Chapter 7 Flashcards
You are assessing a 6 year old patient. When assessing a child’s perception of a difficult issue, which methods of assessment are appropriate?
- Engage the child in a specific therapeutic game.
- Ask the child to draw a picture.
- Provide the child with an anatomically correct doll to act out the story.
- Allow the child to tell a story.
Which are the purposes of a thorough mental health nursing assessment?
- Establish a rapport between the nurse and patient.
- Assess for risk factors affecting the safety of the patient or others.
- Identify the nurse’s goals for treatment.
- Formulate a plan of care.
- Assess psychosocial status.
- Obtain an understanding of the current problem of chief complaint
You’re performing a spiritual assessment on a patient. Which patient statement would indicate that there is an experiential concern in the patient’s spiritual life?
“My sister will never forgive me for what I did.”
A patient states he has “given up on life”. His wife left him, he was fired from his job, and he is four payments behind on his mortgage, meaning he will soon lose his house. Which nursing diagnosis is appropriate?
Hopelessness related to multiple losses.
A 43 year old female patient is brought to the emergency department with complaints of bizarre speech, visual hallucinations, and changes in behavior. She has no psychiatric history. Before ordering a psychiatric consultation, the ER physician orders a battery of blood tests as well as a MRI of the brain. The rationale for this is:
Medical conditions and physical illnesses may mimic psychiatric illnesses; therefore causes of symptoms must be ruled out .
Assessment of children should be accomplished by combining what?
Interview and observation such as allowing the child to play, tell a story, draw a picture, or engage in therapeutic games.
Identifying risk factors is one of the key objectives when assessing adolescents, it is helpful to use a brief, structured interview technique such as the HEADSSS.
H: Home environment
E: Education and employment
A: Activities
D: Drugs, alcohol, or tobacco use
S: Sexuality
S: Suicide risk or symptoms of depression or other mental disorders
S: Savagery (violence or abuse in the home or neighborhood)
Types of implementation in the psychiatric setting:
- Coordination of Care
- Health Teaching and Health Promotion
- Milieu Therapy
- Pharmacological, Biological, and Integrative Therapies
- Prescriptive Authority and Treatment
- Pyschotherapy
- Consultation
Ethical theory in which decisions are made by a sense of duty
Kantianism
The non-consented touching of another person
Battery
An act that results in a person’s genuine fear and apprehension that he or she will be touched without consent
Assault
Provides protection from conduct deemed injurious to the public welfare
Criminal Law
Abstaining from negative acts toward another; includes acting carefully to avoid harm
Nonmaleficence (Fidelity)
Verbalizing false and malicious information about a person
Slander
The theory on which decisions are based in which evil acts are never condoned, even if they are intended to advance the noblest of ends
Natural Law
