| 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) |
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