Nur 168 exam 1 Questions with Correct Answers Graded A+

is a systematic approach that is used by all nurses to gather data, critically examine and analyze the data, design outcomes, take appropriate action, and then evaluate the effectiveness of action. - nursing process what are the five steps of the nursing process - Assessment Diagnosis Planning Implementation Evaluation Everyday language, Relaxed, and Unstructured - social language Professional language, Elicits a response and Exchange of information - therapeutic language spoken and Written words - verbal language Tone of voice, Body language, Facial expression, Eye expression, Proximities and Physical appearance - nonverbal language seven steps of therapeutic communication - Listening Offering self Open communication Use of silence Clarification Presenting reality Feedback (consensual validation) five steps of nontherapeutic commuinciation - Use of why questions Giving advice Minimizing feelings Making stereotypical comments Giving approval The Community Mental Health Centers Act of 1963 promoted - deinstitutionalization of mental health patients and moved their care into the community setting. what is benifience - Actively doing something that benefits the patient what is autonomy - The patient's right to make choices (allowing patients to choose food or clothing, within reason) what is justice - Treating patients fairly, regardless of your personal view of that person. All patients must be treated fairly. what is fidelity - Being faithful and loyal to the patient. Be their advocate and do not make promises you cannot keep. what is veracity - Never lie to a patient. to an inpatient facility should take place when the illness is of such a severity that the patient is unsafe, such as in a crisis. Otherwise, a less restrictive treatment setting is appropriate. These may also be court-ordered. - INVOLUNTARY ADMISSION Occur when patients seek admission to the facility and may sign themselves in. They do not pose a threat to themselves or others but need assistance. These individuals can request release whenever they would like based on their patient rights. - informaL VOLUNTARY ADMISSION Allows a patient to file a petition for release if they believe they are being held unjustly. It challenges unlawful detention and must be submitted for review to the court system. The least-restrictive doctrine allows a patient to challenge that inpatient treatment is what they need. - The Writ of Habeas Corpus Occurs when a condition is applied to discharge, such as coming for outpatient therapy, or the patient will be readmitted. - Conditional release is what most of us are familiar with in that we are discharged with no strings attached and no further commitment. Against medical advice discharges are not available to those involuntarily admitted. The patient assumes responsibility for their health as no orders or medications are provided. - unconditional release Allow the patient to specify the type of treatment they would like for their condition. - advance directives Must be obtained before a patient can receive a treatment or participate in a study/trial. - informed consent When one person hurts another and the injured person seeks retribution. - tort The obligation to report suspected negligence or irresponsible behavior. - acting on questionable practice s the quantitative study of how mental health disorders are distributed throughout a population. - epidemiology will show structural changes or abnormalities in the brain. - CT and MRI show functional changes in the brain associated with some mental illnesses, such as schizophrenia. - PET and SPECT milieu Therapy - whole environment, very structured, patient participation mental healthcare should always be - the least restrictive environment possible safe patient centered care is - the use of conceptual framework to build nursing care approach how to show caring behaviors - providing presence, comforting, touching, listening, providing spiritual care, providing family care nurses role with advocacy - advocating for our patient advocacy for nurses included - informing and educating, valuing and respecting, physical emotional and financial supporting, protecting the patient , and promoting continuity of care