Treatment settings Flashcards
1
Q
outpatient psych mental health
A
- Primary care providers
- Specialty psychiatric care providers
- Patient-centered health/medical homes: variety of services, community, mental and physical health, health of different populations
- Community clinics
- Psychiatric home care: home bound, diagnosis, need care from psych nurse
- ACT: intensive care management
- Intensive outpatient programs and partial hospitalization: shorter/longer m-f
2
Q
other outpatients venuses for psychiatric care
A
Telephone crisis counseling
Telephone outreach
Internet
Telepsychiatry
3
Q
emergency care
A
- Comprehensive Emergency Service Model: psych doctor and nurse
- Hospital-Based Consultant Model: anyone for treatment/ dont turn anyone down
- Mobile Crisis Team Model
4
Q
prevention stategies
A
- Primary prevention: before problem starts
- Secondary prevention: reducing prevelance of disorder
- Tertiary prevention: treatment of disease
5
Q
role of nurse in outpatient settings
A
- Strong problem-solving and clinical skills
- Cultural competence
- Flexibility
- Knowledge of community resources
- Autonomy
- Promoting recovery and continuation of treatment
6
Q
settings for inpatient care
A
- Crisis Stabilization/Observational Units
- General Hospital and Private Hospital
- State Hospital
safe environment:
- no items, cords
- everything goes in and out
7
Q
reason why people our in inpatient
A
- disability
- harm to themselves
- harm to others
8
Q
entry to acute inpatient care
A
- Direct admission on referral
- Emergency department or crisis service
- Voluntary: choose to bring themselves in
- involuntary: saying they want to die
9
Q
patients right
A
- Hospitalized patients retain their rights as citizens
- Patient’s need for safety must be balanced against patient’s rights as a citizen
- Mental health facilities have written statements of patient’s rights and applicable state laws
10
Q
teamwork and collaboration
A
- Members of each discipline are responsible for gathering data and participating in the planning of care
- Treatment plan or clinical pathway provides a guideline for patient’s care during hospital stay
Nurse’s role is often to lead planning meetings - For standardization in treatment and improve outcomes, inpatient units use clinical pathways
11
Q
therapeutic milieu
A
Surroundings and physical environment
- Managing behavioral crises
- Safety
- Unit design
12
Q
inpatient psych nursing care
A
- Completing comprehensive data collection that includes the patient, family, and other health care workers
- Developing, implementing, and evaluating plans of care
- Assisting or supervising mental health care workers
- Maintaining a safe and therapeutic environment
- Facilitating health promotion through teaching
- Monitoring behavior, affect, and mood
- Maintaining oversight of restraint and seclusion
- Coordinating care by the treatment team
13
Q
speciality treatment settings
A
- Pediatric psychiatric care
- Geriatric psychiatric care
- Veterans administration centers
- Forensic psychiatric care
- Alcohol and drug abuse treatment
- Self-help options
