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What is the foundation of the Standards of Practice for Psychiatric –Mental Health Nursing?

nursing process


What are the 6 QSEN competencies?

Patient –centered care, quality improvement, safety, informatics, teamwork and collaboration, evidenced-based practice (EBP)


What is the purpose of the Mental Status Exam (MSE)?

To evaluate an individual’s current cognitive processes


What are the 4 aspects or considerations that every nurse needs to know when administering psychotropic medications?

Intended action, therapeutic dosage, adverse reactions, and safe blood levels


What are the 4 basic principles in planning nursing interventions?

Safe, appropriate, individualized, evidenced-based


Describe what the new technology “telehealth” refers to:

The use of electronic information and telecommunication technologies to support long-distance clinical healthcare, patient and professional health-related education, public health and health administration


Define therapeutic communication:

professional, goal-directed, and scientifically based communication


Give 9 common “cues” or examples of nonverbal communication:

Physical appearance, facial expressions, body posture, amount of eye contact, eye cast, hand gestures, sighs, fidgeting, and yawning


When communicating with a patient in a mental health setting what are the 4 goals to help the patient?

Feel understood and comfortable, identify and explore problems relating to others, discover healthy ways of meeting emotional needs, and experience satisfying interpersonal relationships


There are many communication techniques that nurses can use to enhance their nursing practice. Name at least 10:

using silence, offering self, giving board openings, restating, reflecting, focusing, exploring, making observations, seeking clarification, voicing doubt, summarizing


Define countertransference:

the nurse unconsciously transfers feelings onto the patient that are related to people in their past


Define transference:

a patient unconsciously transfers feelings onto the nurse that are related to someone from their childhood/past


Describe the phases of the nurse-patient relationship:

pre- orientation, orientation, working, termination


Define empathy and sympathy:

empathy understands the feelings of others and sympathy is feeling the feelings of others


There are many tactics to avoid when interviewing a patient. Describe at least 3:

not argue with, minimize or challenge the patient. Do not give false reassurance. Do not question or probe


What is psychiatric mental health nursing and its main focus?

A core mental health profession that employs a purposeful use of self as its art and a wide range of nursing, psychosocial, and neurobiological theories and research evidence as its science. Its focus is the treatment of human responses to mental health problems and psychiatric disorders.


Recovering from a mental illness is viewed as a personal journey of healing. What is the goal of recovery?

empower those with mental illness to find meaning and satisfaction in their lives, realize personal potential, and function at their optimal level of independence


Describe the difference between the nurse-patient relationship and the nurse-patient partnership:

nurse-patient relationship suggests an unequal status with the nurse/health care worker as the person in authority. The nurse-patient partnership is more in line with the emphasis on “relationships” in the recovery model


In a survey on caring in 1998, emerged 3 themes. Explain all 3:

Caring is evidenced by empathic understanding, actions, and patience on another’s behalf. Caring for one another by actions, words, and being there leads to happiness and touches the heart. Caring is giving of self while preserving the importance of self.


What is a patient advocate? And what is not?

Someone who speaks up for another’s cause, who helps others by defending and comforting them, especially when the other person lacks knowledge, skills, ability, or status to speak for himself/herself. It is NOT a legal role but rather an ethical one


What is the DSM-5?

Diagnostic and Statistical Manual of Mental Disorders. 5th addition was released in May 2013


What is mental illness?

It is medical conditions that affect a person’s thinking, feeling, mood, ability to relate to others, and daily functioning. It includes flawed biological, psychological, social, and cultural processes


Describe 1 myth and 1 misconception that plague mental illness:

one myth is that to be mentally ill is to be different and odd. A misconception about mental illness is that to be mentally health, a person must be logical and rational


Describe the outdated concept for the term mental disorder:

a mental disorder implies a distinction between “mental” disorder and “physical” disorder, and stresses mind-body dualism. There is just as much physical in mental disorders


Define stigma:

an attribute that is deeply discrediting where a person is reduced from a whole unusual person to a tainted, discounted one


What does elopement and AWOL mean?

-elopement (leaving before being discharged) “Absent without leave”


What are some attributes of mental health?

Accurate appraisal of reality; ability to love and experience joy; capacity to deal with conflicting emotions; ability to live without (undue) fear, guilt, or anxiety; ability to take responsibility for one’s own actions; ability to control one’s own behavior; think clearly-problem solve and use good judgment; relate to others and form close loving relationships; attain self-defined spirituality; negotiate each developmental task; ability to work and be productive; maintain a healthy self-concept and self-value; ability to play and laugh


What are some influences that can have an effect on a person’s mental health?

Available supports systems (friends, family, community); spirituality/religious influences; family influences, developmental events, personality traits; demographic and geographic locations; negative environmental influences (poverty, psychosocial stressors, poor parenting); cultural/subcultural beliefs, values; health practices and beliefs; hormonal influences; biological influences; inherited factors; other environmental experiences (drugs/toxins)


The role of the staff RN may include?

didactic education in groups such as medication education.


The Advanced Practice Nurse can provide?

therapy and prescribe medications which the staff nurse is not licensed to do