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mental health > unit two part one (Napier's parts) > Flashcards

unit two part one (Napier's parts) Flashcards

(78 cards)

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1
Q

what is utilitarianism

A

view that actions are right if they provide the greatest good for the greatest number of people

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2
Q

what is kantianism (deontology)

A

view that it’s the final outcome that makes an action not right or wrong; in other words actions should be guided by moral principles

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3
Q

what is autonomy

A

client’s right to make his or her own decisions (these decisions must not endanger others)

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4
Q

what is beneficence

A

providing good, helpful treatments

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5
Q

what is nonmaleficence

A

avoiding actions that cause harm

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6
Q

what is fidelity

A

keeping your word

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7
Q

what is justice

A

fair and equal treatment regardless of social class, race, economic status, etc.

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8
Q

what is veracity

A

being honest, truthful

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9
Q

what is an ethical dilemma

A

situations in which one has to chose between unfavorable alternatives; extremely common

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10
Q

clients have the right to ______ and ______ treatment

A

receive; refuse

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11
Q

clients can chose their ___________ and be involved in the _______________

A

health care provider; plan of care

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12
Q

clients should ______ be restrained or secluded for _____________ or _____________

A

never; staff convenience; punishment

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13
Q

what are least restrictive options that should be attempted and documented first

A

verbal instructions, warnings, interventions, etc; diversion or redirection; offering a PRN medication

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14
Q

when can restraints be used

A

if the client is a danger to self or others

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15
Q

who writes an order for restraints or seclusion

A

provider

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16
Q

if a patient is on restraints, what are requirements that must happen

A

facility policies about time limits must be followed; the client must closely be monitored and assessed; frequent, clear documentation must be completed; restrictive measures must be discontinued as soon as they are unnecessary

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17
Q

when are restrictive measurements discontinued

A

as soon as they are unnecessary

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18
Q

psychotic clients have what type of protection

A

HIPAA

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19
Q

when can confidentiality be broken

A

if the patient intendeds to harm another patient

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20
Q

clients have the right to refuse participation in _________________, send and receive ____________, and have __________________

A

research; mail; visitors

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21
Q

how many mental facility admissions are voluntary

A

two-thirds

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22
Q

can clients who are voluntarily admitted sign themselves out of the facility

A

yes

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23
Q

what stipulates if a client is involuntarily admitted into a mental facility

A

if the client is a danger to self, others, or unable to take care of basic personal meeds

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24
Q

if a client is involuntarily admitted into a mental health facility, what do they retain

A

all of their rights

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25
what are torts
wrongful acts that can lead to legal liability
26
what are three main examples of torts
1) false imprisonment 2) assault 3) battery
27
what is false imprisonment
occurs when a client is placed in seclusion for illegitimate reasons
28
what is assault
occurs when somebody threatens to touch a client in a harmful or offensive manner
29
what is battery
occurs when a client is physically touched in a harmful or offensive manner outside of an emergency situation
30
what is the purpose of documentation
states things clearly, objectively, and nonjudgmentally; important bc it can be used in legal proceeding
31
what percent of psychiatric clients commit an act of violence
17%
32
what is anger a result of
when we sense a loss of control or attack on our personhood
33
when is anger healthy
when it is handled appropriately and expressed assertively
34
when is anger unhealthy
when it turns into aggression
35
how is anger affected by role models
seeing aggression modeled in the home, community, or popular media can teach children to act aggressively
36
how can anger be affected by positive rewards
sometimes aggressive behaviors are reinforced by others
37
how does culture affect anger
in many cultures, the expectation is that men can express anger, but other more vulnerable emotions should not be expressed
38
what do maladaptive patterns of thinking produce
aggressive behaviors
39
what do cognitive-behaviorists teach
aggressive clients to reconstruct their thinking
40
problems in what can increase aggression
milieu
41
what is the best intervention for managing aggression
prevention
42
what do you assess for risk of violence
history, diagnosis, and red flags
43
what is the broset violence checklist
a simple, helpful tool for assessing a client's likelihood of acting violence
44
de-escalation technique: use a _______, caring voice
calm
45
de-escalation technique: set __________ and identify consequences
limits
46
de-escalation technique: tell the client you are concerned and would like to ________ (you seem upset, can you tell me what's going on)
understand
47
de-escalation technique: seek to __________ what is behind the anger/aggression
understand
48
de-escalation technique: reduce _________ and loud noises
stimulation
49
de-escalation technique: respect the client's personal _______ (anger=distance x2)
space
50
de-escalation technique: give the client ________ (e.g time out, PRN medication, walk outdoors)
options
51
de-escalation technique: attempt to redirect attention to a _________ activity (e.g eating a snack, soft music, sports/leisure activity)
postive
52
nursing interventions: remember, early ______/________ is the best intervention
detection/prevention
53
nursing interventions: _________ behaviors are an ________ problem
prodromal; emergent
54
nursing interventions: set clear _________, describe consequences, and always follow through
limits
55
nursing interventions: avoid _______ clients that are angry or anxious
touching
56
nursing interventions: keep a ________ distance
safe
57
nursing interventions: ensure no one is blocking the ________
door
58
nursing interventions: help the client find alternative ways of releasing _______ (exercise, punching bag) and expressing anger (notifying the staff of a concern)
tension
59
nursing interventions: ensure _______ staff is present; ______ for help if necessary
sufficient; call
60
nursing interventions: use the _______ restrictive means possible. offer the client a PRN medication, time out, open seclusion, etc
least
61
nursing interventions: _______ after the incident (with staff and clients)
debrief
62
what is physical abuse
inflicting physical pain or trauma
63
what is sexual abuse
sexual contact that is unwanted or not age-appropriate
64
what is emotional abuse
behaviors that threaten and humiliate another person
65
what is neglect
failing to provide for the physical, emotional, educational, or medical needs of a child or dependent
66
what is financial abuse
failing to provide for the needs of a vulnerable person when the financial resources are available
67
what are the characteristics of a perpetrator (7)
considering their own needs more important than the needs of another ; poor social skills; men who abuse believe in male supremacy; pathological jealousy; controls the family finances; likely to abuse alcohol or drugs; likely to have experienced violence as a child
68
what is good for nurses to practice for their own psychological well-being when caring for victims of violence can produce strong emotions
self-care
69
what are common signs of neglect (6)
delayed growth and development; poor cleanliness and hygiene; inadequate clothing and basic supplies; hoarding or stealing food; low record of school attendance; basic medical and dental needs are not met
70
what is the most common form of child abuse and how many cases does it account for
neglect; 75%
71
what is the first priority of abuse victims
to provide basic care and comfort along with emotional support
72
what do you want to remind victims of abuse
that it is not their fault
73
what are the state mandatory reporting laws regarding abuse
nurses have a legal and ethical duty to report suspicious cases
74
what percent of individuals over 65 are abused by caregivers and what are common types of abuse that occur
10%; neglect and physical abuse emotional abuse financial abuse
75
in intimate partner violence what type of women have an increased risk of experiencing abuse
pregnant
76
cycles of violence: what phase does the perpetrator display controlling and jealous behaviors. as the abuse seeks to gain control, minor outbursts occur and both people try to reduce these episodes; the victim is often tense and accepts blame for these conflicts
tension-building phase (first part of the cycle)
77
cycles of violence: what phase is when the tension becomes unbearable and sometimes the victim provokes the abuser to get it over with; serious harm occurs; victims may cover up their injuries or seek help; the shortest phase but the most violent
acute battery phase (second part of the cycle)
78
cycles of violence: what phase does the abuser feel guilty and try to atone for their wrongdoing by professing their love, giving gifts, and promising to change; the victim wants to believe the abuser will change but unfortunately the cycle repeats
honeymoon phase (final part of the cycle)

mental health (3 decks)

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