Legal & Ethical Issues
Requires outpatient treatment for a specified period of time. During this time, the individual is evaluated for follow-through with medication regime, ADLS and ability to reintegrate into the community.
What is "Conditional Release"?
Brings together important points of discussion to enhance understanding & allows the opportunity to clarify communication so that both nurse and patient leave the conversation with the same ideas in mind.
What is summarizing?
The nurse asks a question or makes a simple statement that conveys the nurse's observation of the patients sensitive issues.
What is "Reflecting"?
Provide patient-centered care, work in interdisciplinary teams, employ evidence-based practice, apply quality improvement & utilize informatics.
What is Quality & Safety Education in Nursing (QSEN)?
Sensitivity to individual differences in life experiences: sexual orientation, spirituality, ethnicity & cultural background
What is culturally competent care?
Treatment, refuse treatment, competence/self-determinism, informed consent, confidentiality, HIPPA, dignity, individualized treatment, worship, mail, vote
What are the rights of psychiatric patients?
Physical appearance, dress, body movements, posture, touch, facial expressions, eye contact & paralanguage
What is nonverbal communication?
suicidality & homocidiality
What is a risk assessment? (priority of care)
This term translates into the patient being bad or lazy, subjecting the patient to blame and criticism. This term is more useful and encourages healthcare providers to find out what is going on in the patient's life to explore barriers to taking medication an participating in treatment.
What is "noncompliant" AND "nonadherent"
Serious and irreversible side effects which involve involuntary tonic muscle spasms involving tongue, fingers, toes, neck, trunk, or pelvis.
What is tardive dyskinesia?
Assess client for safety and physical needs, client behavior, food and fluid(s) offered, toileted, vital signs, prior precipitating events, alternative actions taken and any medication administered.
What documentation is required by protocol for seclusion and/or restraints?
Puts into concrete terms what the patient implies, making the patient's communication more explicit
What is "Verbalizing the Implied"?
Goal-directed toward learning and growth, foundation of nursing care, client-centered
What is the therapeutic nurse-client relationship?
Cognition, insight, judgment, perception, mood/affect, thought content, thought process, speech, cooperation, behavior, appearance
What is a mental status assessment?
The processes by which the nurse helps patients to make positive changes in their health care status and well-being. The nurse is both a participant and observer in therapeutic conversations and self-awareness is imperative.
What is " Peplau's Interpersonal Theory"?
Needs to be concerned with dietary interactions, including pickled or fermented foods, alcoholic and/or medication interactions.
What are MAOIs?
The duty to communicate truthfully.
What is Veracity?
Nurse mirrors patient's overt and covert message with use of patient's key words.
What is "Restating"?
Establishing rapport, understanding the current problem, review the patients physical status, attain a MSE, baseline vital signs, safety risk, psychosocial status, identify mutual goals for treatment, formulate a plan of care and document all data.
What is the MH nursing assessment?
Involves a physical and social setting that focuses on safety and effecting positive change for all patients.
What is therapeutic milieu?
A nurse uses this intervention to challenge patients with stereotypical patterns of negative and self-critical thinking which distorts the patients ability to think and process information.
What is "Cognitive Behavioral Therapy"?
What is "Culturally Congruent Practice"?
A client is not a threat to self or others
When the client have the right to refuse treatments meds or therapy?
Assumes the nurse knows best and the patient can't think for oneself. Inhibits problem solving and fosters dependency.
What is "Giving Advice"?
The therapist is assessing and predicting the patient's danger of violence toward another; identifying the specific persons being threatened and taking appropriate action to protect the identified victims.
What is "Duty to warn and protect third parties"
This lasts for a few meetings and can extend over a period of time. Involves; introductions, establishing rapport, specifying a contract, explaining confidentiality.
What is "Peplau's Orientation Phase"?
Implicated in etiology of emotional disorders and interventions include pharmacological administration/treatments.
What are neurotransmitters? Serotonin, Dopamine, Norepinephrine, acetylcholine (GABA & Glutamate)