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EN 512 Theory Week 2 Flashcards | StudBud
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EN 512 Theory Week 2
EN 512 Theory Week 2
49 terms
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StudBud Administration
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To recap over the past 2 weeks learning and provide exam revision
Flashcards
49 cards
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Practice quiz
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Host live
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Questions
49
Answers
1
A school counselor wants advice re a young man who is superficially cutting his arms. You say?
Don't worry, lots of young people cut themselves
He needs to be assessed, so go to the GP first
He needs to take medication
Go straight to ED, this young man is at risk
2
In the Mental State Examination, what does judgement mean?
what the person is thinking about
how the person relates to you
the ability to assess and evaluate situations
understanding of their health issues, situation or treatment
3
What is paraphrasing?
When a listener validates someone's feelings
When a listener uses open-ended questions
When a listener clarifies by asking a direct question
When a listener reiterates what was said in their own words
4
Mental Health is......
An essential part of us all
About coping with the normal stressors in life
Viewed on a continuum
All of these things
5
A clinical diagnosis of an Intellectual Disability involves an IQ test score of?
50 or below
70 or below
80 or below
60 or below
6
Where are most people with mental health needs cared for?
In home settings
In non-government organisations
In primary care services
In specialist mental health services
7
Treatment for bulimia includes:
Mostly medication options
High intensity exercise
Learning new coping strategies via talking therapies
Going to the bathroom after eating meals
8
On the medical ward your patient only eats yellow foods. You call Psychiatric Liaison..
concerned about Anorexia Nervosa
concerned about Avoidant/Restrictive Food Intake Disorder
concerned about Binge Eating Disorder
concerned about Bulimia Nervosa
9
What tests are needed when a person with Bipolar is prescribed Lithium to stabilize mood?
MRI scan
ECG
Regular blood tests to test therapeutic range
Daily vital signs
10
National harm minimization strategies for alcohol and drug use include:
Reducing the demand
Providing services and treatment for usage and dependence
Controlling the supply
All of these things
11
Which statement is true about delirium?
It is always treated with aggressive antibiotics
It is always substance-induced and progressive in course
It is acute in onset and always resolves within 7 days
It is treated by correction of the primary problem
12
What does the role of the nurse involve when a person is on anti-depressant medication?
Monitor therapeutic effects
All of these things
Inquire about side-effects and support accordingly
Educate the person about the diagnosis and medication
13
Which of the following is NOT a negative symptom of schizophrenia?
Avolition
Delusions
Alogia
Anhedonia
14
Questions about attention, memory and orientation are which topic in the MSE?
Mood
Cognition
Thoughts
Behavior
15
How can we challenge mental health stigma and discrimination?
Have direct contact with people with lived experience
Educate to replace myths
As nurses we can do all three of these things
Protest against negative attitudes and behaviors
16
What is Trauma Informed Care in mental health?
All of these things
Creating systems that do not trigger people
Appreciating many clients have had traumatic experiences
Understanding the profound effects of trauma on people
17
If a RN tells you that a person is experiencing Akathisia , what would you expect to see?
A person talking very fast
A person with muscle spasms and eyes rolling
A person with restless legs moving position frequently
A person looking blank and drooling
18
Seizures, anxiety, vomiting and hyperthermia are signs of what?
Alcohol dependence
Alcohol addiction
Alcohol withdrawal
Alcohol intoxication
19
A child is unable to sit still, always physically and mentally active and failing at school.
The child may have depression
The child may have anxiety
The child may have ADHD
The child is fine!!
20
A person tells you they do not want to take their tablets today. Best response is:
It is really important that you take this medication
The medication is designed to help you!
Let's have a chat about why you don't want the medication
You do not have the right to refuse your medication
21
Morphine, oxycodone, methadone, fentanyl, and pethidine are all types of what?
Strong opioids
CNS stimulants
Weak opioids
Hallucinogens
22
A manic phase of a bipolar illness is often characterized by:
Speech that is slow
Speech that is rapid, circumstantial and pressured
Poverty of speech
Quiet speech
23
When I am an EN, I might need to use de-escalation skills....
only with people who have a psychiatric diagnosis
in any setting with all the people I work alongside
only if I work in the mental health sector
only with argumentative colleagues
24
Asking a person about their mood in the MSE involves:
All of these answers are true
Subjective information
Asking what the person feels like
Sleep, appetite, energy and pleasure questions
25
The mental status examination provides a way to structure data about what?
What a person looks like
None of these answers are correct!!
Aspects of the individual’s mental functioning
Aspects of a persons history
26
A girl can smell something burning but no-one else can. What hallucination type could this be?
Olfactory
Tactile
Gustatory
Visual
27
Your client is taking Clozapine, so we need to educate about what topics?
The need for regular blood tests
Health education to reduce constipation
To report symptoms of infection or sore throat
All of these things
28
What are the benefits of meditation?
All of these things ;-)
Provides a sense of calm, peace and balance
Increased energy
Reduced stress and anxiety
29
People on anti-psychotic medications have higher rates of:
Cardio and Respiratory diseases
All of these answers are correct
Chronic pain and oral health problems
Diabetes and obesity
30
Some women experience an episode of psychosis post partum but psychosis can also be related to
Other disorders including schizophrenia and bipolar
Trauma, sleep deprivation and severe stress
All of these things
Substance usage
31
When I am out in the clinical environment, who am I representing?
Myself
The Nursing Profession
All of these so I'm going to be professional at all times
The Otago Polytechnic School of Nursing
32
Which statement is FALSE about care of older people?
Elder abuse is on the increase in society
Active and passive neglect are common in this population
Older people do not usually know their abusers
The most common disorders are dementia and depression
33
Which sentence is true about dementia?
All of these sentences are true
It is gradual in onset and progressive in course
Care includes distraction, cues and emotional support
It is NOT a normal part of ageing
34
Barriers to therapeutic communication include:
Attending to non-verbal cues
Stereotyping, daydreaming and false reassurance
Focusing on engagement
Speaking clearly, honestly and assertively
35
What statement is TRUE about SPARX?
It requires a GP referral
It is a free online CBT computer program for young people
It has no research to back it up
It has not won any awards
36
When talking with a person with an Intellectual Disability, it is important to....
Not make any assumptions
All of these things
Use short sentences
Clarify, check and summarize information
37
The newer Atypical anti psychotics have which side effects on consumers?
Extrapyramidal Symptoms
Tardive Dyskinesia
Parkinsonian effects
Weight gain, constipation; dizziness and hyper salivation
38
How would you describe anorexia nervosa to a friend?
It's when a person eats too much
It's when a person severely reduces their food intake
It's when a person is worried about gaining weight
It's when a person exercises obsessively
39
Which statement is TRUE about post natal depression?
It affects about 15% of women
Most women get better on their own without support
Medication is not helpful
It affects about 30% of women
40
According to Like Minds Like Mine....
1 in 5 kiwis will experience mental illness this year
1 in 6 kiwis will experience mental illness this year
1 in 10 kiwis will experience mental illness this year
1 in 20 kiwis will experience mental illness this year
41
When working with Maori clients, we need to think about.....
Offering cultural support services
Te Whare Tapa Wha Model
Involving whanau
All of these things
42
According to Like Minds Like Mine....
37% kiwis will experience mental illness in their lifetime
27% kiwis will experience mental illness in their lifetime
47% kiwis will experience mental illness in their lifetime
57% kiwis will experience mental illness in their lifetime
43
Cognitive Behavioral Therapy aims to:
Encourage people to change the way they behave
All of these things
Support people to learn new coping strategies
Help people to change the way they think
44
What is the CAGE Assessment?
It is a brief questionnaire for alcohol use
It is a brief questionnaire for addictions
It is a brief questionnaire for substance abuse
It is none of these things
45
Borderline Personality Disorder clients can be challenging at times so what can you do?
Give extra time and attention than other clients
Let the RN manage these clients
None of these approaches
Be professional and non-judgmental
46
What does the Safewards Model do?
All of these things yay!!
Increases safety and reduces coercion
Makes psychiatric wards more peaceful
Improves relationships between clients and staff
47
The team keep referring to a client splitting staff, so what do you need to do?
Avoid the person
Challenge the person if you get the chance
Agree with everything the client asks you to do
Be honest and open with the person and follow the care plan
48
Section 13 of the Mental Health Act is for how long?
12 days
14 days
13 days
15 days
49
Kiwi's with a serious addiction or mental health problem have:
Reduced life expectancy by up to 10 years
Reduced life expectancy by up to 5 years
Reduced life expectancy by up to 25 years
The same life expectancy as everyone else
