RPL 342 Final Exam

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RPL 342 Final Exam
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2014-12-08 17:24:43
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therapeutic recreation drugs
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  1. Psychotropic medication (sleep medications, antidepressants, anxiety medications)
    • -don't work for everyone
    • -Too much  meds doesnt help
    • -sometimes can get a false sence of cure, think they are fine so they stop taking it but they actually need the meds
  2. 3 classes of unmotivated client
    • 1. I can't
    • 2. I won't
    • 3. I don't care
  3. Motivation and coercion
    • Motivation- stimulate the action with an incentive( internal state )- you can't motivate people you just give them the opportunity to motivate themselves. 
    • coercion- forced to act or think in a given manner
  4. four step approach to behavior management
    • 1. non verbal- when teacher gives you a look when your talking
    • 2. regroup or restructure- teacher moves you when your talking
    • 3.verbal- tell them to stop
    • 4. removal or time out- go into hallway
  5. conflict avoidance( do's and Don'ts)
    • DOs
    • -discipline after each occurrence 
    • -allow cooling off period 
    • -be objective
    • -expect old coping behaviors
    • -graph or chart
    • DONTS
    • -punish behavior you model
    • -dont just discipline teach them
    • -dont utilize social situations for discipline
  6. crisis management
    (steps to follow)
    -goal of crisis management is to regain control of the situation/client
  7. First step of crisis management
    • first step
    • -assessing the situation
    • --Patient- potential danger, where is the door, how is the safety, what is causing issue, group factor( whole group or individual), history
    • --contacts and enviroment- Potential dangers and aids- (ex: sharp objects and where is the exit)
    • --self: what is your role, what is your status, (its okay to be scared but manage it), are you covered (by insurance), is your clothing going to get in the way if there is an altercation (ex: pulling out earing or choking with scarf)
  8. Step two of crisis management
    • - Intervention
    • --verbal: role- listen "let them vent", be respectful, be honest, request realistic limits, and regain control
    • --Non verbal: Posture/stance (45 degree angle, half arm length away, facial expression, tone of voice (calm and low tone) touch/proximity
    • --Physical: physical management and retreat
  9. Step 3 crisis mangement
    • Follow Through
    • - Patient: meds to help calm them down, monitor them, return the control, 
    • -Staff: document incident report, debrief "vent and talk about situation", monitor client while on meds and stuff
  10. strategies for crisis management
    • - establish posture- not too close but not too far
    • -identify and clarify what the clients goal is
    • -give client control by giving them choices( how can i help, id really like too) (what do you need, whats the prob)
    • -become problem oriented (turn situation into therapy )
    • -respond to unreasonable statements by modeling negotiation (are their other options, lets see if we can think of something that will work out better/ more doable)
    • -point out consequences
  11. drug
    substance that alters someone biological function
  12. psychoactive drug
    alters thinking and consciousness
  13. drug misuse
    use outside of intent
  14. drug abuse
    using it for wrong reasons, uses it a lot/ sense of need, level of abuse that produces a problem.
  15. dependence "mental"
    psychological state/sense of need
  16. addiction
    body biologically needs substance to sustain its state
  17. tollerance
    more to get the same effect
  18. withdrawl
    bodys reaction to absence of substance
  19. detoxification
    medical management to remove substance from your body
  20. controlled substance drug scheduel 1:
    no medical application and high abuse potentional: this includes meth, most hallucinogens, ghb (date rape)
  21. sched 2:
    limited medical application pretty high drug use: includes morphine, redalin, adderall, percoset
  22. sched 3:
    common medical application and moderate abuse potential: sedatives, steroids, minor tranquelisers
  23. sched 4:
    accepted as medical drugs and minor abuse potential
  24. administration routes for controlled substances
    • inhaled- 7 sec
    • IV injection- 20 seconds
    • IM injection- 4 mins
    • snorting- 3-5 mins
    • oral- 20-30 mins
  25. type of stimulants
    cocaine, amphetamines, ecstacy, meth
  26. characteristics of stimulants
    strong dependency factor, withdrawl - gastoric distress, achy body and headaches,
  27. type of depressants
    alcohol, benzos(aanxiety), barbituates(seizures and sleep), barbite like drugs(GHB and ketamine),
  28. opidates and narcotics, drugs derived from opium or synthetic substitutes
    exmples: heroine, morphine, methaodone, oxycodon, codiene, imodium, - feel good because they tell the brain to release dopamine which feels good and blocks pain receptors in the brain
  29. hallucinogens general affects
    • 1. alter senses
    • -Syesthesia- senses get crossed
    • 2. loss of control - emotions
    • --good or bad trip
    • 3. self reflection
    • --see yourself from a different perspective/expand self
    • 4. depersonalization
    • --outside of body and part of the universe
  30. examples of hallucinogen
    • LSD, mescaline, Psilocybin, amphetamine related alphabet drugs (DMA, MDMA)
    • --not very addictive, worry about what they are going to do on the drug because they cant control it - all but PCP is a sched 1 drug.

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