Term
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Definition
Good documentation Avoid judgemental statements Least restrictive environment |
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Term
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Definition
| Contains subtypes and other specifiers to describe the characteristics of the diagnosis as exhibited in a given individual. Based on a multi-axial diagnostic system that includes fix axes. |
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Term
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Definition
Axis I - Clinical disorder Axis II - Personality disorder/ MR Axis III - Medical Axis IV - Psychosocial (ocupational) stressors Axis V - GAF score (Global Assessment Function) |
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Term
| Involuntary Hospitalization |
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Definition
-Confined to hospital against pt will (danger to self, others or gravely disabled, TDO, commitment: STILL HAVE RIGHTS) -Out pt commitment where are committed to receive treatment within the community somewhere. - TDO – temporary detainment order is good for 72 hours; have hearing after this time; judge will usually listen to the advice of the health care professional; can admit pt against will or allow to leave facility; commitment usually up to 180 days |
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Term
| Breeching confidentiality |
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Definition
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Term
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Definition
Subjective Objective Assessment Plan |
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Term
| Insanity Plea (Not guilty by reason of insanity) |
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Definition
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Term
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Definition
| Pt in corrections dept but receives psych treatment while incarcerated. |
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Term
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Definition
| Incompetent to stand trial; restore competency then pt stands trial |
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Term
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Definition
| ER care, etc. usually less than 6 hours; focuses on stabilization, symptom reduction and prevention of relapse |
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Term
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Definition
| Most restrictive; reserved for acutely ill pt who meet one of three criteria: high risk for harming self, harming others or unable to care for basic needs; voluntary or involuntary admission; admission from 24 hours to several days; length of volunteer admission depends of pt ability to pay |
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Term
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Definition
| Pt only back to hospital for day treatment; considered structured outpt treatment; most structured treatment; for pt who do not pose imminent danger to themselves or others; time-limited, active treatment program, ambulatory, active treatment program that offers intensive, coordinated and structured clinical services within a stable milieu; full and half day services. |
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Term
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Definition
| Stay full time in a group home; publicly or privately owned; medical, nursing, psychosocial, vocational, recreational or other support services provided; provides rehab and therapy to pt with serious and persistent mental illnesses |
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Term
| In-Home Mental Health Care |
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Definition
| Pt stays at home and mental health care services and mental health nurse provides on-going assessment and implementing comprehensive, individualized treatment plan of care. |
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Term
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Definition
| Least restricted; care outside hospital or institution; promotes community reintegration, medication management and compliance and symptom management. |
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Term
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Definition
Displacement of thoughts, feelings, and behaviors originally associated with significant others from childhood onto a person in a current therapeutic relationship. Example – female unconsciously angry at her parents as a child feels unexplained anger and hostility toward her therapist. (textbook glossary definition, p927 – the unconscious assignment to others of feelings and attitudes that were originally associated with important figures such as parent or siblings) |
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Term
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Definition
| Direction of all the therapist’s feelings and attitudes toward the patient. Example: a therapist might have a strong desire for a client to get all 'A's' at JCHS because the client reminds her of her children at that stage in life, and the anxieties that the therapist experienced during that time. (textbook glossary definition, p913 – the nurse’s reactions to a patient that are based on nurse’s unconscious needs, conflicts, problems, and views of the world; can significantly interfere with the nurse-patient relationship. |
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Term
| Assertive Community Treatment (ACT) model |
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Definition
Multidisciplinary clinical team approach providing 24h services in the patient’s natural setting that helps individuals with serious mental illness to live in the community; provides treatment, rehabilitation and support services; one goal is to reduce recurrences of hospitalization; rationale is that a multi-service team enhances continuity, cost, coordination and quality of care. (textbook glossary definition, p910 – direct and individualized treatment and services provided by a selectively chosen interdisciplinary team that follows on a patient’s progress during reintegration into the community) |
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Term
| Clubhouse model of treatment |
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Definition
| Form of psychosocial rehabilitation that aims to reintegrate a person with MI into the community. Belief system involves membership and belonging (Pt is wanted, needed and expected), all members of society can be productive, achieve gainful employment, requires social contact; believe recreational, social and vocational treatment of MI should include housing; members are expected to complete chores, follow instructions, volunteer etc.; model is operated by members; staff role is limited, works with MI and as a member of the clubhouse. (textbook glossary definition, p912) psychosocial rehabilitation approach with the goal of integrating individuals with mental illness back into the community; these houses are run entirely by the patients or “clubhouse members” |
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Term
| Six domains of d/c planning |
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Definition
- medications – supply or prescription, education of dosage, instruction, amount of meds
- ADLs – hygiene, activities requiring assistance, work & work training, safety
- mental health after-care – therapist, community center or agency, visiting RN, day care program referral
- residence – group, boarding house, hotel, nursing home, family residence
- follow-up in physical care – appt with medical doctor, diet, dental
- special education, financial, or other needs – STDs, AIDS prevention education, symptom recognition education, financial assistance
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Term
| Basic Level practice Nurse |
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Definition
| Characterized by interventions that promote and foster health, assess dysfunction, assist patients to regain or improve their coping abilities, maximize strength and prevent further disability |
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Term
| Advanced Practice Psych nurses |
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Definition
| Includes the delivery of direct primary mental health services, diagnoses; ordering, conducting and interpreting pertinent labs and diagnostic studies and procedures; conducting individual, family group, and net-work psychotherapy; and prescribing, monitoring managing, and evaluating psychopharmacologic and related medications. |
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Term
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Definition
Treatment by environment. Physical surroundings, equipment, and staff attitude are designed in such a way as to enhance the effectiveness of other therapies and foster the patient's rehabilitation.
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Term
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Definition
An integration of the concepts of genetic vulnerability and environmental stressors. Certain genes or genetic combinations produce a predisposition to a disorder. When combined with environmental stressors, abnormal behavior results. Example: negative life events may predict alcohol use in college students |
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Term
| Maslow's Hiearchy of Needs (1-5) |
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Definition
1.) Physiological needs 2.)Safety and Securoty 3.)Love & Belonging 4.) Self-esteem 5.) Self Actualization |
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Term
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Definition
| Depression, OCD and Insomnia if too low –involved in regulation of emotion, cognitive function, sleep, appetite, sexual behavior, thermoregulation and cardiovascular regulation |
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Term
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Definition
| Elevated amount causes schizophrenia, low values cause Parkinson’s |
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Term
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Definition
| Memory and higher intellectual thinking, Alzheimer’s |
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Term
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Definition
| Elevated amounts cause mania, decreased amounts cause depression |
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Term
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Definition
| Decreased levels assoc. with anxiety, panic and seizures |
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Term
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Definition
| Inhibits CNS neuron uptake and destruction of the serotonin from the synaptic cleft and thereby prolongs the action of the neurotransmitter. Most widely used class of antidepressants - Restlessness, agitation, anxiety, insomnia.
- Sedative effects.
- Gastrointestinal effects.
- Suicidal actions
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Term
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Definition
| Blurred vision, constipation, urinary retention, dryness of the mucosa of mouth, nose, throat |
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Term
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Definition
| Sinus tachycardia, postural hypotension, dermatitis, urinary hesitancy or retention, and constipation |
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Term
| 4 Phases of Medication Administration |
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Definition
Initiation Stabilization Maintenance Discontinuation |
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Term
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Definition
- Pre-existing symptoms
- Target symptoms
- First dose=test dose: allergic, dystonia, ataxia, dizziness
- Provide education
- Checking meds
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Term
| Stabilization phase of Med Admin. |
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Definition
- Titration: max improvements/min SE
- Assess target symptoms/SE
- Monitor VS, Continue Education
- Monitor therapeutic levels
- May need to change of adverse reaction or lack of desired effect
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Term
| Maintenance phase of Med. Admin. |
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Definition
- Monitor target symptoms: goal prevent relapse
- Meds could loose their effect
- Plan if symptoms reemerge
- Monitor for SE: blood dyscrasis (disease or disorder), liver/thyroid problems
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Term
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Definition
- Some meds will be discontinued/some won’t
- Tapered discontinuation
- Withdrawal symptoms
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Term
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Definition
A neurological movement disorder that causes unusual postures, repetitive movements, jerking because of sustained muscle contractions. - Involuntary muscle spasms |
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Term
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Definition
| A group of symptoms including loss of movement, a lack of facial expression, stiff gait when walking, tremor, or stooped posture, muscle rigidity |
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Term
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Definition
| Irregular, repetitive, involuntary movements of mouth, face and tongue, including chewing, tongue protrusion, lip smacking, puckering of the lips and rapid eye blinking, abnormal finger movements are common. |
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Term
| Treatment of SE of antipsychotic meds |
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Definition
Artificial tears (dry eyes) mild laxatives (constipation) increase fluid intake (dry mouth, constipation, urine retention) avoid caffeine exercise (constipation) Lip balm, good oral hygiene (dry mouth) dark glasses (photosensitivity) exercise and diet (weight gain),
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Term
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Definition
| When on an MAOI because it can cause a hypertensive crisis, aged cheeses, aged fish or meat (salami or sausage), improperly stored meat, fish or poultry, fava or broad bean pods, all tap beers, sauerkraut, soy sauce and other soy bean condiments, red wine |
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Term
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Definition
- Induced seziures to tx depression/ mania - Side effects are related to anesthesia, monitor pt. for post anesthesia, short term memory loss can be a problem, re orient pt. to person, place and time. Contraindicated in pt’s with intracranial pressure
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Term
Principles of therapeutic communication |
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Definition
| rapport – Interpersonal harmony characterized by understanding and respect empathy – ability to experience the situation as another does- different than sympathy boundaries – defining limits, space, and relationships physical – body space zones, don’t invade space psychological – body space zones, psychological- nurse patient relationship; professional boundaries…not friendship |
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Term
| Theraputic Releatioship (3 phases) |
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Definition
Orientation Phase -establish rapport Working Phase - problem solving Resolution Phase - problems resolved but may reemerged |
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Term
| Therapeutic Communication |
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Definition
| A helping relationship. Maintain a nonjudgmental interaction, use clarifying statements, avoid changing the subject (unless it is in the client’s best interest) |
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Term
| Techniques to foster communication |
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Definition
Acceptance Confrontation Doubt Interpretation Observation Open-Ended Statements Reflection Restatement Silence Validation |
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Term
| Techniques that inhibit communication |
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Definition
Advice Agreement Challanges Reassurance Disapproval |
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