SAFETY & ETHICS
List 3 patient rights in mental health...
Right to privacy
Right to informed consent
Right to treatment
Right to refuse treatment
Right to treatment in the least restrictive setting
Right to communicate with people outside the hospital through correspondence, telephone, and personal visits
Behavior, Demographics, Situation, Physical, Verbal, Social
Risk Factors of Suicide?
These medications increase a patient's risk for EPS symptoms and permanent motor function damage.
What are antipsychotics?
This should be performed every four hours on a standard psychiatric patient.
Mental status examination
This type of therapy focuses on restructuring distorted thoughts and beliefs.
What is Cognitive Behavioral Therapy? (CBT)
Verbal de-escalation & PO medication are considered this type of intervention compared to seclusion & restraint.
What is a least restrictive intervention?
strong social supports, coping and problem-solving skills, Sense of responsibility for others, Hopefulness/future orientation, Moral/religious objections to suicide, Available physical and mental health care, Positive therapeutic relationships
Protective Factors
This category of medications utilize GABA to treat patients with anxiety.
What are antianxiety medications?
Also acceptable:
Benzodiazepines
Sedative-Hypnotics
Buspirone
The presence of auditory or visual hallucinations on a mental status examination.
What is altered perception?
Asking personal Questions
Giving personal opinions/advice
Changing the subject
Stating generalizations and stereotypes
Providing false reassurances
Showing sympathy
What is Non-therapeutic communication?
This assessment can be used to determine a patient's suicide risk.
What is an Columbia Suicide Risk Assessment?
or
What is a mental status examination?
anxiety caused by repressed impulses and feelings are converted into physical symptoms
What is Conversion?
What meds are used to treat short term symptoms of anxiety?
What is Propranolol and Lorazepam?
A patient that has low awareness of their current mental status or situation.
What is poor insight?
Friends & acquiantances
Mutual sharing, meets both needs
Minimal structure
Both Sympathy & empathy
No pre-determined time limits
What is a social relationship?
Acknowledges that a client can be retraumatized by unexamined agency policies and practices and stresses the importance of providing patient-centered care rather than applying general treatment approaches.
Trauma Informed Care?
TREAT EVERYONE AS IF THEY HAVE BEEN TRAUMATIZED!
unpleasant thoughts or feelings are ignored or excluded from conscious awareness to protect themselves
What is Denial?
What medication increases risk of delirium?
What is Benzos?
Examples of objective data collected during a mental status exam.
Appearance
Speech patterns
Behavior
Level of Consciousness
Affect
What is reflecting?
A patient that is expressing acute suicidal thoughts and intent should be placed under this type of supervision.
What is 1:1 (one to one) supervision?
feeling of being disconnected from a stressful or traumatic event or the feeling that the event is not really happening
What is Dissociation?
What SSRI did we learn that is used to treat anxiety?
What is Fluoxetine?
A patient lacks this when they are unable to keep themselves safe from suicidal impulses.
What is judgement?
client projects their feelings onto the nurse
Ex: Father takes away child's toy and the child yells at the nurse and is not cooperating
What is Transference?