CHP 7,8,9

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Jme
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90712
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CHP 7,8,9
Updated:
2011-06-16 03:28:06
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Mental Health
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MENTAL HEALTH
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  1. Based on principle that an ethnical decision serves to produce the GREATEST numver of persons involved
    Utiltarianism
  2. Looks at the human duties to others and tries to analyze the principles on which these duties are based is
    Deontology
  3. The deontology principles are?
    • 1. Autonomy
    • 2. Benefience
    • 3. fidelity
    • 4. Justice
    • 5. Nonmaleficence
  4. Refer's to the CLIENT'S RIGHT to self-determination and independence is
    Autonomy
  5. The view that all TREATMENTS must be for the client's good is
    Beneficence
  6. An individual's obligation to be FAITHFUL to commitments and contracts is
    Fidelity (i.e. make sure you come to appt)
  7. The principle ensuring fairness, equlity and honesty in decisions is
    Justice
  8. The view that, above all, care providers must DO NO HARM is
    Nonmaleficence
  9. Two broad ehtnical theories that can guide the development of professional ethnics are
    • Utilitarianism
    • Deontology
  10. Legislators have already confronted these dilemmas and an effort to ensure
    Right behaviors
  11. Law most commonly involves (dictate what a person must not do). What duty?
    Negative duties
  12. Enthnical principles dictate (those activities one should do). What duty?
    Positive duties
  13. The _________ published the code of ethnics for nurses in the 1960s.
    American Nurses Associations (ANA)
  14. Prudent/Appropriate Nursing behaviors are
    • 1. Present trustworthy-tell truth, rapport
    • 2. Use tehcniques to de-escalate anger (calm voice, controlled, remove client)
    • 3. Know state laws
    • 4. Do not rush interactions or explanations
    • 5. Carefully document data
    • 6. Carefully record all tx, interventionas, and procedures when giving care
  15. Learned beliefs about what is held to be good or bad in culture?
    Values
  16. Leaned behaviors that are perceived to be appropriate or inappropriate in culture is?
    Norms
  17. Ho noted that a central Asian belief is that...
    "the best healing source lies wihtin the family" and seeking help from outside (counseling and therapy)
  18. ____ is such an important part of a therapeutic role.
    Touch
  19. Two aspects of time orientation that can affect psychiatric mental health care is
    1. Emphasis on past, present, future time orientation.

    2. organization of acitivities either seuentially or synochronically.
  20. Study of people/group of people is
    Epidemiology
  21. An extensive number and range of diagnoses?
    DSM-IV-TR
  22. Disorders in DSM-IV-TR
    • 1. Mood disorders- Feeling of depression
    • 2. Schizophrenia- sx of pychosis or loss of touch to reality
    • 3. Substance abuse disorders- alcohol and variety of substances
    • 4. Anxiety disorder - Obessive compulsive disorder, phobias, panic and generalized anxiety
  23. Each of these studies interviewed about a 1,000 residents in a community for evidence ofmental disorder is
    • Midtown Manhatten Study in New York
    • Baltimore Morbidity Study
    • Sterling County Study in Canada
  24. ECA study stands for?
    Epidemiologic Catchment Area Study
  25. What is controlled clinical trial?
    • Experimental group
    • Control group

    • Placebo
    • Blinded
    • Double-blinded trial
  26. Persons RECEIVING TREATMENT or having a given condition or disease under study
    & at least one comparison?

    (i.e. Controlled Clinical trial)
    Experiental group
  27. Persons receiving NO TREATMENT or being free of a given condition or disease under study is?

    (i.e. Controlled Clinical Trial)
    Control group
  28. A TRUE clinical trial is
    Blinded
  29. The sujects DO NOT know they are receiving active treatment is
    Placebo - tx that is thought to have no specific effect on the expected outcome.
  30. Neither the subjects or persons evaluating the outcome know whether any subject is receiving active treatment or placebo is?
    Double-blinded trial
  31. Evaluations in which neither clients nor caregivers are allowed to know exactly what treatment is being given?
    Controlled Clincal trials
  32. Most mental disorders are?
    Endemic or sporadic
  33. Well known in nursing practice describes a disease or condition that SPREADS or circulates witnin a population?
    EPIdemic
  34. Means they are CONSTANTLY or regularly found in within a population?
    ENdemic
  35. Who wrote children's epidemics?
    Florence Nightingale
  36. Anatomy of Melancholy is an important 17th century worked filled with classical quotations on mental illness and written to keep lonely author's mind off his own severe depression is
    Robert Burton
  37. Who suffered from alcoholism?
    Alexander the Great
  38. First version of Diagnostic & Statistical Manual of Mental Diorders is?
    DSM-I (1952)
  39. By 1980 Diagnostic & Statiscal Manual of Mental Health Disorders third edition is what? It was revised in 1994 and called?
    DSM-IV
  40. The number of NEW CASES of an illness, condition, or injury that begin within a CERTAIN time period is
    Incidence
  41. Refers to the number of PERSONS in na population who are living with a disease or disorder ANYTIME is (i.e. new and old cases?
    Prevalence
  42. Published DATA us complex statistical tools is
    Meta-analysis
  43. The study of documents describe the condition under study is
    Descriptive
  44. Population studied before and after some even such as the introduction of a new service of a new law is
    Quasi-experimental - set cases and set controls
  45. Two groups of case-control stuides are?
    • Cases - given disease or condition
    • Controls-all are FREE of condition and diseases
  46. The book entiled What is the Case?
    Wing, Bebbinting & Robins 1981
  47. Most often characterized by feelings of depression.
    Mood disorder
  48. The most common mood disorder in DSM is
    Major Depressive Disorder
  49. Accord on diagnosis between different EVALUATORS
    INTERrater realiability
  50. Accord on diagnosis between individuals evaluating the same condition
    INTERrater aggrement
  51. Accord on diagnosis on different EXAMINATIONS by the same evaluator
    INTRArater reliability

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