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Mental Health Nursing > Exam 3 > Flashcards

Exam 3 Flashcards

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1
Q

What are a few attributes of mental health?

A

rational thinking, happiness & joy, effective coping

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2
Q

There is a strong relationship between physical health and mental health.

A

true

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3
Q

mental health

A

state of well-being

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4
Q

Mental illness is defined by conformity

A

false

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5
Q

Mental illness is uncommon

A

false

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6
Q

Mental illness

A

refers to all psych disorders

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7
Q

mental health continuum

A

conceptualized points of mental health and mental illness

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8
Q

Many people will never move into the mental illness category

A

True

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9
Q

resilience

A

ability & capacity; helps people to adapt

being resilient means being effective at regulating emotions

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10
Q

For poor resilience mastering calm skills is necessary

A

control breathing, positive imagery; relax muscles

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11
Q

Stigma

A

beliefs of mentally ill

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12
Q

Diathesis-Stress Model

A

biological predisposition & environment

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13
Q

recovery

A

promoted by consumers

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14
Q

Goals for mental health

A

understand it, become consumer and family-driven, disparities will be eliminated, early mental health screens, excellent mental health care, use of tech to aid in care

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15
Q

epidemiology

A

a quantitative study of mental disorders

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16
Q

comorbid condition

A

2 or more disorders occurring together

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17
Q

incidence

A

conveys info about risks

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18
Q

clinical epidemiology

A

examines health & illness

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19
Q

psychiatric-mental health nursing

A

promotes mental health

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20
Q

phenomena of concern

A

human experiences & responses

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21
Q

nursing outcomes classification

A

source for standardized info

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22
Q

nursing interventions classification

A

used to standardize, define and measure care

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23
Q

Examples of a healthy degree of resilience

A

“I try to remember…”
“I’ve learned to…”
“I know that…”

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24
Q

How do epidemiological studies contribute to improved care?

A

Identify risk factors & identify who will respond favorably

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25
Q

Ethics

A

philosophical beliefs about what is right/wrong

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26
Q

bioethics

A

study of specific ethical questions

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27
Q

ethical dilemma

A

conflict between 2 or more courses of action

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28
Q

writ of habeas corpus

A

“formal written order” to “free the person”

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29
Q

least restrictive alternative doctrine

A

least drastic action taken

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30
Q

informed consent

A

legal term that implies basic info was provided

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31
Q

implied consent

A

element in nursing procedures

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32
Q

competency

A

legal term for mental soundness in a person

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33
Q

confidentiality

A

ethical responsibility of a healthcare professional

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34
Q

Health Insurance Portability & Accountability Act

A

legally protects right to tx

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35
Q

Right to Privacy

A

legal duty to protect privacy of patient- only broken if patient is a danger to self or others

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36
Q

assault

A

makes another person fearful of harm

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37
Q

battery

A

actual harmful/offensive touching

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38
Q

false imprisonment

A

confining to a limited area

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39
Q

intentional torts

A

consists of an assault, battery, false imprisonment or invasion of privacy (no photographs of patients); willful or intent to harm person’s rights or privacy

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40
Q

unintentional torts

A

unintended acts that produce injury or harm

  • malpractice
  • negligence
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41
Q

negligence

A

most common unintentional tort

42
Q

malpractice

A

type of professional negligence

43
Q

Who do mental health laws protect?

A

the patient and the provider of care

44
Q

What is essential in health care law?

A

Negligence

45
Q

Psych admissions may be voluntary or involuntary

A

True

46
Q

What are the 5 elements needed to prove negligence?

A 
duty
breach of duty
cause in fact
proximate cause
damages
47
Q

tort

A

a wrongful harm; withholding vital information of a patient you personally know to harm them

48
Q

Invasion of Privacy

A

breaking a person’s confidences

49
Q

Beneficence

A

providing frequent updates to family of a patient in surgery

50
Q

What is unique about voluntary psychiatric admissions?

A

a request in writing is required before admission

51
Q

What elements comprise the communication process?

A

sender, message, variety of media, feedback

52
Q

Nonverbal Communication

A

body language and eye contact; tone of voice

53
Q

What can verbal communication convey?

A

interest and understanding

54
Q

Therapeutic Communication

A

using silence, active listening, open-ended and close-ended questions; reflecting, paraphrasing, exploring; skills that help work

55
Q

Nontherapeutic techniques

A

asking “why”, excess questions, giving advice; ineffective communication

56
Q

Patient-Centered

A

patient is a full partner in care

57
Q

feedback

A

response to sender

58
Q

What happens when you say the wrong thing to a patient?

A

recover from your mistakes; patients appreciate a well-meaning person

59
Q

What are the benefits of communication?

A

feeling safer and protected; reduction in death rates

60
Q

the communication process

A

interactive process b/w 2 or more people; check accuracy via asking

61
Q

What are the factors affecting communication?

A
  • “Is this what you mean?”
  • mood/attitude
  • personal agenda/goals
62
Q

verbal communication

A

all spoken words

63
Q

nonverbal communication

A

tone of voice

64
Q

double-mind messages

A

2 or more mutually contradictory messages

65
Q

body behaviors

A

posture, body movements, gestures, gait

66
Q

facial expressions

A

frowns, smiles, tongue movements

67
Q

active listening

A

the nurse is fully concentrated

68
Q

open-ended ?s

A

encourages the patient to share info; use in-place of “why” questions

69
Q

close-ended ?s

A

use these sparingly

70
Q

silence

A

gives time to collect thoughts; waiting for answers

71
Q

accepting

A

person has been understood; “yes”, “Uh-huh”

72
Q

restating

A

repeats main idea; “So, you have difficulty?”

73
Q

giving recognition

A

indicates awareness of change; “Good morning, Mr. James.”

74
Q

encouraging comparison

A

brings out recurring themes; “Has this ever happened before?”

75
Q

offering self

A

offers presence, interest; “I would like…”

76
Q

encouraging description of perception

A

increases nurse’s understanding; “What do these…?”

77
Q

offering general leads

A

allows other person to take direction; “Go on” “And then”

78
Q

making observations

A

calls attention to behavior; “You appear tense”

79
Q

giving broad openings

A

clarifies for patient to take lead “Where would you like to begin?”

80
Q

placing events in time

A

puts events in perspective; “What happened before?”

81
Q

Instead of giving premature advice…

A

Encourage problem solving

82
Q

Instead of changing the subject

A

validate & explore

83
Q

Instead of minimizing feelings

A

empathize & explore

84
Q

Instead of disapproving or disagreeing

A

try exploring

85
Q

cultural filters

A

cultural bias/prejudice

86
Q

telehealth tech

A

video conferencing, interactive video sessions, internet

87
Q

info-communication tech

A

a valuable tool to access breakthroughs

88
Q

mobile med apps

A

tools to tx patients

89
Q

personal space

A

study of proxemics

90
Q

Do not…

A

argue, minimize/challenge, ?/probe, participate in criticism

91
Q

Try to…

A

keep the focus on facts, make observations of behavior, listen attentively, clarify

92
Q

What is therapeutic seating?

A

Chairs arranged for a conversational setting

93
Q

What are two elements of communication?

A

verbal and non-verbal

94
Q

“You look sad.”

A

example of reflection

95
Q

When should a nurse be most alert of communication erros?

A

change of shift report

96
Q

What channels of communication should a nurse monitor?

A

auditory, tactile, visual, olfactory

97
Q

temperament

A

usual attitude, mood/behavior

98
Q

resilience

A

person’s inborn strengths

99
Q

E-Cigs

A

An increasing trend in youths

100
Q

therapeutic games

A

use of play

Mental Health Nursing (1 decks)

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