Midterm Exam Review Flashcards
Define Resiliency
The ability to emerge and grow from negative life events. i.e. war, abuse
List 3 Mental Health Factors
- Cultural Factors: adequate resourses, intolerance of violence, support of diversity among people, sense od community.
- Interpersonal Factors: balance of seperation & connection, helping others, intimacy, effective communicaton
- Individual Factors: positive self-worth, vitality, meaningful life, sense of harmony, positive identity, biologic factors
List 3 Mental Illness Factors
- Cultural Factors: lack of resources, rasism, classism, homelessness, sexism, agism, poverty violence, substance abuse or dependance
- Interpesonal Factors: loss of emotional control, withdrawl form relationships, excessive dependancy, manipulation, ineffective communication
- Indiviual Factors: worries, loss of meaning in life, sense of disharmony, fears, anxiety, biologic factors.
According to Peplau, what is the role of the psychiatric nurse?
Socializing agent, teacher, model, advocate , councellor, role player and milieu mananger (manging mood/atmosphere of unit)
What is Peplau’s nursing theory?
Nursing is a thearapeutic interpersonal process; aims to promote forward movement of personality in the direction of creative, constructive, productive, personal and commmunity living.
Primary responsibility to nuture and aid patients in their personal development.
Helping guide patients in the direction & understanding and resolving their human dilemmas
What are the 2 types of hospital admission?
- Civil Committal
2. Criminal Committal
What initiates a civil commital?
VOLUNTARY-physician admits, through ER, general practitioner, psychiatrist
INVOLUNTARY-physical exam, JP order, police station, all by the MH act.
INFORMAL-substitute decision maker admits
What initiates a criminal committal
Court orders under the Criminal Code or MH act.
Who issues a Form 1 and how long is it valid?
Completed by physician who has assessed the client within last 7 days. It is valid for 72 hrs and used to assess client further under psychiatrists care.
- A Form 7 is only for psychiatric assessment, not for treatment, so you can force medication/treatment. After 72 hrs ANOTHER doctor has to assess the patient. If they still meet the criteria then a Form 3 will be issued.
Can a Form 1 be contested?
NO
Who issues a Form 2? Under what grounds?
Justice of the Peace (JP) after a friend/family brings forth. It states the indiviual is displaying dangeruos activity to oneself or others and is deteriorating but will not come to the hospital. This is only for ER evaluation ONLY. Once the patient reaches the hospital, the form is over.
What 3 things does the doctor assess after a patient has been admitted into the hospital when the Form 3 in over?
1) Finds patient is normal and can go home
2) Finds patient id deteriorating, so a F1 issued
3) Finds something wrong, tries to talk to them to voluntary admit them
When is a Form 3 issued?
2 weeks duration from the date of issue by ANOTHER Doc.
When is a Form 4 issued?
If a patient still meets 1 of the criteria at the end of the F3, this form can be issued in 1 mth segments x3 by the SAME Doc. 1mth, then 2mth, then 3mth duration for a total of 6 mths.
* If they are still meeting the criteria after the end of the 3rd F4, they have a trail to give an opportunity to contest.
What is a Form 30 for?
Notice to the patient that accompanies both 3 & 4 that tels them abut their form.
* A patient can contest their form at anytime, resulting n trail that occurs on the unit. A form 1 cannot be contested
