N3381 - Exam 1 (Psych - S. Justice)
Questions And Correct Answers
What are the 5 A's of integrating EBP into clinical practice?
ask a question
acquire literature
appraise the literature
apply the evidence
assess the performance
What is the weakest level of evidence? (2)
opinions of authorities
reports of expert committees
What is the highest/strongest level of evidence?
systematic review or meta-analysis of a randomized control trial (RCT)
What type of drug would be prescribed for smoking cessation and why?
Name of drug to be prescribed? (generic & brand name)
NDRI (norepinephrine dopamine reuptake inhibitor)
inhibits nicotine acetylcholine receptors & reduces addictive actions of nicotine
bupropion aka Wellbutrin
Define RCT
randomized control trial
What is the term for a step-by-step guideline prepared in a flowchart or decision-tree format?
clinical algorithm
What is the term for a "map" for specified treatments to occur within a specific time frame
shown to improve clinical outcome?
clinical/critical pathways
What are the 3 areas within the art of nursing?
caring
attending (intensity of presence)
patient advocacy
decorticate vs decerebrate
decorticate: corpse like
decerebrate: head and arms extended
mood vs affect
mood: emotion person is feeling
affect: expression of that emotion
What is the HEADSSS mnemonic and what demographic is it used with?
structured interview technique used with children & adolescents
Home environment
Education/employment
Activities
Drug/substance abuse
Sexuality
Suicide/depression
Safety/Savagery (violence/abuse)
Define milieu therapy
orienting the client to the physical setting, their environment (aka therapeutic environment)
Define veracity
honesty (different than fidelity = loyalty/faithfulness)
(client asks if you were talking about them, you respond "we were discussing ways to help you
related to other patients in a more positive way")
How long can a temporary emergency admission for mental health care be?
no longer than 15 days
What are the criteria for involuntary admission? (4)
1. presence of mental illness
2. poses danger to self or others
3. demonstrates inability to meet basic necessities (food, water, shelter)
4. requires treatment but unable to seek it voluntarily due to illness
How many physicians are required to certify an involuntary admission?
2 (varies state to state but generally 2)
An involuntary admission is limited to _____.
60 days, then psych & legal review of admission is required
What are the restraint OR seclusion time limits for the following age groups;
18+
9-17
8 or younger
18+ = 4 hours
9-17 = 2 hours
8 and under = 1 hour
Define transference
client views nurse as having same characteristics of another person who is significant in client's
life
Define countertransference
nurse displaces characteristics of people in their past onto a client
What are the 4 main models in mental health care?
1. recovery model
2. EBP model (aka medical model)
3. trauma-informed care model
4. patient-centered care
Define recovery model (3)
1. consumer & family driven
2. consumers are partners
3. recovery oriented
Define EBP model
1. uses scientific evidence to guide care
2. aka medical model
3. increases gap b/w research and practice
Points to remember about trauma-informed care (3)
1. trauma is universal in mental health patients
2. effects of trauma turn into clinical programming
3. "what's happened to you" not "what's wrong with you"
QSEN and ANA support what type of care as best practice?
patient-centered care
Define KSA in regards to QSEN
knowledge
skills
attitude
What is an algorithm?
a. mathematical problem
b. type of intellectual puzzle
c. step-by-step guidelines in a flowchart
d. method of solving problems
c. step-by-step guidelines in a flowchart
What type of best-evidence intervention would be most helpful in deciding what medication to
use?
clinical algorithm
(considers age, sex, current medications, allergies, etc.)
Examples of patient advocacy (4)
1. informed consent, including refusal of tx
2. respecting patients wishes even if you disagree
3. protecting against threats to well-being
4. being informed about best practices
Define prevelance
estimated population of people living with a mental illness
Define incidence
annual diagnosis rate of a disease
(# of new cases each year)
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