Psych Lecture_2.pptx__1_

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33 Terms

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Nursing Process

A systematic approach to patient care that includes assessment, diagnosis, outcomes identification, planning, implementation, and evaluation.

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Assessment

The first step in the nursing process where information is gathered to establish a client database.

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Mental Status Examination (MSE)

A structured assessment that evaluates the patient's cognitive, emotional, and psychological functioning.

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Psychosocial Assessment

An evaluation of a patient's social, emotional, cultural, and spiritual factors affecting their mental health.

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Outcomes Identification

The step where specific, measurable outcomes reflecting the highest level of patient health are defined.

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Nursing Outcomes Classification (NOC)

A standardized classification of patient outcomes developed to evaluate the effect of nursing interventions.

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Planning

The phase in the nursing process that involves developing strategies to accomplish the identified outcomes.

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Nursing Interventions Classification (NIC)

A standardized language that describes treatments that nurses perform in all settings.

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Implementation

The execution of the interventions established during the planning phase.

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Evaluation

The process of measuring progress toward the attainment of expected outcomes.

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Legal and ethical guidelines

Regulations and moral principles that dictate appropriate behavior in nursing practice.

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Autonomy

The principle of respecting the rights of individuals to make their own decisions.

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Beneficence

The duty to promote good and act in the best interests of the patient.

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Nonmaleficence

The principle of doing no harm to the patient.

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Justice

The ethical principle that emphasizes fairness and equality in the distribution of resources.

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Fidelity

Maintaining loyalty and commitment; doing no wrong to a patient.

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Veracity

The duty to always communicate truthfully to the patient.

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Informed Consent

A legal process where a patient gives permission for treatment based on an understanding of the risks and benefits.

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Confidentiality

The ethical principle of keeping patient information private and secure.

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HIPAA

The Health Insurance Portability and Accountability Act that protects patient privacy and confidential health information.

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Client Rights

Legal entitlements that patients have regarding their treatment and information.

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Voluntary Admission

When a patient seeks treatment for themselves or gives consent for treatment.

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Involuntary Commitment

When a patient is admitted for treatment without their consent, often due to safety concerns.

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Emergency Commitment

Temporary admission of a person for observation and treatment when they are in crisis.

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Malpractice

A legal concept referring to professional negligence that results in harm to the patient.

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Negligence

The failure to take proper care in providing a service, leading to damage or injury.

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Breach of Confidentiality

When private patient information is disclosed without consent.

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Assault and Battery

Legal terms for threatening harm to another person and the actual act of causing harm.

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Documentation

The process of recording patient care and responses to treatment, vital for legal and ethical standards.

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Mental Health Laws

Legal regulations guiding the care and treatment of individuals with mental health disorders.

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Bioethics

Ethics focused on dilemmas arising from advances in biology and medicine.

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Values Clarification

A process that helps individuals identify and rank their personal values.

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Patient's rights

Legal entitlements that ensure patients receive fair treatment and services in healthcare.