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mental health
unit 1
| Question | Answer |
|---|---|
| misconceptions of mental health | abdnormal behavior is odd and easily reconized abnormal behavior can be predicted poeple who exibit abnormla behavior are dangerous maladaptive behvior is always inherited mentla illness in curable |
| mental helath inreview | there is no unerversal definiton of psychiatric mental health the nurse understands that symptomology fluctuactes dynamicly |
| mentlaly healthy people are thought to : | interpret reality accuratly have a healthy self concept areable to relate to others achieve a sense of meaning i life demonstrate creativity/productivity have control of there behavoior adapt to change and conflict |
| 1773-1881 | special institutions were buil attendents hired toi socialize with clients dorthea dix imporves care for thos in asylums |
| 1882-1914 | training beghain in mentla health nurisng |
| 1915-1935 | linda richards changed the way treatment was given harriet bailey wrtoe the 2st nursing textbook on mental helath nurisng |
| 1963-1979 | mental retardation facilities and community mental health centers contruction ac was implenmented insurance complanies ben to pay for services deinstatulation began - revolving door phenomenon |
| 1980 | omnibus budget reconciliation act curtailed federal funding |
| DSM | Classifies mental illness and presents guidlines and diagnostic critera for various mental disorders nurse can use to help understand what factors went into diagnosis the illness, have a better understanding of the illness |
| what is psychatric mental helath nursing | is it the specialty of nursing that cares for people of all ages with mental illness or mental distress the need of psychiatric mental health nurses is greater than ever and is expected to continue to grow |
| what is psychatric- mental illness? | the loss of aility to respond to theenviroment in ways that are in acord with oinesef or society expectations is characterized by thought or behavior patterns that impair functionng and casue the individual distress |
| personality chaacteristics common to mental illness | is unnacepting of self and dislikes self thought an perception may not be reality based is unable to find meaning and purpose in life has difficulty in meeting own needs |
| adaption to stress characteristics common to mental illness | feels out of control with self and enviroment has negative perception of the enviroment has ineffective coping mechanisms |
| interpersonal relationship acotrs common t mental illness | is unable to love and care for others is unable to feel loved by others or acceopt feeling for others |
| influences on mental health what are some of the things that improve or impede mental health care | access to care/ availabilty of care ability to pay for care/ soical bbing biological factors / enviromental threats |
| patient care populations - regardless, discuss thier beliefs and concerns | varied amongst age, class, and gender as well as finacial status |
| asians/ african americans/native americans | asians view view mental illness as a spiratual issue african american may view mental illness as a hex/ or spell native americans may view mental illness as an imbalnce with the rest of the natural wold |
| chinese / remeber | chinese may view mental illness as an imbalnce off harmony remeber rouch means diffrent tings to people, keep your hands to yourslef |
| culture | a setof shared belies, vailues behavior norms and practices that are common to a group of people sharng a common identity or language |
| culture | culuralbckground can affect the willingness to sacriice idividual needs to fulfill family obligations and can shape decison-making much of an invd. behavior and way of thinking is automatic and originates rom chil hood learning |
| subculutes | a smaller group that exists within a large culture may not share some of the same elifs and practices |
| ethnicity | refers to people in a larger social system whose memebers have a common ancestral, recial physcal or nathinal chsaracteristics and who share cultrla symbols such as langu, lifesyle and religion |
| ethncentrism | is the tendency to believe that ones way of thnnking and believeing and behaving is superios |
| ethinic diffrences | affect the efficacy of medication and the incidence of afvers and side effects |
| physical and psychological respones | fight or flight repsonse anxiety ineddective coping use of defense mechanism denial guilt grief |
| care patient settings | inpatient hospital outpatient hospital outpatient clinics day or nigth care shelters Assisted lving centers nursing homes |
| psychatric team | psychatrist write RX psychologist nurse recreational therapist pharmacst psychologist OT socialwokrer/ case manger pharmacist phychiatric aide / technician |
| freud- ontroduced psychinalitcal theroy | ID - pleasure EGO rational self SUPEREGO perfecton |
| erickson | defined through life span |
| piaget | theory of cogntive develpment |
| peplau | introduced interpersonal theroy ; development of problem solving skills |
| nurse client relationship | respect and value client as an individual care in holistic manner apprt. limits open and honest commnt. encourage expression of clients feelings asist client in developing resources |
| nurse client relationship | rember that empathy is theraputic and sympathy is non teraputic use humor judiciously be mindful of the clent seeing you talk to others- may increase suspicioin |
| nurse client relationship | do not make promises = trust is detroyed when nfomation must be shared the nurse not pt is reposible for choices stayu in the present |
| Phases of the theraptutic relationship | orientatiion / initiation phase wokring / cntinuation phase termination phase/ seprationphase |
| orietnation /initiaion phase | establish boundries and trust with the client identify the expectyation of the relationship asses the anxiety define goals offer slef to enhace communication |
| wokring / continuation phase | promote an attitue of acceptance assist the client to express feelings identify the problems continue to assess and evaluate problems promote insight and the use of constructive cioping mechn increase clients independence |
| termination / seperation phase | prepare the clienbt for termination and speration on initial ontact evaluate progress and acheivment of goals identify and dea,l with termination / seperation issue |
| termination / seperation phase | encourage rthe client to discuss feelings about termination /seperation don not promise the client that the relationship will be continued |
| terputic communication proccess PRINICPLES | communication verbal and non verbal succseful commnication = appropriateness, efficency, flecabiity and feebback anxiety in either nurse or client empedes communication |
| terputic communication proccess PRINICPLES | comunication needs to be goal directed with a professinal framewok use open ended questions as this results ina fuller more reaviling resposnses congruency in communication and dispostion is paramount |
| tpyes pf addmison | volentary involentary |
| volentary | basic principles is that client agrees to treatment all civil rights are fully retained by client client is free to sign self out any time |
| involentary | nessecery wehn person is mentlly ill and is in danger to self or others doesnt loose right to informed consent considered competnet intill otherwise proven |
| involentary commitment criteria | may be addmitied and detained for 72 hours there is a reason to belive said person is mentally ill and - - has refused volentary examination after conscious explanation an diclsure of the purspose |
| involentary commitment criteria | or - unable to detrmain for him or herslef whether examination is neccessary |
| involentary commitment criteria | and w/o care or txt said person is likely to suffer from neglect or refusre to care for self or there is substansial likley hoodthat in the near future said person will inflicy serious bodily harm on self or another person |
| ehtical and lega consideratons | justice- means that people have the right to be treated fairly and equally beifence- to do good for others nonmaleficence to do no harm autonomy self determenation veracity to tell truth fideltiy keeping promises |
| ethical and legal pitfalls | hippa, doctrine or privileged commnication duty to warm - informed consent saftey inapproprate use of restraint invasion of privacy - assult and battery saftey AMA |
Created by:
mmishue