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60 Cards in this Set

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Who believed that nursing is multifaceted and that the nurse must be a tool to educate and promote wellness, as well as a person who delivers care to the ill?
Hildegard Peplau
Dr. Peplau saw the nurse as four things...
1. Resource person
2. Counslor
3. Surrogate
4. Technical Support
The availability of mental health treatment centers depends on what?
the size of the community
What did the group of Psychotropic medications like phenothiazines do for people with mental disorders?
The psychotropic medicines had a calming and tranquilizing effect on them.
Why was the discovery of Psychotropic medications an important discovery for people with mental disorders?
It made it possible to control behavior to a degree and let patients function independently
With the use of phenothiazines being so effective for the mentally ill, what is the major change/movement in mental healthcare that this brought about?
deinstitutionalization
How a LPN functions in a Mental Health setting varies according to what?
laws, customs & location (Nurse Practice Act)
Every state has adopted its own code or set of rules by which all nurses are expected to perform. This is the...
Nurse Practice Act
Who was the founder of nursing?
Florence Nightingale
Name some nursing organizations?
ANA - American Nurses Association
NLN - National League for Nursing
NFLPN - National Federation of Licensed Practical Nurses
NAPNES - National Association for Practical Nurse Education & Service
The main goal of deinstitutionalization was to:

A. Let all mentally ill people care for themselves
B Return as many people as possible to a "normal" life
C Keep all mentally ill people in locked wards
D Close all community hospitals
B Return as many people as possible to a "normal" life, The main goal of deinstitutionalization was to allow as many people as possible to return to the community and lead as normal life as they could.
A major breakthrough of the 1950s that assisted in the deinstitutionalization movement was:

A The Community Mental Health Centers Act
B The Nurse Practice Act
C The development of psychotropic medications
D Electroshock therapy
C The development of psychotropic medications in the 1950's was a keystone to allowing people to return to their homes.
The set of regulations that dictates the scope of nursing practice is called:

A National League for Nursing
B American Nurses Association
C Patient Bill of Rights
D Nurse Practice Act
D Nurse Practice Act, which is written specifically for each state, is the set of regulations that dictate the scope of nursing practice.
As a result of deinstitutionalization and changes in the health-care delivery system, nurses can expect to care for people with mental health issues in which of the following settings?

A Psychiatric hospitals only
B Outpatient settings only
C Medical-surgical hospital settings
D All of the above
D All of the above, Nurses will care for patients with mental illnesses in all of the settings listed.
What form of communication is not self-responsible and most often begins with the word "you"?
Agressive Communication
Why is aggressive communication wrong?
It is "aggressive" and is meant to harm another person. It is the form of defense mechanism projection, or blaming, and it attempts to put the responsibility for the interaction on the other person.
What form of communication is self-responsible and the statements begin with "I"?
Assertive Communication
What makes Assertive Communication better than Aggressive?
Assertive Communication deals with thoughts and feelings and they deal with honesty.
Name some blocks to Therapeutic (Helping) Communication:
1) False Reassurance/Social Cliches
2) Minimizing Belittling
3) The word "WHY"
4) Advising
5 Agreeing or Disagreeing
6) Closed-Ended Questions
7) Providing the Answer w/ the Question
8) Changing the Subject
9) Approving/Disapproving
What effect does Reflecting/Repeating/Parroting have on the patient?
1. Encourages exploring meaning of the statement
2. Caution: Use sparingly; can be irritating if overused
What effect does Clarifying Terms have on the patient?
1. Encourages patient to restate the comment
2. Improves chances that the message sent is the message received
What effect does Open-Ended Questions have on the patient?
1. Discourages "yes/no" answers
2. Encourages patient to express self in his or her own terms
What effect does Asking For What You Want or Need have on the patient?
1. States purpose for the interaction
2. Keeps speaker assertive and self-reponsible
What effect does Identifying Thoughts and Feelings have on the patient?
1. Helps the patient to identify and label thoughts and emotions
2. May give insight to underlying concerns or complications of healing
What does the effect Using Empathy have on the patient?
1. Acknowledges patient's feelings
2. Keeps nurse in position of control and helpfulness
What does the effect Silence have on the patient?
1. Shows that nurse is comfortable with what patient
2. Allows nurse and patient to collect their thoughts
What does the effect Giving Information have on the patient?
1. Increases rapport.
2. Eases patient's anxiety
3. Honestly confirms that the physician has given prior information
4. Suggests collaboration
What does the effect Using General Leads have on the patient?
1. Tells patient nurse is listening
2. Encourages patient to elaborate
What does the effect Stating Implied Thoughts and Feelings have on the patient?
1. Lets the patient know you are paying attention to him or her
2. Identifies a specific behavior or change in behavior, which lowers chance of denying it
3. Patient hears that the nurse cares and wishes to help
What effect does the Block False Reassurance/ Social Cliches have on the patient?
1. Tells patient his or her concers are not valid
2. May jeopardize patient's trust in nurse
What effect does the Block Minimizing Belittling have on the patient?
Implies that the patient's feelings are not special
What effect does the Block "WHY" have on the patient?
1. Patient feels obligated to answer something he or she may not wish to answer or may not be able to answer
2. Probes in an abrasive way
What effect does the Block Advising have on the patient?
1. Places a value on the action
2. Gives idea that the nurse's value are the "right" ones
3. Jeopardizes nurse's credibility if the "should" doesn't work for the patient
What effect does the Block Agreeing or Disagreeing have on the patient?
1. Places a value of 'right' or "wrong" on the action
2. Can be augmentation
3. Patient may feel reluctant to change his or her mind, because the nurse has expressed a value.
What effect does the Block Closed- Ended Questions have on the patient?
1. Allows "Yes" or "No" answer
2. Discourages further exploration of the topic
3. Discourages patient from giving information
What effect does the Block Providing the Answer w/ the Question have on the patient?
1. Combines a closed-ended question
2. Discourages patient from providing own answers
What effect does the Block Changing the Subject have on the patient?
1. Discounts the importance of the patient's need to explore personal thoughts and feelings
2. May be a reflection of the nurse's own "uncomfort" level with this topic
What effect does the Block Approving/ Disapproving have on the patient?
1. Can sound judgemental
2. Can set the patient up for failure if the approval or disapproval doesn't help.
Describe how a nurse should use empathy:
1. Nurses need to be able to identify the emotion and relate to it while keeping the focus on the patient's needs.
2. Nurses need to be able to help the patients deal with their feelings and still maintain professional control of the situation.
Which of the following is an example of a therapeutic, open-ended question?

A Why did you do that, Mrs. Jones?
B How can I help you, Mr. Thompson?
C Can I help you, Ms. Greene?
D Please, can I ask you a question, Mark?
A Why did you do that, Mrs. Jones?
B How can I help you, Mr. Thompson?
The purpose of "therameutic communication" is to:
A Develop a friendly, social relationship with the patient.
B Develop a parental, authoritarian relationship with the patient.
C Develop a helping, purposeful relationship with the patient.
D Develop a cool, businesslike relationship with the patient.
C Develop a helping, purposeful relationship with the patient.
As a nurse you should show and let your patient know that their accepted as an individual but what do you do if they show repeated bad or inappropriate behavior?
Explain to them that certain behaviors are unacceptable
What are some ways you can practice in mental health nursing?
1) accept all people
2) understand yourself
3) understand how you effect others
What is the purpose of nursing regulations and standards of practice?
To protect the public
In reference to charting, legally the general assumption is...
if it is not charted it has not been done
Who should you chart for?
YOURSELF ONLY!
What is the new law that makes it illegal to share patient's records or information without a signed authorization by the patient?
HIPPA
What is the leading, national accrediting body of healthcare organizations?
JCAHO
When is the only exception for not getting consent for treatment, procedure, medication or surgery?
An emergency situation
Can a Patient choose when to receive their bedtime medicine?
Yes the Patients Bill of Rights says it is their choice to get or refuse medication and say when they want to go to sleep which would adjust the timing of bedtime medicine.
A Public Health Nurse has the opportunity to assist people in the community with _________________?
Mental Illness
The code of behavior that combines professional expectations that border on legal issues is called:

A Commitment
B Ethics
C Nurse Practice Act
D Patient Bill of Rights
B Ethics
The document that defines the scope of nursing practice in each state is called:

A Commitment
B Ethics
C Nurse Practice Act
D Patient Bill of Rights
C Nurse Practice Act
You see a new nurse charting her medications and treatments before she administers them. A few hours later she goes home sick. You know she charted before giving medication and you saw her giving some. What should you do?

A Do nothing
B Give all the medicine again
C Call the physician
D When in doubt, report to the RN or supervisor about the situation
D When in doubt, report to the RN or supervisor about the situation
The Health Insurance Portability and Accountability Act:

A Requires patients to be treated in designated regional treatment centers
B Approves of patient records being transported in personal vehicles by medical staff
C Allows patients to have some say in what medical information can be divulged and to whom
D Prohibits all transmission of medical records electronically
C Allows patients to have some say in what medical information can be divulged and to whom
Who is the leading national accrediting body of healthcare organizations?
JCAHO
Who should inform the patient of their rights?
The nurse or a facility representative should explain the Patients Bill of Rights to the patient while they are under facility care.
According to the Community Mental Health Centers Act every community must offer some form of help to people in need. How do they do that?
In the form of hospital ERs, shelters, crisis centers, or social service offices
What psychologist was the first to offer a reasonable organized method of treatment?
Sigmund Freud
Children aged 2-6 done understand death is real, they think ...
That death is reversible. When they do realize that their loved one isn't coming back its important that they understand that they didn't cause the death.