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Mental Health
CLASS 2
| Question | Answer |
|---|---|
| what is stereotyping? | - when individuals are expected to act in a certain manner that often is a negative connotation/perception of their cultural group |
| what is cultural stereotyping? whats the casue? | - all member of the ethnic heritage are alike without taking the needed steps to verify this assumption - cause? Lack of exposure to enough people within the group |
| define prejudice? | - hostile attitude towards other just because they belong to a group that has “objectionable characteristics” |
| what is discrimination? | negative treatment to others because they are part of a certain group |
| define stigma | - prevents a person & often those with whom the person is connected from being fully accepted in their society & then leaves them feeling unaccepted devalues, & isolated - Large groups can be stigmatised such as ethnic groups either with illness |
| what is self stigma? | - when a person feels ashamed or self conscious about themselves all because of the negative views of others |
| what is public stigma? | - when the public is influenced by cultural misbeliefs about those with mental disorders |
| what is structured stigma? | - people with mental disorders are denied the basic rights |
| What is associated with mental illness in the public eye? | violence |
| what are some attitudes that relate to stigma? | - Inhuman - Bizarre - Weak - Sick - Dangerous - Incompetent |
| what are some treatments that correlate to stigma? | - Punishment - Avoid, degrading and isolating - Hospotilize |
| what are some major health issues for Indigenous peoples? | - Post-traumatic stress disorders - Substance abuse disorders - Major depression |
| What can be the reason for heightened suicide? | - Poverty - historical trauma : connected to the historical colonisation & dispossession of indigenous peoples - Family and community abuse or violence - Lack of access to education - healthcare & social services - Residential schools |
| define cultural sensitivity? | - ongoing awareness of cultural differences & similarities among the population. Awareness of some specific cultural belief & practices that may influence patient’s engagement with care |
| define cultural competence? | - the respect for understanding of diverse ethnic & cultural groups groups their histories tradition and beliefs & values system |
| define cultural proficiency? | - cultural proficiency is like looking at our own beliefs and then making changes in schools and hospitals so that everyone is treated fairly and with respect, no matter where they come from. |
| define cultural safety? | - requires cultural proficiency, but also requires reflection on the certain history & the social context of society in which health care is provided |
| what are the phases of a therapeutic relationship? | - Pre-orientation or pre-interaction - Orientation - Working -Termination |
| what is the mental heath act? | - sets the condition for those of health professionals & institutions about the admission & treatment of individuals with a mental disorder - Provides a framework for the mental health services & makes rules that govern the commitment of sick people |
| what are the 3 types of admissions? | - Voluntary admission - Involuntary admission - Informal admission |
| what is voluntary admission? | - patient comes through the ER, outpatient or a general physician |
| what is involuntary admission? | - when a patient is brought in by court order, police (MHA) , or physical examination |
| what is informal admission? | - substitute decisions maker bring patient to hospital (someone else helps the patient get into mental health facility) |
| what is the forensic system in mental health? | - Patients that are placed in the Ontario review board because they are found unfit to be criminally responsible for their offence (murder, assault) because they are unfit to stand in trial on the account of having a serious mental illness. |
| what is the criteria for 1 or 2, & fourth form? | - Previous treatment has been helpful - Likely to cause harm or substantial physical or mental deterioration if not treated |
| Are you allowed to leave if you chose to be there? (voluntary admission) | - Patients admitted on a voluntary basis to a psychiatric facility are free to leave the facility if they choose, even against medical advice. |
| What are the 4 + 27 forms that are included with involuntary admissions ? | - Form 1 - An assessment form - Form 3 - Certificate of Involuntary Admission - Form 4 - (Certificate of Renewal) - Form 27 - Informal patient |
| what is form 1 ? | - can be done by a physician who has assessed the pt in the last 7 days - Completed by a ER physician - Vault for only 72 hours - Used to assess the client further |
| what is form 2? | - Completed by the justice system - attention by any member of the public, family States that the individual is displaying dangerous activity to self or others - Only for an ER evaluation - After being assessed, client will be placed on a form 1 |
| what is form 3? | - certificate of involuntary admission - Patient is placed on form 3 for psychiatric assessment - Pt must continue to meet ⅓ or all the criteria - Duration : 2 weeks |
| what happens if form 3 expires? | - Discharged if does not meet admission crteria - Admitted volutarirly - admitted involuntarily under Form 4 |
| what is form 4? | - Rights advisor visits patient in hospital meets with patient alone & talks about their right continue/refuse treatment - Patient has the right to apply to the board for a review of weather the issuing, renewing or continuing a involuntary admission |
| what is form 33? | - Document that is given to a pt to tell them they have deemed not mentally stable to consent to treatment or know their own record - client under this must be assess for capacity to manage finances unless they already have a guardian or POA |
| what happens if they don't have anyone to help with their fiancees when they are in form 33? | - If they are incapable they must hand it over to public hadrian trustee and finances are then handed over to the substitute decision maker (SDM) |
| what is form 27? | - an informal patient is either a child (<16), or someone who is permanently incapable of making treatment decisions for themselves. They can only be admitted to a psychiatric facility by authority of an SDM after the finding of incapacity to treatment. |
| what is the brians law bill 68? | - changes to remove barrier to family, police and social workers by ensuring that people posing a risk to themselves and others get the help they need - Able to give a pt a plan of treatment that is less restrictive than being detained in a facility |
| who are the brians law bill 68 meant for? | - people who are always in and out of the hospital |
| is the bill renewable ? | yes it is |
| what happens if a perosn does not comply to form 47? | - If person does not comply, physician can order Form 47 for the patient to be brought to the hospital & receive treatment |
| Nursing assessment is mainly clarifying our understanding of what? | - what is happening in the MOMENT so that the team can plan what needs to be done to meet the IMMEDIATE NEEDS |
| what is a comprehensive assessment? | - complete health history |
| what is a mental status exam? | - physical examination for psychiatry. It is the current state of the patient during evaluation. - Records only the behaviour, cognitive abilities and inner experiences - Assess what is necessary to get a diagnosis and make a treatment plan |
| what is a mini mental status exam? | - a screening tool for cognitive impairment with older, community dwelling, hospitalised adults |
| an assessment on a older adult's cognitive function is best achieved by? | - when it is done routinely, systematically & thoroughly. |
| what s a suicidal risk assessments? | - commonly based on identifying warning signs, risk & protective factors, the individual's medical & mental health history, their acute condition, access to lethal means, & available support networks. |
| what is known to be a brain stethoscope? | MSE: mental status examination |
| what are the components of a MSE? | - Sensory - Perception - Thinking - Feeling - Behaviour |
| what is sensory? | - Sensory: issues that affect the level of consciousness, attention, memory or intelligence |
| what is perception? | - Perception : any known hallucinations, illusions or derealization |
| what is thinking? | -Thinking : anything affect the speech, thought content (what is said), insight and judgement |
| what is feeling? | - Feeling : affect on emotional cues or mood |
| what is behaviour? | Behaviour : appearance or agitation or degree of cooperation with the interview |
| what does ABC stand for? | A = appearance B = behaviour C = cooperation |
| what does STAMP stand for? | S = speech T = thought - form and content A = affect - moment to moment M = mood - emotional tone P = perception - sensory |
| what does LICKER stand for? | L = level of consciousness I = insight and judgement C = cognitive function (OMAR) Orientation Memory Attention Read and write K= knowledge base - general knowledge E = endings (suicide) R = reliability of the info given |
| true or false: MSE begins when you start to ask questions. | false: MSE begins as soon as the patient is in your view. You quickly look over them in terms of hygiene, behaviour, gait, level of interest and interaction with what's around them |
| what type of questions should you ask when doing MSE? | open - ended questions |
| why is doing a MSE important? | - Performing and recording a complete MSE is one of the most important steps a clinician can take to avoid malpractice actions (or at least limiting one’s liability) |
| should you allow for patients to tell their stories when doing an MSE? | Yes!! |
Created by:
meagan.ho
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