Mental health 1.txt

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257400
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Mental health 1.txt
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2014-01-19 16:22:17
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Mental health
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Mental health 1
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  1. Role of psychiatric nurse
    develop and maintain a therapeutic nurse-client relationship
  2. Focuses on pt’s needs and is goal specific, theory based and open to supervision
  3. Purposeful, goal direct, safe, confidential, reliable and consistent,Focus on pt’s ideas
  4. Preinteraction phase
    prep for first encounter, gather info from chart, family, other staff
  5. Introduction
    establishing contract, establishing parameters, confidentially, preliminary care plan
  6. Working
    CP implemented through therapeutic alliance, transference (pt), countertransferrence
  7. Termination
    review progress and plans for the immediate future
  8. Physical comp
    procedure/technical skills
  9. Psychosocial
    positive regard, nonjudgment, empathy, authentic
  10. Spiritual
    connectiveness, respect for diverse needs
  11. Power component
    beliefs about the locus of control
  12. Role of nurse in crisis
    assess, plan, intervene, evaluate/anticipatory planning
  13. SOLER communitation
    sit squarely facing patient, observe an open posture, lean forward, establish eye contact, relax
  14. AFAs medical care
    spiritualist
  15. Handshake for native americans
  16. Latin Americans
    folk healer
  17. Muslim men may not
    shake hands with muslim women
  18. Touch in the U.S.
    moderate touch indicates personal warmth and conveys caring
  19. Low touch cultures
    may be considered an overt sexual gesture capable of stealing the spirit of another or taboo between women and men
  20. High touch cultures
    people touch one another as frequently as possible
  21. Ethical issues in psych nursing
    right to refuse medication; right to least restrictive treatment alternative
  22. Beneficence
    doing good
  23. Justice
    fair and equitable treatment for all
  24. Autonomy
    pt right to make own decision
  25. Fidelity
    loyalty and faithfulness to client and one’s duty
  26. Veracity
    being honest
  27. Mental health issues
    HIV status, duty to warn and protect third parties and abuse
  28. Rights of mental health pt
    right to humane treatment and care, right to vote, right to due process, right to press legal charges, informed consent, refuse treatment, written POC and DC info and review of treatment plan
  29. Clients in restraints to seclusion must be
    observed and assessed every 10-15 minutes
  30. Natural law
    do good and avoid evil
  31. Christian ethics
    golden rule
  32. Utilitarianism
    greatest happiness principle (end result)
  33. Kantianism
    “I make this choice because it is morally right” (don’t care about end result)
  34. CT scan
    accuracy of brain structure to detect possible lesions, abscesses, areas of infarction or aneurysm; identify anatomical differences in clients with schizophrenia, organic mental disorders and bipolar
  35. Effect of GABA
    associated with short inhibitory interneurons; interrupts the progression of the electrical impulse at synapse junction producing a significant slowdown of body activity; decreased level in anxiety, huntington’s and epilepsy
  36. Effect of norepinephrine
    fight or flight, found in ANS; regulation of mood; decreased in depression, anorexia and increased in mania, anxiety and schizophrenia
  37. Schizophrenia’s effect on the brain
    enlargement in cerebral ventricular size, decreased temporal lobe; caused by an excess of dopamine dependent neuronal activity in the brain; increase prolactin
  38. Mental health
    ability to see oneself as others do and fit into the culture and society where one lives; mental illness is inability
  39. Id
    pleasure principle; immediate gratification; impulsive and irrational
  40. Ego
    rational self; 4 to 6 months of age; mediator-maintain harmony between external world, id and superego
  41. Superego
    perfection principle; internalizes values and morals set forth by primary caregivers; assists ego in control of id impulses; when superego becomes rigid and punitive, problems with low self esteem and self-confidence
  42. Oral
    birth to 18 mo; relief of anxiety through oral satisfaction
  43. Anal
    18 mo to 3 yrs; learning independence and control
  44. Phallic
    3-6 years; identification with parent of same gender; development of sexual identity
  45. Latency
    6-12 years; sexually repressed; relationships with members of same sex peers
  46. Genital
    13-20; libido reawakened and focus on relationship with opposite gender
  47. Sullivan theory
    individual behavior and personality development are the direct result of interpersonal relationships; major concepts were anxiety, satisfaction of needs, interpersonal security, self-system
  48. Infancy
    birth-18 mo; relief of anxiety through oral gratification of needs
  49. Childhood
    18 mo-6 years; learning to experience a delay in personal gratification without undue anxiety
  50. Juvenile
    6-9 years; learning to form satisfactory peer relationships
  51. Preadolescence
    9-12 years; same gender feelings
  52. Early adolescence
    12-14 years; relationships with opposite gender; developing sense of identity
  53. Late adolescence
    14-21 years; self identify; opposite gender relationship
  54. Sullivan’s theory related to nurses
    therapeutic relationships to successfully interact with others
  55. Mahler’s theory related to nurses
    help nurse assess the client’s level of individuation from primary caregivers
  56. Mahler stage 1
    birth-1 month; normal autism; fulfillment of basic needs for survival and comfort
  57. Mahler stage 2
    1-5 months; symbiosis; development of awareness of external source of need fulfillment
  58. Mahler s stage 3A
    5-10 months; differentiation; commencement of a primary recognition of separateness from the mothering figure
  59. Mahlers stage 3B
    10-16 months; practicing; increased independence through locomotor functioning; increased sense of separateness of self
  60. Mahlers stage 3C
    16-24 months; rapprochement; acute awareness of separateness of self; learning to seek emotional refueling from mothering figure to maintain feeling of security
  61. Mahlers stage 3D
    24-36 months; consolidation; sense of separateness established; resolution of separation anxiety

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