Mental Health Quizlet power point 1

How long do restraints last for children (age)

8 and younger, 1 hour

What is mental health?

Adaptation to stressors (internal/external) with behaviors congruent to age and cultural norms.

Mental Health example

Successfully managing stress through culturally appropriate actions.

What is Mental Illness

Maladaptive responses to stressors, evidenced by thoughts, feelings, or behaviors incongruent with norms.

What is stress?

Disharmony between demands within a person's internal/external environment and their ability to cope with those demands.

What is anxiety? and considerations for casue

Feeling of discomfort and apprehension related to fear of impending danger.

Sometimes the cause is unknown.

Mild Anxiety

Rarely a problem; increases perception, awareness, and motivation.

Moderate Anxiety

Decreased alertness and concentration; may require help with problem-solving.

Severe Anxiety

Greatly diminished perceptual field; physical symptoms (e.g., headache, dry mouth).

what is Panic

Overwhelming terror or impending doom; can include delusions and hallucinations.

what is delusion

Fixed, false belief resistant to evidence

Example of delusion

i am queen of England and they believe it no matter what evidence you give

What is Hallucination

Alteration in sensory perception

Example of hallucinations

(e.g., hearing voices).

What are adaptive coping mechanisms

Healthy and effective strategies to reduce anxiety.

What are maladaptive coping mechanisms

Ineffective or unhealthy methods of managing anxiety.

Historical events for Mental Health (person and what they did)

Dorothy Dix's efforts helped reduce stigma around mental illness.

Historical treatments for mental health

Early treatments included straight jackets and the use of heat or cold.

Mental health cultural considerations

Acceptable behaviors vary across cultures; some are more tolerant than others.

Maslow heiarchy of needs order

physiological needs

safety needs

Belongingness and love needs (friends/relationships)

Esteem needs (feeling accomplishment)

Self actualizations (achieving full potential)

examples of defense mechanisms

denial, projection, rationalization

Examples of maladaptive coping

substance abuse

What is autonomy

Patients have the right to make their own decisions.

What is Beneficence

Act in the patient's best interest.

what is Nonmaleficence

Avoid causing harm

example of nonmaleficence

giving medication before procedures/ dressing change

what is justice

Ensure fair and equal treatment.

what is Veracity

Be truthful when communicating with patients.

what is Fidelity

Be loyal and fulfill commitments

What is malpractice

patient was injured caused by a breach of standard of care.

What is Duty to Warn

if a clinician determines that a patient poses a danger to others they are responsible for providing reasonable care to protect the foreseeable victim of that danger.

What is tarasoff ruling

healthcare provider has to let the person in danger know.

What would we do if a patient says they are going to hurt someone else

let the charge nurse know

what do we do as nurses if we suspect abuse and age group

we are mandated reporters so we have to report

age below 18 and above 65

what ages are we not obligated to report if we suspect abuse

below 18 over 64

If a patient is developmentally disabled and we suspect abuse what do we do

report regardless of age

What is informed consent

permission granted in the knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment with full knowledge of the possible risks and benefits.

Are there exceptions to informed consent?

Exceptions include emergencies when consent cannot be obtained.

What are the types of hospitilization

Voluntary

Involuntary

Emergency

What is voluntary hospitalization

Patient consents to treatment.

What is involuntary hospitalization (criteria)

Danger to self.

Danger to others.

Inability to meet basic needs (gravely disabled).

What is emergency hospitalization

Immediate hospitalization for safety.

When are restraints given

only if necessary

Considerations when putting on restraints

make sure to have enough people to restrain the patient

always require a provider's order and 1:1 observation

never used as punishment

If a doctor gives an order for restraints and we take them out before the order expires and want to put them back in can we ?

No, we need the doctor to come back and write a new order

How long do restraints last for an adult

they last for 4 hours

How long do restraints last for adolescents (age)

(9-17 ) 2 hours