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What is the difference between MI & MH?
MI: Maladaptive responses to stress from our day to day life. (Thoughts & behaviors NOT fitting with cultural norms)
Causes: Bio, Psycho, Environ~
MH: Successful adaptation to stressors from our day to day life. ( Thoughts and behaviors fitting with cultural norms)
What is the general history of MH/MI, how were they treated?
- During the Middle Ages, the MI were sent out to sea on sailing boats by themselves to die, named "Ship of Fools".
- Early beliefs centered on MI in terms of evil spirits, supernatural, or magical powers that entered the body. (Culturally influenced) MI were beaten, starved & tortured to “purge” the body of these “evil spirits.”
What important Act (or movement) began in 1960 regarding MH?
What is the major reason why many ppl who have MI are homeless?
Deinstitutionalization & community health movement began 1960’s (Comprehensive Mental Health Act)
*Focus on Community-Based.
D/t money $$$.
What is the difference between Community Health Movement Prevention(s), primary, secondary, & tertiary?
Give an example of each.
Primary Prevention: Focus of targeting high risk groups with educational programs. Audience DOES NOT have any disorder yet.( Head start, Just say “NO” school programs, Decrease stress school programs).
Secondary Prevention: Early identify of problem and prompt intervention to reduce duration of illness. (out patient grief counseling, rape crisis centers, suicide hotline, med intake compliance)
*1st time diagnosis.
Tertiary Prevention: PREVENT complications of PRESENT illness. (Home care, Psych rehab program, AA meetings, Insurance triage nurses)
What is your priority goal in a MH setting (milieu)?
For example, d/t suicide.
How else can you "listen" with therapeutic communication in MH?
LISTEN, using SILENCE.
During the Pt interview, what are some helpful guidelines?
- Speak briefly.
- When you do not know what to say, say nothing.
- When in doubt, focus on feelings.
- Avoid giving advice.
- Avoid relying on questions.
- Note nonverbal cues.
- Keep the focus on the patient
If a Pt states they are seeing "bugs" on the floor and is clearly hallucinating, how should you handle the situation?
Validate what the client is seeing, then reorient the client to the appropriate reality & restore safety.
If a Pt is exhibiting a MANIC episode, what might you provide as an outlet for the Pt's excessive energy?
What word must you not use while communicating w/ someone w/ a MI/MH?
What should you focus on?
Focus on telling, teaching, educating, orienting.
Nurse and Patient Boundaries.
Give an example o "transference" & "Countertransference".
the shift of emotions, especially those experienced in childhood, from one person or object to another,especially the transfer of feelings about a parent toan analyst.
How does clarification differ from reflecting when it comes to therapeutic responses?
clarification: encourages recall & details of a particular experience; encourage description of feelings; seeks explanation.
reflecting: paraphrases what client says.