Introduction to MH

Question 1

Significant disturbances of an individual’s:

Answer 1

Thoughts
Emotions
Behavior

Question 2

Which is true about Mental Health

Does have underlying biological pathology

Does not have underlying biological pathology

Answer 2

No underlying biological pathology

Question 3

What are the three major stigma barriers of MH

Answer 3

Public
Self
Label Avoidance

Question 4

What are the four recovery dimension?

Answer 4

Health
Home
Purpose
Community

Question 5

What is use to diagnose Mental Illness in standardizing diagnostic criterias?

Answer 5

DSM-5

Question 6

What the abbrievation DSM-5

Answer 6

Diagnostic and Statistical Manual

Question 7

What are the two key principles for Self determinism?

Answer 7

Autonomy
Independence

Question 8

With Mental Health treatment what the big S word

Answer 8

Self (Self Determinism)

Question 9

Legal Issues
Self determinism: They have the right to refuse, unless ?

Answer 9

acute

Question 10

What do pt have te right to refuse with which treatments?

Answer 10

Hospitalization
Medication Administration
Physical R

Question 10

Least restrictive environment

he right to refuse unnecessary restriction when less restrictive appropriate interventions are available except when?

Answer 10

Harm to self or others
Acute esposide

Question 11

Any physical or chemical means or device that restricts free movement in the
environment and cannot be self removed/eliminated by patient?

Answer 11

Restraints

Question 12

Types of Restraints

Answer 12

Physical
Chemical
Seclusion

Question 13

Any mechanical or physical device, material, or equipment attached to or
adjacent to a person’s body to restrict movement or access to one’s body (e.g., soft
padded wrist, mittens, arm-leg straps, vest, manual holds)

Answer 13

Physical

Question 14

Any drug (e.g., Haldol + Ativan + Benadryl) utilized for discipline,
convenience, or with purpose of removing patients’ direct control over actions

Answer 14

Chemical

Question 15

Involuntary confinement of a patient alone in a room or area from which
the patient is physically prevented from leaving (e.g. locking a door)

Answer 15

Seclusion

Question 16

Human consequences of Restraint

Answer 16

Death
Psychological harm
Physical injury

Question 17

Compliance consequences restraints are highly regulated by ?

Answer 17

The Joint Commission and CMS

Question 18

Conditions to use Restraints

There is ? risk of harm to self or other.

Answer 18

imminent

Question 19

Which of the following are preventative or least restrictive aproaches before using Restraints?

Answer 19

Reducing stimuli
Changing environment
Redirection
De-escalation
PRN medication

Question 20

Nurses can initiate without order, but must obtain order within ?

Answer 20

an hour (1 hr)

Question 21

Restraints

Orders are for up to ? hours in adults

Answer 21

4h

Question 22

Orders are for up to ? hour in ages 9-17y

Answer 22

2h

Question 23

Orders are for up to ? hour for <8y

Answer 23

1h

Question 24

At end of time new order is needed with another ?

Answer 24

physical assessment

Question 25

Attending provider* must conduct physical assessment of pt within ? hour

Answer 25

1h

Question 26

In children – must notify legal guardian within ? hour of initiation

Answer 26

1h

Question 27

Monitoring 5

Answer 27

- 1:1 continuous observation by designee who records q15 minute: - Respirations - Circulation - Signs of injury - Behavior/psychological status

Question 28

Nursing assessment ? hour:

Answer 28

q1

Question 29

What should nurses check for with q1 hour with MH pt

Answer 29

Range of motion Elimination Nutrition Fluids

Question 30

Discontinuation

Answer 30

Debrief with patient (and staff) after restraint d/c Vital Signs obtained as soon as possibl

Question 31

What are the process for nurses with pt MH with Restraints

Answer 31

Montoring Nursing assessment q1 hour Discontinuation

Question 32

Competency evaluation is conducted by ?

Answer 32

psychiatrists or psychologists

Question 33

competency can be a ? status

Answer 33

temporary

Question 34

An individual willingly seeks and agrees to receive mental health services?

Answer 34

Voluntary treatment

Question 35

an individual is deemed unable or unwilling to provide informed consent for mental health care?

Answer 35

Involuntary treatment

Question 36

Involuntary treatment why? 2

Answer 36

Risk of self harm or harm to others Severe impairment in the ability to care for oneself.

Question 37

What treatment should or should not be provided?

Answer 37

Living Will

Question 38

A written document authorizing another person to make health care decisions

Answer 38

Power of Attorney

Question 39

Treatment plan made in advance of a mental health crisis

Answer 39

Patient self determination act (Psychiatric advanced care directives)

Question 40

You can Breach of confidentiality of pt only when?

Answer 40

Duty to warn (Harm Others)

Question 41

What are the 7 Ethical Principles in Psychiatric Nursing?

Answer 41

Autonomy Beneficence Fidelity Justice Non-Maleficence Veracity Paternalism

Question 42

The right of adults with capacity to make informed decisions about their own medical care.

Answer 42

Autonomy

Question 43

The ethical duty of physicians to act in the patient's best interest.

Answer 43

Beneficence

Question 44

loyalty to patients

Answer 44

Fidelity

Question 45

All persons (patients) should be treated equitably

Answer 45

Justice

Question 46

The principle of "do no harm

Answer 46

Non-Maleficence

Question 47

The principle of being honest and telling the truth to patients

Answer 47

Veracity

Question 48

When a healthcare provider makes decisions for a patient without the patient's consent, or without fully considering the patient's wishes.

Answer 48

Paternalism

Question 49

What are the 3 domains afpart of the Biopsychosocial framework for nursing practice

Answer 49

Biological Psychological Sociological

Question 50

What is the most important tool of psychiatric nursing practice

Answer 50

Self, Self Awareness