Mental Health Basics
what's the difference?
Person with a tidy house
Person with OCD
disruption in coping and/or function
True/False
Mental health patients are always on units that specialize in mental health
FALSE
Can be in seen in many settings (Example diabetic pt with bipolar disorder)
Phase when outpatient support is discussed
termination
Suicide warning signs
says their suicidal, gives away possessions, says their a "burden", change in eating/sleeping...
True / False - It's OK to take antidepressants with St. John's Wort
NO!
Determined by a court...
Competency or Capacity
Competency
True / False
The RN can be the primary therapist
False!
Abstinence
Completely avoiding
crying, can't get out of bed, weight changes, poor hygiene
depression
the patient fakes illness for attention
factitious disorder
defines mental health disorders
DSM-5
Why does the nurse work to reduce stress for patients in mental healthcare
stress can increase symptoms and risk of relapse
Used to change how a pt thinks
Cognitive Therapy
personality disorder: fears there is a conspiracy against them
paranoid personality disorder
borderline personality disorder: manipulation that can create tension among the staff
splitting
What is implicit bias?
negative attitude about a group, without being aware
restraints
the patient feels like the nurse is just like their mother/father
Transference
twitching of the face, abnormal tongue movements
Tardive dyskinesia
functional ability to complete complex tasks on time
executive functioning
autonomy, nonmaleficence, beneficence, justice, confidentiality, informed consent, and fidelity
ethical principles
Technique used to communicate with patients
Therapeutic communication
important teaching for family of pt with borderline personality disorder
risk for self-harm
personality disorder: refuses to follow unit rules, steals from other patients, manipulates staff
antisocial personality disorder
True / False - pt with anorexia nervosa does not need observation during meals
false - smearing, hiding...
The environment of care
milieu
priority with aggressive pt
your safety, safety of pt and others
medication for schizophrenia that can impact the immune system
clozapine (neutropenia)
"I'm a very important spy for the government."
grandiose delusion
High fever, confusion, rigid muscles, variable blood pressure, sweating, and fast heart rate
neuroleptic malignant syndrome (NMS)
consent
the way you stand, eye contact, silence
nonverbal communication
"Will grandpa get better?" Sudden onset of hallucinations and positive for UTI.
Yes! Delirium is rapid onset and will resolve by tx of underlying condition.
Anhedonia, anosmia, avolition, alogia,
negative symptoms
mild cycling between hypomania and mild depression
cyclothymic disorder
what is diathesis?
predisposition (diathesis - stress model)
Nurse response when the pt points at the wall and says they see the wall moving
"You see the wall moving. I don't see that."
"will he get better with medication and therapy?" - family member of pt with dementia
dementia is progressive
pt doesn't talk out of fear/anxiety
selective mutism
has severe depressive episodes and episodes of hypomania
Bipolar II