Term
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Definition
When a person is in harmony
with self and others |
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Term
|
Definition
Behaviors described as
"strange" or "different." |
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Term
|
Definition
1. Clinical Disorders
2. Personality Disorders
3. General medical conditions
4. Psychosocial and environmental problems
5. Global assessment and functioning (GAF) |
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Term
|
Definition
Physical
Personal
Interpersonal
Societal level |
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Term
| Issues Affecting Mental Illness |
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Definition
Homelessness
Aging
Unemployment
Lack of community resources
50% of 80 y.o. will have dementia
Dual diagnoses |
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Term
|
Definition
| how well we adapt to changes |
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Term
|
Definition
| our perception of people and things |
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Term
|
Definition
| Biological vs. environmental stressors |
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Term
|
Definition
Core of our being
*Drives and instincts |
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Term
|
Definition
mediator between id and superego
*functions on reality principle |
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Term
|
Definition
| Develops between ages 3 and 5 |
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Term
|
Definition
| all experiences combined with awareness |
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Term
|
Definition
| Not in our immediate awareness |
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Term
|
Definition
Memories, feelings, and thoughts
not readily available |
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Term
| Erikson's Impact on Nursing |
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Definition
| provides a development model that covers entire life span, allowing nurses to form diagnoses |
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Term
| Sullivan's Impact on Nursing |
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Definition
| How people pursue satisfaction and security |
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Term
| Maslow's Impact on Nursing |
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Definition
| Our needs are hierarchically arranged; this assists with prioritization |
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Term
|
Definition
| Focuses on behavior management and modification |
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Term
|
Definition
| Focuses on challenging the irrational thought |
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Term
|
Definition
| Focuses on all aspects of biotheories |
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Term
|
Definition
| Full team must plan care within first 72 hours of admission |
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Term
|
Definition
| Check personal belongings, follow unit precautions, track client's location, monitor client aggression |
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Term
| Managing daily unit functions |
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Definition
| Physical assessment, monitor milieu, medication administration, pain management, and medication adherence |
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Term
|
Definition
Before anything happens
*Teaching coping skills |
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Term
|
Definition
Early detection
*Assessing for mental illness |
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Term
|
Definition
Maintenance at highest level of functioning
*Adaptation |
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Term
|
Definition
| Strong problem solving and clinical skills, cultural competence, flexibility, focus on client's strength |
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Term
| Key Elements of Client Assessment |
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Definition
| Housing, income, family and support system, substance abuse, and physical well-being |
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Term
|
Definition
| Coordinate mental, physical, and spiritual needs |
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Term
| Issues Impacting Patient Compliance |
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Definition
| Figure out what motivates client |
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Term
| Basic level nursing interventions |
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Definition
| Counseling, promote self-care, health education |
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Term
| Rehab vs. Recovery Models |
|
Definition
*Rehab focuses on learning to live with MI
*Recovery focuses on consumer's strength to achieve highest level of functioning |
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Term
Issues confronting clients with a
serious mental illness |
|
Definition
| Finding meaning and purpose, establish goals, physical illness, depression, suicide, substance abuse, isolation, victimization, and loneliness |
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Term
|
Definition
| Inability to recognize deficit because of illness |
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Term
|
Definition
| Some side effects may dissipate or cause noncompliance |
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Term
|
Definition
| Symptoms that may cause frustration with client |
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Term
|
Definition
| Each relapse causes more loss of function and relationship problems |
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Term
|
Definition
| intensive, outpatient 24-hour therapy that is short-term |
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Term
|
Definition
| used when severe mental problems are combined with chronic health problems |
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Term
|
Definition
| Team tx approach in community setting for serious mental diseases |
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Term
|
Definition
| for those who have no access to private care |
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Term
|
Definition
| Ability to use one's personality in an attempt to establish and structure interventions |
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Term
| Goals of nurse/client relationship |
|
Definition
| Focus on client's problems |
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Term
| Social vs. Therapeutic Relationship |
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Definition
Social: mutual needs are met
Therapeutic: Only client's needs are met |
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Term
| Importance of clinical supervision |
|
Definition
| Help identify counter-transference and boundary issues |
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Term
|
Definition
| Developing awareness, achieving balance, making choices, developing detached concern, practicing altruistic egoism, exercising free will, developing goals, and fostering hope |
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Term
|
Definition
*Assist client to greater self-awareness
*Resolve emotional problems through move to increased MH |
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Term
|
Definition
1. Known to self and others
2. Known only to others
3. Known only to self
4. Known to neither self nor others |
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Term
|
Definition
| Lack of professional attire, lack of structure, decisions re: patient's chart, need for self-awareness, fear of injury, fear of rejection, frustration over inability to change patient |
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Term
|
Definition
| When a relationship becomes social and nurse's needs come first |
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Term
|
Definition
| When feelings are transferred from client to person in authority |
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Term
|
Definition
| tendency of authority figure to displace feelings onto client |
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Term
|
Definition
|
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Term
|
Definition
| establish parameters, contract formed, confidentiality, and termination begins |
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Term
|
Definition
| Patient will have intense emotions and defense mechanisms |
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Term
|
Definition
Discussed during first interview
*Achieved when: symptoms are relieved, improved sense of ID, goal accomplishment, improved social functioning |
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Term
| Things hindering nurse/client relationship |
|
Definition
| Inconsistency and unavailability |
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Term
| Things helping the nurse/client relationship |
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Definition
| Values clarification, pacing, listening, initial impressions, and comfort control |
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Term
|
Definition
| Verbal and non-verbal behavior |
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Term
|
Definition
| Patient's respect and acceptance of nurse |
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Term
|
Definition
| See things from other person's perspective |
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Term
|
Definition
| The patient considers the nurse to be responsible, dependable, and accountable. |
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Term
|
Definition
| Specific and clear communication |
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Term
|
Definition
| The nurse is intentional about gaining information from the client |
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Term
|
Definition
| Impacts physical attributes |
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Term
| Psychotherapeutic therapy |
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Definition
| Classical analysis, psychodynamic, short-term, interpersonal |
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Term
|
Definition
| Challenges irrational thought |
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Term
|
Definition
| Modeling, operant conditioning, desensitization and aversion |
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Term
|
Definition
| Gives insight, interpersonal learning, hope, guidance, catharsis, and universality |
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Term
|
Definition
| Focuses on maintaining client's environment |
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Term
|
Definition
| Can be formal or informal |
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Term
| Emergency involuntary admission |
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Definition
| When: patient needs medical attention, is a danger to self or others, or is unable to perform ADLs based on mental illness. |
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Term
| Observational/involuntary admission |
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Definition
Lasts from 1-15 days.
For observation, dx, and tx
Is court ordered |
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Term
| Long term/formal commitment |
|
Definition
| Requires judicial review. Lasts for 60-100 days. |
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Term
|
Definition
| There is no further treatment required |
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Term
|
Definition
|
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Term
|
Definition
| Only voluntary admissions can leave AMA. |
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Term
|
Definition
| Dr. is ultimately responsible for informing patient of risks |
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Term
|
Definition
| Patient contributes to plan of care, if desired |
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Term
| Right to freedom from harm/dignity and respect |
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Definition
| Risk of harm must be greater than side effects of medication |
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Term
|
Definition
| Criteria: humane environment, certified staff, and individualized care |
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Term
| Right to least restrictive settings |
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Definition
| Seclusion is the last resort |
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Term
|
Definition
| right to have follow-up from competent professional |
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Term
|
Definition
| Being careful of HIPAA issues |
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Term
|
Definition
| Professional has duty to warn when patient presents with intent to harm others |
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Term
|
Definition
| Applicable when patient threatens someone specifically |
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Term
| Conditions for Restraint/Seclusion |
|
Definition
1. Behavior is harmful to self/others
2. Behavior presents danger to facility
3. When least restrictive measures are insufficient
4. Client requests seclusion or decreased stimulation |
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Term
| Purposes of psych assessment |
|
Definition
1. Establish rapport
2. Understand current problem
3. Assess current level of psych func.
4. ID what client and family hope to gain from tx
5.perform MSE
6. ID behaviors
7. other areas that need to be modified
8. form a plan of care |
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|
Term
| Why do you need a med assessment? |
|
Definition
| Medical conditions must be ruled out first |
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