Definition
The decision requires the nurse to notify intended victims and police of such a threat. In this circumstance, the nurse must report the homicidal threat to the nursing supervisor and attending physician so that both the police and the intended victim can be notified.
What is duty to warn?
Is a cognitive-behavioral therapy for clients who have a personality disorder and exhibit self-injurious behavior. This therapy focuses on gradual behavior changes and provides acceptance and validation for these clients.
Dialectical Behavior
Benefit or to promote the good of others
Beneficence
Equality in insurance coverage for physical and mental illness
Parity Act
self determination and independence
autonomy
People with severe and persistent mental illness have shorter hospital stays, they are admitted to hospitals more frequently. The continuous flow of clients being admitted and discharged quickly overwhelms general hospital psychiatric units
Revolving Door
Pairing of a maladaptive behavior with a punishment or unpleasant stimuli to promote a change in the behavior.A therapist or treatment team can use unpleasant stimuli (bitter taste, mild electric shock), as punishment for behaviors (alcohol use disorder, violence, self-mutilation, and thumb-sucking). With aversion therapy, ongoing supervision and evaluation is essential for those administering the aversion therapy
Aversion Therapy
DO NO HARM
Non-maleficence
Clients with a mental illness as well as a substance abuse diagnosis. Clients are often more difficult to treat because of more complicated problems posed by two different diagnosis.
Dual Diagnosis
Ethical principles conflict or when there in ono one clear course of action in a given situation
ethical dilemma
Clients interactions with one another: interpersonal relationship skills, giving feedback to each other about behavior and working together to solve day to day problems
What is milieu?
This therapy is the planned, progressive, or graduated exposure to anxiety-provoking stimuli in real-life situations, or by imagining events that cause anxiety. During exposure, the client uses relaxation techniques to suppress anxietyresponse
Systematic Desensitization
Honor commitments, do what you say you will
Fidelity
A shift from institutional care in state hospitals to community facilities. They provide less restrictive treatment located closer to individuals homes families and friends.
Deinstitutionalization
safe refuge or haven offering protection
asylum
#1 When a client displaces onto the therapist attitudes and feeling the client originally experienced in other relationships
#2 When the therapist displaces onto the client attitudes or feelings from their past.
#1 What is Transference?
#2 What is Countertransference?
Assists clients to identify negative thoughts that produce anxiety, examine the cause, and develop supportive ideas that replace negative self-talk. For example, a client who has a depressive disorder might say they are “a bad person” who has “never done anything good” in their life. Through therapy, this client can change their thinking to realize that they might have made some bad choices, but that they are not “a bad person.”
Cognitive Therapy
Honest or truthful
Veracity
Patients are kept in the ED while waiting to see if their crisis deescalates or until an impatient bed can be located or becomes available.
Boarding
is the process of acting on the client’s behalf when he or she cannot do so
advocacy
Describes all mental disorders, outling specific diagnostic criteria for each based on clicnal experience and research.
What is DSM-5?
Teach clients ways to decrease anxiety or avoidant behavior and give clients an opportunity to practice techniques. Teaches activities to help the client reduce anxious and avoidant behavior like relaxation training and modeling. It has been used successfully to treat clients who have phobias, substance use or addictive disorders, and other issues
Behavioral Therapy
Fairness
Justice
a group of medical professionals all working together to help the client.
(pharmacist, nurse, provider, social worker, therapist, psychiatrist, etc.,)
Interdisciplinary team
is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client
empathy