372: Mental Health Flashcards
(79 cards)
Principles of Milieu Therapy
- Fundamental respect for individuals
- Communication opportunities
- Autonomy reinforced
- Socialization facilitated
- Part of unit management
- Responsibility and accountability
- Peer pressure to reinforce rules
- Team approach
- Group discussions and temporary seclusion’s
- Nurses promote these goals
Mental health exam (ABC STAMP LICKER)
Appearance Behaviour Cooperation Speech Thought process & content Affect Mood Perception LOC Insight Cognition Knowledge Endings Reliability
Tardive Dyskinesia
Involuntary movements of face and arms/legs related to Antipsychotic medications
Akathisia
Subjective feelings of muscular tension secondary to antipsychotic or other meds, causing restlessness, pacing, repeated sitting and standing
Lutheran’s Recovery Model (HSSE RCR)
- Hope
- Security
- Support and managing symptoms
- Empowerment
- Relationships
- Coping
- Recovery education
Personal medicine
RECOVERY + RESILIENCE
What are the principles of informed consent?
- Nature of treatment
- Expected benefits
- Material risks and side effects
- Alternative courses of action
- Consequences of not having treatment
- Respond to requests for additional info
What is the test for capacity to consent?
- UNDERSTAND information RELEVANT to decision
2. APRECIATE reasonable foreseeable CONSEQUENCES for decision or lack there of
What is the SDM Hierarchy? (CARS PB RP)
- Court-appointed guardián
- Attorney for personal care
- Representative by CCB
- Spouse, common law partner
- Parents + children
- Brothers + sisters
- Relatives by blood, marriage, adoption
- Public Guardian or trustee
What are the rules of emergency treatment without consent for an incapable person?
- There is an emergency
- Delay obtaining decision will prolong pts suffering and put at risk of serious bodily harm
- Treatment may continue until SDM is found
- If pt regains capacity, they decide
Rules for emergency treatment without consent for apparently capable person
- There is an emergency
- Required communication cannot happen due to language barrier or disability
- Reasonable steps have been taken to enable communication without success
- Delay by enabling communication will prolong suffering or risk serious bodily harm
- No reason to believe the person does not want treatment
Form 1
- MD must examine
- Conclusions may be based on combination of personal data and observations
- May sign within 7 days of exam
- Valid for 7 days
Form 2
- Justice of peace may sign Form 2
- Directs police to apprehend and take the person for Form 1 exam
- Anyone may request
4? Valid for 7 days
Form 3
- Valid for 14 days (including date of signature)
- Must be preceded by examination
- Signed regarding: voluntary or informal pts, detained on Form 1 and still within 72 hours
Form 4
- Only if pt is already on Form 3 or 4 extension
2. First form = 1 month, second = 2 months, third = 3 months, etc
Transference
Client’s unconscious projection of attitudes and feelings from past relationships onto therapist/nurse
Countertransference
Therapist/nurse unconsciously and inappropriately displaces feelings related to significant figures onto patient
Core interviewing skills for motivational interviewing
- Open questioning
- Affirm
- Reflect
- Summarize
- Informing and advising
What are the 3 components of crisis?
- Precipitating/stressful event
- Perception of event
- Usual coping methods/supports
What are the 3 components that resolution from a crisis depends on?
- Realistic perception of event
- Adequate supports
- Adequate coping mechanisms
What is the ABC Model of Cognitive-Behavioural Therapy (CBT)?
- Activating event
- Beliefs that leads to emotions and behaviours
- Consequences
Cognitive conceptualization
Links between thoughts, feelings, and behaviours
Dialectical Behaviour Therapy (DBT)
CBT + Mindfulness
- For people with BPD and suicidality
- Emphasis on awareness of thoughts and actively shaping them
Intersectionality
Theory which seeks to examine socially and culturally constructed categories interact to manifest as inequalities in society