Unit 1 Mental Health

Front 1

Mental health

Back 1

Being able adjust to life situations in a positive manner

Front 2

Mental illness

Back 2

Poor or maladaptive response to stress

Front 3

Characteristics of a healthy person

Back 3

Happy with self. Able to handle stress. Physically healthy. Responsible. Able to form relationships. In touch with reality. Able to receive pleasure. Able to work productively. Sense of humor. Creative. Continues to grow and develop.

Front 4

Characteristics of a mentally ill person

Back 4

Sudden change in behavior. Sudden lack of concern about appearance. Unable to form relationships. Poor self-esteem. Not responsible. Unable to cope with reality. Unable to work. Abuse of drugs, alcohol, or medications. Frequently complains of physical ailment. Focuses attention on self / problems. Unable to set goals.

Front 5

Reasons it is important for nurses to study psychiatric concepts

Back 5

Nurses come into contact with all types of people; battered spouses, abused children, etc. Needs to know normal and abnormal ways of expressing feelings & emotions. Principles of psychiatric nursing can be applied to care of any patient. Nurses can easily find a patient in need of emotional support.

Front 6

Environment

Back 6

Circumstances, people, objects, and conditions that surround and have an impact on one's life

Front 7

Limit setting

Back 7

Communicating the right responsibilities and expectations to a person in order that expected normal limits and rules are identified.

Front 8

Affect

Back 8

Refers to mood, emotions seen one one's face and described as flat, inappropriate or bland.

Front 9

Operant conditioning

Back 9

Method of influencing behavior by rewarding an individual for certain forms of behavior.

Front 10

Pharmacotherapy

Back 10

Medication administration used as a form of therapy

Front 11

Agitation

Back 11

Excessive motor activity associated with feelings of inner tension.

Front 12

Mental incompetence

Back 12

Mental inability to retain charge of one's self/possessions, not due to insanity, but to old age, dementia,or other causes.

Front 13

Psychotherapy

Back 13

Deals with individuals by talking either in a group or one on one.

Front 14

Psychosis

Back 14

Severely dysfunctional behavior characterized by anxiety, limited awareness, out of touch with reality.

Front 15

Reality

Back 15

That which is true and really exists.

Front 16

Behavior modification

Back 16

Treatment modality that focuses on modifying and changing specific observable behavior by using stimulus and response.

Front 17

Orientation

Back 17

Knowing correctly person, place, and time.

Front 18

Milieu therapy

Back 18

Method of psychotherapy that controls the environment of the patient to provide interpersonal contacts that will promote a sense of trust, assurance, and personal autonomy.

Front 19

Ambivalence

Back 19

Two feeling together (love/hate pr pleasure/pain) toward a person, object, or idea.

Front 20

Narcissism

Back 20

Self love

Front 21

5 members of the mental health care team

Back 21

Psychiatrist (medical M.D.) initiates treatment, writes prescription, provides individual therapy. Psychologist (PhD) performs psychological testing, interprets data, individual therapy. Nurses- RN, masters, psychology specialists, BSN, AD, or LPN special training. Social workers. Recreational/occupational therapists, activity/life skills, group therapists.

Front 22

3 types of facilities available for treatment of mental illness

Back 22

In-patient: large government institutions and private insurance hospitals. Out-patient: substance abuse programs, crisis intervention, rehabilitation units. Community-based programs, consultation / diagnostic / educational services.

Front 23

Temporary observational

Back 23

Same status as voluntary patients but they may be detained for only a reasonable amount of time (48-72 hrs.)

Front 24

Emergency involuntary

Back 24

Used as a means of controlling an immediate threat to self or others.

Front 25

Civil commitment

Back 25

A legal procedure for hospitalization of a patient who may not be competent to make that decision.

Front 26

Absolute discharge

Back 26

Totally terminates relations with hospital.

Front 27

Conditional discharge

Back 27

Takes leaves of absences before actual discharge, must follow certain hospital rules/policies.

Front 28

Judicial discharge

Back 28

May appeal to court for dismissal, even though the psychiatric facility disagrees.

Front 29

What is the goal of psychiatric treatment?

Back 29

Treat the client/patients behavior

Front 30

6 types of therapy used to treat mental illness

Back 30

Milieu. Somatic. Group therapy. Individual therapy. Occupational therapy. Recreational therapy.

Front 31

Components of Milieu therapy

Back 31

Manage physical/psychological aspects of health. Promote behavior changes. Addition to other therapies. Used to manage physical and psychological aspects of patient health. Assist with adjunct therapy; occupational, recreational, or group therapy. Music, pet, or dance therapy. Can increase or decrease environmental stimuli: to promote changes in personality and behavior.

Front 32

4 types of somatic / physical therapy

Back 32

Electroconvulsive therapy. Pharmacotherapy. Psychotherapy. Restraints.

Front 33

2 types of physical restraints used today

Back 33

Mechanical restraints. Isolation/seclusion.

Front 34

Reasons to use seclusion or isolation

Back 34

Hyperactive patient to decrease outside stimuli. Destructive patient when behavior cannot be controlled.

Front 35

Indications for physical restraints

Back 35

Violence toward self or others. Agitated behavior when medication is contraindicated. Refusal to meet basic biological needs (rest, food, cleanliness). Need for decreased stimuli. Prevention of property destruction.

Front 36

________ _____ is a series of controlled electrical currents passed through the brain to produce a grand-mal seizure. It is usually given under anesthesia for severe depression that has been non-responsive to other treatment modalities (pharmacotherapy or psychotherapy).

Back 36

Electroconvulsive Therapy

Front 37

Nursing care for the patient undergoing electroconvulsive therapy should include

Back 37

Explain procedure. Sign consent form. Pre-care just like for surgery. Pre-procedure medication. Patient safety. Monitor vital signs. Prevent aspiration. Assess for complications. Document. Provide safe environment during confusing. Remove dentures, jewelry, empty bladder.

Front 38

General principles of therapeutic interventions in the treatment of mental illness

Back 38

Accept patient even if you cannot accept their behavior. Explain to patient what expectations will be set. Allow the patient to ventilate without fear of retaliation. Have limit settings. Be consistent- it helps contribute to patient security.

Front 39

Purposes of the psychiatric interview between nurse and patient

Back 39

Establish rapport with patient. Assess how patients mind works. Identify how patient perceives problems. Identify coping behaviors.

Front 40

Components of the psychiatric evaluation and relate them to steps of nursing nursing process

Back 40

Current problem identification. History taking. Mental status examination. Organized interpretation of data. Treatment plan. Treatment course of action. Evaluate.

Front 41

Behavior is _____ and it can be measured and should be observable

Back 41

Learned

Front 42

3 disorder that behavior modification works well on

Back 42

Phobias. Obsessive Compulsive Disorder (OCD).

Front 43

Characteristics of group therapy

Back 43

Stable similar persons. Meetings last 1&1/2 hours. Meetings held 1-3 times per week. Leader is a therapist / nurse. Learn to modify behavior. Develop satisfying relationships. Resolve problems through discussion.

Front 44

Introductory/orientation stage of therapeutic relationships

Back 44

Establishes the roles for both nurse and patient.

Front 45

Working stage of therapeutic relationships

Back 45

Longest stage because both patient and nurse begin to focus on problems and solutions/changes to be made.

Front 46

Testing stage of therapeutic relationships

Back 46

The patient may attempt to manipulate the nurse to try to discover the nurse's sincerity and dependability.

Front 47

Termination stage of therapeutic relationships

Back 47

Begins in the first stage when working period of time is determined.

Front 48

Occurs with termination stage

Back 48

Anticipate anxiety. Be honest in patient interactions.

Front 49

Occurs with introductory stage

Back 49

Assess behavior, attitudes, needs. Explain your role. Be honest in patient interactions.

Front 50

Occurs in testing stage

Back 50

Offer alternatives for unacceptable behavior. Be honest in patient interactions.

Front 51

Occurs in working stage

Back 51

Encourage patient to ventilate. Assist in dealing with interpersonal relationships. Be honest in patient interactions.

Front 52

Elements of a therapeutic relationship

Back 52

Respect. Empathy/understanding. Genuineness. Concreteness.