Week 1 - test 1 Flashcards
What is mental health?
A dynamic state of internal equilibrium which enable individuals to use their abilities in harmony with universal values of society.
What are the components of mental health that contribute to the state of internal equilibrium?
1)Basic cognitive and social skills
2) ability to recognize, express and modulate one’s own emotions, as well as empathize with others.
3) flexibility and ability to cope with adverse life events and function in social roles; and harmonious relationship between body and mind.
Comer and Comer mnemonic:
- _________ thoughts, emotions and behaviors that are relatively rare.
- ____________ -thoughts, emotions, and behaviors that are upsetting to the person.
- __________ - thoughts, emotions and behaviors that disrupts the person’s daily life. They interfere with work, personal relations, etc.
- deviant
- distressing
- dangerous
Some clients do not have good _______ into their illness and may emphatically deny it.
insight
Approximately _____ of the U.S adults live with a mental illness.
20%
___________ factors contribute to mental illness.
biological
Clients who have a mental health illness get _______ and have difficulty returning to normal
stuck
DSM-5 is used to diagnose ______________
mental illnesses
The DSM-5 identifies _________ psychiatric disorders
157
what are the 9 diagnostic criteria for major depressive disorder?
- depressed mood most of the day, nearly everyday according to subjective and objective reports.
- diminished interest or pleasure in all, or almost all, activities most of the day
- significant weight loss when not dieting or weight gain, or decrease or increase in appetite.
- insomnia or hypersomnia nearly everyday
- psychomotor agitation or retardation nearly everyday
- fatigue of loss of energy nearly everyday
- feelings of worthlessness or excessive or inappropriate guilt
- diminished ability to think or concentrate, or indecisiveness, nearly every day
- recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
Mental health nurses responsibilities include:
- mental status assessment
- milieu therapy
- therapeutic communication
- medication administration and monitoring
- medication teaching
- teaching about illness, coping skills, etc; to clients and families
- facilitating group therapy
- advocating for clients
- collaborating with the interdisciplinary treatment team
- political activism
- much more
Intensive care of clients in locked units is ________________
psychiatric acute care
psychiatric nursing care in the home setting is ______________
psychiatric home health nursing
Assisting clients that are victims of violence, abuse, and trauma is ______________
forensic nursing
assisting clients who are in prison or jail is ____________
corrections nursing
Psychiatric nurse practitioners responsibilities include:
1.
2.
3.
4.
- prescribing medications
- psychotherapy
- consultation
- program development
___________ is your instructor’s top priority
personal safety
focusing on ____________ skills is more beneficial than talking
listening
Utilitarianism view is……
that actions are right if they provide the greater care for the greatest number of people
Kantianism view is…..
it’s not the final outcome that makes an action right or wrong. Actions should be guided by moral principles.
Clients right to make his or her own decision is __________
autonomy
Providing good helpful treatments is ____________
beneficence
Avoiding actions that cause harm is __________
nonmaleficence
Keeping your word is ___________
fidelity
fair and equal treatment regardless of social class, race, economic status, etc. is ____________
justice
Being honest, truthful is ___________
veracity
situations in which one has to choose between unfavorable alternatives are ______________
ethical dilemmas
Clients have a right to refuse _________ unless they pose a serious risk to themselves and others.
treatment
Client has a right to be _________ in the plan of care
involved
Clients should ___________ be restrained or secluded for staff convenience or punishment
never
Less restrictive options include:
1.
2.
3.
- verbal instructions, warnings, interventions
- diversion or redirection
- offering a PRN medication
The provider must write an _________ for restraints
order
Psychiatric clients have the same _________ protections that any other client has
HIPAA
Confidentiality can be broken if a client intends to _________ another person
harm
Client also have a right to ________ to participate in research, send and receive mail, and have visitors
refuse
Clients may sign out of the hospital on their own if they are ____________ admissions
voluntary
Voluntary admissions can turn into __________ admission if they are a danger to themselves and others
involuntary
Even during an involuntary hospitalization, clients retain all of their ___________
rights
________ are wrongful acts that can lead to legal liability
torts
____________- when a client is placed in seclusion for illegitimate reasons
false imprisonment
_____________- occurs when someone threatens to touch a client in a harmful or offensive manner
assault
___________ - occurs when a client is physically touched in a harmful or offensive manner outside of an emergency situation
battery
State things ________, __________, and ____________ when documenting
clearly, objectively and nonjudgementally
