QUESTIONS AND ANSWERS GUARANTEE A+
✔✔explain indicating there is a external source of power - ✔✔attributing the thoughts to
an outside source encourages the patient to project blame for their thoughts on others
rather than accepting their own responsibility.
✔✔explain minimizing feelings - ✔✔encourages a lack of empathy and understanding
based on their concerns being irrelevant and not important.
✔✔explain stereotyping - ✔✔using meaningless expressions to encourage a similar
response from the patient
✔✔explain using denial - ✔✔denying a problem exists blocks discussion with the
patient and avoids getting help in areas they need it,
✔✔explain interpreting - ✔✔attempts to tell the patient the meaning of his or her
experience.
✔✔explain introducing an unrelated topic - ✔✔changing the topic indicates the nurse
does not want to discuss the topic the patient wants to discuss.
✔✔explain how to use the nursing process with psychiatric disorders - ✔✔assessment-
collecting information about past medical history, assessing physical and emotional
state
diagnosis: medically will be through the DSM5 but can use NANDA as well for nursing
dx's
palling: independently and individualized with multiple disciplines involved.
planning/ implementation: the nurse plans intervention with the client and are then acted
out
evaluation: did the client meet the goals or do we need to change things.
✔✔explain autonomy - ✔✔right to self determination and to make their own
independent choices about their medical and psychiatric care. Incapable individuals with
serious mental health disorders may need someone appointed to make those decisions.
✔✔explain beneficence - ✔✔the duty to promote the good of others. Nurses should act
in their clients best interests and have good interests that will serve the client the best
care in a good way, with sensitivity to wishes, beliefs, and feelings.
✔✔explain nonmalefience - ✔✔oing no harm to clients. A big part of this patient safety
when it comes to psychiatric disorders, as nurses we want to make sure everyone is
safe while receiving care.
, ✔✔explain justice - ✔✔giving fair treatment to all patients regardless of condition, past,
race, gender, etc . All care resources should be given equally to all, and the nurse
should favor all clients equally.
✔✔explain veracity - ✔✔the duty to be honest and truthful. The nurse should never
deceive or mislead patients.
✔✔explain fidelity - ✔✔keepings one's promise. the nurse should never break a
promise if one is made
✔✔explain moral behaviors - ✔✔conduct that results from serious critical thinking about
how individuals treat others
✔✔what are client specific rights in mental health? - ✔✔-informed consent
-right to refuse meds/ tx
-right to least restrictive tx
* are not valid when the client is at risk of harming self or others*
✔✔explain what a voluntary admission is - ✔✔The client or client's guardian chooses
admission to a mental facility.
A voluntarily admitted client may request release at any time.
✔✔explain what a temporary emergency admission is - ✔✔The client is admitted for
emergent mental health care due to the inability to make decisions regarding care.
After the admission is initiated by a healthcare provider, the client is evaluated by
another healthcare provider.
This temporary admission varies by client's needs and state laws.
✔✔explain what a involuntary admission is - ✔✔The client enters against her/his will for
an indefinite period time.
This is based on the client's need for psychiatric treatment, the risk of harm to self or
others, and the inability to provide self-care.
Physicians(generally) certify the client's condition meets the above criteria.
The client can request a legal review.
✔✔explain competent/incompetent client in regards to involuntary admissions - ✔✔can
be competent or incompetent.if competent- the client can make decisions regarding
refusal of treatment/meds. if incompetent- by the court, someone will sign the consent
for the client.
✔✔how long is an involuntary admission lasting? - ✔✔60 days
✔✔explain what a crisis is - ✔✔psychological disequilibrium in a person who
experiences a situation that constitutes a problem that cannot be escaped or solved
with usual problem solving techniques.