Intro to Psych Flashcards
Mental health worker should possess what?
Resilience
Use adaptive coping skills
Able to function within family and community
Accomplishing developmental tasks
Resilience is the ability to:
function with healthy responses even when experiencing significant stress and adversity.
Resilience is influenced by one’s:
- Optimism, or belief that a positive outcome is possible in the situation they
are currently facing
• Self efficacy, or belief that they have the ability to complete the tasks needed to take control of situations which influence their life
Ability to function
Functions responsibly:
- Within an occupational or school environment
- Within a family system
Erickson Stage
Young adult
Intimacy vs Isolation
Love
Erickson Stage
Adulthood
Generativity vs Stagnation
Care
Erickson Stage
Maturity
Integrity Vs Despair
Wisdom
What is mental illness?
Loss of the ability to respond to the environment in ways that are in accord with one’s own or society’s expectations
Mental illness is characterized by:
thoughts, feelings, or behavior patterns that impair functioning and cause the individual (or others!) distress
Adaptations to Stress
- Feels out of control with self and with the environment
- Has a negative perception of the environment/life in general - Has ineffective coping mechanisms
Personality Characteristics
- Non-accepting of self and dislikes self
- Unrealistic perception of strengths and weaknesses
- Thoughts and perceptions may not be reality based
- Unable to find meaning and purpose in life
- Lacks direction and productivity in life
- Has difficulty in meeting own needs
- (adaptive vs. maladaptive responses/behaviors/coping skills)
Interpersonal Relationships
- Unable to love and care for others (with appropriate and healthy boundaries)
- Unable to feel loved by others or accept feelings from others
Psychiatric/Mental Health Nursing:
Theoretical Models
- Biological theories
- Counseling theories
- Hildegard Peplau’s theory
- Therapeutic use of self
- QSEN
Conditions that promote development of a therapeutic relationship:
- Trust
- Genuineness • Empathy
- Rapport
- Respect
Stages of therapeutic relationship
- Preinteraction
- Orientation
- Working
- Termination
What is the DSM 5?
• DSM 5 is short for the Diagnostic and statistical Manual of Mental Illness version 5
- Lists psychiatric diagnoses
- Lists criteria patients need to meet to be diagnosed with a disorder
Role of Nurse is to?
Safe Milieu
Therapeutic Milieu
Safe practice
Ethical and Legal Guidelines
Milieu Therapy
- All patients have strengths as well as limitations
- Every interaction is an opportunity for therapeutic intervention
- Patients participate in making decisions and solving problems on the units
- Personal responsibility is encouraged
- Peer pressure used to give feedback
- Inappropriate behaviors processed
- No restrictions or punishments: use group discussion first
Two categories of admission
- Voluntary status
* Involuntary status
Involuntary Admission consists of:
- After initial 72 hours, client may be asked to sign voluntary admission for further treatment/stabilization
- Judicial process required to extend original Baker Act
Who can initiate Baker Act in Florida?
- Any physician
- Psychiatrist
- Psychologist
- Psych ARNP
- LCSW/LMHC
- Police Officers
- Court Order, e.g., Ex-Parte Order
Duty to Warn
Tarasoff Case
•Failure to warn a potential victim that he/she is in danger
Rights of the Mentally Ill
- Clients have all of the civil rights of any citizen, except the right to leave the hospital in the case of involuntary commitment
- Can refuse treatment (except under life threatening conditions or emergency treatment orders (ETO’s)
*** • Any restrictions on the client’s freedom must be made by MDs or with a court order with a verifiable, documented reason
What is Seclusion?
The involuntary confinement of a person in a specially constructed, locked room—usually has a window or camera for visual monitoring.
Provides decreased stimulation, protection of others from the client, prevention of property destruction, and privacy for the client.
What is the goal of seclusion?
to give the client the opportunity to regain physical and emotional self-control
Least Restrictive Environment
• Clients have the right to treatment in the least restrictive environment that is appropriate to meet their needs while maintaining their safety and that of others
