Exam 2 Flashcards

1
Q

What are the admission criterias

A

Something acute and very serious, such as hurting yourself or someone else, or extremely disabled in need of long term care

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2
Q

Assertive Community Treatment

A

People in the community who help to keep people from reentering the hospital

  • works with patients in home, hospitals, agencies, or clinics
  • provides support and resources
  • on call 24/7
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3
Q

What are some patient rights

A

Right to vote
Right to send and receive mail
Right to confidentiality
Right to informed research
Right to least restrictive means of treatment
Right to keep personal belongings unless dangerous
Right to participate in religious worship

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4
Q

A treatment strategy aimed at support and preventing further declines in psychiatric functioning

A

Stabilization

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5
Q

The process of sorting people based on their need for immediate treatment as compared to their chance of benefiting from such care

A

Triage

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6
Q

A civil wrong for which money damages or other reliefs may be obtained by the injured party (plaintiff) from the wrongdoer (defendant)

Used by the patient for a sum of money. Damages include and must include pain and/or suffering. Nurses are to be educated and current as to what they are responsible for.

A

Tort

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7
Q

Deterioration of mental health and loss of control due to an inability to compensate for mental illness due to stress

A

Decompensation

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8
Q

A program that coordinates services for individual patient care

A

Psychiatric case management

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9
Q

A setting that places the least restrictions are choices and freedom

A

Least restrictive environment

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10
Q

Legislation that resulted in the mass movement of severely mentally ill (SMI) persons from state hospitals to outpatient care

A

Deinstitutionalization

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11
Q

What are some barriers to mental health treatment

A

Stigma associated with mental health disorders
Scarcity of care in rural areas
Inability to afford health insurance
Fragmented care for children and adults with mental illness
High unemployment/disability among seriously mental ill
Under treatment of older adults
Lack of mental health being a national priority

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12
Q

What is the main difference between Eastern and Western Traditions?

A

Eastern: Family is the basis for everything
Western: Autonomy, independence, and self reliance are the basis for everything

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13
Q

Ethnopharmacy

A

Occurs because different cultures/ethnicity react to medications differently

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14
Q

Pharmacogenetics

A

A new field of study focusing on how genes affect individual responses to medications
(Some individuals have altered drug metabolisms)

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15
Q

The expression of psychological stress through physical symptoms

A

Somatization

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16
Q

Another word for telling the truth

A

Veracity

17
Q

Another word for showing loyalty and commitment

A

Fidelity

18
Q

Another word for distributing care or resources equally

A

Justice

19
Q

Another word for doing good by the patient

A

Beneficence

20
Q

Procedural mechanism used to challenge unlawful detention by the government

A

Writ of habeas corpus

21
Q

What are 3 intentional torts

A

Assault
Battery
False Imprisonment

22
Q

What are 2 unintentional torts

A

Negligence

Malpractice

23
Q

Verbally abusive

A

Assault

24
Q

Inappropriate touching, hitting, body contact

A

Battery

25
Q

When you are keeping someone locked up without reason

A

False Imprisonment

26
Q

Failing to do your job

A

Negligence

27
Q

Bad practice

A

Malpractice

28
Q

How do nurses go about reporting abuse..

A

The responsibility for reporting abuse goes to the social worker
If the social worker is not there, then it is the nurses legal and ethical duty to report it
You also have to let the parents of the child know you are reporting abuse
You are protected from the law if you report in good faith

29
Q

What are the 3 components of a nursing diagnosis

A

Problem.. (unmet need)
Related to.. (etiology/probably cause)
As evidence by.. (supporting signs & symptoms)

30
Q

What is the difference between social and therapeutic

A

Therapeutic is patient focused, its not always pleasant, interacting with the patient and focusing on that patient’s needs

Social is a two way where needs are met for both parties

31
Q

What are positives of therapeutic use..

A

Best predictors of positive patient outcomes

Therapeutic encounters (one on ones) lead to therapeutic alliance (trust) which lead to the client’s positive mental health

32
Q

What causes non therapeutic responses

A

Counter-transference - when the nurse starts to feel too much for the patient

33
Q

What are the phases of the nurse - patient relationship

A

Introductory / Orientation phase
Working phase
Termination phase

34
Q

In the introductory / orientation phase of the nurse - patient relationship, a contract for care begins.. what does this consist of?

A

Introduction between the nurse and patient with title
Time, date, location
Length of meeting
Purpose of meeting
Condition for termination
Reinforce confidentiality
Topic-evaluation of goals, problem to explore