219 Flashcards
Discharge planning must begin on admission and be a focused nursing activity throughout patients stay
True
1A
Severe
1B
May require restraint and medications
1C
Generally cooperative
Elopement
Running away or escaping
Verbal behaviors
Resistance
Angry
Non verbal behaviors
Seeks to go on off unit activities
Testing limits
What to do after Attempted elopement
Throughly search unit first
Initiate search of hospital
Actual elopement
Notify security forces
Patient absent report
When patient returns to the unit after elopement
Display concern
MHSA should explore feelings
Search the patient
Strengthen interpersonal skills by encouraging individuals to join activities
Workshops
Build confidence and self esteem
Physical activities
Ease fear anger isolation loneliness and despair
Outing
Manage stress through activities that relax both mind and body
Arts and craft
Promote greater self reliance
Cooking
Allow patient appropriate autonomy
Occupational
Stress
Physiological and psychological response to any demand made on the human organism
Stress reduction
Refers to various strategies that counteract stress
Relaxation
Person feels relief of tension or strain
Objective of relaxation therapy
From fight or flight mode to parasympathetic mode
Decrease anxiety
Bronson’s relaxation technique
Switch from fight or flight to state of relaxation
Meditation
Discipline for training the mind to develop greater calm
Guided imagery
Envision images that are both calming and health enhancing
Breathing exercises
Helps interrupt train of thought
Biofeedback
Gaining conscious control over unconscious body
Goals much be suitable and realistic
True
Most common causes of cognitive impairment
Depression
Dementia
Common factors associate with alcoholism in the elderly
Loss and loneliness
Physical changes
Hormonal changes
Secondary sex characteristics
Height and weight spurt
Pharmacotherapy is always used as the sole treatment for a child or adolescent
False
Democracy
Social equality and the sharing of power
Commitment engagement
Patients are expected to attend and actively participate in activities
Communalism
Striving for a sense of family
Humanitarianism
Expected to demonstrate concern for the well being if all patients
Inpatient BHT responsibilities
Admitting patients
Role modeling
Discharge patients
Milieu therapy
Freedom of movement and informal relationships with staff
Safety
Reduced risk of harm to self
Structure
Planned and predictable events
Support
Validation of individuality and inter personal safety
Social skills
Ability to communicate with others
Principals of milieu therapy
Behavior is response to environment
Positive and negative reinforcement
Need for social contact
Illness and therapy are both opportunities for learning about self
Multidisciplinary team meeting
All team members share observations
H and Cs are never used for punishment
True