Concepts
Advocacy
What is acting on behalf of the client when she. or he cannot do so? Protect and defend clients. Give client all the information and then supporting their decision
Main Focus of Therapeutic communications
What is It focuses on clients needs and feelings. It is purposeful, goal directed, healing and nonreciprocal
A conscious effort to shift care from institutionalized care to community care
What is deinstitutionalization of mental health care?
Always focus on least restrictive care environment
"If I love someone, They will love me back."
What is cognitive theory? Distorted thoughts leads to maladaptive behaviors. How I think affect how I feel, that affect how I behave.
Improves the function of GABA neurotransmitter
What is Benzodiazepines? Treats anxiety disorder
Psychiatric nursing
What is psychiatric nurse focus on building nurse-client relationship by using one of the most challenging nursing skill of therapeutic communication and critical thinking.
Components of therapeutic relationship
What is positive regards, nonjudgemental, trust, acceptance.
The goal is to stabilize symptoms, intensive medications, and discharge client back to the community asap.
What is in-patient treatment goals.
Maslow hierarchy of needs
What is basic needs at the bottom of the pyramids will dominates client behavior and until those needs are met the next level of needs on the pyramid will not be addressed. Framework for prioritization in mental health.
Increases the level of serotonin neurotransmitter
What is antidepressants SSRI, SNRI, TCAs, MAOIs treat depressive symptoms. . MAOIs- avoid tyramine food, TCAs/SNRIs- off label for chronic pain. Serotonin syndrome is a medical emergency. s/s SHIVERS mnemonic.
Self-efficacy
What is A client who believes his or her behavior makes a difference is more likely to adhere to treatment plan, take medications and motivated to learn how to cope with life stress
Hildegard Peplau
Danger to self or others, unable to care for self in the community.
What is criteria for inpatient psychiatry admission.
Erickson stages of psychosocial development
What is they are 8 stages in which an individual go through and each stage they have to accomplish a task and if they fail to accomplish this task, it will interfere with their mental health later in life- know them
Give 1-week supply
What TCA? Avoid for clients with a history of suicide or cardiac issues.
A state of dysfunctionality due to disruption in thinking, mood and/or behavior
What is Mental illness? Individual is in a state of disequilibrium and cannot function.
Agreeing, disapproving, false assurance, incongruence, Why questions, changing the subjects, focus on nurse.
What is non-therapeutic communication?
Return the client to the pre-crisis level
What is the goal for crisis intervention?
A female nurse screams at an adolescent client who reminds her of her daughter
What is countertransference? displacing own attitudes and feelings from the past onto the client
Neuroleptic malignant syndrome
What is a life-threatening adverse effect of antipsychotic medications?
DSM-5(V)
What is used provide standardized nomenclature for diagnosing mental disorders, Defines symptoms of mental disorders? identify underlying cause, address psychosocial, medical and environmental issues.
Acceptance, broad openings, reflection, silence, offering therapeutic self, attending, active listening, focus on the clients needs, empathy
What is Therapeutic communication? Facilitate healing, focus on client needs.
It is a supportive, safe and therapeutic environment where clients interacts with one another and practice social skills and receive feedback from other clients.
What is Millieu Therapeutic environment?
An adolescent client working with a nurse almost her parents age may react to nurse just the way she react to her parents.
What is transference? A client displacing own attitudes and feelings form the past on to the nurse.
Extrapyramidal Side effects of antipsychotics
What is AdaPT- Acute dystonia-Benadryl, Akathisia-restlessness beta blockers(propranolol), Parkinsonism-restlessness, stiffness, unstable gait, (benztropine's),
Tardive dyskinesia- stop meds
Right of a psychiatric client
What is patient right to make own decisions, refuse medication, right to least restrictive treatment settings.
Stigma of mental illness
What is belief that individual is flawed, mental illness not a real illness, Something is wrong with individual not illness. may be bewitched, possessed with demons.
A child with good grade is given a movie ticket
A child who had good grade is excused from daily chores for the next week.
What is positive reinforcement?
What is negative reinforcement?
" I just want to let you know, You make me doubt myself every time you criticizes my actions." I am sorry, I don't understand what you said, would you say it again."
What is cognitive reframing of assertive communication. Can be used with client with mental illness.
Lithium toxicity
What is the main concern for client taking lithium? toxic levels above 1.5. s/s severe diarrhea, vomiting, confusion, seizures.
Psychiatrist Nurse Generalist
What is involve use of complex critical thinking and communication skills in providing care to the clients in mental health unit. Role include: client teaching, help with self care, administer meds, case management, milieu therapy...
Self-awareness
What is nurse reflecting on own attitudes, beliefs, values and experiences so they do not interfere with care.
Client Safety
What is the priority concern for clients with mental illness? suicide risk, injury, violence.
Theory of Psychoanalysis
What is personality components of Id, Ego, Superego. Focus on the past to solve the present issues.
Anticholinergic side effects
What is Cant pee, can't pop, can't see, can't sweat, can't spit
A client has both a mental health issue and a substance use disorder
Dual diagnosis requires a setting where both issues can be addressed
Can be used for chronic pain and insomnia
What is TCAs
Maturation adventurous, situational
What are the types of crisis?
Projection, suppression, regression, denial, conversion..
What are the types of defence mechanisms?
Respiratory depression, unresponsiveness
Benzodiazepines adverse reaction