Chapters 2,3,4,8 Flashcards
Culture
way of life, the basis of some common purpose, need, or similarity of background
Acculturation
socialization process, learning and adopting selective aspects of a dominant culture
Cultural identity
set of cultural beliefs as standards of behavior
Linguistic competence
ability to communicate and convey information to a diverse audience in order to obtain understanding
Hispanic American beliefs
have a tendency to use all other resources before seeking help from mental health professionals
African American beliefs
extensive family networks relied on for support, double stigma, racial discrimination, less access to health care due to race
Asian Americans, Polynesians, & Pacific Islanders’ beliefs
denial or disguise of the existence of mental illness,
family embarrassment, increased rates of suicide especially in native Hawaiian adolescents, many different syndromes Neurasthenia, Hwa-byung, “Suppressed anger syndrome”
Native Americans beliefs
emphasis on respect and reverence for earth and nature, herbal medicines, healing ceremonies, supernatural possession
Arab Americans beliefs
have a strong commitment to family, economic, and educational achievements, and stigma that prevents individuals from accessing treatment. More likely to visit PCP with somatic problems that represent mental health problems
Spirituality
an individual practice that deals with finding peace and purpose
Religion
a specific set of organized beliefs and practices
Patient Self Determination Act
info about advanced care documents, and questions on admission, as well as information about rights to complete the advanced care document
Advanced care directive in mental health
a living will, durable power of attorney, psychiatric advanced directives
Protection of patient’s rights
bill of rights, Americans with disabilities and job discrimination, Mental Health Parity and Addictions Equity Act, Internal rights protection systems, External advocacy systems, and accreditation
Competency
the degree to which the client can understand and appreciate the information given during the consent process. a competent client can refuse any aspect of the treatment process, cognitive ability to process information at a specific time
Informed consent (complication with mental health patients)
competency is necessary in order to give consent, decision-making ability is often compromised in mental health patients
Restraints
Wrist, Walking or ankle, Four-point, Five-point, Chemical, Fewest number of restraint points must be used with continuous observation by staff
Voluntary treatment
persons retain full civil rights, treatments are agreed on by provider and client, and the client is able to leave whenever they wish to even against medical advice
Involuntary treatment
court-ordered without the person’s consent, right to receive treatment, and possible right to refuse, Provisions for emergency short-term hospitalization of 48 to 92 hours
Forensic
pertains to legal proceedings and mandated treatment of persons with a mental illness
Not guilty by reason of insanity (NGRI)
the accused is judged to not know right from wrong or to be unable to control his or her actions at the time of the crime
Guilty but mentally ill (GBMI)
a criminal conviction a person is sent to a correctional system
Insanity pleas
provides loopholes to escape punishment for illegal acts
Gun laws and mental illness
requires a background check, Prohibits mentally incompetent, having a severe mental illness, or having been committed to a mental institution from gun ownership
Malpractice
doing the wrong thing
Assault
threat
Battery
laying hands
Medical battery
(informed consent) touch the patient without consent
False imprisonment
holding someone against their will
Negligence
not doing what you know your supposed to be doing
Preventing negative outcomes
Documentation is the best prevention, Make decisions within the team model and document, Document decisional processes and reasons for choices
Nursing documentation
documentation must be factual with no personal opinions
Autonomy
fundamental right of self determination
Beneficence
using knowledge of science and incorporating the art of care to achieve maximal health care potential
Potential conflict between autonomy and beneficence
clients utilizing autonomy and nurses utilizing beneficence
Justice
duty to treat all fairly
Nonmaleficence
duty to cause no harm
Paternalism
professionals authorized to make decisions for good of the client
Veracity
duty to tell the truth
Fidelity
faithfulness to obligations and duties
Standards of practice
Organized according to the nursing process
Assessment, Diagnosis, Outcomes identification
Planning, Implementation, Evaluation
Tools of psychiatric nursing practice
self is the most important tool of psychiatric nursing
Sociocultural
isa term related to social and cultural factors, which means common traditions, habits, patterns, and beliefs present in a population group?
Verbal communication
spoken words, underlying emotion, context, and connotation
Nonverbal communication
gestures, expressions, body language
Confrontation
Restatement
Inhibiting communication
advice, agreement, challenges, reassurance, dissaproval
Active listening
ongoing activity, focus on what the client is saying, interpret underlying meaning, respond objectively, and open-ended questions
Passive listening
sitting quietly, letting the client talk, not a focused or guided thought process, nontherapeutic, and body language indicates boredom or indifference
