unit 1 mental health

social determinants of health (SDOH)

Contributing Factors

• Life course

• Household

• Community

• Local services

• Community and global factors

- rural areas

- age: YA, elderly

diathesis

a vulnerability or predisposition to developing a disorder

beneficence nursing

the promotion of good

ensuring the pts best interest re considered regardless of nurses opinion

veracity nursing

Requirement to provide truthful information to patients.

autonomy nursing

the right to self-determination; nurses respect the pt autonomy when they respect patients rights to make decisions about their care

Justice in Nursing

equal treatment for all (treating without bias)

mental health continuum

A conceptual line used to represent levels of mental health and mental illness that vary from person to person and vary for a particular person over time.

excelling

thriving

surviving

struggling

crisis

excelling mental health

- motivations for goal achievement,

- rational thoughts

- ability to foster social relationships,

- the ability to resolve stress.

thriving mental health

may experience stressors but can resolve those stressors.

The nurse should look for plans or actions to process stress and the ability to foster social activity.

surviving mental health

It may be described as the person feeling on edge.

- nervousness

- irritability

- distraction

- withdrawnness

struggling mental health

may feel worthlessness

worry often

life is misery, but not all hope is lost.

** poor performance in academic or occupational settings and dysfunctions in sleep and appetite.

crisis mental health

**experiencing severe symptoms and needs assistance.

- high level of worry

- low mood

- dysfunction in sleep

- irrational thinking.

DSM-5

• Defining and diagnosis of mental health conditions

• Common diagnostic language

• Classifications of mental health disorders

Culturally Sensitive Nursing Care

humility

• Client-centered: sensitive, respectful, responsive, holistic

• Recognition of power imbalance

• Seeks to understand client's cultural practices and values

• Promotes client-nurse relationship

• Empowers client and their autonomy

milieu therapy

"healing enionment"

- organized and focused on healing

- modification and control of environment

- develop life / social skills

An inpatient treatment approach involving professionals and staff members encouraging a person with a severe mental disorder to engage in prosocial and therapeutic activities.

serious mental illness

Mental illness resulting in profound functional impairment which substantially interferes with or limits one or more major life activities.

nonmaleficence in nursing

avoidance or minimization of harm

providing safe, effective, quality educated care

Fidelity in nursing ethics

Means faithfulness to commitments and responsibilities.

Confidentiality nursing

Protecting patient information from unauthorized access.

boundary violations

occur when "there is confusion between the needs of the nurse and those of the client"

burden of treatment

Negative impact of treatment outweighing potential benefits.

tort

a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.

unintentional tort

negligence and malpractice

intentional tort

committed by one who intends to do the act that creates the harm.

- assault (threat of harm)

- battery (act of harm)

- false imprisonment (physical/chemical restraints)

- invasion of privacy (hipaa)

- defamation (libel/slander)

informed consent

patient is aware of procedure and makes consent

interventions

- timeout

- seclusion; is environment free of hazards?

- restraints; physician's order, and continuous monitoring, hydrated? risk of injury/sensory stimulation, ROM, medications and response, readiness for relief

legally incompetent

judge makes the call;

can't make decisions for yourself because you have mental problems.

- legal guardian

voluntary admission

Inpatient care sought by a patient or patient's guardian through a written application to the facility.

involuntary admission (72 hr hold)

The client enters the mental health facility against her will for an indefinite period of time.

The admission is based on the client's need for psychiatric treatment, the risk of harm to self or others, or the inability to provide self-care.

implied consent

Type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment.

nursing documentation

restraints: check Q 15 MINUTES

- food, ROM, ongoing monitoring, location, onset

nursing burnout

- sickness, high turnover, reduction in quality of care

- increased personal stress and failure to recognize patient distress

- disengagement

workplace violence in nursing

Bullying - act of aggression, physically/emotionally

*Overt Bullying*

-Name calling

-Bickering

-Fault finding

-Criticism

-Intimidation

-Gossip

-Shouting

-Blaming

-Put-downs

-Raised eye brows

*Covert Bullying*

-Unfair assignments

-Refusing to help someone

- Ignoring

-Making faces behind someone's back

- Refusing to only work with certain people or not work with others

-Whining

-Sabotage

-Exclusion

-Fabrication

health disparities

preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations

mental health primary prevention

-provide education to populations regarding mental health issues

-teach stress-reduction techniques

-implement parenting classes

-organize bereavement support groups

-promote protective factors (coping abilities) and risk factor reduction

adverse childhood experiences

Events including abuse, neglect, and household dysfunction that can have lasting impacts on relationships.

trauma-informed care

Based on an understanding of the vulnerabilities and triggers in psychiatric patients who have histories that include violence and victimization.

medical facilities

If the question says…	Pick…
Acute suicidal crisis	Inpatient psych or crisis unit
Lives at home, severe mental illness	ACT
Needs therapy but not hospitalized	Community mental health center
Needs intensive care but goes home	PHP
Follow-up care, stable	IOP or Telepsychiatry

mental health holistic / therapeutic comuunication

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