Injecting meds w/out consent" | Battery |
| Act w/intent to confine a person to a specific area | False Imprisonment |
| Recoverable by an injured party in an intentional tort action | Punitive damages |
| act that BREACHES DUTY of DUE CARE & results in or reponsible for persons injuries | Negligence |
| Conduct that EXPOSES client to UNREASONABLE risk of arm through acts of a nurse | Breach of Duty |
| Focus is to eleviate practice of its members by setting standards of excellence | Professional Standards of Practice |
Created by:
dbrust
Popular Nursing sets