Study Guide Chapter 1-4 Flashcards

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1
Q

Chapter 1 : mental health & mental disorders

A
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2
Q

What does epidemiology mean?

A

The study of patterns of disease distribution and determinates of health within populations

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3
Q

What are the 3 terms that follow epidemiology?

A

Rate
Incidence
Prevalence

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4
Q

What does rate mean?

A

refers to the proportion of the population that has the disorder

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5
Q

What does incidence mean?

A

Rate of new cases within a specified time

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6
Q

What does prevalence mean?

A

Rate of occurrence of all cases at a particular point in time

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7
Q

What’s is the most importantly goal for the mental health delivery system?

A

Mental health recovery

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8
Q

Recovery is viewed as a process of?

A

Change through which individual’s improve their health and wellness, loved a self directed life and strive to reach their full potential

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9
Q

Chapter 2 : cultural and spiritual issues related to mental health care

A
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10
Q

What does culture mean?

A

A way of life that manifests the learned belief, values and accepted behaviors that are transmitted socially within a specified group

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11
Q

Does everyone have a cultural identify?

And if so, what does it help us with?

A

Yes
Define expected behavior

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12
Q

What is cultural and linguistic competence based on?

A

A set of skills that allows individuals to increase their understanding and appreciation of cultural differences and similarities within, among and between groups

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13
Q

What does cultural humility mean?

A

Being open and willing to reflect on oneself as a cultural being and open to hearing about and striving to understand the cultural background and identify of others

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14
Q

How is cultural competence demonstrated?

A

By valuing the culture belief, bridging any language gap, and considering the patients literacy level when planning and implementing care

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15
Q

What does intersectionality mean?

A

The idea that multiple forms of discrimination and marginalization can overlap and compound, creatinine unique challenges for people with multiple identities

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16
Q

What does spirituality mean?
What does religion mean?

A

Personal quest for meaning in life
Organized entity with rituals and practices

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17
Q

Chapter 3 : patient rights and legal issues

A
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18
Q

What does the right of self determination entities patients?

UNLESSS??

A

To refuse treatment, obtain opinions, choose other forms of treatment

Unless they lack capacity to make the decision or a current danger to themselves or others

19
Q

Laws and systems are established to protect the rights of people with mental issues, can you name some laws?

A

Self determination act
Internal rights protection system
External advocacy system

20
Q

What does the internal rights protection system and the external advocates combat?

A

Violations of human rights

21
Q

Informed consent must be obtained by a ____
Before any treatment is begun to ensure that the information is _____ but ____

A

Competent individual
Not only received
But
Understood

22
Q

Can a competent person refuse treatment?

A

Yes

23
Q

How is incompetence determined by?

A

The court when the patient cannot understand the information

24
Q

Informed consent in mental health care gives patient the right to the least resistive environment, meaning?

A

Least restrictive setting and by the least restrictive interventions and protects patients from unnecessary confinement and medication

25
Q

Seclusion or restraint should be used as?

And have someone ??

A

LAST RESORT

Continuous observing

26
Q

If someone is voluntary admitted to the facility, can they refuse treatment and leave whenever ; even against medical advice?

A

Yes

27
Q

What is the steps of involuntary admission? (2)

A

ECO
emergency custody order
Last 8 hours

TDO
temporary detention order
- if there is still reason to believe they are a harm to others/self or can’t take care of one self
- last to 72 hours

28
Q

Patients who are involuntarily committed have the right to ?

HOWEVER??

A

Refuse treatment and medications

Unless they are a danger to themselves or others

29
Q

Patient privacy is protected by?

A

HIPPA

30
Q

When is the only time you can tell someone others private information?

Remember its mandate to inform.

A

When it’s harming someone else

Like I want to kill my friend
You tell the friend that is gonna get murdered.

You are a mandate reporter

31
Q

There are Special legal terms and considerations for individuals who have mental disorders and commit crimes

What does UST mean and functions as?

What does NGRI mean and functions as?

A

Mentally incompetent and unable to understand the proceedings against them or assist in their own defense.
- committed to a mental health for treatment until they achieve fitness

Non guilty by reason of insanity
Demonstrate that they had no understanding of their actions and no control over them when they committed the crime.
- menttal health for treatment and then discharged back to the correctional system

32
Q

What happens if a prisoner develop a mental illness while in prison?

A

They get out for mental health in a facility then return to their sentence

33
Q

Remember if you didn’t document it,???

A

It didn’t happened

34
Q

Chapter 4 : ethics, standards, and nursing frameworks

A
35
Q

ANA sets what?

A

Standards for ethical behaviors for professional nurses

36
Q

What does paternalism mean?

A

Protecting people while also taking away their freedom of choice or responsibility

Usually healthcare providers make decisions for a patient without consent of patient

37
Q

What does fidelity mean?

A

Keeping one’s promise
Faithful and true

38
Q

Notes
Psychiatric - mental health nursing
Scope and standard of practice, published in 2014, establishes the areas of concern, standards of practice according to the nursing process, and standards of professional performance and differentiated between functions of the basic and advanced practice nurses

A
39
Q

The biopsychosocial frameworks focused on 3 seperate but interdependent dimensions, which are?
In the assessment and treatment of mental disorders

A

Biologic
Psychological
Social factors

40
Q

What is biologic examples? (3)

A

Exercise
Sleep
Nutrition

41
Q

What is psychological examples? (3)

A

Thoughts
Feelings
Behavior

That influences one emotion, cognition and behavior

42
Q

Examples of social?

A

Patient
Family
Community

43
Q

What are some tools off psychiatric nursing practices?

A

Self
Clinical reasoning
Reflection
Interdisciplinary care
Care plan

44
Q

New challenges facing psychiatric nurses are emerging
- interpretation of research findings will assume new importance in the care of individuals with psychiatric disorders

  • the roles of nurses are expanding as nursing care becomes an established part of the community-based health care delivery system
A