Mental Health Nursing
5 A's - ANS-- Ask a question
- Acquire literature
- Appraise the literature
- Apply the evidence
- Assess the performance
\assault - ANS-Threat to use force (words not enough) with opportunity and ability.
\attending - ANS-an intensity of presence, being there for and in tune with the patient
\automatic thoughts - ANS-thoughts that come to mind quickly and without intention, causing
emotions such as fear or sadness
\autonomy - ANS-Respecting the rights of others to make their own decisions
\battery - ANS-harmful or offensive touching, which includes treatment of a patient without their
consent.
\beneficence - ANS-The duty to act so as to promote the good of others
\bioethics - ANS-A more specific term that refers to the ethical questions that arise in health
care. It has five principles:
1. Beneficence
2. Autonomy
3. Justice
4. Fidelity
5. Veracity
\biologically based mental illness - ANS-A mental disorder caused by neurotransmitter
dysfunction, abnormal brain srtructure, inherited genetic factors, or other biological causes. Also
called psychobiological disorder
\boundaries - ANS-A concept used in structural family therapy to describe emotional barriers
that protect and enhance the integrity of individuals, subsystems, and families.
\caring - ANS-involves how we relate to each other, how we show concern for each other in our
daily life.
\child abuse reporting statutes - ANS-Differs from state-to-state. Generally includes a definition
of child abuse, a list of individuals required or encouraged to report abuse, and the government
agency designated to receive and investigate the reports.
\civil rights - ANS-Include the right to vote, to civil service ranking, rights to related to granting,
forfeit, or denial of a driver's license, to right to make purchases, and to enter into contractual
relationships, and the right to press charges against another person.
\clinical algorithm - ANS-step-by-step guidelines prepared in a flowchart format
\clinical practice guidelines - ANS-systematically developed statements that identify, appraise,
and summarize the best evidence about prevention, diagnosis, prognosis, therapy, and other
knowledge necessary to make informed decisions about specific health problems
\clinical/critical pathways - ANS-serve as a "map" for specified treatments and interventions to
occur within a specific time frame, often days.
,\cognitive distortions - ANS-Inaccurate and irrational automatic thoughts or ideas that lead to
false assumptions and misinterpretations.
\commitment - ANS-emergency involuntary hospitalization for a specified period (1 to 10 days
on average) to prevent dangerous behavior that is likely to cause harm to self or others.
\comorbid conditions (co-occurring) - ANS-a term that refers to the occurrence of two or more
illnesses or disorders at the same time
\conditional release - ANS-usually requires outpatient treatment for a specified period to
determine the patient's adherence with medication protocols, ability to meet basic needs and
ability to reintegrate into the community.
\confidentiality - ANS-Any discussion or consultation involving a patient should be conducted
discreetly and only with individuals who have a need and a right to know this privileged
information.
\conscious - ANS-Your current awareness - thoughts, beliefs, and feelings
\conservation - ANS-the principle (which Piaget believed to be a part of concrete operational
reasoning) that properties such as mass, volume, and number remain the same despite
changes in the forms of objects ( Ex. two small cups can equal one tall glass)
\countertransference - ANS-tendency for therapists to relate to clients in ways that mirror their
relationships with important figures in their own lives
\cultural filters - ANS-A form of cultural bias or cultural prejudice that determines what we
noticeand what we ignore.
\culture-related syndromes - ANS-These are more influenced by culture alone and are not seen
in all areas of the world.
\curative factors - ANS-Altruism
Cohesiveness
interpersonal learning
guidance
catharsis
identification
family reenactment
self-understanding
installation of hope
universality
existential factors
\defamation of character - ANS-Slander (spoken) or libel (written) which harms a patient's
reputation and results in divulgence of confidential information. Truth is a defense against same.
\Diagnostic and Statistical Manual of Mental Disorders (DSM) - ANS-The DSM is the manual
that classifies mental disorders and is considered the "bible" for mental health workers (e.g.
psychiatrists, psychiatric nurses, psychologists, and others who plan care for people
experiencing mental distress/dysfunction)
\discharge - ANS-the termination of a patient-institution relationship
\Discuss the differences between verbal and nonverbal communication, and demonstrate at
least five areas of nonverbal communication. - ANS-- Communication: Is roughly 10% verbal
and 90% nonverbal.
- Communication involves two symbols:
, - Spoken word: Represents the public self. Can be straightforward comments or can be used to
distort, conceal, deny, or disguise true feelings.
- Nonverbal behaviors: Covers wide range of human activities from body movements to
responses to the messages of others.
- Double messages: Are conflicting messages or mixed messages.
- Double-bind messages: Sent to create meaning; can be defensively used to hide what is
actually going on; intent is to create confusion.
\double messages - ANS-conflicting messages. Also known as mixed messages
\double-bind messages - ANS-Is a mix of content (what is said) and process (what is transmitted
nonverbally) that has both a neutral/nurturing aspect in what is said and a hurtful/negative
aspect in what is implied
\duty to warn a third party - ANS-Includes three points:
1. Assessing and predicting the patient's danger of violence toward another
2. Identifying the specific individual(s) being threatened
3. Taking appropriate action to protect the identified victims
\e-health/e-medicine, telehealth - ANS-Use of electronic information and telecommunication
technologies to support long-distance clinical health care
\ego - ANS-Our sense of self and acts as the intermediary, between the id and the world by
using ego defense mechanisms, such as repression, denial, and rationalization.
\elder abuse reporting statutes - ANS-Requires registered nurses (RNs) and others to report
cases of abuse of older adults. Agencies who receive federal funding must follow strict
guidelines for preventing and reporting elder abuse.
\elopement - ANS-Escape or leaving a psychiatric treatment facility without medical
authorization, recommendation or being discharged.
\epidemiology - ANS-The quantitative study of the distribution of disorders in a human
population
\ethical dilemma - ANS-When there is a conflict between two or more courses of action, each
carrying with them favorable and unfavorable consequences.
\ethics - ANS-The study of philosophical beliefs about what is considered right and wrong
\evidence-based practice - ANS-The method for using treatment approaches to medical illness
and mental health illness that are scientifically grounded or evidence-based. Strives to decrease
the gap between research and practice.
\evidence-based practice (EBP) - ANS-For nurses it is a combination of clinical skills and the
use of clinically relevant research in the delivery of effective patient-centered care.
\false imprisonment - ANS-depriving a person of freedom of movement without consent and
without privilege
\feedback - ANS-The receiver's response to a message
\fidelity (nonmaleficence) - ANS-Maintaining loyalty and commitment to the patient and doing no
wrong to the patient
\foreseeabiity of harm - ANS-Evaluation of the likelihood of the outcome under the
circumstances.
\group content - ANS-the material discussed within the group
5 A's - ANS-- Ask a question
- Acquire literature
- Appraise the literature
- Apply the evidence
- Assess the performance
\assault - ANS-Threat to use force (words not enough) with opportunity and ability.
\attending - ANS-an intensity of presence, being there for and in tune with the patient
\automatic thoughts - ANS-thoughts that come to mind quickly and without intention, causing
emotions such as fear or sadness
\autonomy - ANS-Respecting the rights of others to make their own decisions
\battery - ANS-harmful or offensive touching, which includes treatment of a patient without their
consent.
\beneficence - ANS-The duty to act so as to promote the good of others
\bioethics - ANS-A more specific term that refers to the ethical questions that arise in health
care. It has five principles:
1. Beneficence
2. Autonomy
3. Justice
4. Fidelity
5. Veracity
\biologically based mental illness - ANS-A mental disorder caused by neurotransmitter
dysfunction, abnormal brain srtructure, inherited genetic factors, or other biological causes. Also
called psychobiological disorder
\boundaries - ANS-A concept used in structural family therapy to describe emotional barriers
that protect and enhance the integrity of individuals, subsystems, and families.
\caring - ANS-involves how we relate to each other, how we show concern for each other in our
daily life.
\child abuse reporting statutes - ANS-Differs from state-to-state. Generally includes a definition
of child abuse, a list of individuals required or encouraged to report abuse, and the government
agency designated to receive and investigate the reports.
\civil rights - ANS-Include the right to vote, to civil service ranking, rights to related to granting,
forfeit, or denial of a driver's license, to right to make purchases, and to enter into contractual
relationships, and the right to press charges against another person.
\clinical algorithm - ANS-step-by-step guidelines prepared in a flowchart format
\clinical practice guidelines - ANS-systematically developed statements that identify, appraise,
and summarize the best evidence about prevention, diagnosis, prognosis, therapy, and other
knowledge necessary to make informed decisions about specific health problems
\clinical/critical pathways - ANS-serve as a "map" for specified treatments and interventions to
occur within a specific time frame, often days.
,\cognitive distortions - ANS-Inaccurate and irrational automatic thoughts or ideas that lead to
false assumptions and misinterpretations.
\commitment - ANS-emergency involuntary hospitalization for a specified period (1 to 10 days
on average) to prevent dangerous behavior that is likely to cause harm to self or others.
\comorbid conditions (co-occurring) - ANS-a term that refers to the occurrence of two or more
illnesses or disorders at the same time
\conditional release - ANS-usually requires outpatient treatment for a specified period to
determine the patient's adherence with medication protocols, ability to meet basic needs and
ability to reintegrate into the community.
\confidentiality - ANS-Any discussion or consultation involving a patient should be conducted
discreetly and only with individuals who have a need and a right to know this privileged
information.
\conscious - ANS-Your current awareness - thoughts, beliefs, and feelings
\conservation - ANS-the principle (which Piaget believed to be a part of concrete operational
reasoning) that properties such as mass, volume, and number remain the same despite
changes in the forms of objects ( Ex. two small cups can equal one tall glass)
\countertransference - ANS-tendency for therapists to relate to clients in ways that mirror their
relationships with important figures in their own lives
\cultural filters - ANS-A form of cultural bias or cultural prejudice that determines what we
noticeand what we ignore.
\culture-related syndromes - ANS-These are more influenced by culture alone and are not seen
in all areas of the world.
\curative factors - ANS-Altruism
Cohesiveness
interpersonal learning
guidance
catharsis
identification
family reenactment
self-understanding
installation of hope
universality
existential factors
\defamation of character - ANS-Slander (spoken) or libel (written) which harms a patient's
reputation and results in divulgence of confidential information. Truth is a defense against same.
\Diagnostic and Statistical Manual of Mental Disorders (DSM) - ANS-The DSM is the manual
that classifies mental disorders and is considered the "bible" for mental health workers (e.g.
psychiatrists, psychiatric nurses, psychologists, and others who plan care for people
experiencing mental distress/dysfunction)
\discharge - ANS-the termination of a patient-institution relationship
\Discuss the differences between verbal and nonverbal communication, and demonstrate at
least five areas of nonverbal communication. - ANS-- Communication: Is roughly 10% verbal
and 90% nonverbal.
- Communication involves two symbols:
, - Spoken word: Represents the public self. Can be straightforward comments or can be used to
distort, conceal, deny, or disguise true feelings.
- Nonverbal behaviors: Covers wide range of human activities from body movements to
responses to the messages of others.
- Double messages: Are conflicting messages or mixed messages.
- Double-bind messages: Sent to create meaning; can be defensively used to hide what is
actually going on; intent is to create confusion.
\double messages - ANS-conflicting messages. Also known as mixed messages
\double-bind messages - ANS-Is a mix of content (what is said) and process (what is transmitted
nonverbally) that has both a neutral/nurturing aspect in what is said and a hurtful/negative
aspect in what is implied
\duty to warn a third party - ANS-Includes three points:
1. Assessing and predicting the patient's danger of violence toward another
2. Identifying the specific individual(s) being threatened
3. Taking appropriate action to protect the identified victims
\e-health/e-medicine, telehealth - ANS-Use of electronic information and telecommunication
technologies to support long-distance clinical health care
\ego - ANS-Our sense of self and acts as the intermediary, between the id and the world by
using ego defense mechanisms, such as repression, denial, and rationalization.
\elder abuse reporting statutes - ANS-Requires registered nurses (RNs) and others to report
cases of abuse of older adults. Agencies who receive federal funding must follow strict
guidelines for preventing and reporting elder abuse.
\elopement - ANS-Escape or leaving a psychiatric treatment facility without medical
authorization, recommendation or being discharged.
\epidemiology - ANS-The quantitative study of the distribution of disorders in a human
population
\ethical dilemma - ANS-When there is a conflict between two or more courses of action, each
carrying with them favorable and unfavorable consequences.
\ethics - ANS-The study of philosophical beliefs about what is considered right and wrong
\evidence-based practice - ANS-The method for using treatment approaches to medical illness
and mental health illness that are scientifically grounded or evidence-based. Strives to decrease
the gap between research and practice.
\evidence-based practice (EBP) - ANS-For nurses it is a combination of clinical skills and the
use of clinically relevant research in the delivery of effective patient-centered care.
\false imprisonment - ANS-depriving a person of freedom of movement without consent and
without privilege
\feedback - ANS-The receiver's response to a message
\fidelity (nonmaleficence) - ANS-Maintaining loyalty and commitment to the patient and doing no
wrong to the patient
\foreseeabiity of harm - ANS-Evaluation of the likelihood of the outcome under the
circumstances.
\group content - ANS-the material discussed within the group
