Intro
What is the name of the book that has diagnosis critera for physicians to diagnose mental health disorders?
DSM-5
what is the difference between libel and slander?
why are these a problem within the nursing scope of practice?
libel- writing untrue statements that are false or subjective. "the pt is manipulative or lying" without factual evidence
Slander- verbal untrue rumors a/b a pt like they have a STD or are faking symptoms.
These can lead to a loss of our job and violation of patient rights
This is the right of psych patients to control access to their own personal information. Requires nurses to keep computers turned away from patients and guests.
Right to Privacy
This is when a patient is mandated by a judge to be inpatient for 60 days a formal court judgement is on record. The pt must follow and comply with the medical treatment.
Court-ordered care
list the following in stages of least invasive to the most:
restraints/isolation rooms
out patient therapy
IM injections for emergency situations
quiet room
least:
outpatient therapy
quiet room
IM for emergency
restraints/iso room
strong emotional regulation, religion, problem solving skills, healthy lifestyle, relationships, strong community and cultural ties, safe environment, healthcare access..... list goes on
Assault vs Battery
assault- the treat placing the pt in reasonable apprehension of imminent harm "i will throw this at you" "i will restrain you" aggressive gestures
battery- the action. intentional, harmful, offensive physical contact without consent
ex- forcible administration of medication, physical restrains without an order
This is the obligation of the health care provider to protect the information disclosed within the therapeutic relationship. The RN must use the release of personal information
right to confidentiality
This is when the patient makes the decision to go inpatient for 60 days. legal proceedings are suspended and the hearing is waived but can be demanded by the patient. Pt must be compliant or the RN needs to document any area of non-compliance
Deferred Status patients
Explain codependency in the instance of a nurse to a patient
The nurse meets all of the needs of the patient and will not allow the patient to grow and get to a place of self-growth
What are some risk factors for mental illness?
- lack of relationships, ETOH use, TBI, family hxy, chronic health issues, genetics, low self-esteem, past trauma, poverty, bullying, unstable housing, climate crisis, social inequality... and many more
voluntary admission:
consent-
primary goal-
duration-
legal step-
The patient willingly consents to treatment, proactive treatment, and recovery, flexible stay determined by the patient and the DO, they sign a voluntary form to stay
This is the obligation of the RN to promote best practice on behalf of a pt who is unable to make their own decisions.
advocacy
this is the duty to act in ways that benefit the patient and promote their well-being
beneficence
Explain warning signs that boundaries had been broken between the pt/nurse relationship and ways that nurses can set clear boundaries
boundaries- therapeutic communication, avoid self-disclosure, don't touch, etc.
what is the goal of secondary prevention of mental health nursing?
what settings does this take place in?
to detect crisis and mental illness early, screening, prompt treatment of existing symptoms
settings: emergency care, CSU, invasive outpatient/partial hospitalization, general hospitals
emergency commitment
consent-
primary goal-
duration-
legal step-
no consent, initiated by a third party like family or friend, immediate safety and stabilization, short term (48-72 hours), physical/police place an emergency hold
The right of the patient to communicate and ensure understanding of all treatments. The RN should use the teach-back method to ensure that the procedure is understood
Right to informed consent.
pt must have the knowledge, competency, and voluntariness without corrosion
this is the duty to do no harm and avoid actions that cause unnecessary pain or distress to a patient
non-maleficence
explain transference vs countertransference
tbh idk so heres what chat gpt says:
Transference
Patient ➡️ Nurse
This is when the patient projects feelings from someone in their past onto you.
Think: “You remind me of my mom/ex/my mean 3rd grade teacher/guardian angel.”
Countertransference
Nurse ➡️ Patient
This is when YOU start projecting your own feelings, experiences, or biases onto the patient.
Examples:
You feel extra protective because the patient reminds you of your sibling
What is the goal of tertiary prevention?
where would this take place?
rehab and relapse care. goal is to gain the highest degree of functioning
setting- ACT, home care, state hospitals, CMHC (recovery)
involuntary/ civil commitment
consent-
primary goal-
duration-
legal step-
no consent, legally initiated
long-term safety needs
extended duration
formal court hearing and judges orders are needed
This is the right of the patient to say no if the treatment is undesired.
When is this right taken away?
right to refuse
can be taken away when a patient is court ordered to receive treatment
this is maintaining loyalty and commitment to the pt and being faithful to promises made
fidelity
thats all i got, good luck
BRUHHHH