Chapter 4: Treatment Settings Flashcards
Where do primary care, specialty care, and patient-centered medical homes fall on the continuum of psychiatric-mental health treatment?
least restrictive
What are examples of the most restrictive environments that fall on the continuum of psychiatric-mental health treatment?
state hospital, general and private hospitals, crisis stabilization/observation units, emergency care
What are some key differences seen in outpatient settings vs the inpatient setting for mental health treatment?
intermittent supervision vs 24-hour supervision
independent living environment vs therapeutic milieu with a supported healing environment
establish long-term therapeutic relationship vs short-term therapeutic relationships
encouraging adherence to medication regimen vs administering meds
teaching nutrition vs monitoring it
When do patients no longer have the right to keep personal belongings?
if the belongings are dangerous
Do patients have the right to vote during inpatient treatment?
yes
Which patient right prevents self harm or harm to others?
the right to be protected against harming oneself or others
Do patients have the right to have private telephone/in person conversations?
yes
How do mental health workers function in the multidisciplinary team?
under the direction and supervision of registered nurses (this includes CNAs)
What is the role of the psychiatric-mental health registered nurse?
diagnosing and treating RESPONSES to psychiatric diorders, coordinating care, counseling, giving meds and evaluating responses, and providing education
What factors does the therapeutic milieu take into account?
the people, the setting, the structure, and the emotional climate
What is usually the nurse’s role in managing behavioral crises?
team leader in organizing and timing the actions and managing the concurrent administration of medications
When is an inpatient care setting typically used for mental health issues?
for the treatment of acute symptoms or safety concerns for patients with mental disorders and emotional crises
Who is typically admitted to an inpatient psychiatric unit?
those who are suicidal, homicidal, or extremely disabled and in need of acute care
An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to accomplish upon admission?
Checking the patient’s belongings for dangerous items
