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mental health > test 1 > Flashcards

test 1 Flashcards

1
Q

revolving door concept

A

a cycle of frequent psychiatric hospitalizations and discharges

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2
Q

professional boundaries

A

NCBSN, we should set boundaries with client to ensure a safe and trust worthy relationship

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3
Q

sigmund freud

A

father of psychoanalysis, all human behavior is caused and can be explained, psychosexual development

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4
Q

empathy

A

ability to understand and share another persona feelings (im on your side of help)

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5
Q

sympathy

A

feeling of concern for someone who is experiencing something difficult (pity)

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6
Q

therapeutic nurse client relationships goals

A

-Establish a working relationship
-Identify patients most important concerns: assess
patient’s perceptions
-Assess the client’s perception of the problem as it
unfolds
-Facilitate the client’s expression of emotions
-Teach the client/family necessary self-care skills
-Recognize the clients needs

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7
Q

phases of therapeutic relationship

A

-pre-interaction: explore own feelings, fantasies, and fears, analyze own professional strengths and limits, gather data about patient, plan first meeting
-orientation: why patient sought help, establish trust, communication, acceptance, contract, goals with patient
-working: start doing goals, overcome resistance behaviors
-termination: reality of separation, renew progress, explore feelings of anger

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8
Q

roles of nurse

A

-teacher: methods of coping skills, solving problems, medications, self care, community and family resources
-caregiver: physical nursing care
advocate: acting on clients behalf when they cannot do so (privacy and dignity)
-parent-surrogate: childlike behavior set clear and firm limits

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9
Q

therapeutic communication (appropraite responses)

A

Accepting, broad openings, exploring, general leads, making observations, presenting reality, reflecting, and restating

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10
Q

non therapeutic communication

A

Advising, challenging, defending, disagreeing, disapproving, reassuring, rejecting, requesting an explanation- using why?

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11
Q

nonverbal communication (facial expressin, dos and donts)

A

eye contact, no fidgeting, posture

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12
Q

delusions and delusional thinking

A

A belief or altered reality that is persistently held despite evidence or agreement to the contrary, generally in reference to a mental disorder and a false belief that is resistant to change, even when there is evidence that it is not true

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13
Q

carpers four patterns of knowing

A

Four patterns:
-Empirical (derived from nursing science)
-Personal (from life experience)
-Ethical (from moral nursing knowledge)
-Aesthetic (from art of nursing)

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14
Q

types of treatment settings

A

inpateint, outpatient, community based, residential

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15
Q

roles of nurse in community-based setting vs. inpatient settings

A

community based:
LOCALLY REFERRED TO AS
PROGRAM FOR ASSERTIVE COMMUNITY
TREATMENT (PACT) AND INTENSIVE
COMMUNITY TREATMENT (ICT), OR
COLLECTIVELY KNOWN AS PACT/ICT
* ONE OF THE MOST EFFECTIVE
APPROACHES (SEE BOX 4.5)
* PROBLEM-SOLVING ORIENTATION
* NO PROBLEM IS TOO SMALL.
* FREQUENT, INTENSE SERVICES; 24
HOURS A DAY
inpatient:
TYPICALLY BEGINS IN THE ED
* RAPID ASSESSMENT, STABILIZATION OF
SYMPTOMS, DISCHARGE PLANNING
* CLIENT-CENTERED
MULTIDISCIPLINARY APPROACH TO
BRIEF STAY
* IDENTIFY LONG-TERM ISSUES FOR
OUTPATIENT THERAPY

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16
Q

types of community based programs

A

-Nurses caring for patient in high-risk
homes
-Therapeutic communication and skills
are essential for caring for the patient
in the community
-Increased self-awareness about
culture, beliefs, behaviors and feelings
of others
-Collaboration with family, healthcare
providers

17
Q

process and priority for admission to psychiatric facility

A

admission type, reason for admission, petition fo involuntary admission, evaluation, length of stay, insurance

18
Q

criteria and purpose of involuntary admission

A

-Health care professionals respect clients wishes to not be treated unless danger to self or others
-Committed until no longer a danger
-State laws govern civil commitment process
-All other client rights remain intact
-Person can be detained in psychiatric facility for 48 to 72 hours on emergency basis
-Hearing conducted to determine further treatment need
-Similar laws from people with substance abuse issues

19
Q

duty to warn

A

threat to self, other persons, property, and any disease

20
Q

confidentiality for psychiatric patient

A

Each individual is entitled to have all identifying information that a provider maintains or knows about him remain confidential, HIPAA, if patient is proved to be a threat, report

21
Q

HIPAA (health insurance portability and accountability act)

A

confidentiality, privacy, security

22
Q

torts (intentional)

A

is a wrongful act that results in jury, loss, or damage (assault, battery, false imprisonment)

23
Q

torts (unintentional)

A

causing harm through failure to act (negliegence and malpractice)

24
Q

roles of interdisciplinary team

A

-recreational therapist: accompanies to movie
-art therapist: clients identify unconscious feelings through their drawings
-clinical psychologist: conducts psychological testing to help the psychiatrist determine correct diagnosis
-chaplain: serves spiritual needs of clients
-dietitian: monitors nutritional needs for client
-music therapist: relaxation techniques thru music
-psychiatric clinical nurse specialist: assertiveness training
-psychiatrist: provides electroconvulsive therapy for a depressed client
-psychiatric staff nurse: administers meds
-psychiatric social worker: appropriate placement for client in discharge
-occupational therapist: assists to increase self-esteem, small crafts for completion and display
-psychodramatist: perform in safe enviro. situation to painful in real life
-mental health tech: 1:1 with client day to day activities with client milleu unit

25
Q

transference

A

what the patient feels towards the nurse

26
Q

countertransference

A

what the nurse feels about the patient

27
Q

objective data

A

what you can observe (vital signs)

28
Q

subjective data

A

what the patient tells the nurse (feelings of…)

29
Q

what is OARS?

A

O: open ended questions
A: affirmations
R: reflection
S: summarizing

30
Q

erikson

A

8 stages of psychosocial needs
0-1 trust vs mistrust
1-3 autonomy vs shame/doubt
3-6 initiative vs guilt
7-11 industry vs inferiority
12-18 identity vs confusion
19-29 intimacy vs isolation
30-64 generative vs stagnation
65 onward integrity vs despair

31
Q

maslow

A

hierarchy of needs
top- self-actualization
self-esteem
love and belonging
safety and security
bottom- physiological needs

32
Q

term for having healthy responses to stressful circumstances or risky situations is

A

resilience

33
Q

therapuetic communication interaction is most comfortable when the nurse and client are how far apart?

A

3-6 feet

34
Q

when would a pateint be the most likely suitable for outpatient ?

A

reoccurring dui or recurring offenses

35
Q

what should you say when someone asks about a patient

A

‘i cant confirm or deny the existence of that patient’

36
Q

not guilty by reason of insanity (NGRI)

A

defense is used when there is an argument that an individual accused of a crime is not guilty because of the inability to control their actions or to understand the wrongfulness of an act.

37
Q

ethics

A

is a branch of philosophy that defines the principles of our code of conduct regarding what is right or wrong

38
Q

jean piaget

A

Sensorimotor- birth to 2 years
Child develops sense of self as separate from
the environment
Preoperational- 2 to 6 years
Develops ability to express self with language
Begins to classify objects
Concrete operations- 6 to12 years
Applies logic to thinking
Able to apply rules
Formal operations- 12 to 15 years
Child learns to think and reason in abstract terms
Further develops logical thinking
Achieves cognitive maturity

39
Q

belief that personal abilities and efforts affect the events in ones life

A

self-efficacy

mental health (4 decks)

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