Mental Health 1.2

Vocabulary flashcards for Mental Health Lecture 2, covering topics from the nursing process and therapeutic communication to eating disorders.

Nursing Process in P-MH Nursing

Assessment, Nursing Diagnosis, Planning, Implementation, Outcome Identification, Evaluation

MSE (Mental Status Exam)

Aids in collecting objective data; Includes physical behavior, nonverbal communication, appearance, speech patterns, mood and affect, thought content, perceptions, cognitive ability, and insight and judgement

Self-Awareness (Mental Health)

Understanding of personal biases, beliefs, and experiences (ACEs, trauma) that can influence interactions with patients.

Assertiveness (Mental Health)

Honest and legitimate expression of one’s opinions, needs, wants, feelings without violating the rights of others; important skill for nurses to improve communication.

Nursing Diagnosis

Identification of a problem/unmet need, its etiology (contributing factors), and defining characteristics (signs and symptoms).

Risk Diagnosis

High probability a future event may occur, use diagnosis made to prevent a dangerous future event

Health Promotion Diagnosis

Clinical observations and/or patient/family/group statements indicate a willingness to enhance specific health behaviors.

Outcome Criteria

Optimal goal outcomes that reflect the maximal level of patient health that can realistically be achieved through evidence-based nursing interventions.

SMART goals

Specific, Measurable, Achievable, Relevant, Time-bound

Implementation (Nursing)

Coordination of care, health teaching/promotion, milieu therapy

Milieu Therapy

Providing, structuring, and maintaining a safe, therapeutic, recovery-oriented environment in collaboration with the patient, family, and other health care team members.

Communication Process Stimulus

The need to communicate with another

Communication Process Sender

Person sending the message

Communication Process Media

Vehicle of how message is sent (auditory, visual, tactile, olfactory, etc)

Communication Process Receiver

Person receiving the message

Communication Process Message

Information sent or expressed to another

Communication Process Feedback

Response to sender

Nonverbal behaviors

Comprise 65% to 95% of a sent message, refers to any body gesture (facial expressions, body posture, eye contact, yawning, “sighs”, hand movements)

Active Listening

Observing patient’s nonverbal behaviors, listening & understanding verbal messages, listening & understanding the person r/t their social and cultural setting

Clarifying Techniques

Helps both nurse & patient identify major differences in their frame of thinking; Provides the opportunity to correct misinterpretations before they cause misunderstanding

Therapeutic Relationship

Dignity and respect, information sharing, patient and family participation, The patient’s feeling of being heard and understood

Phases of the Nurse-Patient Relationship

Preorientation, Orientation, Working, Termination

Genuineness

Self-awareness of feelings & ability to communicate them; Conveyed by listening to & communicating without distorting message

Empathy

Signifies a central focus and feeling with and within the patient’s world; “Temporarily living in the other’s life, moving about it delicately without making judgments”

Positive Regard

Focuses on respect; Every patient is worthy of being cared for and has potential

Anorexia Nervosa (AN)

Self-starvation, intense fear of gaining weight, disturbance in self- evaluation of weight AND Intense rational beliefs r/t shape and weight

Bulimia Nervosa (BN)

Repeated episodes of binge eating followed by inappropriate compensating behaviors (binge-purge behaviors); Self-induced vomiting, laxatives, diuretics, excessive exercise

Refeeding syndrome

Deadly- transition from catabolic state to anabolic state= shift in fluids and electrolytes (can cause heart failure, arrythmias, respiratory failure, muscle breakdown, & death)

SCOFF Assessment

Sick, Control, One stone, Fat, Food- an assessment for Anorexia Nervosa

Cognitive-behavioral therapy (CBT)

Used to diminish distortions in the patient’s thinking that result in problematic attitudes and eating-ordered behaviors

Bulimia Nervosa treatment

Fluoxetine (Prozac)- SSRI is FDA approved for BN

Dialectal behavioral therapy (CBT)

A form of CBT adapted to address emotional dysregulation

Binge-Eating Disorder

A variant of compulsive overeating; Recurrent episodes of eating a large amount of food in a short period of time and having feels of guilt afterward