Mental Health and Substance Use Flashcard

Front

A patient with PTSD reports sleeping only 3–4 hours and waking with panic from nightmares. What’s the best immediate psychoeducation point?

Back

Create a consistent wind‑down routine and avoid trauma content near bedtime.

Front

During a grounding exercise, which cue most directly targets dissociation in PTSD? Options: Tell me the exact date of your trauma., Name five things you can see, four you can feel, three you can hear., Let’s analyze your cognitive distortions., Try deep sleep right now.

Back

Name five things you can see, four you can feel, three you can hear.

Front

A combat veteran says, “It should have been me.” Which response best addresses survivor guilt?

Back

Let’s explore how guilt fits with the facts of the event.

Front

Which is the safest early‑session exposure strategy for PTSD?

Back

Gradual, collaborative hierarchy with coping skills in place

Front

A patient with panic‑level anxiety is hyperventilating. First priority?

Back

Coach paced breathing and reduce environmental stimuli

Front

A survivor of intimate partner violence (IPV) asks to switch to a female nurse. Best response?

Back

I’ll re‑review assignments and arrange a female nurse.

Front

Which step most directly enhances immediate safety planning in IPV? Options: Discuss long‑term therapy goals first, Identify a code word with trusted contacts, Ask the survivor to confront the partner tonight, Instruct the survivor to stop using social media

Back

Identify a code word with trusted contacts

Front

Priority documentation element after IPV disclosure?

Back

Exact patient quotes and objective injury descriptions

Front

Which example best illustrates avolition? Options: Inventing new words, Marked lack of initiation for goal‑directed tasks, Sensation that the body is unreal, Pleasure in fewer activities

Back

Marked lack of initiation for goal‑directed tasks

Front

A patient says, “The cat flat sat the bat—snip snap.” This is most consistent with:

Back

Clang associations