Let's Be Real!... (myth or fact)
Mental Health Issues are rare
Myth. Approximately 1 in 5 individuals report mental health disorders.
During a treatment team meeting, a nurse leads a discussion regarding whether or not two clients who broke the same facility rule were treated equally.
Justice
An individual covers up a real or perceived weakness by emphasizing a trait considered more desirable.
Compensation
During a teaching session, the nursing instructor states, "We have discussed may personality disorders. Let's concentrate on antisocial personality disorder because these individuals are so disruptive to our society." Which communication technique is the instructor using?
Focusing
"Every time you consider purging, snap the rubber band on your wrist."
Behavioral thearpy
People with mental illnesses will not get better
Myth. Once diagnosed, mental illness is treatable. While it is not usually “cured”, it can be effectively managed. Most people with mental disorders live productive and positive lives while receiving treatments for their mental illness.
Identify 3 criteria for involuntary admission
1. Presence of mental illness
2. Pose a danger to self or other
3. Demonstrates severe disability or inability to meet basic necessities
4. requires treatment but unable to seek it voluntarily.
A person who is angry about losing their job destroys their child's favorite toy.
Displacement
Client: "My wife is threatening to take sole custody of our children."
Nurse "I see"
"When you start to put yourself down, consider all of your strengths."
Cognitive therapy
Mental disorders are a consequence of bad parenting or personal weakness.
Myth. The main risk factors for mental illness are not bad parenting or personal weakness but rather genetics, severe and prolonged stress (such as physical or sexual abuse), or other environmental influences, and brain chemistry.
An involuntary admission is limited to how many days before a psychiatric and legal review of the admission is required.
60 days
A person who is trying to quit smoking repeatedly talks to adolescents about the dangers of nicotine.
Reaction formation
Client: "I don't think I will ever be able to marry again."
Nurse: You won't ever be able to marry again?"
Restating
A client receives a ticket for good behavior and can exchange them for a prize
Operant conditioning
Ture or false clients admitted under involuntary commitment are not considered competent and do not have the right to refuse medications
False
After 8- yaer old Sue's baby brother was born, she began to speak in baby talk and to suck her thumb.
Regression
Client: "Since the divorce I feel hollow inside."
Nurse: "help me understand what you mean when you say 'hollow'"
Clarification
Name 3 times nurses should never use seclusion or restraints
Convenience of staff, Punishment of the client, clients who are extremely physically or mentally unstable, clients who cannot tolerate the decreased stimulation of a seclusion room
Jeff has been feeling sad that his friends seem to be pulling away from him recently. When he didn't get invited to a big party this weekend, he convinced himself that he had way too much school work and couldn't possibly go even if he was invited.
Rationalization
Client: "I've got more problems than you can imagine."
Nurse: "Tell me about them."
Exploring