psych Flashcards
Why are ppl admitted to Psych unit?
-SI
-HI
-Inability to care for self
-addiction treatment
How are ppl admitted?
-Assessed in the ER first –> ensure physical health
-LCSWs (or NPs) come in (they’re intake workers) and do bio/psycho/social interview
-Community service board (CSV) might be contacted and magistrate may be called for emergency custody order (ECO) –> police come pick them up
-Then CSV comes and does their own evaluation –> may order TDO which can be up to 72 hours
-hearing happens to determine patient’s safety –> can be court ordered involuntarily for up to 3 months –> can also be court ordered to outpatient treatment
biggest factor in mental health
ability to cope with life
Mental health vs mental illness
Health: emotional and psychological well being of an individual
Illness: health conditions characterized by alterations in thinking, mood, or behavior and are a/w distress or impaired functioning
Concept of wellness and its dimensions
good physical and mental health
ppl can have a mental disorder and still experience wellness
Epidemiology and its terms
epidemiology: the study of patterns of disease distribution and determinants of health within population
Rate of occurrence = proportion of population with disorder
Incidence = rate of new cases w/in specific time
Prevalence = rate of occurance of all cases at a particular point in time
Stigma toward mental illness can be viewed in 3 ways:
- public stigma marks a person as having mental illness
- when a person with mental illness shares public’s view, its called self-stigma
- If they don’t seek treatment for fear of label, its called label avoidence
Goal for mental health delivery system
Recovery = a process of changes through which ppl improve their health and wellness, live self directed life, and strive to reach full potential
culture
a way of life that manifests the learned beliefs, values, and accepted behaviors that are transmitted socially within specific group
5 attributes of spirituality
meaning
belief
connecting
self-transcendence
value
can patients on TDO refuse medication
yea
who can refuse treatment
a competant person
-determined by court
Code of ethics purpose
informs nurse and society of professions’s ethical expectations and requirements
provides a framework for ethical decision making
important questions when making ethical decisions
what’re my own values and biases?
what are my patients morals and values?
What do i need to know and what can i never know
Autonomy and Beneficence
Autonomy = fundamental right of self-determination
Beneficence = using knowledge of science and incorporating art of caring to achieve max health care potential
*conflict if client using autonomy and nurse using beneficence
scope and standards of practive
legal authority to practive granted by govt
standards of professional performance
ethics
education
evidence based practive
quality of practice
communication
leadership
collab
professional practice eval
resource utilization
enviro health
PMH-RN
has BSN and credentialed by ANCC
PMH-APRN
master’s level RN and certified by ANCC
psychiatric NP or clincal nurse specialist
ANA
supports through liaison activities
APNA
advances mental health practice for underserved populations
ISPN
purpose: unite and strengthen the presence and voice of psych nurses and promote quality care for ppl/fams with mental health issues
IntNSA
prevention, intervention, treatemetn, and management of addictive disorders
bio/social/psycho venn diagram
Bio: eating, sleeping, exercise, neurons
Psycho: emotion, cognition, behavior, therapy
Social: fam and community factors
Psych nurse tools
self
clinical reasoning
Reflection
interdisciplinary care
plan of care
challenges in psych nursing
knowledge dvlpmnt
genetic research
comorbid disorders
stigma
holistic care
health care delivery
technology for documenting and communicating
psychoanalytic theory
id - do it
ego - should i?
super ego - nah
Freud
Neofreud
Adler = mutual respect, choice, responsibility, consequences, belonging
Jung = persona
Horney = feminine psychology –> women are not disadvantaged
Humanistic theories
Rogers = patient centered, empathy, unconditional positive regard, non judgement
Gestalt + Perls = empty chair technique –> exercise
Maslow = heirarchy of needs
behavioral theories
pavlov = classical conditioning
Watson = behaviorism
Thorndike = stamping and reinforcing positive behavior
cognitive theories
Bandura = modeling (learn by watching)
Beck = relationship bt cognition and mental health
Nursing theories
Peplau = nurse-client relationship –> empathy
Orlando = whole patient rather than just disease
Existential and humanistic
Rizzo Parse = ppl are unpredictable and everchanging (meaning rhythmicity and trancendence) (illumination paradox freedom mystery)
Watson = theory of caring
System models
King = attainment through social interactions
Neuman = patient system interacting with environment
Orem = self care
Cerebrum
2 halves Left is usually dominant
Frontal lobe
motor, personality, memory
Parietal
sensory
Temporal lobe
auditory, olfactory, wernicke
occipital
visual integration
Basal ganglia
motor and muscle memory
Limbic
memory and emotion
dysfunction leads to mental disorders
hippocampus, thalamus, hypothalamus, amygdala
Neurons
Ach, dop, NE, serotonin, GABA, hist, glut
Mental disorders genetic?
not necessarily, but you can have a genetic predisposition
PNI
immune, nervous, endocrine, thorught, emotion, behavior
bio markers
challenge test
eeg
polysomnography
eps
ct
mri
pet
single photon emision ct
Barriers to recovery
poverty
homelessness
stigma
lack of services
mental health recovery concepts
person centered care
empowerment
shared decision making
employment
housing
peer support
NAMI
advocacy gp that helps with recovery
