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| pre nineteenth century history people |
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Definition
| hippocrates, plato, aristotle, and asclepiades |
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| hipposcrates b.c saw illness stemming from natural causes |
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| the soul was divided into 3 parts: rational, libidinal and spirited |
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| father of modern psychiatry |
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Definition
| johann weyer, illness should be treated by MD not priest, first to desri be delusions and depressions |
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| first person to use th term neurosis |
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| nineteenth century people |
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| phillippe pinel, benjamin rush, franz mesmer, dorothea dix, linda richards |
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| created for beginning of the humane tx of the mentally ill |
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| "father of american pschyiatry" |
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| benjamin rush, wrote first textbook of psychiatry in 1812 |
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| franz mesmer, but called it mesmerism back in the day |
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| devoted life to public education of the mentally ill, established more than 30 mental hostpitals |
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| emil kraeplon, eugene bleuler, sigmond freud, adolph meyer, harry sullivan, and ann freud |
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| introduced the first descriptive classification of mental disorders |
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| named schizophrenia and the three types, catatonic, paranoid, and hebephrenic |
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| "father of dynamic prychiatry in america" |
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Definition
| adolph meyer, introduced the thought that all factors are interrelelated, social, physical, culturall, and emotional |
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| developed the concept of milieu therapy |
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| best known for her work on ego defense mechanisms |
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| national institue of mental health act placed emphasis on developing mental health services (research, diagnosis, prevention and tx) (pres. truman) |
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| national institute of mental health, gave psychiatric nursing education a high priority and provided federal funds for educating |
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| peplau defined the importance of interpersonal relationships in nursing and emphasized the importance of the nurse assessing her own hebavior |
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| mental retardation facilities and community mental health centers contruction act: grants to states for construction costs of communicty mental health centers. GAVE MONEY |
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| amendment to 1963 act providing staffing funding (1st year 75%, 2nd year, 60% ect) mandated assessable to community, and have all levels of intervention |
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| Amendment to authorize funds to create new mental health centers and to continue exsisting centers. |
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Definition
| added drug and alcohol services to the levels of intervention |
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Term
| the 5 essential services for the 1965 amendment |
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Definition
| consultation and education, emergancy, inpatient, outpatient, and partial hospitalization. |
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| omnibus reconcilliation act, created block grant mechanism for funding |
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Definition
| american nurses association statement on the scope and standards of psychiatric mental health nursing practice |
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Term
| define scope of practice in psychiatric mental health nursing |
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Definition
| psychiatic mental health nursing is a specialized area of nursing practice committed to promoting mental health through the assessment, diagnosis, and tx of human responses to mental health problems and psychiatric disorders. |
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Term
| Primary intervention level: |
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Definition
| community focused, aimed at reduced incidence |
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Term
| secondary intervention (restorative) |
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Definition
| reducing the acuity of actual illness, can take place in both in and out patient settings, trying to restore health and functioning |
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Term
| examples of secondary restorative care |
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Definition
| crisis intervention, emergancy tx, pschotherapy, self help groups |
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Definition
| focused on decreasing residual impairment due to illness, when the initial acute portion of the illness is resorlved but still needs help bringing things back to normal |
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Term
| examples of tertiary (rehabilitive) care |
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Definition
| vocational rehabilitation, resocialization, paartial transitional hospitalization, and discharge plans |
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Term
| key concepts of a nurse-cleitn relationship |
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Definition
| caring, empathy, positive regard, self awareness, therapeutic use of self |
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Term
| nurse client relationship |
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Definition
the ability of the nurse to engage in interpersonal interactions in a goal directed manner for the purpose of assisting client with thier emotional or physical health needs is the foundation of nursing practice...
developed by peplau in 1952 base on harry sullicans interpersonal theory |
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Term
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Definition
| when you examine ones own anxiewty prior to first clinical experience |
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Definition
| Here you build trust, set boundaries, make a formal or informal contract, in you will keep confidentiality, and also be aware of termination phase |
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Definition
| maintain relationhsip, gather more data, promote clients problem solving skills, self esteem, and use of language, facilitate behavioral changes, evaluate problems and goals and redefine them PRN, express alternative adaptive behaviors. |
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Definition
| process where by a person unconsciously and inappropriately displaces patterns of behavoir and emotional reactions that orignated with significant figures from childhood onto the nurse |
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Term
| who are advanced levels of practice and what can they do? |
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Definition
advanced practice health nurse, certified clinical specialist, nurse practitioner
-they may inpatient admission privileges, and presciptive authority |
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Term
| who does that accreditation of nursing programs and education? |
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Definition
| National league of nursing |
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Term
| ANA, APNA, and ISPN all do.... |
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Definition
| similar missions, set standards and make goals! |
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Definition
| thought out by a french name named Sullivan, where nurse provides, structures, and maintains a safe enviroment in collaboration with patients, families, and other healthcare clinicians. (uses enviromeent as a learning tool) |
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Term
| who can do psychotherapy? |
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Definition
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Term
| culture and mental health... |
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Definition
| must look at the interdependence between cultural beliefs and values and other theroretical explanations of human behavior, assessment should include cultural idenity, explanation of illness, and factors related topsychosocial enviroment |
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Term
| What kind of data do you use to diagnose a mental illness |
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Definition
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Definition
| is major clinical problems or disorders, EX schizophrenia, thought d/o, ect |
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Definition
| includes personality disorders and mental retardation. issues r/t developement and cognitive development |
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Definition
general medical conditions
EX: hypertension, diabetes |
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Definition
| psychosocial and enviromental problems, problems with support group, problems in social enviroment, educational problems, economic problems, problems with access to health care services. STRESSORS!!!! |
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Definition
global assessment of functioning (GAF)
0-10 = danger of hurting self or others
any score below 45 = hospitalization |
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Term
| who makes the code of ethics? |
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Definition
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| duty to warn (tarasoff vs regents of university of california) |
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Definition
| if a pt tells you he wants to hurt someone, you must warn then but still keeps confidentialty at the same time |
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Term
| what is the 72 hours clause? |
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Definition
| If you voluntaryly commit yourself, you will not be able to sign yourself out for the next 72 hours per MD's orders |
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Term
| what can a MD do to involutary commintment on someone they think is dangerous to the community? |
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Definition
| petition for involuntary commitment.....DUH |
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Term
| Does involuntary admission occur in criminal or civil court? |
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Definition
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Term
| if client is outside the hospital, who do they have to summit the request to? |
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Definition
| magistrates office who will then issue for an officer to pick up client to be evaluated by a healthcare personal |
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Term
| who evaluates the involuntary admission? |
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Definition
| 2 seperate MD's must assess the client to see if they pose a threat to self or others |
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Term
| how long can you hold an involuntary admission |
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Definition
| You can hold them up to 10 days, after that they must have a civil commitment hearing which then the district court judge will specify max number of days for the client |
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Term
| if you violate a persons rights, you can be charged with.... |
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Definition
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Definition
| one time order which the doctor would have to justify reasons through thorough documentation |
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Term
| non emergancy forced meds |
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Definition
**cant be used on voluntary pt!!!***
used only on involuntary admission, 2 MDs have to determine that the pt NEEDS this for a certain amount of time, will write order as both oral and injection b.c you want to see if pt will take on own, other wise you get them with the needle! |
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Term
| true or false, you can have an order for seclusion and restraints on the same order? |
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Definition
| FALSE! must be two seperate orders! |
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Term
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Definition
| defined as false imprisonment |
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Definition
| YOU CANT RESTAIN SOMEONE WITH SOMETHING THAT IS NOT AN OFFICAL DEVICE! |
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Definition
| shift of mental health care from hospitals into the community |
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