NUR 2459: Mental and Behavioral Health Nursing Flashcard

Levels of Consciousness  Alert  Patient is Responsive, Opens Eyes Spontaneously, and Answers Questions Appropriately  Lethargic  Patient Can Open Eyes & Respond to Questions, But Falls Asleep Quickly  Obtunded  Patient Responds to Light Shaking, But is Confused & Slow to Respond  Stuporous  Patient Barely Responds to Painful Stimuli (Like Sternal Rub)  Comatose  Patient is Unresponsive & Abnormal Posturing May Be Present  Decorticate  Arms Flexed & Inwardly Rotated, Legs Extended & Inwardly Rotated  Decerebrate  Head Arched Back, Arms & Legs Extended Nursing Ethical Principles  Autonomy  Patient has the right to make his/her own decisions, even if not in their best interest  Beneficence  Do what is Best for the Patient (Do Good)  Fidelity  Keep Your Promises  Justice  Provide Fairness in Care & Allocation of Resources  Nonmaleficence  Do No Harm  Veracity  Tell the Truth Patient Rights  Refusal of Treatment  Even Pts Who Are Involuntarily Admitted Have the Right to Refuse Treatment  Confidentiality  HIPPA States Health Info Cannot be Released W/O the Pt’s Permission  If Someone Calls to Get an Update, Suggest They Reach Out to the Pt’s Family Regarding the Pt’s Condition  If You Overhear a Convo in the Elevator, Take Immediate Action to Stop the Violation  Mandatory Reporting  Nurses are Required to Report Suspicion of Abuse, and to Warn/Protect 3rd Parties Who are at Risk for Harm Informed Consent  Provider Responsibilities  Communicate Purpose of Procedure, & Complete Description of Procedure in Pt’s Primary Language (Use Interpreter)  Explain Risk v. Benefits  Describe Other Options