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psych test 1

Terms in this set (64)

safety, structures, norms, limit setting, balance, environmental modifications
what are the 6 environmental elements the nurse must consider to creating a therapeutic milieu?
DSM 5
a paradigm shift to etiopathophysiologic classification to make the diagnosis more useful to diagnosing practitioners
negligence
the failure to do or not to do what a reasonable careful person would do under the same circumstances
duty to care, standard of care, breach of duty, injury proximately caused by a breach of duty
what are the 4 elements that must be present for a plaintiff to recover damages caused by negligence?
malpractive
a form of professional negligence
master-servant rule
the employer is responsible for the acts of the employee as long as the employee is acting within the scope and authority of employment
assault
the deliberate threat coupled with the apparent ability to do physical harm to another
battery
an intentional toughing of another person, in a socially impermissible manner, without that person's consent
false imprisonment
unlawful restraint of an individual's personal liberty or the unlawful restraint/confinement of an individual
emergency care, short-term observation, long term commitment
what are the 3 common categories of involuntary treatment?
probable cause
statement that indicates that a person is a danger to self or others or is gravely disabled
gravely disabled
unable to provide food, clothing, and shelter for self due to mental illness
grandiose
delusion where they have their own irrational ideas regarding their own worth, talent, knowledge or power
schizophreniform disorder
identical to schizophrenia except that the duration, including prodromal, active and residual phases, is at least 1 month but less than 6 months
schizoaffective disorder
manifested by schizophrenic behaviors with a strong element of symptomatology associated with the mood disorders. clients appear depressed, with psychomotor retardation and suicidal ideation or symptoms may include euphoria, grandiosity, and hyperactivity
paranoia
extreme suspiciousness of others and their actions or perceived intentions
hallucinations
false sensory perceptions not associated with real external stimuli, may involve the five senses
auditory hallucinations
false perceptions of sound. most common type
visual hallucinations
false visual perceptions. may consist of formed images, such as of people, or unformed images, such as flashes of light
tactile hallucinations
false perceptions of the sense of touch, often of something on or under the skin. one specific is forminication (the sensation that something is crawling on the skin)
gustatory hallucinations
false perception of taste
olfactory hallucinations
false perceptions of the sense of smell
illusions
misperceptions or imisinterpreations of real external stimuli
delsuions
false personal beliefs that are inconsistent with the person's intelligence or cultural background
affect
the behavior associated with an individual's feeling state or emotional tone
inappropriate affect
when an individual's emotional tone is incongruent with the circumstances
bland affect
when the emotional tone is very weak
flat affect
when affect appears to be void of emotional tone
culture
internal and external behaviors and thought patterns that are learned and shared
cultural preservation
the nurse's ability to acknowledge, value, and accept the culture beliefs of the patient
cultural negotiation
the nurse's ability to work within the patient's cultural belief system
cultural repatterning
the nurse's ability to incorporate cultural preservation and negotiation to identify patient needs, develop outcomes, and evaluate outcome plans
spirituality
connected to a transcendent source, such as God, a higher power or a universal spirt often expressed within a religious community
sick religiosity
negative experiences with someone or a religious institution that may have been painful or dehumanizing
healthy spirituality
positive experience
schizophrenia
incapacity to think in an abstract manner and to understand symbolism; thinking is concrete
incongruent mood theme
when the affect does not match the content theme
precontemplation
no plan to change behaviors; does not ID the problem
contemplation
ID a problem and thinks about an action; ambivalence is a predominant feeling
preparation
imminently ready to work on change
action
initiates change
maintenance
meets goals and avoids relapsing
psychosis
mental state in which individual struggles to distinguish external world from internally generated perceptions
apathy
lack of interest
anhedonia
loss of pleasure
ambivalence
2 opposite, strong feelings exist simultaneously
loose association
person's ideas slips off track onto another that is completely unrelated or only slightly related
concrete thinking
inability to conceptualize the meanings of words and phrases
paranoid thinking
persistent interpretation of the actions of others as threatening or demeaning
retardation
slowing of mental activity
blocking
interruption of thought and the inability to recall it
autism
patients are introspective to the extent that they are distracted from external events
erotomatic
patient believes sandra bullock is in love with him
somatic
after medical test show otherwise, a patient still insist they have cancer
religious
the devil told me to kill my kid
nihilistic
patient believes they are dead
delusion of reference
the tv is taling to me
delusion of influence
i can control her with my thoughts
transference
unconscious emotional reaction that patients in a current situation base on previous relationships and experiences
parentification
the child taking care of the adult responsibilities in the family
scapegoat
the member of the family who is seen as the blame for the conflict; the family members focus on trying to fix the identified patient rather than the real issues
enmeshed
family structure that resists demands for change; boundaries are excessively rigid
disengaged
members of the family are distant or disconnected
traingulation
there is conflict between 2 family members, and they attempt to involve a third person to take a side
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