Contemporary Psych-Mental health Nursing-From PDF Flashcards
(127 cards)
1
Q
What is psychiatric-mental health nursing?
A
A specialized area of nursing committed to promoting mental health through the assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric disorders.
2
Q
What is a major component of psychiatric-mental health nursing?
A
The therapeutic use of self in conjunction with theoretical and research-based foundations from various scientific disciplines.
3
Q
In which settings does psychiatric-mental health nursing occur?
A
Across a continuum of care encompassing a wide variety of settings.
4
Q
How does psychiatric-mental health nursing promote mental health?
A
Through assessment, diagnosis, and treatment of mental health issues.
5
Q
What role does research play in psychiatric-mental health nursing?
A
It provides the theoretical foundation for practice and informs evidence-based interventions.
6
Q
What are crisis intervention services?
A
Immediate care provided to individuals experiencing a mental health crisis.
7
Q
Define emergency psychiatric services.
A
Services that provide urgent care for severe mental health conditions.
8
Q
What is acute inpatient care?
A
Hospital-based care for individuals with severe mental health issues requiring close supervision.
9
Q
What is intermediate and long-term care?
A
Services that offer support for an extended period for patients with persistent psychiatric conditions.
10
Q
Describe partial hospitalization programs.
A
Structured programs that provide intensive treatment while allowing patients to live at home.
11
Q
What are intensive outpatient treatment programs?
A
Programs designed for individuals who need more support than traditional outpatient care.
12
Q
What do residential services provide?
A
Living arrangements that offer support and treatment for mental health conditions.
13
Q
What types of community-based care exist?
A
Care provided in home settings, workplaces, clinics, maintenance organizations, shelters, schools, and colleges.
14
Q
Define Assertive Community Treatment (ACT) programs.
A
Comprehensive, community-based mental health services designed for individuals with severe mental illness.
15
Q
What are integrative programs in mental health?
A
Programs that combine various therapeutic approaches to provide holistic care.
16
Q
How does telehealth fit into psychiatric nursing?
A
It provides remote access to mental health care through digital platforms.
17
Q
What is the role of self-employment in psychiatric nursing?
A
It allows nurses to offer their specialized skills independently.
18
Q
Describe disaster response services in psychiatric nursing.
A
Services provided in the aftermath of traumatic events to support mental health recovery.
19
Q
What document delineates the responsibilities of psychiatric-mental health nursing?
A
The Scope and Standards of Practice.
20
Q
When was the initial Scope and Standards of Practice developed?
A
In 1973.
21
Q
What was the second edition of the Scope and Standards published?
A
In 2014.
22
Q
How is the Scope of Practice divided?
A
Into two areas: Standards of Practice and Standards of Professional Performance.
23
Q
What are the six major areas covered in the Standards of Practice?
A
Assessment, diagnosis, outcomes identification, planning, implementation, and evaluation.
24
Q
How many areas do the Standards of Professional Performance cover?
A
Nine areas.
25
Name a focus area of the Standards of Professional Performance.
Quality of practice.
26
How does psychiatric-mental health nursing impact patient outcomes?
By providing structured and evidence-based interventions tailored to individual needs.
27
What role do ethical standards play in psychiatric nursing?
Ensuring respect for patient rights and adherence to professional principles.
28
What do phenomena of concern reflect in psychiatric nursing?
The holistic view of the patient, including their needs and those of their family and community.
29
What is health promotion in psychiatric nursing?
Efforts to optimize mental and physical health while preventing illness.
30
Why is impaired ability to function a concern for PMHNs?
It affects the patient’s quality of life and ability to engage in daily activities.
31
What alterations in thought, perception, and communication are critical in care?
Changes that directly impact how patients understand and interact with the world.
32
How do potentially dangerous behaviors relate to psychiatric care?
Identifying these behaviors is essential for safety and effective intervention.
33
What is the significance of understanding one's limitations as a nurse?
To promote safer practice and appropriate referral to specialists.
34
How can the nurse's emotional sensitivities affect patient care?
They can influence interactions, necessitating self-awareness to avoid bias.
35
What two levels of psychiatric-mental health nursing are recognized?
Basic and advanced.
36
What distinguishes basic-level PMHNs?
Their educational preparation and the complexity of practice involved.
37
What qualifies a nurse as a basic-level PMHN?
Graduation from an accredited nursing education program and licensure.
38
What specialized skills do basic-level PMHNs have?
Knowledge and skills to treat patients with mental health issues.
39
What is the role of the therapeutic nurse-patient relationship at the basic level?
It is fundamental for effective care and patient collaboration.
40
Define advanced practice PMHNs.
Nurses educated at the master’s or doctorate level with certification in psychiatric nursing.
41
What is the focus of advanced practice in psychiatric nursing?
Application of competences, knowledge, and experience to complex psychiatric issues.
42
What key components characterize advanced practice PMHNs?
Mental health promotion, collaboration, and referrals.
43
What is the first function of the mental health nurse?
Establishment of the therapeutic nurse-patient relationship.
44
How do mental health nurses conduct comprehensive assessments?
By utilizing the nursing process to gather relevant patient data.
45
What role do PMHNs play in interprofessional teams?
They are key members contributing mental health expertise to patient care.
46
Describe health promotion activities provided by PMHNs.
Activities aimed at enhancing both mental and physical well-being.
47
What is involved in intake screening, evaluation, and triage?
Assessing patients to determine immediate intervention needs.
48
How do PMHNs provide case management?
Coordinating care and services for patients with mental health challenges.
49
What responsibilities are involved in administering psychobiological treatments?
Monitoring and evaluating the response to medications.
50
What is crisis intervention?
Immediate support to help stabilize a patient in distress.
51
How does psychiatric rehabilitation support patients?
By helping them regain skills for daily living and self-management.
52
Why is patient, family, and community education important?
It fosters understanding and empowerment in managing mental health.
53
How do PMHNs collaborate with other professionals?
By working within interdisciplinary teams for cohesive care.
54
What is primary psychiatric-mental health care delivery?
Continuous services necessary for promoting optimal mental health.
55
What does comprehensive psychiatric evaluation involve?
A thorough assessment that may include medical diagnosis.
56
Under what circumstances can PMHNs prescribe medications?
If allowed by state regulations and within their training.
57
What therapeutic interventions might PMHNs provide?
Cognitive-behavioral therapy (CBT), somatic experiencing, or psychodynamic psychotherapy.
58
What forms of psychotherapy can PMHNs conduct?
Individual, group, couples, and family psychotherapy.
59
How do nurses partner with individuals in recovery?
Collaborating with them to set and achieve personal recovery goals.
60
What are examples of self-care activities PMHNs teach?
Techniques such as stress management and mindfulness.
61
Why is consultation and liaison a function of the mental health nurse?
To provide expert guidance in interdisciplinary care settings.
62
What is the purpose of clinical supervision in psychiatric nursing?
To ensure quality of care and support novice nurses in their roles.
63
What preventative care might PMHNs provide?
Screening for mental health issues and necessary immunizations.
64
What is critical during the acute phase of treatment?
Hospitalization in a crisis stabilization facility.
65
How should nurses prioritize patient care in acute settings?
Focus on the safety of the patient.
66
Why is proper ventilation important in seclusion or restraint?
To maintain patient comfort and reduce agitation.
67
How can the level of stimulation impact patient symptoms?
High levels can exacerbate symptoms like hallucinations or delusions.
68
What should nurses observe in patients?
The patient's behaviors and responses to interactions and treatments.
69
What is vital about managing drug therapy?
Nurses must have knowledge of antipsychotic medications and their effects.
70
Why is compliance behavior crucial for treatment?
It affects the efficacy of prescribed medications and interventions.
71
What advocacy role do nurses play in psychiatric settings?
Advocating for the rights and needs of patients and their families.
72
How do nurses monitor patients with suicidal tendencies?
By closely observing behaviors and providing interventions as necessary.
73
Why is confidentiality essential in psychiatric nursing?
To protect sensitive information about the patient’s illness and treatment.
74
What procedures are involved in patient admission and discharge?
Ensuring smooth transitions and clear communication regarding care plans.
75
How should nurses manage counter-transference?
By recognizing their personal feelings that patients may evoke.
76
What are the implications of understanding one's limitations as a nurse?
It promotes safer practice and appropriate referral to specialists.
77
How can the nurse's emotional sensitivities affect patient care?
They can influence interactions, necessitating self-awareness to avoid bias.
78
What strategies can nurses employ to enhance patient safety?
Regular risk assessments and clear communication within the care team.
79
How can PMHNs utilize community resources in care?
By integrating local support services into the treatment plan.
80
What interventions can nurses provide during medication management?
Education about proper use, side effects, and adherence strategies.
81
How can nurses help patients establish coping strategies?
Through teaching practical skills and offering ongoing support.
82
What role does documentation play in psychiatric nursing?
It provides an accurate record of patient progress and care interventions.
83
How can nurses ensure a therapeutic environment?
By creating a safe and supportive atmosphere for healing.
84
Why is ongoing assessment vital in psychiatric care?
It allows nurses to adapt interventions based on the patient's evolving needs.
85
What is the significance of self-care for nurses?
It prevents burnout and enhances the ability to care for patients effectively.
86
How can PMHNs promote self-advocacy in patients?
By encouraging patients to express their needs and preferences in treatment.
87
What are the implications of stigma on patients with mental illness?
It can lead to isolation, reduced access to care, and worsening conditions.
88
Why is skillful observation critical in psychiatric nursing?
It enables nurses to detect subtle changes in patient behavior or condition.
89
What challenges do PMHNs face when working with high-risk populations?
Factors like social stigma, economic barriers, and lack of access to care.
90
In what ways can laughter therapy benefit patients?
It reduces stress and fosters connections between patients and caregivers.
91
How can PMHNs ensure quality of care in their practice?
Through continuous education and adherence to professional standards.
92
How can technology enhance psychiatric nursing practices?
By providing tools for remote monitoring, teletherapy, and patient engagement.
93
In what ways can PMHNs promote community awareness about mental health?
By engaging in outreach programs and educational initiatives.
94
What strategies can be used to reduce the impact of social determinants in mental health care?
Advocacy for policies that address socioeconomic disparities.
95
How does reflective practice benefit psychiatric nurses?
It fosters growth and helps in learning from experiences.
96
How can PMHNs help develop a safety plan for at-risk patients?
By identifying triggers and coping strategies in collaboration with the patient.
97
What key competencies should PMHNs demonstrate in practice?
Communication, assessment, critical thinking, and empathy.
98
What factors contribute to effective crisis intervention?
Timely response, clear communication, and resource availability.
99
What is the impact of therapeutic communication in mental health nursing?
It builds rapport and trust, which are essential for effective treatment.
100
Why is it important for nursing education to include mental health training?
To equip nurses with the necessary skills to handle psychiatric conditions effectively.
101
How can PMHNs support transitions of care for patients?
By coordinating with community services and ensuring continuity in treatment.
102
How do nursing interventions affect health outcomes?
They can enhance recovery, reduce symptoms, and improve patient satisfaction.
103
What role does empathy play in psychiatric nursing?
It helps nurses connect with patients and understand their experiences.
104
Why is patient education a cornerstone of psychiatric nursing?
It empowers patients with knowledge about their conditions and treatments.
105
How might self-stigma affect a patient's recovery process?
It can decrease motivation and increase feelings of shame or hopelessness.
106
What are the advantages of using structured assessment tools?
They provide standardized data to evaluate patient needs and outcomes.
107
How can PMHNs tailor interventions to meet complex needs?
By utilizing their extensive training and integrating multiple therapeutic modalities.
108
Why is teamwork essential in psychiatric settings?
It ensures that all aspects of patient care are addressed and improves overall quality.
109
How can psychoeducation contribute to recovery?
It equips patients with skills to manage their conditions effectively.
110
How do PMHNs address the needs of diverse populations?
By providing culturally competent care and acknowledging unique challenges.
111
What does it mean to practice culturally sensitive nursing?
Providing care that acknowledges and respects diverse cultural backgrounds.
112
How can PMHNs facilitate effective discharge planning?
By ensuring patients have resources and support systems in place post-discharge.
113
In what ways can family therapy impact patient outcomes?
It enhances communication and addresses systemic issues affecting mental health.
114
What should be monitored continuously in patients receiving psychotropic medications?
Side effects and overall effectiveness of the medications.
115
How do team debriefings contribute to improved patient care?
They allow for communication about challenges and sharing of best practices.
116
Why is it important for PMHNs to understand the legal aspects of mental health care?
To navigate policies and protect patient rights.
117
How can PMHNs support patients in developing coping strategies?
Through individualized care plans and therapeutic activities.
118
What challenges do PMHNs face when providing care?
Balancing patient needs with administrative demands.
119
What role does social support play in mental health recovery?
It provides essential emotional and practical assistance.
120
How can culturally informed practice improve patient outcomes?
By aligning care with the patient's cultural beliefs and values.
121
Why is trauma-informed care important in psychiatric nursing?
It acknowledges the impact of trauma and promotes safety and healing.
122
What strategies can PMHNs employ in crisis situations?
Active listening, de-escalation techniques, and empathetic communication.
123
How can collaborative care models benefit psychiatric patients?
They integrate physical and mental health services for comprehensive support.
124
Why is it crucial to involve patients in their own care planning?
It fosters engagement and increases the likelihood of adherence to treatment.
125
What impact do socioeconomic factors have on mental health treatment?
They can create barriers to accessing care and affect recovery outcomes.
126
How can PMHNs advocate for policy changes in mental health care?
By participating in community groups or professional organizations focused on mental health.
127
How does mindfulness contribute to mental health?
It enhances self-awareness and reduces symptoms of anxiety and depression.
