PSYCH EXAM 1 Flashcards
(56 cards)
Privacy Receive mail, phone calls, visits Confidentiality Individualized treatments Right to receive or refuse treatment No verbal or physical abuse Chemical or physical restraints are considered abusive (policies must be in place)
RIGHTS of Persons with Mental Illness
When can medications be forced on a patient?
- Behaviors dangerous to self or others
- Medication prescribed has a reasonable chance to provide help
- Judged incompetent to evaluate benefits of treatment
Patients have a right to ______ treatment
least restrictive
When are seclusion and restraints used?
When less restrictive measures have failed
“1 Hour Rule”
Requires a face to face evaluation by a licensed independent practitioner within 1 hour of restraint
must report suspected child or elder abuse or incompetent adult (MR)
Informed consent (esp ECT)
1 hour rule (Q4 adult Q2 kids)
False imprisonment
Mandatory NC State Statutes
Voluntary Commitment
may institute 72 hour hold to determine change to involuntary
Requirements for IVC
danger to self or others
hearing by judge within 7 days unless converted/dropped by health professional
Most critical cultural and spiritual concerns
Communication and Space
Culture
Comprises the shared beliefs, values, and practice that guide a group’s members in patterned thinking and acting
blueprint for guiding actions that impact care, health, and well being
Is the focus culture or race?
race
Should we classify culture according to a racial-ethnic system?
NO
Should we take into account cultural beliefs about mental illness & treatment?
YES
Individuality; mind and body seen as two separate entities
Western Tradition (Science)
family as basis for one’s identity; Body-mind-spirit are seen as single entity
Eastern Tradition (Balance)
Western, Eastern, or Indigenous: disease is considered to have specific, measurable, and observable cause and is aimed at eliminating the cause; Time-focus is on the future; Based on individual rights
Value - right to decide, right to be informed
WESTERN
Western, Eastern, or Indigenous: family is starting point for identity; time is circular; based on promoting positive relationships
EASTERN
Western, Eastern, or Indigenous: those who have inhabited a country for thousands of years; significance on the place of humans in the natural world; deep relationship with nature; mind, body, spirit considered one entity; time is focused on present
INDIGENOUS
to develop a therapeutic plan that is mutually agreeable, culturally acceptable, and productive of positive outcomes
Goal of Cultural Assessment
human quality that gives meaning and sense of purpose to an individual’s existence
Spiritual
FICA
An example of a spiritual assessment nurses can use F = Faith I = Importance C = Community A = Address
Factors influencing Mental Health
Stress ("positive" and "negative")
Disease (esp chronic)
Trauma
Drug Abuse
Cultural Factors
Environmental IssuesWhat is the primary burden of mental illness?
The illness itself
What is the secondary burden of mental illness?
the stigma attached to mental disorders
