Term
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Definition
| Substantial disorder of thought marked by distress, disability, or the risk of suffering disability or loss of freedom |
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Term
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Definition
| Diagnostic and statistical manual |
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Term
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Definition
| Axis 1- Identifies all clinical disorders (ex. mental retardation & personality disorders) |
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Term
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Definition
| Mental retardation or personality disorders (including traits) Ex: Antisocial personality disorder |
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Term
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Definition
| General medical conditions. Ex: diabetes, |
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Term
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Definition
| Psychosocial stressors. Ex: divorce, death in family, etc. |
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Term
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Definition
| GAF- Global Assessment Function on 0-100 scale with 100 being no dysfunction and 50 possessing serious dysfunction (suicidality) and lower being more seriously dysfunctional |
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Term
| Voluntary Commitment Criteria |
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Definition
| Client seeks admission. Able to request immediate release. Hospital has 72 hours to decide whether to pursue involuntary commitment |
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Term
| Involuntary Commitment Criteria |
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Definition
in Michigan: Pt. must have mental illness PLUS one of the following:
potential serious threat to self, others , or property
Inability to care for basic needs (due to the illness)
Judgement is so impaired that he or she does not understand the need for treatment or whose behavior can be reasonably expected to result in significant harm to self/others. |
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Term
| Involuntary Commitment PROCESS |
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Definition
1. Petition (establishes state's right to pick up pt.
2. First Certification- establishes state's right to confine pt. on locked unit
3. Second certification- Within 24 hours, eyes-on, licensed psychologist or psychiatrist
4. Court Procedure |
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Term
| Involuntary Commitment- Court procedure |
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Definition
(Does NOT determine competence!)
Pt. has right to an attorney
Determination is made by judge in probate court
(probate hearing scheduled within 5 days)
Poss. outcome of court:
-Pt. released for not meeting commitment criteria
-Pt committed for up to 60-90 days |
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Term
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Definition
| Alternative Treatment Order- rather than commitment, Pt. is monitored through alternative program for up to 6 months and possibly renewed for an additional 6 months |
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Term
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Definition
| A person's apprehension of immediate harm or touch |
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Term
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Definition
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Term
| Patient's Rights while in psychiatric care: |
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Definition
Right to treatment
Privacy
Informed consent
Confidentiality
-Exceptions to confidentiality:
--threats of harm to others
--suspected child or adult abuse
--Suspected sexual misconduct |
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Term
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Definition
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Term
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Definition
Assertive Community Treatment
Provides careful monitoring where patient is seen daily and it is verified that they are taking their meds (eyes-on)
community mental health centers |
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Term
| What is the focus of Psychiatric/Mental Health nursing |
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Definition
| Diagnosis and treatment of human responses to actual or potential mental health problems |
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Term
| What interventions can a Psych. nurse make use of as a "counselor" |
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Definition
Active listening
Therapeutic communication techniques
Anxiety reduction/stress management
Here and now problem solving method |
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Term
| What interventions are employed in Milieu Therapy |
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Definition
Clarify boundaries/limit-setting
Corrective emotional environment
Modeling and Role-modeling |
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Term
| What are the core components of a nurse-client therapeutic relationship |
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Definition
-The core of nursing
the avenue through which the nursing process is implemented
-Provides the environment to help the client understand their behavior
**Goal-directed and purposeful; has clear boundaries**
-Characterized by MUTUALLY agreed upon goals |
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Term
| 1st 2 Phases of a Therapeutic Nurse-Client Relationship |
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Definition
Pre-interaction:
-gather information from chart & team members
-Examine one's own feelings/anxieties
Orientation Phase:
-Create environment of trust & rapport
-Establish contract for intervention
-Gather data through indirect questioning.
-Identify pt.s strengths & weaknesses |
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Term
| 3rd Phase of Nurse-client relationship |
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Definition
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Term
| finish "Role of Nurse" quesions |
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Definition
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