Mental Illness
Determined when individual’s thoughts, feelings, and behaviors interfere with individual’s ability to
function of daily life
Involuntary Admission
72 hour period, based on individual needs, patient shall be released, sign in voluntarily, petition for
involuntary placement certificate should be filled in the court
Right to Release (Habeus Corpus)
Admission of voluntary patient that the patient is notified by the staff in the psychiatric facility that
he/she has the right to discharge
When should the request be documented with Habeus Corpus?
Request must be documented and patient’s doctor is to be notified within 12 hours of request -- facility
has 24 hr to discharge patient if they no longer meet involuntary criteria
How to build mutual trust between nurse and patient?
Back up and rephrase, body language, inflection (summarizing what patient said), learned process
What is the therapeutic Relationship built on?
Mutual trust and emotional difficulties
Preinteraction: phase of Therapeutic Nurse/Patient Relationship
,Gather info, examine own feelings, recognize preconceived ideas, provide care
Orientation: phase of Therapeutic Nurse/Patient Relationship
Become acquainted with the patient, establish trust, introductory phase, discomfort, brief intro of self
Working Phase Therapeutic Nurse Patient Relationship
Follows orientation phase, therapeutic work, involvement by nurse, plan of care, evaluate progress
Transference
Occurs when the client unconsciously displaces (or "transfers") to the nurse feelings formed toward a
person from the past
Countertransference
Refers to nurses behavioral and emotional response to the client
Termination: phase of the nurse patient relationship
Occurs at discharge or when treatment goals have been met, end of clinical, therapeutic conclusion,
resist manipulation
Active listening tips
Immerse yourself in covo, correct errors, don't allow mind to wander, compassionate spirit
, Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
"Psychiatrist bible", criteria for diagnosing disorders, key resource for delivering the best available care
Hippocrates thought mental illness was caused by what?
Blood, black bile, yellow bile and phlegm
What are Indicators of Mental Health?
Positive attitude toward self, integration, perception, autonomy, environmental mastery
Anxiety
A diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and
helplessness
Mild Anxiety
Seldom a problem
Moderate Anxiety
Perceptual field begins to diminish
Severe Anxiety
Perceptual field diminishes greatly