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1. community mental health center act: focused on community care instead of
institutionalization if possible
2. 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.
3. standards of practice for psychiatric nursing were developed by:
ANA, APNA, ISPN
4. what is the official manual for psychiatric medical dx: DSM-5
5. therapeutic strategies in community mental health setting (all
RNs): -counsel-ing/psychotherapy
-cognitive, behavioral, milieu therapies
-health teaching on social and coping skills
-promoting self care
-health promotion (psychoeducational groups)
-admin meds
-case management
6. therapeutic strategies in community mental health setting (Adv.
Practice RN): conducting psychotherapy
7. boundary crossings: brief excursions across professional lines of behavior that may be
inadvertent, thoughtless or even purposeful, while attempting to meet a special therapeutic
need of the patient.
8. boundary violations: when there is confusion between the needs of the nurse and those
of the patient.
9. transference: the pt is the only one that can have this experience; transferring something of
importance in their past onto someone who was not involved (you remind me of my granddaughter.
expecting the nurse to tx the pt exactly like the granddaughter)
10. Countertransference: Refers to the nurse's behavioral and emotional response to the
client based on past experiences (care ditters because a new pt reminds the nurse of an old, awful
pt)
11. SAMHSA's Six Key Principles of a Trauma-Informed Approach: -
safety
-collab and mutuality
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-trustworthiness and transparency
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-empowerment, voice, and choice
-peer support
-cultural, historical, and gender issues
12. clients rights under the law: -Right to treatment
-Right to refuse treatment
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-Right to informed consent
-Rights surrounding involuntary commitment
Psychiatric advanced directives
-Rights regarding seclusion and restraint
13. due process: following established legal procedures
14. writ of habeas corpus: A court order that requires police to bring a prisoner to court
to explain why they are holding the person
15. least restrictive alternative: a hospitalized patient must be treated in a setting
that imposes as few restrictions as possible on his or her freedom.
16. Tarasoff Doctrine: Public safety is more important than client confidentiality if it is
believed that the pt is a risk to themselves/others
17. duty to warn and protect third parties includes: •Assessing and
predicting a patient's danger of violence toward another
• Identifying specific individual(s) being threatened
• Identifying appropriate actions to protect victim(s)
18. cause in fact: The actual cause of an event; the instrument that is the responsible force for
the occurrence of a certain event. A required element of a tort.
19. proximate cause: Legal cause. It exists when the connection between an act and
an injury is strong enough to justify imposing liability.
20. seclusion: involuntary confinement of a person alone in a room or area from which the
person is physically prevented from leaving.
21. restraint: any manual method, physical or mechanical device, material, or equipment
that immobilizes or reduces the ability of a person to move his or her arms, legs, body, or head
freely.
22. can an order for seclusion and restraint be obtained: only for a
specific restrictive intervention with specific time limit (pt condition must be reviewed and
documented every 15 mins, CONTINUOUS observation)
23. negligence: an act, or failure to act, that breaches duty of due care and results in/is
responsible for another person's injuries
24. false imprisonment: intent to confine a person to a specific area without
permission/legal authority
25. civil rights: rights of personal liberty guaranteed under 2 constitutional amendments