AC MH Mod 2
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| Mental Health Patient Rights (Voluntary) | They retain all civil rights afforded to all people.
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| Mental Health Pt rights Involuntary | They retain all civil right afforded to all people except leaving the hospital
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| Involuntary admission | Hospitalized against their will until they no longer pose a threat to themselves or others
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| Conservatorship | Gravely disabled, incompetent, cannot provide food clothing and shelter for themselves, cannot act in their own best interest
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| Least restrictive environment | Central to deinstitutionalization movement. Pt does not have to hospitalized for treatment if possible to treat as outpatient or group environment. Pt must be free form restraints and seclusion.
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| Restraints | Direct application of physical force to a person with or with out his permission.
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| Seclusion | Involuntary confinement of a person in a specially constructed room with surveillance abilities
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| Standards of care | Nursing care that meets ot exceed expectations and is what another nurse would do in the same situation.
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| Tort | Wrongful acts that result in injury, loss, or damage
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| Unintentional Tort | Negligence and malpractice
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| Negligence | Causing harm by failing to do what a reasonable and prudent person would do in a similar circumstance.
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| Malpractice | A type of negligence that refers to a professional (nurse, doctors)
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| Malpractice proof | Duty:A legal recognized relationshipBreach of duty:fsiling to conform to standards of careInjury or damage:Suffered some type of loss, damage or injuryCausation:The breach of duty was the direct cause of the injury or damage.
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| Intentional tort | Voluntary acts that result in harm, example is assult, battery, and false imprisonment
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| Assault | Causes a fear of being touched in a way that is offensive, insulting, or physically injurious without consent or authority
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| Battery | Harmful or unwarranted contact with a client, with or without actual injury
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| False imprisonment | Unjustified detention of a clientsuch as inappropriate use of restraint or seclusion
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| Proof of intentional tort | 1. Willful and voluntary act2. Intended to bring about consequences or injury3.The act was a substantial factor in causing injury or consequences
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| The best prevention of a lawsuit | documentation
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| Restraint | Application of physical force with or without consent to restrict freedom of movement (Human, mechanical or both types of force)
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| Seclusion | Involuntary confinement of a person in a special constructed , locked room equipped for visual monitoring,
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| Duty to warn Tarasoff VS.Regents of UC | Mental health clinicians have a duty to warn a 3rd party of threats
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| Nursing liability | Standard of care meets expectstions and is what another nurse in the situation would do.
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| Tort | A wrongful act the results in injury, loss, or damage.
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| Unintentional tort | Negligence and malpractice
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| Negligence | An unintentional tort that involves causing harm by failing to do what a reaconable and prudent person would do in a similar situation
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| Malpractice | A type of negligence the refers specifically to professionals such as nurses and doctors
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| Proof of malpractice: | Duty:legally recognized relationshipBreach of duty:fail to conform to standards of care thereby brasching existing dutyInjury or damage:suffered loss, injury, or damageCausation:Breach of duty direct cause of loss, damage or injury
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| Best way to prevent liability suits? | Documentation
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| Self efficacy | The belief that personal abilities and efforts affect the events of our lives
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| 4 Main skills to make life changes: | 1.Experience success or mastery of overcoming obstacles2.Social modeling3.Social persuasion (persuading people to believe in themselves)4.Reducing stress, building physical strength, and learning how to positively interpret physical sensations
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| Hardiness | The Ability to resist illness when under stress
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| 3 components to hardiness: | 1.Commitment2.Control3.Challenge
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| Culture | Socially learned behaviors, values, beliefs, customs, and ways of thinking of a population that guides its members views of themselves and the world.
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| Resilience: | Having healthy responses to stressful circumstances or risky situations.
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| Resourcefulness: | Using problem solving abilities and believing that one can cope with adverse ot novel situations
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| Spirituality: | The essence of a persons being and his beliefs about life and the purpose for living
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| Sense of belonging: | The feeling of connectedness with or involvement in a social system or environment of which a person feels an integral part of. A person feels worthwhile within the system.
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| Value: | Refers to feeling needed and accepted. Part of a sense of belonging
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| Fit: | Refers to feeling that one meshes ot fits in with the system or environment. Part of a sense of belonging
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| A sense of belonging was found to promote... | Health
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| A lack of belonging leads to... | Impaired health.
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| Social networks | Groups of people whom one knows and with whom one feels connected.
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| Social support | Emotional sustenance that comes from friends, family members, and even health care providers who help a person when a problem arises.
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| Social contact | Does not always provide social supoort (small talk)
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| Social organization | family structure and organization, religious values and beliefs, ethnicity, and culture
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| Mood disorders are also called... | Affective disorders
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| Euthymic | Average affect and activity
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| Primary mood disorders | Major depressive disorder and bipolar disorder
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| Major depressive episode... | lasts for 2 weeks or more and has a depressed moood or loss of pleasure in all activities
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| Mania | A distinct period in which mood is abnormally and persistantly elevated, expansive, or irritable (typically lasts 1 week)
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| Bipolar I disorder | One or more manic episodes usually accompanied by major depressive episodes
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| Bipolar II disorder | one or more major depressive episodes accompanied by at least one hypomanic episode
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| Hypomania | a period os abnormally and persistantly elevated , expansive, or irritable mood lasting 4 days and including 3 or four additional symptoms
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