Theories and Theorists Flashcards
Psychological theories (219 cards)
1
Q
What are the key elements of the ANA code of ethics
A
compassion
respect
comittment
advocacy
accountability
responsibility to the profession
2
Q
Why do you use a patient’s first language when speaking to them?
A
shows respect to the person… it puts the person as the WHO you are treating, instead of WHAT you are treating.
3
Q
Nurses no longer use the words retarded or retardation to describe someone with
A
intellectual or developmental disability (IDD)
4
Q
What words should you not say in any situation with a psych patient?
A
nut job (nut)
demented
insane
wacko
Schizo
loony
bonkers
madman
loco
fruitcake
crazy
5
Q
Stigma is
A
negative stereotype leads to an attitude or belief that would cause one to view a person with mental illness as inferior, dangerous, or unstable
6
Q
Stigma leads to _____________ creating ___________
A
stigma - prejudice - discrimination
7
Q
Prejudice is
A
through and feelings of negative viewpoint
8
Q
Discrimination is
A
action against a person due to their disorder
- at the workplace (not getting a job)
- withdrawal from family negativity
9
Q
Discrimination creates a major
A
barrier to mental health tx and recovery
10
Q
The lack of treatment and recovery from discrimination contributes to what emotions
A
fear and rejection
11
Q
Fear and rejection from stigma result in
A
social isolation and reduced opportunities
12
Q
Mental health is
A
dynamic and shifting and can range from mild to severe
13
Q
Mental health is _____________ with psychological, emotional, and social.
A
14
Q
Mental Health is influenced by
A
genetics
brain chemistry
life experiences
15
Q
Mental health is defined as
A
State of well-being in which individual realizes potential, copes with normal stresses, works productively, contributes to community
16
Q
Mental health if successful leads to
A
successful performance of mental and emotional functioning
17
Q
Resilience
A
ability to recover from and adjust successfully to stressors, loss, and trauma
bouncing back when struggling
18
Q
Successful performance of mental functioning includes what behaviors
A
engagement in productive activity,
engage in fulfilling relationships,
adapt to change,
cope with adversity
rational, communication, learning, emotional growth, resilience, and self-esteem
19
Q
NAMI (National Alliance on Mental Illness) ideas on mental health
A
Affects a person’s thinking, mood and feeling
Can make it difficult to relate to others
May affect ability to function day to day
Treatable
20
Q
Attributes of Mental Health
A
accurate appraisal of reality
ability to love and experience joy
capacity to deal with conflicting emotions (sad and happy at same time)
ability to deal w/o fear, guilt, or anxiety
ability to take responsibility for own actions
control own behavior
think clearly(problem solving, judgement, reason logic, insightful conclusions)
relate (relationships, empathy)
self-defined spirituality
negotiate each task
productive
self-concept and aelf-value
play and laugh
21
Q
Factors affecting mental health
A
genetics
spirituality
culture
community
personality
beliefs
experiences
negative influences (stressors, poverty, bad parenting)
22
Q
Which factor describes the pathophysiology of mental health?
A
biological manifestation of the disease abnormality
23
Q
DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) is the
A
Guidebook for categorizing and diagnosing psychiatric mental health disorders in the US.
- criteria
- id symptoms and quantify
- underlying causes
24
Q
The ability to function is finding life enjoyable, what is the dysfunction (opposite)?
A
loss of interest or pleasure
25
The ability to function is Optimistic about needs being met, what is the dysfunction (opposite)?
Discouraged or hopeless mood
26
The ability to function is Ability to recognize cues and act appropriately
what is the dysfunction (opposite)?
27
The ability to function is Sees environment accurately
what is the dysfunction (opposite)?
Inaccurate perception of environment
28
The ability to function is Understands consequences
what is the dysfunction (opposite)?
Hallucinations or delusions
29
The ability to function is Performs within abilities
what is the dysfunction (opposite)?
Deterioration in work performance
30
The ability to function is Recovery from minor failures
what is the dysfunction (opposite)?
Inability to maintain steady employment
31
The ability to function is Reasonable self confidence
what is the dysfunction (opposite)?
Lacks self confidence
32
The ability to function is Resourcefulness
what is the dysfunction (opposite)?
Inability to function independently
33
The ability to function is Stable Strong relationships
what is the dysfunction (opposite)?
Unstable or intense relationships
34
The ability to function is Variety of social support
what is the dysfunction (opposite)?
Lack of support
35
The ability to function is Ability to problem solve and cope in ways that are not harmful
what is the dysfunction (opposite)?
Poor coping that creates further dysfunction
36
coping destruction is self meditated with
drug
alcohol
sex
food
37
T/F: Mentally health means being always logical and rational
False - myth
38
When depression occurs what else usually occurs?
anxiety
39
Schizophrenia affects men and women
equally (earlier in men)
40
Major Depressive is 2x more in
women
41
Bipolar affects both genders
equally
42
Anxiety Disorders frequently occur with what types of disorders
eating and substance abuse
43
OCD's first s/s begin
childhood and adolescent
44
PTSD develops how
immediately or delayed
310% Vietnam veterans
45
_____ times more suicides than homicides
2.5
46
Health seeking behaviors
developed countries seek help from psychiatrists, NP
indigenous cultures see a spiritual component
- seek shaman, healer
47
Culture Bound Syndrome
Running amok
Pibloktoq
Anorexia Nervosa
48
Running amok
SE Asia
- someone runs around being violent
- mass shooters
49
Pibloktoq
uncontrollable desire to remove clothing and exposing oneself to the extreme cold
- lack of sun, Vit. D, or too much Vitamin A - fish
**culture sees as possessions**
50
Anorexia Nervosa
restrict their food intake relative to their energy requirements through eating less, exercising more, and/or purging food through laxatives and vomiting
51
Psychoanalytic theory uses what theorist
Sigmund Freud
- Austrian neurologist
52
Sigmund Freud is the father of
psychiatry
53
According to Freud, psychological disturbances occur as
early trauma
54
What are the 3 mental activities of Freud?
conscious
preconscious
unconscious
55
Conscious is the
current awareness
- influenced by pre and unconscious
56
Preconscious
lies immediately below the surface and is accessible
57
Unconscious
most primitive feelings
drives and memories reside
unbearable and traumatic
(totally repressed)
58
ID
primitive
pleasure seeking and impulsive (immediate gratification)
59
Ego
problem solver and reality tester
-use defense mechanisms
- self-esteem and expression of self
60
Superego
moral component of the personality
- conscience
61
Conscience
sense of what is right or wrong
62
Stages of personality development in Freud
Oral - ID dominant - trust
Anal - ego develops - delay immediate gratification
Phallic - superego - develop sex id
Latency - sexuality expressed - same-sex relationships
Genital - form close relations with opposite sex
63
Psychoanalytic Therapy
3-5 times a week for many years
Know and understand the unconscious
Emotionally painful process
Free association
Psych knows best
- dream analysis and intentional journaling
64
Dream Analysis
dreams were urges of the unconscious mind that were revealed by dreams (key to the the unconscious)
65
Intentional Journaling
helps you understand why you may act, think or behave certain ways in certain situations
66
Dream Analysis is the key to the
unconscious
67
Free Association
let the pt talk about whatever they want
68
What is the different between psychoanalytic and psychodynamic therapy?
dynamic is more modern
69
Psychodynamic Therapy
Shorter number of sessions
Therapeutic relationship
Transference
Countertransference
70
Transference
patient projects feelings unto therapist
71
Countertransference
therapist's unconscious response to the patient (need professional)
72
Repression is an
unconscious mechanism employed by the ego to keep disturbing or threatening thoughts from becoming conscious
73
What are the defense mechanisms used to relieve anxiety?
repression
denial
projection
displacement
regression
sublimation
74
Denial involves
blocking external events from awareness
- too much to handle, the person refuses to experience them
75
Projection involves
individual attributing their own unacceptable thoughts, feelings, and motives to another person
76
Displacement is to
satisfying an impulse (aggression) with **substituting object**
77
Regression is a
mvmt back in psychological time when one is faced with stress
- suck thumb again or wet the bed
78
Sublimination
satisfying an impulse (aggression) **with a substitute object in a socially acceptable way**
- sport
- constructive
79
Five of the most important properties of defense mechanisms are as follows:
managing unconscious conflict
most part unconscious
discrete
many psychiatric disorders
adaptive and pathological
80
Cognitive Dissonance
hold 2 or more contradictory beliefs.
- adopt new belief and discard old (change in behavior)
- discard new and keep old (no change)
- combine 2 into 1 new belief
81
Interpersonal Theory is founded by who
Herbert “Harry” Stack Sullivan – American psychiatrist
82
Interpersonal Theory believes what is the cause of such alterations
social and interpersonal problems
83
Sullivan believes humans are driven by the need for
interaction
84
What according to Harry is the most painful human experience
loneliness
85
According to Interpersonal Theory, Early relationship with primary caregiver is crucial for
personality development
86
According to Interpersonal Theory, Anxiety is based on
approval or disapproval of significant caregiver
87
According to Interpersonal Theory, All behavior is based on
avoiding anxiety and threats to self esteem
88
Interpersonal Theory, focuses is on the
"good me"
89
According to Interpersonal Theory, perosnality can be influenced as a
child or adult
90
Interpersonal Therapeutic Model
therapist is **very active participant and observer**
- actively change maladaptive behaviors and distorted views for other to modify them
**FOCUS ON THE HERE AND NOW**
91
Interpersonal Therapeutic Model emphasis on
patient's life and relationships at home, work, and socially
92
Interpersonal Therapeutic Model is often used in
marriage and relationship counseling
93
Behavioral Theories include
Ivan Pavlov - Classic Conditioning - dogs
Watson - classic - Lil-Albert
Skinner - operant
94
95
Classical Conditioning
– involuntary behavior or reflexes can be conditioned to respond to neutral stimuli (Pavlov)
- Personality traits and responses, adaptive and maladaptive, are learned (Watson)
96
Operant Conditioning
– voluntary behaviors are learned through consequences of positive reinforcement or negative reinforcement/punishment
- Positive reinforcement Causes good behavior to occur again. Negative reinforcement stops behavior.
**changes a behavior**
97
Pavlova and his dogs experiment
accustomed to getting food after bell was rung. Later dogs salivated in response to the sound of the bell alone
98
Lil-Albert experiement by Watson
By making banging sounds behind him while he was exposed to white fur – terrified him
99
Which theorist involves classical conditioning?
Pavlov - behavior
Watson - personality;learned
100
Which theorist involves operant conditioning?
Skinner
101
Behavioral Therapeutic Model
attempts to correct or eliminate maladaptive behavior
102
The behavioral Therapeutic Model includes these 3 topics
Systematic desensitization
Aversion therapy
biofeedback
103
Systematic desensitization
Based on classical conditioning
Relaxation
Exposure to anxiety provoking stimulus.
104
Aversion therapy
classical operant conditioning
Eradicate unwanted habits by associating unpleasant consequences with them.
Antabuse
105
biofeedback
Control of physiological responses such as breathing, HR, BP, breathing by providing visual or auditory feedback of physiological response and then using relaxation techniques to change these physiological responses.
Provide calming techniques and see the body relax via VS
106
Antabuse
alcohol addiction throws up the alcohol when drinking preventing them from liking it
107
Humanistic Theory is related to what theorist
Maslow
108
Humanistic Theory is concerned with the
huamn potential for development, knowledge attainment, motivation, and understanding
- Hierarchy of Needs
109
What needs are the most important and dominant in Maslow's Hierarchy of Needs? (greatest to least)
Physiological Needs
Safety and Security
Love and Belonging
Self-esteem
Self-actualization
110
Physiological Needs
breathing
food
water
shelter
clothing
sleep
111
Safety and Security
health
employment
property
family
social stability
112
Love and Belonging
friendhsip
family
intimacy
sense of connection
113
Self-esteem
confidence
achievement
respect of others
114
Self-actualization
morality
creativity
spontaneity
acceptance
- can be achieved until all others are met
115
The humanistic therapeutic model was created by what theorist
Carl Rogers
- american psychiatrist
person centered care (40s)
116
The humanistic Therapeutic Model refers to psch patients as
clients
117
In the humanistic Therapeutic Model, Carl Rogers depicts people as
healthy and good
- clients are in the best position to explore, understand, and identify solutions to their problems
118
In the humanistic Therapeutic Model, clients have an innate
self-actualizing tendencies to grow, develop and realize their full potential
119
In the humanistic Therapeutic Model, focus is on
self awareness and the present
120
In the humanistic Therapeutic Model, the therapist needs to
- seeks clarification and encourages
- congruent, empathetic, and respectful
121
Congruent is the therapist needs to be
on the same page as the pt
-free will of the patient and
- unconditional positive regard
122
Cognitive Theory was developed by
Aaron T Beck
123
Cognitive Theory believes
Depressed people have standard patterns of negative self-critical thinking
- Cognitive appraisals lead to emotional responses, on how one perceives the event.
**problematic behaviors from your perception of reality**
124
Cognitive Behavior Therapy seeks to
modify negative thoughts leading to dysfunctional emotions and actions
125
Schemata
unique assumptions about ourselves, others and the world
126
Automatic thoughts (cognitive distortions) are
rapid unthinking responses
127
Cognitive distortions are common in what illnesses?
anxiety and depression
128
Replace distortions with
rational thoughts
129
Black and White Thinking
reducing complex outcomes into absolutes (no gray)
130
Overgeneralization
Using a bad outcome (or a few bad outcomes) as evidence that **nothing will ever go right again in that situation** (it will always go wrong)
131
Labeling
A form of generalization where a characteristic or event becomes definitive and results in an **overly harsh label for self or others** that one friend is always late
132
Mental Filter
- **focusing on a negative detail** or bad event and allowing it to **taint everything else**
133
Disqualifying the positive
Maintaining a negative view by **rejecting** information that supports a **positive view as being irrelevant, inaccurate, or accidental**
134
Jumping to conclusions
Making a negative interpretation despite the fact that there is **little or no supporting evidence**
135
Mind Reading
**Inferring negative** thoughts, responses, and motives of others
136
Predictive Thinking
**anticipating** that things will **turn out badly as an established fact**- the party is going to be bad because you think it is
137
Magnification/Minimization
**Exaggerating** the importance of something (e.g., a personal failure or the success of others) or **reducing** the importance of something (e.g., a personal success or the failure of others)
138
Catastrophizing
An **extreme** form of magnification in which the** very worst is assumed to be a probable outcome**
139
Emotional reasoning
- Drawing a conclusion **based on an emotional state**
140
Should/must
**rigid self-directives** that presume an **unrealistic** amount of **control over external events**
141
Personalization
Assuming **responsibility** for an external event or situation that was **likely out of personal control**
142
Biological Theory means
mental disorders have **physical causes**
- will respond to physical treatment
143
What incidence occurred resulting in the Biological Theory
In the 1950’s a surgeon noticed that surgical patients were calmed by chlorpromazine **(Thorazine) as a pre-anesthetic agent**
Soon was used for **Schizophrenia which reduced restraint and seclusion – and calmed them**
144
In biological therapy, what is the primary biological tx for mental disorders?
psychopharmacology
- antidepressants, antipsychotics, antianxiety, mood stabilizers, psychostimulants - Adderall, amphetamines, caffeine
145
What are other treatment plans for biological theory of psych?
correcting hormone imbalances - thyroid
regluating deficient diets (avocado, blood sugar)
sleep regulation (hallucinations and delusions)
electroconvulsive therapy
repetitive transcranial magnetic stimulation
magnetic seizure therapy
vagus nerve stimulation
deep brain stimulation
146
rTMS (repetitive transcranial magnetic stim)
– electromagnetic device to deliver rapidly pulsed magnetic field to the cerebral cortex to activate neurons
147
MST
– uses higher frequency **electronic pulses** instead of electricity to induce a seizure. - focal
148
Vagus Nerve Stimulation
– stimulates the vagus nerve which results in improved levels of neurotransmitters
149
DBS
– surgically implanted electrodes stimulates a certain part of the brain
150
memeo 2 13 miutes
151
Theory of Cognitive Development
Piaget
- maturation pattern of cognitive processing
152
Theory of psychosocial developemnt
Erik Erikson – eight predetermined life stages in which developmental tasks should be accomplished
153
Theory of Object Relations
Interpersonal theorists who emphasizes that past relationships influences a person’s self worth
154
Theory of Moral Development
-Kohlberg applied Piaget’s theory to moral development (how people progressively develop a sense of morality).
- Carol Gilligan – ethics of care theory focuses on forming relationships and putting the needs of those for whom we care above those of strangers
155
Psychoanalytic Theory
theorist
tenet
model
Freud
- Unconscious thought; psychosexual development
- Psychoanalysis to learn unconscious thoughts; the therapist is nondirective and interprets meaning
156
Interpersonal Theory
theorist
tenet
model
Sullivan
- Relationships are the basis for mental health or illness
- Therapy focuses on the here and now and emphasizes relationships; therapist is an active participant
157
Behavioral Theory
theorist
tenet
model
Pavlov, Watson, Skinner
- learn behavior through conditioning
- modification addresses maladaptive behaviors by rewarding adaptive behavior
158
Cognitive Theory
theorist
tenet
model
Beck
- Negative and self-critical thinking cause depression
- therapists assist in identifying negative thought patterns and replacing them with rational ones; Therapy often involves homework
159
Biological Theory
theorist
tenet
model
Many
- heavily influenced by and/or cause changes to the brain and/or neurotransmitters resulting in changes in thinking and behavior
- Neurochemical imbalances are corrected through medication and talk therapy (cognitive –behavioral therapy)
160
Nursing Models were discovered by
Hildegard Peplau
161
Peplau's nursing model is regarded as around
Interpersonal relationships in nursing strongly influenced the outcome of the patient
-Mild anxiety
-Moderate anxiety
-Severe anxiety
-Panic anxiety
162
Behavioral System Theory
theorist
focus of nursing
example
163
Good attainment Theory
theorist
focus of nursing
example
164
Culture care Theory
theorist
focus of nursing
example
165
system model Theory
theorist
focus of nursing
example
166
self-care deficit Theory
theorist
focus of nursing
example
167
Dynamic nurse pt relationship Theory
theorist
focus of nursing
example
168
Transpersonal caring Theory
theorist
focus of nursing
example
169
Mental Health recovery model in psychiatric nursing
- Living adaptively with chronic mental illness and substance abuse
- Shifts the responsibility of care from the provider to the patient
- Emphasizes hope, social connection, empowerment, coping strategies and meaning in life
170
Group Therapy
optimum 6-10 people
- interpersonal theory
- provides support
- private, comfortable seats, arranged to see each other
171
Task Role in Group Therapy
keep group focused
attend to business at hand
172
Maintenance Role in Group Therapy
Keep group together
Provide interpersonal support
173
Group Leader in Group Therapy
structure
size, composition, purpose
timing
start communication
**Ensures each member summarizes accomplishments and gives positive and negative feedback**
174
Autocratic Leader
– exerts control over the group
175
Democratic Leader
– supports extensive group interaction in the process of problem solving
176
laissez-faire leader
– allows group to behave however they want and doesn’t attempt to control the direction of the group
177
Education groups
Requires expert leadership and careful planning
178
task groups
Time limited and have a common goal, team leader facilitates team building and cooperation
179
support groups
People with common concerns and may be facilitated by a supportive leader or by group members
180
therapy groups
Led by professional group therapists. Therapists can be directive and confrontational, or a more hands off approach
181
Benefits of Group Therapy
Altruism
Cohesiveness
Interpersonal Learning
Guidance
Catharsis
Identification
Family reenactment
Self understanding
Instillation of hope
Universality
Existential Factors
182
Altruism
Giving help to others
183
Cohesiveness
Feeling connected and belonging
184
Interpersonal Learning
Learning from other members
185
Guidance
Receiving help and advice
186
Catharsis
Releasing feelings and emotions
187
Identification
Modeling after member or leader
188
Family reenactment
Testing new behaviors in a safe environment
189
Self-understanding
Gaining personal insights
190
Instillation of hope
Feeling hopeful about one’s life
191
Universality
Feeling that one is not alone
192
Existential Factors
Coming to understand what life is about
193
Roles of BSN and AND IN PSYCHIATRY
Medication Education groups
Dual-diagnosis groups (co-lead WITH therapist
Symptom management groups
Stress management groups
Self-care groups
***No psychotherapy***
- ONLY THERAPY IF PRACTITIONER WITH SPECIALTY
194
Milieu
environment and social structure
- inpt or structure output
- safe to test new behaviors
**increase ability to interact adaptively with outside community
- group met for goals (orient, encourage, eval) - nurse led
195
Therapeutic Milieu effects
Increase patient self esteem
Decrease social isolation
Encourage appropriate social behaviors
Educate patients in basic living skills
Recreational groups
Physical activity groups
Creative Art groups
Storytelling
196
Family Therapy
Improve communication
Understand and manage special family situations
Improve functioning of the home environment
Identify and shift dysfunctional interactions and dynamics
Mobilize family strengths and resources
Strengthen family problem solving behavior
197
Deinstitutionalization
– care shifted from long-stay psyche hospitals to community health services
(labeled insane)
198
Olmstead Act Decision
keeping people with mental illness confined in hospitals for treatment of mental illness violated their rights in that mental illness was considered a disability and institutionalization was a violation of the Americans with Disabilities Act… therefore, services MUST be provided in the most integrated setting… to include treatment in the community.
199
How is mental health care moving into the future?
essential to overall health
family driven
disparities eliminated
early screening. assessment, and referrals
research
telehealth
200
Primary Care Providers in Outpt for psych
Lessens stigma
Disadvantages
Time constraints
Lack of expertise in psychiatry
201
Patient-Centered Medical Homes Model (PCMHs)
Comprehensive Care
Patient centered - **holistic relationships**
Coordinated care
Accessible - **extended hours**
Quality and safety
202
Psychiatric rehab services
– social model which emphasizes and supports recovery and integration into society rather than a medical model of dysfunction. (development of social skills, acquisition of optimal social, working, living and learning environment
203
Community Mental Health Centers
JFK 63
- opposed to institutionalization. Legislation led to state laws and budget favoring community care.
- comprehensive to prevent and tx
204
Pysch Home Health
Decreases hospitalizations
Alternate to clinical settings
**Reimbursement requires patient to be homebound need help**
205
Intensive outpatient programs (IOPs)and Partial hospitalization programs (PHPs)
**able to work and live at home**
IOP - 1/2 day
PHP - 6 hours
206
Assertive Community Treatment (ACT)
goal
keep patient at optimal level of wellness, crisis intervention, decrease jail and hospitalizations
CW 2-3x week
RN monthly (long injections, med monitoring, assessments, advocate
207
Extended Observation Unit (EOC)
23 hour - goal is to keep patient at optimal level of wellness, decrease jail and hospitalizations
**out of jail= stabilize and not hospitalize**
- acute crisis
208
Role of Nurses in Oupt Care Settings
Registered nurse who has graduated from nursing program
Develop and implement a plan of care with multidisciplinary team
Assess patient and living arrangements
Education
Refer to community supports
Supervise unlicensed care staff
Applies **nursing process** based on theory, standards, ethics
Provides health teaching & maintenance
Coordinates care & community resources
Community health nurses promotes community interventions such as stress reduction classes and facilitate grief support groups
209
Oupt Care settings
Psychiatric-mental health advanced practice RN
Graduate of Master’s Program or Doctor of Nursing Practice (DNP) program as Advanced Practice Nurse: (CNS) or (NP)
Assessment, diagnosis and treatment
**Psychotherapy & group therapy**
Consultation
**Medication Prescriptive Authority**
Education
210
Inpt care settings
Public psych hospitals
General hospital psych units
Private psych facilities
Specialty settings: Pedi, Geriatric, VA, Forensic, ETOH and Drug Abuse
24 nursing care
Safe and structured setting
Patients needing protection from suicidal ideation, aggressive impulses, medication adjustment and monitoring, crisis stabilization, substance use detoxification and behavior modification
May be admitted voluntarily or involuntarily
Unlocked or locked units to prevent elopement or “AWOL”
211
AWOL
away without leave
212
Elopement
leaving before D/C
213
Inpt Care Settings do what
eat meals
receive meds
attend activities
participate in therapies
active until they are unable to make a decision
**Right to refuse tx as long as not declared incompetent**
214
Nurses are responsible for managing
the treatment environment (milieu)
- purposeful manipulation
-cope better
-interact appropriately
-relate to others more effectively through learning new skills
215
Your responsibility with any and every patient is their
safety.
If there is ever a reason to violate a policy, it would be due to
216
Elements of effective milieu
Safety
Structure (rules and boundaries)
Norms - rights and responsibilities
Limits
Balance - therapy and least restrictive environment
Environmental modification
Locked windows**- elopement
Platform beds** heavy, can’t take them apart
Heavy furniture with rounded corners
Sprinklers and shower heads tend to be flushed mounted – suicide and weapon
217
Role of Psychiatric Nurses in Inpatient Care Setting
Registered nurse who has graduated from nursing program
Applies **nursing process** based on theory, standards, ethics
Provides health teaching & maintenance
Coordinates care & community resources
Maintains **safety and manages milieu**
Addresses legal issues
Provides pharmacological, biological, & integrative therapies
218
What are the legal issues with nursing psych?
Voluntary vs involuntary status (paperwork must be in order prior to allowing a patient into a locked unit)
Consent for all psychiatric medications to include teaching on purpose and side effects
219
State Acute Care System
- not guilty by reason of insanity
Big Spring
