Exam 1 Review (256) 1
Safety is 1st Priority
Aggressive behavior – safety remove the client from others (separate them)
Provide a safe place for a pacing client
(Chapter 1 )
Mental health vs mental illness
Mental Health: a state of well-being, able to realize own potential, cope with stressors of
life, work productively and contribute to the community
Mental Illness: all psychiatric disorders that have a diagnosis; significant dysfunction.
Resilience
Learning from past experiences rather than falling victim to negative emotions
Responsibility
- Nurse of milieu the milieu
manages
- Good, calm, therapeutic interactions
- People, setting, structure and emotional, climate are all important to healing
- Managing behavioral crisis
- Safety
- Suicide risk
Diathesis
- Biological
stress model
predisposition
- Environmental stress or trauma
These increase the patient’s probability to hinder them from being resilient / or predispose
them to a mental illness
DSM- 5
Use to diagnose all psychiatric disorders
Cultural
- Cultural
competence
awareness
for psychiatric
– being able
mental
aware
health
of other
nurseindividuals’ cultures as well as
- Cultural
your ownknowledge – ask patient about their culture
1
, 2
Exam 1 Review (256)
QSEN (competencies – quality and safety education for nurses)
• Provide patient-centered care
• Safety: Minimize risk of harm to patients
• Work in interdisciplinary teams
• Employ evidence-based practice
• Apply quality improvement
• Utilize informatics
Cognitive behavioral therapy
- Client identifying and test negative cognition
- Client to participate in tx progress
- Client to develop alternative thinking patterns
- Client to rehearse new cognitive and behavioral responses
Behavioral therapy
- Fosters positive behavioral change
(Chapter 8)
Peplau’s Model for nursing
“Not for what we do to the patient, what we do for the patient” (working with the patient)
Preorientation
- Prepare for assignment
- Self-reflection and attitudes
- Monitoring milieu
Orientation
- Establish rapport and trust
- Introductions
- Confidentiality review
- Verbal or written contracts
- Establish parameters of the relationship
- Educate of termination of the relationship
- Explaining confidentially
Working
- Maintain relationship
- Whole hospital stays
- Evaluate problems and goals
- Promote practice and expression of alternative adaptive behaviors
- Gather data
- Evaluating progress
- Implement problem solving skills
- Implement self-esteem and facilitating behaviors
2
Safety is 1st Priority
Aggressive behavior – safety remove the client from others (separate them)
Provide a safe place for a pacing client
(Chapter 1 )
Mental health vs mental illness
Mental Health: a state of well-being, able to realize own potential, cope with stressors of
life, work productively and contribute to the community
Mental Illness: all psychiatric disorders that have a diagnosis; significant dysfunction.
Resilience
Learning from past experiences rather than falling victim to negative emotions
Responsibility
- Nurse of milieu the milieu
manages
- Good, calm, therapeutic interactions
- People, setting, structure and emotional, climate are all important to healing
- Managing behavioral crisis
- Safety
- Suicide risk
Diathesis
- Biological
stress model
predisposition
- Environmental stress or trauma
These increase the patient’s probability to hinder them from being resilient / or predispose
them to a mental illness
DSM- 5
Use to diagnose all psychiatric disorders
Cultural
- Cultural
competence
awareness
for psychiatric
– being able
mental
aware
health
of other
nurseindividuals’ cultures as well as
- Cultural
your ownknowledge – ask patient about their culture
1
, 2
Exam 1 Review (256)
QSEN (competencies – quality and safety education for nurses)
• Provide patient-centered care
• Safety: Minimize risk of harm to patients
• Work in interdisciplinary teams
• Employ evidence-based practice
• Apply quality improvement
• Utilize informatics
Cognitive behavioral therapy
- Client identifying and test negative cognition
- Client to participate in tx progress
- Client to develop alternative thinking patterns
- Client to rehearse new cognitive and behavioral responses
Behavioral therapy
- Fosters positive behavioral change
(Chapter 8)
Peplau’s Model for nursing
“Not for what we do to the patient, what we do for the patient” (working with the patient)
Preorientation
- Prepare for assignment
- Self-reflection and attitudes
- Monitoring milieu
Orientation
- Establish rapport and trust
- Introductions
- Confidentiality review
- Verbal or written contracts
- Establish parameters of the relationship
- Educate of termination of the relationship
- Explaining confidentially
Working
- Maintain relationship
- Whole hospital stays
- Evaluate problems and goals
- Promote practice and expression of alternative adaptive behaviors
- Gather data
- Evaluating progress
- Implement problem solving skills
- Implement self-esteem and facilitating behaviors
2
