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ATI MENTAL HEALTH 2021 UPDATED NOTES

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Course
Nursing

Institution
Bangor University (BU)

ATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL HEALTH 2021 UPDATED NOTESATI MENTAL ...

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ati mental health 2021 updated notes

Institution
Bangor University (BU)
Education
Bangor University
Course
Nursing

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ATI MENTAL HEALTH 2021
UPDATED NOTES

,ATI Mental Health
LOC
 Alert: responsive, answer questions appropriately, opens eyes spontaneously.
 Lethargic: open their eyes, can answer questions but easily falls asleep.
 Stupor: barely responds to painful stimuli (like rubbing the patients’ sternum)
 Comatose: unconscious/does not respond to painful stimuli
 Decorticate: flexion/ internal rotation of upper extremities, joints and legs
 Decerebrate: neck/elbows extension, wrist and finger flexion

Torts: unintentional torts- negligence: forgetting to set the bed alarm for a patient who is at risk for
falling and falls out of bed.

Malpractice- giving the wrong medication to the patient, error that harms the patient.

Intentional torts:

Assault vs Battery:
 Assault is if you threaten someone, “If you do not take this pill, I will smack you.”
 Battery: when you actually hurt someone, “You actually act by smacking the patient.”
 False imprisonment: Nurse will purposely restrain the patient or give them a chemical to a pt.
for the nurse convenience, instead of doing alternatives techniques.

Six Ethical Principles
 Beneficence – Doing good by the patient, what is best for the patient. Making the patient feel
safe in the environment that their in.
 Autonomy- respecting their rights by what they decide for their health care. Clients making
decisions but the patient must accept consequences of those decisions.
 *Veracity- truthfulness “Being honest with the patient’s treatment”
 Justice- fair/equal rights for everyone.
 *Fidelity- being loyal to the patient, keeping promises.
 Non-maleficence: Doing No Harm

Legal Rights of the patients in Mental Health
 Pt has the right to refuse treatment even if they’re in a mental health facility.
 Pts confidentiality: HIPPA: cannot be released without the consent of the patient
 If someone calls the unit asking about the patient refer them to contact the patient’s
family regarding the patient well being
 Over hear a conversation in a public place: tell them to go have the conversation in a
private setting.
 Mandated that abuse is reported, with a child or an older adult.
 Our duty to warn third parties if they’re at risk for harm.

, Informed Consent: Provider:
 Communicate the purpose of the procedure
 Give a clear description of the procedure in the patient primary language.
 Explain the risks vs the benefits
 Other options in treating the condition

RN Role:
 make sure the provider gives this information to the patient.
 Pt is competent in receiving the information, they must be an adult or an emancipated
child, THERE CAN BE NO IMPAIRMENTS!
 If they do not understand the information then we do not answer the questions, have
the provider answer the questions.

Restraints:
 Physical- vest, belt, and mittens. LAST RESORT
 Chemical- sedative/antipsychotic medications
 Alternatives before restraints: verbal interventions, calm/quiet environment, diversions.
 Prescriptions must be written
 Write an order for restraints to be placed on patient. If the orders need to be renewed it has to
be renewed within 24 hours.


Care for the Patient:
 Assessing the patient vital signs q 15 mins
 Offer them food and fluid- Every hour
 Make sure they get the chance to toilet- Every hour
 Monitor vital signs.

Emergency Restraints Placed:
 get an order from the doctor within 15-30 mins
 Time limits: 18 and older: 4 hours, 9-17: 2 hours, 8 and under= 1-hour, extra documentation:
event that caused the restraints to be placed, alternative interventions that were attempted,
time treatment began, med administered, patient assessment including current behavior, v/s,
pain. Pts care provided: food, helping them to the bathroom.

Therapeutic Communication:
 *Always try to get more information from the patient. You never want to shut down
communication between you and the patient. *“Always go for tell me more response”
 Intrapersonal communication: self-talk, thinking thoughts, not verbalizing them.
 Interpersonal communication: one on one communication with another person.

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