You're So Basic
Mental illness is a disturbance in one's ability to cope effectively in ___________________.
Activities of daily living
Mental health clients lose their rights when?
Danger to themselves or others
Developed psychoanalysis: Id, Ego, Superego
Sigmund Freud
Name therapeutic and nontherapeutic communication techniques
Broad openings, clarification, silence, focusing, reflection. Being judgmental, giving advice or reassurance, failing to listen.
Best intervention for aggression/violence
Prevention
Inpatient vs. Outpatient
What determines that?
Severity of illness, level of dysfunction the illness is causing, level of client cooperation, and yes, the ability to pay
Assault vs. Battery
What's the difference?
Assault: any act that threatens a client
Battery: touching a client without permission
Developed self-care deficit theory
Dorothea Orem
Phase of nurse/client relationship where a working agreement is established
Orientation Phase
Stages of the Assault Cycle
Trigger, Escalation, Crisis, Recovery, Depression
What factors influence mental health?
Genetics, childhood nurturing, life experiences (positive and negative)
Special risk to consider on inpatient mental health units
Elopement
Developed the nurse-client relationship
Hildegard Peplau
A client provides a detailed description of everything she is experiencing. What communication pattern is this?
Circumstantiality
#1 therapeutic intervention for victims of violence
Ensure safety (never leave alone)
Describe the history of mental health
Demons/Spirits, Asylums, Deinstitutionalize Movement, Treatment Progression, Societal Shift
Detaining someone who is competent against their will
False Imprisonment
B. F. Skinner
Flight of Ideas vs. Loose Associations
Flight of Ideas = unrelated topic shifts
Loos Associations = related topic shifts
Characteristics of an abuser
Unpredictable, controlling, possessive, verbally/physically abusive
Name and describe members of the multidisciplinary team
Psychiatrist, Psychologist, Nurse, Tech, Rec. Therapist, etc.
Tarasoff's Rule
Duty to warn
Madeleine Leininger
_____________ is when a nurse begins to have their own feelings shape the way they care for the client.
Countertransference
Explain the 3 levels of interventions for anger
1: prevent, acknowledge the client, explain what is happening
2: set limits, protect client/yourself/others
3. restraints, injections, seclusion