Mental Health LPN ATI
who is in charge of the provisions of the care of mental health pts - ANS-american nurses
association
-american psychiatric nurses association
- international society of psychiatric-mental health nurses
alert - ANSpt responds to questions and is spoken to in regular voice
lethargy - ANSopen eyes and respond but is drowsy and falls asleep readily
stupor - ANSpt requires vigorous or painful stimuli to elicit a brief response. may not respond
verbally
coma - ANSno response
decorticate rigidity - ANSflexion and internal rotation of upper extremity joint and legs
decerebrate rigidity - ANSneck and elbow extension, wrist and finer flexion
mood - ANSinfor into how the pt feels
affect - ANSis an objectice of expression of mood. such as flat affect or lack of facial expression
cognitive/intellectual abilities
immediate - ANSrepeat a series of numbers or a list of objects
cognitive/intellectual abilities
recent - ANSrecall recent events such as visitors from current day or purpose of current mental
health appt
cognitive/intellectual abilities
remote - ANSask the pt to state a fact from his past that is verifiable. i.e. birth date or mothers
maiden name
mini mental state exam - ANSshows pt cognitive status
-orientation to time and place
- attention span by counting backwards
- registration and recalling of objects
- language including naming objects, following commands, and ability to write
,glascow coma scale - ANSeye, verbal, and motor response is evaluated as a baseline 15 is the
highest
7 or lower shows they client is in a coma
standard screening for older adults - ANSgeriatric depression scale, michigan alcoholism
screening test, mini-mental state exam, pain assessments
diagnostic and statistical manual of mental health disorders - ANSused as a diagnostic tool to
identify mental health diagnoses.
counseling - ANS-therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
milieu therapy - ANS- orienting the client to the physical setting
- identifying rules and boundaries of the setting
- ensuring safe environment
- assisting with activities
promo of self car activities - ANS- ofering assistance
- allow time for pt to complete task
- setting incentives to promote pt self care
psychobiological interventions - ANS-adm prescribed meds
- reinforcing teaching to the pt and family about meds
- monitoring for adverse effects and effectiveness
cognitive and behavioral therapies - ANS- modeling
- operant conditioning
- systeming desensitization
health teaching - ANSencourage socializing and coping
health promotion and health maintenance - ANS- assisting with stopping smoking
- monitoring health conditions
case management - ANScoordinating: holistic care to include medical, mental health and social
services
Tort - ANSis a wrongful act or injury committed by an entity or person against another person or
another persons property. can be use in abuse cases
beneficence - ANSquality of doing good. charity
, - nurse helps pt feel safe
autonomy - ANS- puts rights to make own decisions
justice - ANS-fair and equal treatment
fidelity - ANSrelates to loyalty and faithfulness. nurse is there for the pt
veracity - ANSbeing honest when dealing with pt
resources for ethical issues - ANS- nurses code of ethics
- patient care partnership
- nurse practice acts
- facility policies
- bioethics
- counselors
voluntary commitment - ANSpt or guardian admit pt
- pt can leave and refuse medical treatment
involunatry (civil) comitment - ANSpt inters facility indefinatly.
- 2 physicians must sign off and agree.
emergency involuntary commitment - ANSprevent harm to self or others
-temporaty up to 10 days
- imposed by doctors
observational or temp involuntary commitment - ANSneeded for observation or treatment
- state regulated
- can be imposed by doc or family member
long term or formal involuntary commitment - ANS- imposed by courts
- similar to temp commitment
- 60-180 days
restraints need a new order every - ANS24 hours
intentional tort
- false imprisonment - ANS- confining to specific area
assault - ANSmaking a threat to pt
battery - ANSactually harming pt
who is in charge of the provisions of the care of mental health pts - ANS-american nurses
association
-american psychiatric nurses association
- international society of psychiatric-mental health nurses
alert - ANSpt responds to questions and is spoken to in regular voice
lethargy - ANSopen eyes and respond but is drowsy and falls asleep readily
stupor - ANSpt requires vigorous or painful stimuli to elicit a brief response. may not respond
verbally
coma - ANSno response
decorticate rigidity - ANSflexion and internal rotation of upper extremity joint and legs
decerebrate rigidity - ANSneck and elbow extension, wrist and finer flexion
mood - ANSinfor into how the pt feels
affect - ANSis an objectice of expression of mood. such as flat affect or lack of facial expression
cognitive/intellectual abilities
immediate - ANSrepeat a series of numbers or a list of objects
cognitive/intellectual abilities
recent - ANSrecall recent events such as visitors from current day or purpose of current mental
health appt
cognitive/intellectual abilities
remote - ANSask the pt to state a fact from his past that is verifiable. i.e. birth date or mothers
maiden name
mini mental state exam - ANSshows pt cognitive status
-orientation to time and place
- attention span by counting backwards
- registration and recalling of objects
- language including naming objects, following commands, and ability to write
,glascow coma scale - ANSeye, verbal, and motor response is evaluated as a baseline 15 is the
highest
7 or lower shows they client is in a coma
standard screening for older adults - ANSgeriatric depression scale, michigan alcoholism
screening test, mini-mental state exam, pain assessments
diagnostic and statistical manual of mental health disorders - ANSused as a diagnostic tool to
identify mental health diagnoses.
counseling - ANS-therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
milieu therapy - ANS- orienting the client to the physical setting
- identifying rules and boundaries of the setting
- ensuring safe environment
- assisting with activities
promo of self car activities - ANS- ofering assistance
- allow time for pt to complete task
- setting incentives to promote pt self care
psychobiological interventions - ANS-adm prescribed meds
- reinforcing teaching to the pt and family about meds
- monitoring for adverse effects and effectiveness
cognitive and behavioral therapies - ANS- modeling
- operant conditioning
- systeming desensitization
health teaching - ANSencourage socializing and coping
health promotion and health maintenance - ANS- assisting with stopping smoking
- monitoring health conditions
case management - ANScoordinating: holistic care to include medical, mental health and social
services
Tort - ANSis a wrongful act or injury committed by an entity or person against another person or
another persons property. can be use in abuse cases
beneficence - ANSquality of doing good. charity
, - nurse helps pt feel safe
autonomy - ANS- puts rights to make own decisions
justice - ANS-fair and equal treatment
fidelity - ANSrelates to loyalty and faithfulness. nurse is there for the pt
veracity - ANSbeing honest when dealing with pt
resources for ethical issues - ANS- nurses code of ethics
- patient care partnership
- nurse practice acts
- facility policies
- bioethics
- counselors
voluntary commitment - ANSpt or guardian admit pt
- pt can leave and refuse medical treatment
involunatry (civil) comitment - ANSpt inters facility indefinatly.
- 2 physicians must sign off and agree.
emergency involuntary commitment - ANSprevent harm to self or others
-temporaty up to 10 days
- imposed by doctors
observational or temp involuntary commitment - ANSneeded for observation or treatment
- state regulated
- can be imposed by doc or family member
long term or formal involuntary commitment - ANS- imposed by courts
- similar to temp commitment
- 60-180 days
restraints need a new order every - ANS24 hours
intentional tort
- false imprisonment - ANS- confining to specific area
assault - ANSmaking a threat to pt
battery - ANSactually harming pt
