Quiz 1 Flashcards
What is psychiatric-mental health nursing?
based on evidence related to:
- psychiatric disorders
- psychopharmacology
- therapeutic relationships
What will a nurse do when using evidence based practice?
ask (find problem)
acquire (search literature)
appraise (evaluate/ summarize evidence)
apply (choose interventions)
assess (evaluate outcomes)
What are clinical algorithms?
help to make a decision using a pathway (flowchart)
What is a recovery model?
social model of disability
emphasized rehabilitation and recovery
consumer and family driven
What is the main goal of a recovery model?
to recover and lead a full/satisfying life
What are the key principles of trauma-informed care?
avoid re-traumatization
pt should be involved in care = pt compliance
empowerment and cultural respect
What is the DSM-5-TR?
diagnostic and statistical manual of mental disorders
Define resiliency
ability to recover from trauma or change
trait is developed
How would one describe someone who is resilient?
self-aware
can learn from emotions
can cope well
What is the mental health parity act (1996)?
insurance had to provide services for mental health that is equal to physical health
What will a nurse do in regard to culture and mental illness?
self assessment of culture
pt assessment of culture
ask if practice will harm pt?
What are culture bound syndromes?
appears only in certain cultures
ex: susto
How are psychiatry and spirituality/religion related?
- hearing or seeing a deceased relative
- altered state of consciousness
- prayer
What is a stigma?
negative stereotype that leads to an attitude or belief that would cause one to view person with mental illness as inferior
What is the first choice for outpatient settings?
primary care providers
What is the role of mental health nurse?
provide care for those with:
- psychiatric disorders
- substance use disorders
- intellectual disabilities
What is the role of a psychiatric mental health advanced practice nurse (psych NP)?
prescribe
evaluate
What is an inpatient setting for mental health?
- 24 hr locked unit
- crisis care
- resident txt programs
- state acute care systems
- psych unit (general hospital)
- private psych hospital acute care
What is a psychiatrist?
medical physician
What is a psychologist?
doctoral degree in psych
What is the function of the parietal lobe?
sensory and motor
What is the function of the frontal lobe?
thought processes
What is the function of the limbic brain?
emotion
triggers fear and anxiety
What is the function of the temporal lobe?
auditory
What is the function of the occipital lobe?
vision
What is the function of the cerebellum?
motor control
What is an ethical dilemma?
balance between rights of patient and rights of society at large
What is voluntary commitment?
self-admission
right to leave at any time
What is involuntary commitment?
emergency hospitalization
cannot leave at any time
What is the order of california legal holds?
5150
5250
5270
LPS conserved
Probable cause hearing
Writ of Habeus Corpus
Reise Petition
What is a 5150?
72 hour hold
What is a 5250?
14 day hold
What is a 5270?
30 day hold
What qualifies someone to require a 5150 or a 5270?
one of the following:
- danger to self
- danger to others (in regard to mental illness)
- gravely disabled
Define gravely disabled
cannot provide or food, shelter, or clothing
(they do not know how to do this - different from homelessness)
What qualifies someone to require a 5270?
has to be gravely disabled
Which holds can a provider renew if expired?
5150
5250
What happens during the probable cause hearing?
determine if hold was made correctly (1st check)
What happens during writ of habeus corpus?
in front of judge (2nd check)
What is a reise petition?
provider will file:
- pt doesn’t have the capacity to make decision to take meds
result: pt forced meds
What will a nurse need for a 5150?
original copy in file of 5150 form
What is done before restraints and seclusion is used?
verbal and environmental interventions
ex: calm pt down, change environment
What are chemical restraints?
emergency medication
What should be done by the nurse for a patient in restraints or seculsion?
- document vitals every 15 mins (esp. RR)
- offer food, elimination, hygiene matters every 2 hrs
When will hard restraints be removed?
if pt is no longer a harm to self or others
How often will a nurse check on patients with hard restraints?
adults: every 4 hr
children or age 9-17: every 2 hr
under age 9: every 1 hour
If a nurse initiates restraints or seclusion, how soon must the provider see the patient?
within 1 hour
Who should not be put into seclusion?
pt who is suicidal
Who would be put into seclusion?
pt who is a danger to others
What is breech of duty?
failure to report
What is negligence?
action or inaction that can lead to harm
