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