pg. 1 NUR 2225 EXAM REVIEW/ Practice Questions with Correct Verified Answers/ Updated 2024- Rated A+
Define mental illness - ANSWER - a health problem that significantly affects how a person feels, thinks, behaves and interact with other people
Define mental health - ANSWER - a state of well being in which the individual realises his/ her own potentials, can cope with the normal stresses of life, can work productively and fruitfully and can contribute to the community.
What are the impacts of stigma? - ANSWER - - avoiding help
- isolation
- social avoidance
- diminished self-worth and worthiness
- impact on symptoms
- reduce recovery and personal empowerment
Stereotype - ANSWER - a widely held but fixed and oversimplified beliefs about a particular type of person or thing
Discrimination - ANSWER - unjust or prejudical treatment of a group or class of people
Purpose of Mental Health Act (2014) - ANSWER - placing people with mental illness at the centre of decision-making about their treatment and care
Schizophrenia - ANSWER - a chronic and severe mental illness that affects an individual's ability to think, feel, socialise and behave
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pg. 2 Ambivalence (difficulties associated with cognition) - ANSWER - having mixing or conflicting thoughts towards a person or situation; frequently observed in clients with major depression
Concrete thinking - ANSWER - focusing on the facts and the physical presence rather than abstract ideas; often observed in clients with BPD
Paranoia - ANSWER - a psychotic disorder characterised by delusions
Disorganised behaviour (schizophrenia) - ANSWER - disruption to goal directed behaviours which impairs the client's ability to manage their own independent self-care, behaviours
Catatonia - ANSWER - a state of unresponsiveness to one's outside environment, usually including muscle rigidity, staring, inability to communicate, purposeless movement
Waxy flexibility - ANSWER - a psychomotor symptom of catatonia as associated with schizophrenia, bipolar disorder, or other mental disorders which leads to significant reduction in motor activity in response to external stimuli
Difference between typical and atypical antipsychotics - ANSWER - - typical antipsychotics have a significant side effects that often results in medication non-adherence
- atypical antipsychotics are less likely to cause extrapyramidal side effects
Restrictive interventions of Assessment Order - ANSWER - 1. community AO: max. 24hrs
2. impatient AO: max. 72hrs including transportation
(max. 24hrs in DMHS)
Criteria for assessment order - ANSWER - 1. The person appears to have a mental illness
2. Requires immediate treatment to prevent:
- serious deterioration in the person's mental or physical health
- serious harm to the person or another person
- The person is able to be assessed 2 / 3
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- There is no less restrictive means reasonably available for the person
Which medication is used for prophylactic treatment in those with excessive alcohol consumption? - ANSWER - Thiamine
Why do all people being treated for alcohol withdrawal receive prophylactic thiamine? - ANSWER - to prevent Wernicke's encephalopathy and Wernicke- Korsakoff syndrome
Wernicke- Korsakoff syndrome - ANSWER - chronic mental impairments produced by heavy alcohol use over a long period of time, caused by thiamine deficiency, affecting short-term memory
Nursing Management of withdrawal - ANSWER - 1. minimising progression to severe withdrawal
- reducing risk to self & others
- reducing physical health problems (e.g. dehydration)
- identify co-occurring illness that may mimic symptoms of withdrawal
What is harm minimisation? - ANSWER - guide the person use the substance in a safer way to reduce associated harm
What are 3 approaches to harm minimisation? - ANSWER - 1. demand reduction
- supply reduction
- harm reduction
Temporary Treatment Order - ANSWER - made by AP after AO
- enable the person to be treated for max. 28 days
Who is respnsibe for the Treatment Order? - ANSWER - made be Mental Health Tribunal
Duration of Treatment Order - ANSWER - 1. community TO for a person >18yo: 12 months; <18yo: 3 months
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