Mental Health Exam 1 Review

Flashcards covering mental health nursing review concepts including therapeutic communication, defense mechanisms, and ethical/legal considerations.

Treatment Refusal Protocol

Explain the risk and how refusal will affect the patient's recovery and plan.

Interacting Outside Moral Window

Hold the patient in positive regard, stay neutral, and avoid placing judgement.

Denial (Mental Health)

A defense mechanism where a patient rejects reality, such as stating they are not addicted because a doctor prescribes the medication.

Validation of Compulsive Needs

Acknowledging importance to the patient (e.g., 'I can see that's really important to you') when they insist on retrieving specific items before leaving.

Nonverbal Roudy Patient Conduct

Maintain a relaxed body, respect personal space, and stay calm.

Assertive Communication

Setting boundaries in a calm way, such as stating: 'Just to let you know I didn't like when you did that.'

Overwhelmed Patient Response

Validating the patient's feelings by saying, 'Sounds like you got a ton on your plate sounds like you feel overwhelmed.'

Therapeutic Relationship Establishment

Making the patient feel comfortable by asking how to discuss concerns and offering family presence to address privacy and belief issues.

Surgical Anxiety Therapeutic Response

Validating that it is normal to feel anxious and using prompts like 'tell me more,' 'how are you feeling,' or 'can you describe how you feeling?'

Personal Boundary Validation

Acknowledging a patient's discomfort by stating: 'Hey thats normal to have a hard time with personal boundaries.'

Informed Consent

The document a patient is required to review and sign before specific treatments or procedures.

Childhood Trauma Dissociation

A response where patients black out and do not remember things; they should be kept in a calm environment.

GAD

Generalized anxiety disorder

CAM

Complementary alternative medicine; recommended approaches include mindfulness, non-judgmental listening, and integrating treatments together.

Yelom Theory

A framework used in group dynamics to address behaviors like competition by asking how it is affecting the group.

Maslow (Homelessness Application)

The principle that self-actualization cannot be reached until food, shelter, and basic needs are met; requires advocacy for supplies.

Severe Anxiety Intervention

Encourage the patient to express their feelings and talk about them.

Existential Therapy

Focuses on self-acceptance, finding purpose, Identifying feelings, finding meaning in life, and exploring irrational beliefs.

Dual Diagnosis

The co-occurrence of substance abuse with psychiatric disorders; both must be treated.

Group Therapy Refusal Response

Engaging the patient by asking: 'lets talk about it… what are your concerns with therapy?'

Professional Skepticism Response

Acknowledging the patient's feelings and working with them by saying: 'I get why you are skeptical, lets explore.'

Involuntary Admit Strategy

Encouraging patients with multiple admissions to self-admit when they feel things happening to prevent relapse.

Holistic Comprehensiveness Plan

Looking at the person as a whole, including physical complaints, mental health issues, and social issues.

Persistent Illness Nurse Role

Educate on self-management, encourage participation in goals and ADLs, and avoid enabling.

Duty to Report (ER Safety)

Mandatory reporting when a patient states a plan and intent to kill another person.

Medical Condition Reframing

Reducing patient fear by explaining that a mental diagnosis is a medical condition and not the patient's fault.

Recurrent Mental Health ER Admission Care

Collaborating with the patient and family, offering partial hospitalization programs, and coordinating with community health.

Cultural Care Questioning

Asking about beliefs to incorporate specific cultural practices into care.

Floyd Defense Mechanisms and Resistance

Approach resistance by acknowledging it, exploring the meaning behind it, and getting the patient to talk.

Piaget Concrete Learning

Used for patients like those with schizophrenia who are on brain overload; involves simple, concrete teaching and visual aids.

Adolescent Depression Room Protocol

Evaluate the patient's support system and their friends upon arrival at the ER.

Insight Assessment

Assessing a patient's perception of their illness and their responsiveness when they do not think they have a mental illness.

Neurological Disease Support Groups

Created to help patients not feel isolated, provide community, and help them feel they are not alone.

Culturally Diverse Communication

Using open-ended questions and asking the patient how they want you to help them.

Perception of Stressor

The contributing factor that determines how a client responds to the same stressor differently than others.

Legal Liability Issues

Actions such as touching a patient without consent, restraining when not needed, or failing to report a med error.

Non-Maleficence (Psychosis Case)

The consideration of forced depot injections for a patient in full psychosis who refuses oral medication.

Medication Refusal/Alternative Request

Reporting to the doctor, documenting the refusal, and exploring the requested alternatives.

Culturally Competent Care

The practice of asking about and respecting people's beliefs and practices.

Professional Boundaries (Discharge)

Stating: 'For legal reasons I cant violate my professional boundaries' if a patient asks to keep in touch after discharge.

Resistance Interviewing Technique

Letting the patient lead the discussion and explore topics at their own pace.

Prioritization during Manic Phase

Addressing acute physical injuries (like a fracture) before addressing grandiose ideas or plans.

Personal Space Boundary Setting

Directly stating: 'Need you to respect my personal space' to a patient who gets handsy.

Communication Facilitation

Using a picture board or encouraging the patient to write or draw when they will not talk.

Veracity

Providing an honest response, such as when a patient asks if they are dying.

Rationalization

A defense mechanism example where a person justifies cheating on their spouse because the spouse is 'a jerk.'

Projection

An example where a person yells at someone else because they personally had a bad day.

Culturally Responsive Care Elements

Involving factors such as food, faith, family involvement, and presence according to cultural preferences.