nursing process psych nurs 211
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| standard of psychiatric nursing: standard 1 assessment- def; collect what; interview whom; observes what; what exam nursing physical | assessment of physical, psych, sociocultural, spiritual, cognitive; health data pertinent to the patients health; client and famiy; client in their environment;
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| standard of psychiatric nursing: standard 1 assessment- what are predisposing factors; what else to assess; what are the 1 psych assessment; | how can family dynamics effect a client's well-being; general info, precipitating events, client's perceptions, adaptation; anxiety, mood, ego defense;
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| standard of psychiatric nursing: standard 1 assessment- in the summary of initial psychosocial/physical assessments what is identified; | knowledge deficits, nursing dx indicated
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| brief mental status exam: eval of what mental functions; what score is normal; what score is mild cog impairement; what is severe cog impairment | orientation to time, place, attention and immediate recal, abstract thinking, recent memory, naming objects, ability to follow simple verbal commands and written command, use of language correctly, understanding spatial relationships; 21-30; 11-20; 0-10
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| standard of psychiatric nursing: standard 2 diagnosis- analyze what; include level of __; potential problems and formulated and what | the assessment data; risk; prioritized
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| standard of psychiatric nursing: standard 3 outcomes indentification- indentifies expected __ for individualized plan;how are goals made; most effective when developed how; | outcomes; measurable, realistic; with interdisciplinary team members
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| standard of psychiatric nursing: standard 4 planning- the most appropriate interventions based on what; priorities for the delivery of ___ are determined | curret psychoatroc/mental health nursing practive and research; nursing care
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| standard of psychiatric nursing: standard 5 implementation- what is executed takinginto consideration the nurse's level of practice, education and certification; the care plan is a blueprint for what; | interventions; delivery of safe, ethical and appropriate interventions;
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| standard of psychiatric nursing: standard 5 implementation- what are the 3 things nurse is to do; | nurse coordiates care delivery, nurse promotes health and safe environment, milieu theray;
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| milieu is French for what | middle
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| standard of psychiatric nursing: standard 6 eval- nurse evalswhat | progress to attainmentofexpected outcomes, measures success of the intervention in meeting outcomes, client's response to treatment is documented, care plan is revied and revised
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| client Dx: the med diagnosis is made is according to what; how many axises are; what is axis one, what is axis 2; whatis axis 3; what is axis 4; axis 5; | the diagnostic and statistical manual of mental disorders; 5; clinical disorders; personality disorders and mental retardation; general medical condition; psychosical and environmental problems; global assessment
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| cultural concepts in mental health: culture and ethnicity affect what; nurses must understand the effects of what; subcultures can have differences due to what | behavior, its interpretation and the response to it; culture to work effectively with diverse populations; status, ethnic background residence, religion, education or other factors
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| cultural concepts in mental health: what communication; what space; what is social organization; what is time; | verbal non verbal; where communication occurs- distance, territoriality, density; behavior is socially acquired; some value punctuality;
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| cultural concepts in mental health: what is environmental control; what is biological variation | perception of control of environment, respect belief; body structure, skin color, physiological response to medication, susceptibility to disease and nutritional preferences
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| spiritual concepts on mental health: def spirituality; spirituality exists regardless of what; earliest tx for mental illness focused on spiritual treatment why | the human quality that gives meaning and sense of purpose to a person's existence; belief system, interconnects self and others, the environment and higher power; b/c insanity was considered a disruption of mind and spirit;
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| what are the needs associated with humans | meaning and purpose of life, faith or trust in someone or something, hope, love forgiveness
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| SOAPIE documentation: what is S; whatis O; whatis A; what is p; | subjective data-what client, family of other source has said or reported; objective date- direct observation, assessment including a BP, behaviors; assessment- the nurse's interpretation of the subjective and objective data; plan- actions or tx
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| SOAPIE documentation: what is I; what is E; | intervention- nursing actions carried out; evaluation- eval the problem following nursing interventions
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jmkettel
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