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Mental Health > Introduction to MH > Flashcards

Introduction to MH Flashcards

1
Q

Significant disturbances of an individual’s:

A

Thoughts
Emotions
Behavior

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2
Q

Which is true about Mental Health

Does have underlying biological pathology

Does not have underlying biological pathology

A

No underlying biological pathology

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3
Q

What are the three major stigma barriers of MH

A

Public
Self
Label Avoidance

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4
Q

What are the four recovery dimension?

A

Health
Home
Purpose
Community

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5
Q

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

A

DSM-5

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6
Q

What the abbrievation DSM-5

A

Diagnostic and Statistical Manual

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7
Q

What are the two key principles for Self determinism?

A

Autonomy
Independence

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8
Q

With Mental Health treatment what the big S word

A

Self (Self Determinism)

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9
Q

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

A

acute

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10
Q

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

A

Hospitalization
Medication Administration
Physical R

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10
Q

Least restrictive environment

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

A

Harm to self or others
Acute esposide

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11
Q

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

A

Restraints

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12
Q

Types of Restraints

A

Physical
Chemical
Seclusion

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13
Q

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)

A

Physical

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14
Q

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

A

Chemical

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15
Q

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)

A

Seclusion

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16
Q

Human consequences of Restraint

A

Death
Psychological harm
Physical injury

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17
Q

Compliance consequences restraints are highly regulated by ?

A

The Joint Commission and CMS

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18
Q

Conditions to use Restraints

There is ? risk of harm to self or other.

A

imminent

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19
Q

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

A

Reducing stimuli
Changing environment
Redirection
De-escalation
PRN medication

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20
Q

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

A

an hour (1 hr)

21
Q

Restraints

Orders are for up to ? hours in adults

A

4h

22
Q

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

A

2h

23
Q

Orders are for up to ? hour for <8y

A

1h

24
Q

At end of time new order is needed with another ?

A

physical assessment

25
Q

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

A

1h

26
Q

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

A

1h

27
Q

Monitoring 5

A
  • 1:1 continuous observation by
    designee who records q15 minute:
  • Respirations
  • Circulation
  • Signs of injury
  • Behavior/psychological status
28
Q

Nursing assessment ? hour:

A

q1

29
Q

What should nurses check for with q1 hour with MH pt

A

Range of motion
Elimination
Nutrition
Fluids

30
Q

Discontinuation

A

Debrief with patient (and staff) after restraint
d/c

Vital Signs obtained as soon as possibl

31
Q

What are the process for nurses with pt MH with Restraints

A

Montoring
Nursing assessment q1 hour
Discontinuation

32
Q

Competency evaluation is conducted by ?

A

psychiatrists or psychologists

33
Q

competency can be a ? status

A

temporary

34
Q

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

A

Voluntary treatment

35
Q

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

A

Involuntary treatment

36
Q

Involuntary treatment why? 2

A

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

37
Q

What treatment should or should not be provided?

A

Living Will

38
Q

A written document authorizing another person to make health care decisions

A

Power of Attorney

39
Q

Treatment plan made in advance of a mental health crisis

A

Patient self determination act (Psychiatric advanced care directives)

40
Q

You can Breach of confidentiality of pt only when?

A

Duty to warn (Harm Others)

41
Q

What are the 7 Ethical Principles in Psychiatric Nursing?

A

Autonomy
Beneficence
Fidelity
Justice
Non-Maleficence
Veracity
Paternalism

42
Q

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

A

Autonomy

43
Q

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

A

Beneficence

44
Q

loyalty to patients

A

Fidelity

45
Q

All persons (patients) should be treated equitably

A

Justice

46
Q

The principle of “do no harm

A

Non-Maleficence

47
Q

The principle of being honest and telling the truth to patients

A

Veracity

48
Q

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

A

Paternalism

49
Q

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

A

Biological
Psychological
Sociological

50
Q

What is the most important tool of psychiatric nursing practice

A

Self, Self Awareness

51
Q
A

Mental Health (16 decks)

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