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MH CH 1
| Question | Answer |
|---|---|
| Who is the first American psychiatric nurse? | Linda Richards |
| Key contributions of Linda Richards | emphasis on assessing both the physical and emotional needs of pts |
| 1st school c fully developed course for psychiatric nursing | Johns Hopkins |
| historic somatic therapies include | insulin shock therapy, psychosurgery, electroconvulsive therapy |
| Role emergence, key players | Weiss - attitude therapy Bennet & Eaton - MH RN probs Mellow - nursing therapy Tudor - early description of RN:pt relationship and therapeutic process Peplau - mother of psychiatric nursing Jones - therapeutic community |
| attitude therapy author | Weiss |
| Who ID 3 MH RN problems during emergence | Bennet & Eaton |
| - nursing therapy author | Mellow |
| mother of psychiatric nursing | Peplau |
| therapeutic community author | Jones (The Therapeutic Community: A New Treatment Method in Psychiatry) |
| attitude therapy, def. | using directed attitudes to contribute to pt recovery by looking for small + fleeting changes; shows respect, acceptance, understanding; promotes pt interest + participation in reality |
| 3 MH RN problems during emergence | Scarcity of qualified MH RN Underuse of their abilities Little real MH RNing carried out |
| wrote early description of RN:pt relationship and therapeutic process | Tudor - |
| The first theoretical framework for psych nursing was in ______ by _____. | Interpersonal Relations in Nursing by Peplau |
| Peplau's Interpersonal Nursing Roles | Stranger Resource person Teacher Leader Surrogate Counselor |
| therapeutic community, def. | each pt: active participant in care, involved rt unit's daily problems, helps solve problems, helps plan activities, and helps develop the unit rules |
| Other than nursing theories, what else was a significant psych development in the 50's | psychotropic drugs |
| What resulted from the advent of psychotropic drugs | more pts became treatable fewer environmental constraints (ie straitjackets, locked doors) more personnel needed |
| Peplau in a nutshell | nurse:pt partnership |
| nurse:pt partnership alternate terms | therapeutic nurse-pt relationship psychiatric nursing therapy nondirective counseling |
| Peplau considered the heart of psych nursing to be | role of counselor or psychotherapist |
| Community Mental Health Centers Act of 1963 | federal money (previously spent in hospitals) diverted to states for community mental health centers |
| 70's and MH nursing | specialy psych nurses who: 1) developed standards rt scope 2) certification rt generalist/specialist |
| In 70's name changed from psychiatric and mental health nursing to | psychosocial nursing |
| 1980's | scientific growth |
| 1990's | integrating neuroscience |
| What is the contemporary term for psych nursing | psychiatric-mental health nursing |
| psychiatric-mental health nursing: | interpersonal process => pt behavior => integrated functioning (pt: individual/family/group/organization/community) |
| Elements of the psychiatric-mental health nursing (PMHN) role | 1. clinical competence 2. consumer-family advocacy 3. fiscal responsibility 4. interprofessional collaboration 5. social accountability 6. legal-ethical parameters |
| Domains of PMHN | overlapping: direct care, communication, management |
| PMHN laws set/vary by | state (nurse practice acts) |
| PMHN qualifications | education, work experience, certification |
| Two levels of psych nurses recognized by ANA | RN-PMH (Mental Health Registered Nurse); APRN-PMH (Psychiatric-Mental Health Advanced Practice Registered Nurse) |
| An APRN-PMH may be either | CNS (clinical nurse specialist) NP (nurse practitioner) |
| PMH RN's practice settings | hospitals, community health, psych facilities, residental, etc. |
| Two strategies PMH RN's can use to enhance growth | Support group(s) Networking |
| After _____ psych nursing required in US RN schooling | 1950 |
| Community Mental Health Centers Act of 1963 mandated | tx pt as close as possible to home and with as few restrictions as possible |
| 1950's psychotropic Rx | chlorpramazine, allowed people to live in the community |
| WA criteria for involuntary detainment | Mentally ill plus 1/3 criteria: dangerous to self or others or can't self care |
| Largest health care provider | penal system |
| What service is being cut that is increasing the LTC population | Copes and Chore |
| Are substance abuse disorders a mental health problem | yes |
| Within the overlapping domains of PMH nursing practice are: | teaching, coordinating, delegating, collaborating |
| settings for psych nurses | everywhere |
| Psych nursing is expanding into | primary care rt comorbid med conditions |
| Why is early assessment and triage of mental health issues important | can minimize time between referral and intervention which can enhance efficacy of tx |
| Psych nurses may be employed either | self employed in private practice or organization |
| Supportive environment for nurses | 1. open + honest communication 2. interprofessional respect 3. recognition of N contributions 4. Ns involved in decision making 5. non essential Ning tasks delegated 6. opportunities for pro growth 7. encouragement rt involvement |
| Nursing Agenda: | 1. Outcome eval 2. Leadership skills 3. Political action |
Created by:
winterhaven
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