Block 3 Skills/Assessment Flashcards
these people are content with who they are and where they are in life
mentally healthy adults
these are people who can cope with and adjust in an acceptable way to the recurrent stresses of daily living.
mentally healthy adults
what are the seven principles of mental health care?
do NO harm accept each client as a whole person develop a mutual trust explore behaviors and emotions encourage responsibility encourage effective adaptation provide consistency
what does the do no harm principle relate to?
“reasonable and prudent nurse(caregiver)” concept found in U.S law.
accept each client as a whole=
do not treat the client as a diagnosis
what is the foundation of therapeutic relationships?
trust
how can the nurse develop trust with the patient?
by responding to requests for help.
every behavior..
serves a purpose and has a meaning
these can cause behavioral problems
distorted perception
what should you focus on when correcting a patient
correct the behavior and not the person
this infers that a person is able to exercise capability and accountability
responsibility
what is the first responsibility to achieve
care of yourself
astigma=
a mark of shame or rejection
what does a crisis do?
upsets homeostasis
what happens in an unresolved crisis?
maladaptive behavior hides the problem
all mental health patients exhibit…
unsuccessful coping behaviors
what three things should be encouraged when encouraging effective adaptation?
one step at a time
crisis intervention
learning of coping mechanisms
what is the first step of crisis intervention?
immediate emotional support during the crisis
these are thoughts or actions aimed at reducing stress
coping mechanisms
caregivers act as…
role models
the ability to objectively look within=
self-awareness
being conscious of your personality=
self-awareness
concern for the well-being of another person=
caring
the ability to recognize and share the emotions of another person without actually experiencing them=
empathy
the ability to see clearly and understand the nature of things. it relies on common sense, good judgement, and prudence.
insight
acceptance is…
receiving the entire person and the world in which he or she functions.
accepting clients does not necessarily mean….
that you are approving of their behavior
when are professional boundaries crossed?
when caregivers become too helpful or controlling
professional boundaries must be define by who?
the caregiver
professional boundaries must be….
balanced. because one cannot focus on the client and the self at the same time
every psychological problem has what type of effects?
physical effects
each physical illness has what type of effects
psychological effects
individuals entering into the mental health care systems undergo what?
a comprehensive assessment
clients are interviewed by?
several members of the health care team
when is a course of action planned for the client?
when the team and the client agree on the treatment goals.
medical treatments are combined with what three things?
psychotherapies, behavioral therapies, and other therapeutic actions.
treatment plans are developed especially for…
the individual client
this acts as a guide for planning and implementing client care
mental health treatment plan
this serves as a vehicle for monitoring the clients progress
mental health treatment plan
this serves as a means for communicating and coordinating client care
mental health treatment
this is the tool that is used to facilitate diagnosis and guide clinical practice
DSM-IV-TR-Diagnosis (The Diagnostic and Statistical Manual of Mental Disorders.
caregivers help clients to…
problem solve
what should guide you as you go
“do no harm” principle
this focuses on obtaining data about the problems, coping behaviors, and resources of clients.
the psychiatric assessment tool
the psychiatric assessment tool focuses on these three things…
obtaining data about the problems
coping behaviors
resources of clients
this is required for clients who may pose a risk for violence toward themselves or other
risk factor assessment
this formulates a nursing diagnosis based on the identification of risk factors that potentially present an immediate threat to the patient…
risk factor assessment
this is used to protect the clients and other…
risk factor assessment
the health history effective interviews rests on the caregivers ability to…
listen objectively and respond appropriately
name the seven guidelines for an effective interview
personal values must not cloud judgment make no assumptions take into account the clients culture and religion pay attention to nonverbal communication have clearly set goals monitor your own reactions don't become to emotionally involved
the mental status assessment=
allows care providers to observe and describe a clients behavior in an objective, nonjudgmental way.
in the mental status assessment the client is assessed for these four things…
general appearance
speech
motor activity
behavior during the interaction
when assessing the clients emotional state the care provider must…
consider the clients mood and affect and document objective descriptions
clients may experience these six things…
delusions obsessions phobias preoccupations amnesia confabulations
if your client hears voices what do you want to do?
ask them to describe them
people with a clear sensorium are…
oriented to time, place, and person
in the sensorium and cognition category patients are assessed for these five things…
memory calculation judgment education level insight
how should you assess the immediate recall memory
have them remember three things and then ask again in three minutes
how should you assess judgment?
ask them questions like what would they do if they found a wallet on the ground
how should you assess insight?
ask the patient what they think caused the problem
hallucinations of these three things may have a physical cause
taste, touch, and smell
hallucinations of taste, touch, and smell may…
have a physical cause
the nurse is reviewing the effectiveness of her care. which phase of the nursing process is she performing?
evaluation
client uses false statements to fill in gaps of memory loss. what is this called?
confabulation
