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353 Cards in this Set
- Front
- Back
WHAT IS ANTICIPATORY GRIEF?
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WHEN A LOSS IS ANTICIPATED, INDIVIDUALS OFTEN BEGIN THE WORK OF GRIEVING BEFORE THE ACTUAL LOSS OCCURS. GLOSSARY- A SUBJECTIVE STATE OF EMOTIONAL, PHYSICAL, SOCIAL RESPONSES TO AN ANTICIPATED LOSS OF A VALUED ENTITIY. THE GREIF RESPONSE IS REPEATED ONCE THE LOSS ACUALLY OCCURS, BUT IT MAY NOT BE AS INTENSE AS IT MIGHT HAVE BEEN IF ANTICIPATORY GRIEF HAD NOT OCCURRED.
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WHAT IS BEREAVEMENT OVERLOAD?
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AN ACCUMULATION OF GREIF THAT OCCURS WHEN AN INDIVIDUAL EXPERIENCES MANY LOSSES OVER A SHORT PERIOD OF TIME AND IS UNABLE TO RESOLVE ONE BEFORE ANOTHER IS EXPERIENCED. THIS PHENOMENON IS COMMON AMONG THE ELDERLY
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WHAT IS DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, 4TH EDITION, TEXT REVISION (DSM-IV-TR)?
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STANDARD NOMENCLATURE OF EMOTIONAL ILLNESS PUBLISHED BY THE AMERICAN PSYCHIATRIC ASSOCIATION (APA) AND USED BY ALL HEALTHCARE PRACTITIONERS. IT CLASSIFIES MENTAL ILLNESS AND PRESENTS GUIDELINES AND DIAGNOSTIC CRITERIA FOR VARIOUS MENTAL DISORDERS.
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WHAT IS EGO DEFENSE MECHANISM?
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STRATEGIES EMPLOYED BY THE EGO FOR PROTECTION IN THE FACE OF THREAT TO BIOLOGICAL OR PSYCHOLOGICAL INTEGRITY.
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WHAT IS FIGHT OR FLIGHT SYNDROME?
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A SYNDROME OF PHYSICAL SYMPTOMS THAT RESULT FROM AN INDIVIDUAL'S REAL OR PERCEIVED PERCEPTION THAT HARM OR DANGER IS IMMINENT.
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WHAT IS NEUROSIS?
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PSYCHIATRIC DISTURBANCES, CHARACTERIZED BY EXCESSIVE ANXIETY THAT IS EXPRESSED DIRECTLY OR ALTERED THROUGH DEFENSE MECHANISMS. IT OFTEN APPEARS AS A SYMPTOM, SUCH AS AN OBSESSION, A COMPULSION, A PHOBIA, OR A SEXUAL DSYFUNCTION.
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WHAT ARE COMMON CHARACTERISTICS OF PEOPLE WITH NEUROSIS?
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THEY ARE AWARE THAT THEY ARE EXPERIENCING DISTRESS, AND THEIR BEHAVIORS ARE MALADAPTIVE. THEY ARE UNAWARE OF ANY POSSIBLE PSYCHOLOGICAL CAUSES OF THE DISTRESS. THEY FEEL HELPLESS TO CHANGE THEIR SITUATION. THEY EXPERIENCE NO LOSS OF CONTACT WITH REALITY.
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WHAT IS PSYCHOSIS?
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A LOSS OF EGO BOUNDARIES OR A GROSS IMPAIRMENT IN REALITY TESTING. SERIOUS PSYCHIATRIC DISTURBANCES CHARACTERIZED BY THE PRESENCE OF DELUSIONS ( false ideas about what is taking place or who one is) OR HALLUCINATIONS (seeing or hearing things which aren't there). AND THE IMPAIRMENT OF INTERPERSONAL FUNCTIONING AND RELATIONSHIP TO THE EXTERNAL WORLD.
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WHAT ARE COMMON CHARACTERISTICS OF PEOPLE WITH PSYCHOSIS?
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THEY EXHIBIT MINIMAL DISTRESS (emotional tone is flat,bland, or inappropriate) THEY ARE UNAWARE THAT THEIR BEHAVIOR IS MALADAPTIVE, THEY ARE UNAWARE OF PSYCHOLOGICAL PROBLEMS, THEY ARE EXHIBITING A FLIGHT FROM REALITY INTO A LESS STRESSFUL WORLD OR INTO ONE IN WHICH THEY ARE ATTEMPTING TO ADAPT.
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WHAT IS ANXIETY?
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A DIFFUSE APPREHENSION THAT IS VAGUE IN NATURE AND IS ASSOCIATED WITH FEELINGS OF UNCERTAINTY AND HELPLESSNESS.
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WHAT IS GREIF?
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A SUBJECTIVE STATE OF EMOTIONAL, PHYSICAL, AND SOCIAL RESPONSES TO THE LOSS OF A VALUED ENTITY. THE LOSS MAY BE REAL, IN WHICH IT CAN BE SUSTAINED BY OTHERS(dealth of a loved one, loss of personal possession), OR IT MAY BE PERCEIVED BY THE INDIVIDUAL ALONE AND CANNOT BE SHARED OR IDENTIFIED BY OTHERS (loss of the feeling of femininity following a mastectomy) ANY SITUATION THAT CREATES CHANGE FOR AN INDIVIDUAL CAN BE IDENTIFIED AS A LOSS. FAILURE (either real or perceived) CAN BE VIEWED AS A LOSS
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I. Antianxiety Agents
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Side effects
• Drowsiness, confusion, lethargy o Instruct pt not to drive or operate dangerous machinery while taking. • Tolerance (does not apply to Buspar). • Ability to potentiate the effects of other CNS drugs(makes other drug more potent). o Instruct client not to drink alcohol or take other meds that depress CNS….Death would be caused from Respiratory depression. |
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A. Benzodiazepines (CIV)
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i. Xanax
ii. Librium iii. Klonopin iv. Valium v. Ativan • Usually given as PRN. • They are addictive |
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B. Buspar
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• Does not work as well
• Works best at establishing---“not PRN” • Not controlled (nonaddictive), so it works best for someone w/addictive personality |
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II. Antidepressant Agents
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A. Tricyclines
i. Amitriptyline ii. Imipramine iii. Desipramine • They target serotonin • Takes 3-4 weeks to work • Problem- in overdose, can cause cardiac dysrhythmias Side effects • Tachycardia(most significant);arrhythmias • Blurred vision & constipation o Both are considered only to be nuisance. Instruct pt that both will subside in a couple of weeks. • Weight changes |
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Antidepressant Agents B. Selective serotonin reuptake inhibitors (SSRI)
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i. Prozac
ii. Paxil iii. Zoloft iv. Wellbutrin v. Cymbalta • Wellbutrin & Cymbalta are in this category but are not technically SSRI’s. • Takes 7-10 days • Tends to be safer • Has relatively fewer side effects Side effects • Weight changes • Serotonin syndrome o P.193 o Herbs are also included with this as well. Ex. St. John’s Wart also targets serotonin. |
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Antidepressant Agents C. Monoamine Oxidase Inhibitors (MAO)******will be on HESI******
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i. Nardil
ii. Parnate • MAOs can only be taken by itself. They are highly problematic with other drugs. The other drugs do not get metabolized in the system and becomes a toxic level. o Instruct pt to make sure MD, nurse, and RPH all know of any drug changes. • Interacts w/ tyramine o Causes hypertension crisis that can lead to a stroke. o Instruct pt which foods to avoid o P191 |
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III. Mood-Stabilizing Agents
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1. Antimanic
i. Lithium Carbonate • Lithium Toxicity o Symptoms appear at blood levels greater than 1.5 mEq/L:They include: 1.5-2.0 Blurred vision, ataxia, tinnitus, persistent nausea & vomiting, severe diarrhea 2.0-3.5 Excessive output of dilute urine, increasing tremors, muscular irritability, psychomotor retardation, mental confusion, giddiness. |
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Mood-Stabilizing Agents
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2. Anticonvulsants
i. Klonopin ii. Tegretol iii. Depakote • These have hardly any side effects • Nurse should check levels every once in a while to make sure the body is metabolizing(detoxifying) it. |
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IV. Antipsychotic Agents
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Treats psychosis; May treat agitation or aggression. Pt may have hallucinations. It is summarized as a break from reality. Pt may have positive and/or negative symptoms.
• Positive symptoms are symptoms that they have such as: hallucinations, delusions, or paranoia. • Negative symptoms are things that they lack such as: facial expressions, energy, lethargy |
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special features about the phylum Arthropoda?(6)
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1.segmentation=fusion=function=tagmatization
2. bilateral 3. cephalization in head region -> paired ventral nerve cord 4. chitinous exoskeleton-> protection, attachment points to muscles, etc 5. joint appendages 6. must molt to grow -> lose exoskeleton |
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IV. Antipsychotic Agents
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2. “New ones” or Atypical, These targeted both
positive and negative symptoms. i. Risperdal ii. Clozaril • Reduction of seizure threshold. Therefore closely observe pt with history of seizures. Pt must have a CBC every 2 weeks...so FYI because ER is short term, you would never see this medication given in an ER. • Agranulocytosis (low levels of WBCs). So remember the acceptable level of WBC is at least 3,500/mm³ • Hyper salivation (drooling). iii. Zyprexa iv. Geodon v. Abilify Physician can now give both meds in just smaller doses More side effects from antipsychotics; |
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Antipsychotic Agents
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1. Extrapyramidal symptoms(EPS).
a. Pseudoparkinsonism- tremor, shuffling gait, drooling, rigidity. b. Akathisia- continuous restlessness and fidgeting • Antiparkinsonian drugs are given with antipsychotics to prevent side effects. Or at the time side effects appear. These drugs include: o Anticholinergics- Cogentin o Antihistamines- Benadryl |
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Antipsychotic Agents
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2. Tardive dyskinesia.
a. Bizarre facial & tongue movements b. Stiff neck c. Difficulty swallowing. • Result of long term use, associated with conventionalists 20 years later. • The symptoms are potentially irreversible. • All others are from short term use. |
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Antipsychotic Agents
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3. Neuroleptic malignant syndrome (NMS)****know****
a. Severe parkinsonian muscle rigidity, hyperpyrexia up to 107°F, tachycardia, tachypnea, fluctuations in BP, diaphoresis, and rapid deterioration of mental status to stupor and coma. b. *****high Fever*****if pt has fever, you’ll see the nurse start getting nervous because this is always in the back of their mind. c. Rare, but potentially fatal. |
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V. Attention-Deficit/Hyperactivity Disorder(ADHD) Agents
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A. Amphetamines(Stimulants)
i. Adderall ii. Ritalin iii. Concerta B. Strattera Side effects from ADHD agents: • Overstimulation, restlessness,insomnia o Nurse should instruct pt to take in the morning • Anorexia, weight loss and temporary interruption of growth & development. o Nurse should instruct pt to take after breakfast. If pt was to take twice a day, they would take 1 after breakfast & 1 after lunch. • Tolerance, Physical & psychological dependence o MD might give a “Drug Holiday” which is taking a break from the medication periodically. Purpose is it: Make sure pt still needs And to lower tolerance Problem with addictive/controlled drugs: o Pt builds tolerance o Pt will have withdrawal symptoms when they stop taking |
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abreaction-
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remembering with feeling - bringing conscious awareness painful events that have been repressed and re experiencing the emotions that were associated with the events
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Acupoints
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are in Chinese medicine, acupoints represent areas along the body that link pathways of healing energy.
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Acupressure
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is a technique in which the fingers, thumbs, palms, or elbows are used to apply pressure to certain points along the body. This pressure is thought to dissolve any obstructions in the flow of healing energy and to restore the body to a healthier functioning.
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Acupuncture
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is a technique in which hair-thin, sterile, disposable, stainless-steel needles are inserted into points along the body to dissolve obstructions in the flow of healing energy and restore the body to a healthier functioning.
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Aggressiveness
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is a behavior that defends an individual’s own basic rights by violating the basic rights of others (as contrasted with assertiveness).
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Amenorrhea
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is the cessation of the menses; may be a side effect of some antipsychotic medications
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Agranulocytosis
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is an extremely low levels of white blood cells. Symptoms include sore throat, fever, and malaise. This may be a side effect of long-term therapy with some antipsychotic medications.
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Akathisia
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is a restlessness; an urgent need for movement. A type of extrapyramidal side effect associated with some antipsychotic medications
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Akinesia
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is muscular weakness, or a loss or partial loss of muscle movement; a type of extrapyramidal side effect associated with some antipsychotic medications
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Allopathic medicine
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is a traditional medicine. The type traditionally, and currently, practiced in the United States and taught in U.S. medical schools.
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Alternative medicine
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is the practices that differ from usual traditional (allopathic) medicine
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Anticipatory grief
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is a subjective state of emotional, physical, and social responses to an anticipated loss.
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Anxiety
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is a vague diffuse apprehension that is associated with feelings of uncertainty and helplessness. One of the responses of stress.
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Assault
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is an act that results in a person’s genuine fear and apprehension that he or she will be touched without consent.
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Assertiveness
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is a behavior that enables individuals to act in their own best interests, to stand up for themselves without undue anxiety, to express their honest feelings comfortably, or to exercise their own rights without denying those of others
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Assessment
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is gathering the subjective and objective data about the situation
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Automatic thoughts
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are thoughts that occur rapidly in response to a situation, and without rational analysis. They are often negative and based on erroneous logic
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Autonomy
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is independence; self governance. An ethical principle that emphasizes the status of persons as autonomous moral agents whose right to determine their destinies should always be respected
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Axon
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is the cellular process of a neuron that carries impulses away from the cell body.
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Battery
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is the un-consented touching of another person
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Beneficence
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is an ethical principle that refers to one’s duty to benefit or promote the good of others
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Bereavement overload
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is the accumulation of grief that occurs when an individual experiences many losses over a short period of time and is unable to resolve one before another is experienced
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Bioethics
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is the term used with ethical principles that refer to concepts within the scope of medicine, nursing, and allied health.
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Case management
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is a health care delivery process where a case manager coordinates the client’s care from admission to discharge and sometimes following discharge. The goals of which are to provide quality health care, decrease fragmentation, enhance the client’s quality of life, and contain costs. Critical pathways of care are the tools used for the provision of care in a case management system.
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Case manager
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is the individual responsible for negotiating with multiple health care providers to obtain a variety of services for a client.
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Catharsis
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is One curative factor of group therapy (identified by Yalom), in which members in a group can express both positive and negative feelings in a nonthreatening atmosphere.
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Cell body
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is the part of the neuron that contains the nucleus and is essential for the continued life of the neuron.
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Chiropractic
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is a system of alternative medicine based on the premise that the relationship between structure and function in the human body is a significant health factor and that such relationships between the spinal column and the nervous system are important because the normal transmission and expression of nerve energy are essential to the restoration and maintenance of health.
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Christian ethics
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is the ethical philosophy that states one should treat others as moral equals, and recognize the equality of other persons by permitting them to act as we do when they occupy a position similar to ours
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Civil law
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is the law that protects the privacy and property rights of individuals and businesses
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Cognitive therapy
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is a type of therapy in which the individual is taught to control thought distortions that are considered to be a factor in the development and maintenance of emotional disorders.
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Communication
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transaction between sender and reciever
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Compensation
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is covering up a real or perceived weakness by emphasizing a trait one considers more desirable.
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Complementary medicine
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is the practices that differ from usual traditional (allopathic) medicine, but may in fact supplement it in a positive way.
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Concept mapping
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is a diagrammatic teaching and learning strategy that allows students and faculty to visualize interrelationships between medical diagnosis, nursing diagnosis, assessment data, and treatment.
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Concrete thinking
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is the thought process that is focused on specifics rather than on generalities and immediate issues rather than eventual outcomes. Individuals who are experiencing concrete thinking are unable to comprehend abstract terminology.
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Confidentiality
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is the right of an individual to the assurance that his or her case will not be discussed outside the boundaries of the health care team.
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Counselor
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is one who listens as the client reviews feelings related to difficulties he or she is experiencing in any aspect of life.
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Countertransference
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refers to the nurse’s behavioral and emotional response to the client.
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Criminal law
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is law that provides protection from conduct deemed injurious to the public welfare. It provides for punishment of those found to have engaged in such conduct.
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Critical pathway
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of care is an abbreviated plan of care that provides outcome-based guidelines for goal achievement within a designated length of time.
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Culture bound syndromes
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are recurrent locality specific patterns of aberrant behavior and troubling experience that may not be linked to a particular DSM-IV diagnostic catagory
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Culture
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is a particular society’s entire way of living, encompassing shared patterns of belief, feeling, and knowledge that guide people’s conduct and are passed down from generation to generation.
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Curandera
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is a female folk healer in the latino culture
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Curandero
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is a male folk healer in the latino culture
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Defamation of character
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is when an individual shares information with others about an individual that is detrimental to his or her reputation.
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Dendrites
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are the cellular processes of a neuron that carry impulses toward the cell body.
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Denial
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is refusing to acknowledge the existence of a real situation or the feelings associated with it.
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Density
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is the number of people in a given environmental space, influencing interpersonal interaction.
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Diagnosis and Statistical Manual of Mental Disorders (DSM-IV-TR)
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is published by the APA and used by all health care practitioners to classify mental illness and presents guidelines and diagnostic criteria for various mental disorders.
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Displacement
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is the transferring of feelings from one target to another that is considered less threatening or that is neutral.
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Distance
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is the means by which various cultures use space to communicate.
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Dystonia
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is the involuntary muscular movements (spasms) of the face, arms, legs, and neck; may occur as an extrapyramidal side effect of some antipsychotic medications.
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Ego defense mechanisms
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are the strategies employed by the ego for protection in the face of threat to biological or psychological integrity.
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Ego
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is one of the three elements of the personality identified by Freud as the rational self or reality principle. The ego seeks to maintain harmony between the external world, the id and the superego. Is the basic self.
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Empathy
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is the ability to see beyond outward behavior and sense accurately another’s inner experiencing. With empathy, one can accurately perceive and understand the meaning and relevance in the thoughts and feelings of another.
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Ethical dilemma
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dilemma is a situation that arises when on the basis of moral considerations an appeal can be made for taking each of two opposing courses of action. Requires individual to make a choice between two equally unfavorable alternatives.
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Ethical egoism
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ethical theory espousing that what is right and good is what’s best for the individual making the decision.
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Ethics
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is the branch of philosophy dealing with the values related to human conduct, to the rightness and wrongness of certain actions, and to the goodness and badness of the motives and ends of such actions.
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Ethnicity
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is the concept of people identifying with each other because of a shared heritage.
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Evaluation
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is the process of determining both the client’s progress toward the attainment of expected outcomes and the effectiveness of nursing care.
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Extrapyramidal symptoms (EPS)
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is a variety of responses that originate outside the pyramidal tracts and in the basal ganglion of the brain. Symptoms may include tremors, chorea, dystonia,
akinesia, akathisia, and others. May occur as a side effect of some antipsychotic medications. |
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False imprisonment
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is the deliberate and unauthorized confinement of a person within fixed limits by the use of threat or force.
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Fight or flight syndrome
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are the physical symptoms that result from an individual’s real or perceived perception that harm or danger is imminent.
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Focus Charting
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is a type of documentation that follows a data, action, and response (DAR) format. The main perspective is a client “focus,” which can be a nursing diagnosis, a client’s concern, change in status, or significant event in the client’s therapy. The focus cannot be a medical diagnosis.
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Folk medicine
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is a system of health care within various cultures that is provided by a local practitioner, not professionally trained, but who uses techniques specific to that culture in the art of healing.
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Free association
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is a technique used to help individuals bring to consciousness
material that has been repressed. The individual is encouraged to verbalize whatever comes into his or her mind, drifting naturally from one thought to another |
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Genuineness
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is the ability to be open, honest, and “real” in interactions with others; the awareness of what one is experiencing internally and the ability to project the quality of this inner experiencing in a relationship.
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Grief
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is a subjective state of emotional, physical, and social responses to the real or perceived loss of a valued entity.
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Gynecomastia
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is an enlargement of the breasts in men; may be a side effect of some antipsychotic medications.
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Hypertensive crisis
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crisis is a potentially life-threatening syndrome that results when an individual taking MAO inhibitors eats a product high in tyramine. Symptoms include severe occipital
headache, palpitations, nausea and vomiting, nuchal rigidity, fever, sweating, marked increase in blood pressure, chest pain, and coma. Foods with tyramine include aged cheeses or other aged, overripe, and fermented foods; broad beans; pickled herring; beef or chicken liver; preserved meats; beer and wine; yeast products; chocolate; caffeinated drinks; canned figs; sour cream; yogurt; soy sauce; and some over-the-counter cold medications and diet pills. |
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Id
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is one of three components of the personality identified by Freud as the pleasure principle.
Behaviors are impulsive and may be irrational |
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Informed consent
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is the permission granted to a physician by a client to perform a therapeutic procedure, prior to which information about the procedure has been presented to the client with adequate time given for consideration about the pros and cons.
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Interdisciplinary care
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is a concept of providing care for a client in which members of various disciplines work together with common goals and shared responsibilities for meeting those goals.
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Intimate distance
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is the closest distance that individuals will allow between themselves and others. In the United States, this distance is 0 to 18 inches.
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Justice
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is the ethical principle reflecting that all individuals should be treated equally and fairly.
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Kantianism
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is the ethical principle espousing that decisions should be made and actions taken out of a sense of duty.
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Libel
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is an action with which an individual may be charged for sharing with another individual, in writing, information that is detrimental to someone’s reputation
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Libido
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is Freud’s term for the psychic energy used to fulfill basic physiological needs or instinctual drives such as hunger, thirst, and sexuality
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Limbic system
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is the part of the brain that is sometimes called the emotional brain. It is associated with feelings of fear and anxiety; anger and aggression; love, joy, and hope; and with sexuality and social behavior
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Malpractice
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is the failure of one rendering professional services to exercise that degree of skill and learning commonly applied under all the circumstances in the community by the average prudent reputable member of the profession with the result of injury, loss, or damage to the recipient of those services or to those entitled to rely upon them.
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Managed care
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is a concept purposefully designed to control the balance between cost and quality of care. Examples of managed care are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). The amount and type of health care that the individual receives is determined by the organization providing the managed care.
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Meridians
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are in Chinese medicine, pathways along the body in which the healing energy (chi) flows, and that are links between acupoints.
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Moral behavior
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is conduct that results from serious critical thinking about how individuals ought to treat others. Reflects the way people interpret basic respect for others, such as autonomy, freedom, justice, honesty, and confidentiality.
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Natural law theory
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has its moral precept to do good and avoid evil at all costs. They are grounded in the concern for the human good, based on man’s ability to live according to the dictates of reason.
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Negligence
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is the failure to do something that a reasonable person, guided by those considerations that ordinarily regulate human affairs, would do, or doing something that a prudent and reasonable person would not do.
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Neuroendocrine system
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deals with the interaction between the nervous and endocrine systems and the hormones that react to stimulation from the nerve cells.
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Neuroleptic malignant syndrome (NMS)
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is a rare but potentially fatal complication of treatment with neuroleptic drugs. Symptoms include severe muscle rigidity, high fever, tachycardia, fluctuations in blood pressure, diaphoresis, and rapid deterioration of mental status to stupor and coma
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Neurons
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are nerve cells; consist of a cell body, an axon, and dendrites.
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Neuroses
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are psychiatric disturbances, characterized by excessive anxiety that is expressed through defense mechanisms.
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Neurotransmitters
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are chemicals that are stored in the axon terminals of the presynaptic neuron. An electrical impulse through the neuron stimulates the release of the neurotransmitter into the synaptic cleft, which in turn determines whether or not another impulse is generated.
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Nonassertiveness
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is when individuals who are nonassertive (sometimes called passive) seek to please others at the expense of denying their own basic human rights.
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Nonmaleficence
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is the ethical principle that espouses abstaining from negative acts towards another, including acting carefully to avoid harm. The requirement that health care providers do no harm to their clients, either intentionally or unintentionally.
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Nursing diagnosis
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is a clinical judgment about individual, family, or community responses to actual and potential health problems/life processes. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.
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Nursing intervention classification
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is a comprehensive, standardized language describing treatments that nurses perform in all settings and in all specialties
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Nursing outcomes classification
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is a comprehensive, standardized classification of patient-client outcomes developed to evaluate the effects of nursing intervention.
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Nursing process
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is a dynamic, systematic process by which nurses assess, diagnose, identify outcomes, plan, implement, and evaluate nursing care. It has been called “nursing’s scientific methodology.” The nursing process gives order and consistency to nursing intervention.
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Oculogyric crisis
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is an attack of involuntary deviation and fixation of the eyeballs, usually in the upward position. It may last for several minutes or hours and may occur as an extrapyramidal side effect of some antipsychotic medications.
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Outcomes
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are measureable, expected, patient-focused goals that translate into observable behaviors.
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Paralanguage
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is the gestural component of the spoken word. It consists of pitch, tone, and loudness of spoken messages, the rate of speaking, expressively placed pauses, and emphasis assigned to certain words. Vocal cues.
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Passive–aggressive behavior
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is when behavior that defends an individual’s own basic rights by expressing resistance to social and occupational demands. Sometimes called indirect aggression, this behavior takes the form of sly, devious, and undermining actions that express the opposite of what they are really feeling
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Personal distance
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is the distance between individuals who are having interactions of a personal nature, such as a close conversation. In the U.S. culture, personal distance is approximately 18 to 40 inches.
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Personality
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are the deeply ingrained patterns of behavior, which include the way one relates to, perceives, and thinks about the environment and oneself.
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PIE charting
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is more specifically called “APIE,” this method of documentation has an assessment, problem, intervention, and evaluation (APIE) format and is a problem-oriented system used to document nursing process.
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Priapism
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is the prolonged painful penile erection, may occur as an adverse effect of some antidepressant medications, particularly trazodone.
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Privileged communication
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is a doctrine common to most states that grants certain privileges under which they may refuse to reveal information about and communications with clients
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Problem-oriented recording (POR)
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is a system of documentation that follows a subjective, objective, assessment, plan, implementation, and evaluation (SOAPIE) format. It is based on a list of identified patient problems to which each entry is directed.
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Projection
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is attributing feelings or impulses unacceptable to one’s self to another person.
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Pseudoparkinsonism
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(tremors, shuffling gate, drooling, rigidity)
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Psychobiology
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is the study of the biological foundations of cognitive, emotional, and behavioral processes.
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Psychoanalysis
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was originated by freud. the major goal is for the client to gain insight and understanding about current relationships and behavior patterns by confronting uncouncious conflicts that surface in the transference relationships with the analyst
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Psychodynamic nursing
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is being able to understand one’s own behavior, to help others identify felt difficulties, and to apply principles of human relations to the problems that arise at all levels of experience. Interpersonal involvement of the nurse with a client in a given nursing situation
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Psychosis
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is the loss of ego boundaries or a gross impairment in reality testing, characterized by delusions or hallucinations.
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Psychotropic medication
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is a medication that affects psychic function, behavior, or experience.
Public distance is the appropriate interactional distance for speaking in public or yelling to someone some distance away. U.S. culture defines this distance as 12 feet or more |
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Qi
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is a Chinese medicine, the healing energy that flows through pathways in the body called meridians. (Also called “chi”).
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Rapport
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is the development between two people in a relationship of special feelings based on mutual acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
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Rationalization
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is attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors.
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Reaction Formation
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is preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors.
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Reality therapy
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is based on control theory and suggests that all individuals are responsible for what they choose to do.
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Receptor sites
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are molecules that are situated on the cell membrane of the postsynaptic neuron that will accept only molecules with a complementary shape
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Regression
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is the response to stress by retreating to an earlier level of development and the comfort measures associated with that level of functioning.
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Religion
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is a set of beliefs, values, rites, and rituals adopted by a group of people. The practices are usually grounded in the teachings of a spiritual leader.
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Retrograde ejaculation
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is ejaculation of the seminal fluid backwards into the bladder; may occur as a side effect of antipsychotic medications.
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Right
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is that which an individual is entitled to have, or do, or to receive from others within the limits of the law
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Serotonin syndrome
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may occur when 2 drugs that potentiate serotongenic nuerotransmission are used concurrently. it is a predictable consequence of excess serotonergic activity at central nervous system (CNS) and peripheral serotonin receptors
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Shaman
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is the Native American medicine man or folk healer
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Slander
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is an action with which an individual may be charged for orally sharing information that is detrimental to a person’s reputation.
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Social distance
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is the distance considered acceptable in interactions with strangers or acquaintances, such as at a cocktail party or in a public building. U.S. culture defines this distance as 4 to 12 feet.
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Spirituality
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is the human quality that gives meaning and sense of purpose to an individual’s existence. Spirituality exists within each individual regardless of belief system and serves as a force for interconnectedness between the self and others, the environment, and a higher power
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Statutory law
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is the law that has been enacted by legislative bodies, such as a county or city council, state legislature, or the US Congress
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Stereotyping
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is the process of classifying all individuals from the same culture or ethnic group as identical.
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Subluxation
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is the term used in chiropractic medicine to describe vertebrae in the spinal column that have become displaced, possibly pressing on nerves and interfering with normal nerve transmission.
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Superego
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is one of the three elements of the personality identified by Freud that represents the conscience and culturally determined good-bad, right-wrong that are placed on an individual.
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Surrogate
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is one who serves as a substitute figure for another.
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Symbiosis
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is a type of psychic fusion of mother and child. The child views the self as an extension of the mother but with a developing awareness that it is she who fulfills the child’s every need.
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Sympathy
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is the actual sharing of another’s thoughts and behaviors. Differs from empathy, in that with empathy one experiences an objective understanding of what another is feeling, rather than actually sharing those feelings.
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Synapse
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is the junction between two neurons. The small space between the axon terminals of one neuron and the cell body or dendrites of another is called the synaptic cleft.
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Tardive dyskinesia
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is a syndrome of symptoms characterized by bizarre facial and tongue movements, a stiff neck, and difficulty swallowing. It may occur as an adverse effect of long-term therapy with some antipsychotic medications.
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Technical expert
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is Peplau’s term for one who understands various professional devices and possesses the clinical skills necessary to perform the interventions that are in the best interest of the client.
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Temperament
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is the set of inborn personality characteristics that influence an individual’s manner of reacting to the environment, and ultimately influences his or her developmental progression.
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Territoriality
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is the innate tendency of individuals to own space. Individuals lay claim to areas around them as their own. This phenomenon can have an influence on interpersonal communication.
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Therapeutic communication
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verbal and nonverbal techniques that focus on the care receiver’s needs and advance the promotion of healing and change. Encourages exploration of feelings and fosters understanding of behavioral motivation. It is nonjudgmental, discourages defensiveness, and promotes trust.
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Therapeutic relationship
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is the interaction between two people in which input from both participants contributes to a climate of healing, growth promotion, and/or illness prevention.
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Tort
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is a violation of a civil law in which an individual has been wronged.
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Transference
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occurs when a client unconsciously attributes to the nurse feelings and behavioral predispositions formed toward a person from the past.
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Unconditional positive regard
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is Carl Rogers’ term for the respect and dignity of an individual regardless of his or her unacceptable behavior.
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Utilitarianism
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is the ethical theory that espouses “the greatest happiness for the greatest number.” Under this theory, action would be taken based on the end results that will produce the most good (happiness) for the most people. The end justifies the means
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Values
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are one’s personal beliefs about the truth, beauty, or worth of a thought, object, or behavior that influence an individual’s actions. Ideals or concepts that give meaning to one’s life.
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Values clarification
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is the process of self-discovery by which people identify their personal values and their value rankings. This process increases awareness about why individuals behave in certain ways.
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Veracity
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is the principle referring to one’s duty to always tell the truth.
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Yin and yang
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is the fundamental concept of Asian health practices. Yin and yang are opposite forces of energy such as negative/positive, dark/light, cold/hot, hard/soft, and feminine/masculine. Food, medicines, and herbs are classified according to their yin and yang properties and are used to restore a balance, thereby restoring health.
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Yoga
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is a system of beliefs and practices, the ultimate goal of which is to unite the human soul with the universal spirit. In Western countries, yoga uses body postures, along with meditation and breathing exercises, to achieve a balanced, disciplined workout that releases muscle tension, tones the internal organs, and energizes the mind, body, and spirit, so that natural healing can occur.
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mild anxiety coping mechanism
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sleeping, eating, physical exercise, smoking, crying, yawning, drinking, day dreaming, laughing, cursing, pacing, foot swinging, fidgeting, nail biting, finger tapping, talking to someone with whom one feels comfortable.
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mild to moderate ego defense mechanism
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compensation- covering up a real or perceived weakness by emphazing a trait one considers more desirable - ex: a physically handicapped boy is unable to participate in football, so he compensates by becoming a great scholar
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mild to moderate ego defense mechanism
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denial - refusing to acknowledge the existance of a real situation or the feelings associated with it - ex: a woman drinks alcohol everyday and can not stop failing to acknowledge that she has a problem
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mild to moderate ego defense mechanism
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displacement - the transfer of feelings from one target to another that is considered less threatening or that is neutral - ex: a client is angry at his doctor,does not express it, but becomes verbally abusive with the nurse
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mild to moderate ego defense mechanism
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projection - attributing feelings or impulses unacceptable to ones self to another person ex- sue feels a strong sexual attraction to her track coach and tells her friend "he is coming on to me"
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mild to moderate ego defense mechanism
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rationalization- attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors - ex: john tells the rehab nurse" I drink because it is the only way i can deal with my bad marraige and my worse job"
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mild to moderate ego defense mechanism
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reaction formation - preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating oppisite thoughts or types of behavior - ex: jane hates nursing.she attended nursing school to please her parents. during career day she speaks to prospective students about the excellance of nursing as a career
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mild to moderate ego defense mechanism
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regression - responding to stress by retreating to an earlier level of development an d the comfort measures associated with that level of functioning - ex: when 2 year old Jay is hospitalized for tonsilitis he will drink from a bottle although his mother states he has been drinking from a cup for 6 months.
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therapuetic communication
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using silence - allows the client to take control of the discussion if he or she so desires. gives the client the oppurtunity to collect and organize thoughts to think through a point , or to consider introducing a topic of greater concern than the one being discussed
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therapuetic communication
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accepting - conveys positive reguard - ex: yes i understand what you said eye contact knodding --
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therapuetic communication
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giving recognition - acknowleding indicating awareness - ex: hello mr. j i noticed you made a ceramic ashtray in ot-- i see you made your bed
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therapuetic communication
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offering self- making ones self available on an unconditional basis, increasing clients feelings of self worth ex: i'll stay with you a while-- we can eat our lunch together--i'm interested in you
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therapuetic communication
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giving broad opening - allows client to select the topic; emphasizes the importance of the clients role in the interaction--ex: what would you like to talk about today?--tell me what you are thinking
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therapuetic communication
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offering general leads- offers client encouragement to continue-- ex: yes i see, go on, and after that
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therapuetic communication
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placing the event in time or sequence-- clarifies the relationship of events in time so that the nurse and client can view them in perspective - ex: when did this happen, was this before or after, what seemed to lead up to
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therapuetic communication
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making observation-- verbalizing what is observed or perceived. ex: you seem tense,i noticed that you are pacing alot, you seem uncomfortable when you
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therapuetic communication
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encouraging description of perception--asking the client to verbalize what is being percieved--ex: what do the voices seem to be saying, tell me what is happening now, are you hearing voices again
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therapuetic communication
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Encouraging comparison-
asking client to compare similarities and differences in ideas, experiences, or interpersonal relationships--ex: was this something like, how does this compare with the time when, what was your response the last time this situation occured |
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therapuetic communication
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restating-- lets the client know whether an expressed statement has or has not been understood.--ex: (cl) i cann't study my mind keeps wondering (n) you have trouble concentrating---(cl) i cann't take that new job what if i cann't do it (n)-- you are afraid you will fail in this new position
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therapuetic communication
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reflecting-- directs feelings or questions back to the client so that they may be reconized and accepted and so that client may recognize that his or her point of view has value--ex: (cl)- what do you think i should do about my wife's drinking problem (n)- what do you think you should do--(cl) my sister won't help a bit toward my moms care i have to do it all. (n)- you feel angry when she doesn't help
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therapuetic communication
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focusing--taking notice of a single idea or even a single word.( this technique however is non therapuetic with the client who has anxiety) --ex: this point seems worth looking at more closely perhaps you and i can discuss it together
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therapuetic communication
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exploring-- delving further into a subject, idea or experience or relationship--ex: please explain the situation in more detail. tell me more about that particular situation
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therapuetic communication
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seeking clarification and validation-- striving to explain what is vague and searching for mutual understanding--ex: im not sure i understood you, would you please explain--tell me if my understanding agrees with yours--do i understand correctly that you said
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therapuetic communication
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presenting reality-- clarifying misconceptions that the client may be expressing--ex: there is no one else in this room but you and me-- i understand that the voices seem real to you but i don't hear any voice
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therapuetic communication
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voicing doubt--expressing uncertainty as to the reality of the clients perception--ex: i find that hard to believe, that seems rather doubtful to me
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therapuetic communication
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verbalizing the implied--putting into words what the client has only implied (cl) it is a waste of my time being here i cann't talk to you or anyone--(n)- are you feeling that noone understands---(cl) mute (n) it must have been very difficult for you when your husband died in the fire
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therapuetic communication
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attempting to translate words into feeling-- putting into words the feelings the client has expressed only indirectly ex: (cl) i'm way out in the ocean (n) you must be feeling very lonely
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therapuetic communication
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formulating a plan of action-- striving to prevent anger or anxiety exsculating to unmanagable level when stressors recurs--ex: what could you do to let your anger out harmlessly, next time this comes up what might you do to handle it more appropriatly
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stress-
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forces that we are subject to
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anxiety and grief
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is the response to stress not the stressor--how you deal with stress
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stages of development:
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trust vs mistrust (0-18months)
autonomy vs shame and doubt (18-3yrs) initiative vs guilt (3-6yr) industry vs inferiority (6-12) identity vs role confusion (12-20) intimacy vs isolation (20-30) generativity vs stagnation (30-65) ego integrity vs despair (65 years - death) |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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AXIS 3
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GENERAL MEDICAL CONITIONS
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
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FOR ARNP AND ADVANCED PRACTICE ONLY
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STANDARD 5h PSYCHOTHERAPY
STANDARD 5I PRESCRIPTION AUTHORITY AND TREATMENT STANDARD 5J CONSULTATION |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THAt IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5 IMPLEMENTATION-- THE PSYCHIATRIC MENTAL HEALTH NURSE IMPLEMENTS THE INTERVENTIONS IDENTIFIED IN THE PLAN OF CARE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5A COUNSLING-
THE PSYCHIATRIC MENTAL HEALTH NURSE USES COUNSELING INTERVENTIONS TO ASSIST PATIENTS IN IMPROVING OR REGAINING THEIR PREVIOUS COPING ABILITIES,FOSTERING MENTAL HEALTH, AND PREVENTING MENTAL ILLNESS AND DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VB MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5E HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5B MILIEU THERAPY-
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES, STRUCTURES AND MAINTAINS A THERAPUETIC ENVIROMENT IN COLLABORATION WITH THE PATIENT AND OTHER HEALTH CARE CLINICIANS |
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5E HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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AXIS 3
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GENERAL MEDICAL CONITIONS
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AXIS 3
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GENERAL MEDICAL CONITIONS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VD PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5E HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
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AXIS 1
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CLINICAL DISORDERS AND OTHER CONDITIONS -- THE PSYCH DIAGNOSIS
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AXIS 3
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GENERAL MEDICAL CONITIONS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5E HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VE HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARDS 5C PROMOTION OF SELF CARE ACTIVITIES--
THE PSYCHIATRIC MENTAL HEALTH NURSE STRUCTURES INTERVENTIONS AROUND THE PATIENTS ACTIVITIES OF DAILY LIVING TO FOSTER SELF CARE AND MENTAL AND PSYICAL WELL BEING |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VF CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
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AXIS 3
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GENERAL MEDICAL CONITIONS
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AXIS 3
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GENERAL MEDICAL CONITIONS
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VE HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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FOR ARNP AND ADVANCED PRACTICE ONLY
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STANDARD 5h PSYCHOTHERAPY
STANDARD 5i PRESCRIPTION AUTHORITY AND TREATMENT STANDARD 5J CONSULTATION |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD VG HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
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AXIS 2
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PERSONALITY DISORDERS AND MENTAL RETARDATION
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5D PSYCHOBIOLOGICAL INTERVENTIONS--
THE PSYCHIATRIC MENTAL HEALTH NURSE USES KNOWLEDGE OF PSYCHOBIOLOGICAL INTERVENTIONS AND APPLIES CLINICAL SKILLS TO RESTORE THE PATIENT'S HEALTH AND PREVENT FURTHER DISABILITY |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
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AXIS 3
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GENERAL MEDICAL CONITIONS
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
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AXIS 4
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PSYCHOSOCIAL AND ENVIROMENTAL PROBLEMS -- SOMETIMES MD WILL LIST STRENGTHS INSTEAD OF WEAKNESS
|
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FOR ARNP AND ADVANCED PRACTICE ONLY
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STANDARD Vh PSYCHOTHERAPY
STANDARD VI PRESCRIPTION AUTHORITY AND TREATMENT STANDARD VJ CONSULTATION |
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STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
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STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
|
CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
|
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
|
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5E HEALTH TEACHING--
THE PSYCHIATRIC MENTAL HEALTH NURSE , THROUGH HEALTH TEACHING, ASSIST PATIENTS IN ACHEIVING, SATISFYING,PRODUCTIVE, AND HEALTHY PATTERNS OF LIVING |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
|
FOR ARNP AND ADVANCED PRACTICE ONLY
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STANDARD 5h PSYCHOTHERAPY
STANDARD 5I PRESCRIPTION AUTHORITY AND TREATMENT STANDARD 5J CONSULTATION |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5F CASE MANAGEMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE PROVIDES CASE MANAGEMENT TO COORDINATE COMPREHENSIVE HEALTH SERVICES AND ENSURE CONTINUITY OF CARE |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
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African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
|
FOR ARNP AND ADVANCED PRACTICE ONLY
|
STANDARD Vh PSYCHOTHERAPY
STANDARD VI PRESCRIPTION AUTHORITY AND TREATMENT STANDARD VJ CONSULTATION |
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FOR ARNP AND ADVANCED PRACTICE ONLY
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STANDARD 5h PSYCHOTHERAPY
STANDARD 5i PRESCRIPTION AUTHORITY AND TREATMENT STANDARD 5J CONSULTATION |
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CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
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AXIS 5
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GLOBAL ASSESSMENT OF FUNCTIONING-- MEASUREMENT OF INDIVIDUALS PSYCHOLOGICAL,SOCIAL AND OCCUPATIONAL FUNCTIONING ON THE GAF SCALE
|
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THA IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 5G HEALTH PROMOTION AND HEALTH MAINTANCE--
THE PSYCHIATRIC MENTAL HEALTH NURSE EMPLOYS STRATEGIES AND INTERVENTIONS TO PROMOTE AND MAINTAIN HEALTH AND PREVENT MENTAL ILLNESS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THA IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
|
FOR ARNP AND ADVANCED PRACTICE ONLY
|
STANDARD Vh PSYCHOTHERAPY
STANDARD VI PRESCRIPTION AUTHORITY AND TREATMENT STANDARD VJ CONSULTATION |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
NORTHERN EUROPEAN AMERICANS (ENGLAND, IRELAND,GERMANY,OTHERS) COMMUNICATION: NATIONAL LANGUAGES although many learn English very quickly DIALECTS (often regional) English, more verbal than non verbal
Social Organization-- families: nuclear and extended religions: jewish and christian organizations:social community Time: future-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THAt IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
|
CULTURAL GROUPS AND COUNTRIES OF ORIGIN
|
African Americans: Africa, West Indian islands, Dominican Republic, Haiti, Jamaica
Communication: National languages, Dialects (pidgin, Creole, Gullah, French, Spanish), Highly verbal and nonverbal Social Organization: Large, extended families, many female-headed households, strong religious orientation, mostly Protestant, Community social organizations Time: Present-oriented |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THA IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THAt IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 1 ASSESSMENT--
THE PSYCHIATRIC MENTAL HEALTH NURSE COLLECTS PATIENT HEALTH DATA |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 2 DIAGNOSIS
THE PSYCHIATRIC MENTAL HEALTH NURSE ANALYZES THE ASSESSMENT DATA IN DETERMINING DIAGNOSIS |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 3 OUTCOME IDENTIFICATION -
THE PSYCHIATRIC MENTAL HEALTH NURSE IDENTIFIES EXPECTED OUTCOMES INDIVIDUALIZED TO THE PATIENT |
|
STANDARDS OF PSYCHIATRIC MENTAL HEALTH CLINICAL NURSING PRACTICE
|
STANDARD 4 PLANNING-
THE PSYCHIATRIC MENTAL HEALTH NURSE DEVELOPS A PLAN OF CARE THAt IS NEGOTIATED AMONG THE PATIENT,NURSE, FAMILY, AND HEALTH CARE TEAM AND PRESCRIBES EVIDENCE BASED INTERVENTIONS ATTAINED TO EXPECTED OUTCOMES |
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Acronym for Axis
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Claudette Paid Me Real Green Money PEGAF
Axis 1 C-Clinical Axis 2 P-Personlaity and Mental Retardation Axis 3 G-General medical Axis 4 P-Psychosocial and Environmental Axit 5 G-Global Assessment on the GAF scale |
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id
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is the "pleasure principle" present at birth- its all about me behaviors are impulsive and may be irrational
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ego
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"reality principle" also called the rational self -- develops between 4-6 months primary function one of mediator between id and super ego and the external world
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super ego
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"perfection prinicple " devolops between 3-6 years of age internalizes the values and morals set forth by primary care takers
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