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mental health > week 2 > Flashcards

week 2 Flashcards

1
Q

Review of systems

A

physical related
PSYCH no head to toe but do a MSE

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2
Q

what does the nurse look for in a psychosocial assessment

A

stressors that make the mental illness worse, financial, family etc

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3
Q

self-awareness assessment

A

we do this ourselves so that were aware of our own personal biases

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4
Q

validating assessment

A

make sure what the pt is saying is what the chart says

basically ask the pt what brought them in and match it to the chart

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5
Q

Mental status examination

A

mostly observational
can help to see if the pt is improving

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6
Q

steps of nursing process

A
  1. assessment
  2. nursing diagnosis
  3. outcome identification
  4. Planning
  5. implementation
  6. evaluation
  7. documentation
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7
Q

what would be an example of outcome identification

A

pt will identify 3 triggers by the end of shift

pt will not harm self

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8
Q

what does SMART goals stand for

A

Specific
Measurable
Achievable
Realistic
Timely

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9
Q

what is milieu therapy

A

reducing stimuli

make a safe and therapeutic environment

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10
Q

factors that affect communication

A

personal factors
environmental factors
relationship factors

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11
Q

what are examples of environmental factors that can affect communication

A

too loud
no phone
lack of privacy

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12
Q

relationship factors

A

speaking differently to providers compared to friends

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13
Q

verbal communication

A

straight forward or distorted communication.

we lieeeee

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14
Q

nonverbal communication

A

most of what we say is through body

body gestures
tone and pitch
cues

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15
Q

examples of cues

A

someone looks disheveled

Adam Sandler

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16
Q

incongruent

A

actions and words do not match

double bind or mixed message

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17
Q

congruent

A

actions and words match

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18
Q

therapeutic communication

A

helps us to allow the pt to feel safe

always goal directed

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19
Q

therapeutic technique: therapeutic silence

A

provides meaningful moments of reflection for both participants

a listening response not the absence of communcation and allows the pt to break the silence

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20
Q

therapeutic technique: Active listening

A

listening attentively
make eye contact
lean forward
providing feedback
seeing if there’s any incongruent messages

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21
Q

therapeutic techniques: clarifying techniques

A

help to ensure that your interpretation of the message is what the pt meant to say

22
Q

examples of clarifying techniques

A

paraphrasing
restating
reflecting
making observations
exploring
what if
miracle question

23
Q

example of reflecting

A

well what do you think

do not give advice

24
Q

example of making observations

A

I noticed you took a shower today

I noticed you applied for that job

25
Q

example of exploring

A

tell me more

26
Q

what if and miracle questions

A

help pts with problem solving and coping skills

27
Q

do not ask closed ended questions yes, no

A

instead ask how was your sleep

allows the pt to share more information.

28
Q

never give advice

A

encourage them to make their own decisions and let them list the pros and cons

29
Q

do not give false reassurance
“everything will be alright”

A

instead say what specifically are you worried about

what do you think could go wrong

clarification

30
Q

never ask why questions

A

Therapeutic: give broad openings

“tell me reasons that led up to you not taking your medication

31
Q

never minimize feelings
I know what you mean

A

therapeutic: empathize
you must me feeling upset

32
Q

never make valued judgements

A

Therapeutic: make observation
I noticed you still smoke

33
Q

do not ask excessive questions

A

therapeutic: clarifiying

tell me about you eating habits since you’ve been depressed

34
Q

do not disapprove

I disagree with that

A

therapeutic: exploring

that’s an interesting point of view, hoe did you get to that conclusion

35
Q

never give approval/agreeing

I’m proud of you for applying for that job

A

pt becomes to be dependent on other, pt needs to do things for themselves

I notice that you applied for that job

36
Q

do not change the subject

A

therapeutic: validating and exploring

this sounds serious have you thought of harming yourself

37
Q

only use yes or no if it is in regards to safety

have you thought of harming yourself

A

this is the only time its okay

38
Q

therapeutic relationships

A

the basis of all psychiatric nursing treatment approaches

39
Q

4 core concepts of nurse-patient relationship

A
  1. dignity and respect
  2. information sharing
  3. patient/family participation
  4. pt feels heard and understood
40
Q

therapeutic relationship goals

A
  1. facilitating
  2. assisting (ADLS)
  3. helping (cope skills)
  4. promoting (self care and independence)
41
Q

therapeutic relationships

A

focused on the pt
enhances the growth on the pt

42
Q

social relationships

A

dependent on eachother

friend helps you get a job somewhere

support each other

BOTH needs of both people matter

43
Q

boundaries

A

pts needs are separated from the nurses needs

sharing food, buying them a gift, sharing headphones (blurred boundary becomes more social).

44
Q

warning signs that a blurred boundary is there

A

over helping
controlling
narcissism

45
Q

transference

A

the process where a person unconsciously and inappropriately transfers behavior onto another person

pt to staff member

46
Q

countertransference

A

staff onto pt

47
Q

define stress response

A

survival mechanism by which the body and mind become immediately ready to meet a threat

48
Q

symptoms of PTSD

A

T traumatic event
R re-experiencing trauma
A avoidance
U unable to function
M month long symptoms
A arousal increased

49
Q

risk factors of PTSD

A
  1. age of traumatic event
  2. female
  3. history of psychiatric illness
  4. lower education level
50
Q

comorbidities of PTSD

A
  1. CVD
  2. increased susceptibility to infections
  3. dementia
  4. depressive disorder
  5. anxiety disorders
  6. substance related
  7. increased risk of suicide
51
Q

how long does it take acute stress disorder symptoms to resolve

A

symptoms resolve within 1 month

52
Q

how much time does it need to be in order to be deemed ptsd

A

longer than a month

mental health (14 decks)

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