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lOMoARcPSD|11700591Mental Health ATI video summaries
Mental Health Nursing (Oklahoma City Community College)
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, lOMoARcPSD|11700591
Mental Health ATI – Cathy Parkes/LevelUpRN Video Summaries
Chapter
Vide Material
s Summary
o# Covered
Covered
Know the differences between assault and battery (A before B)
Assault – threaten someone that you’re going to do something
Battery – when you actually do something to harm them
Ethical Principles
Beneficence – making sure you’re doing good by the patient
Autonomy – respecting their rights to make decisions
Justice – making sure that you have fair and just treatment for everyone
*Fidelity – being loyal to your patient – (think about – infidelity is not loyal in marriage)
*Veracity – being honest with your patient
Restraints
The provider must write an order for the patient to be put into restraints.
If the order must be renewed, they must rewrite the order specifying the type of restraints every 24
Assault and hours.
Battery, Depending on the facility – different guidelines for each facility. Monitoring the patient every 15
Intro, Ch ethical minutes generally. Assessing the patient, offer food, fluid and toileting. Monitor vital signs.
1 1, Ch 2, principles, In an emergency situation - where there is not time to get an order and the patient needs
Ch 3 therapeutic seclusion or restraints, then you must immediately get an order within about 15-30 minutes.
communicatio Therapeutic Communication
n You want to get more information from the patient, you want the patient to tell you more, to describe
how they’re feeling and their concerns. You don’t want to do anything that will shut down
communication. GOAL: just want to get them talking and stay neutral.
Barriers – Do not do the following:
offer personal opinions
give advice or false reassurance/tell them things will be okay
minimize their feelings or change the topic
offer value judgements
excessive questioning
respond approvingly or disapprovingly
NEVER the answer –
Never ask WHY (not going to be the answer EVER)
Never say “I know exactly how you feel…” or something similar
2 Ch 4, 5 Defense Defense Mechanisms
mechanisms, *Repression – unconsciously putting unacceptable ideas, thoughts, and emotions out of awareness.
levels of Ex – Person who has a fear of the dentist continually forgets to go to his dental appointments.
anxiety, Displacement – substituting a different target – shifting feelings related to an object, person or
phases of a
situation to another less threatening object, person or situation. Ex. – person who is angry about
therapeutic
relationship losing his job destroys his child’s favorite toy, instead of letting his anger out on his boss.
, lOMoARcPSD|11700591
Mental Health ATI – Cathy Parkes/LevelUpRN Video Summaries
*Disassociation – creating a temporary compartmentalization, or lack of connection between a
person’s identity, memory or how they perceive the environment.
Ex – a women forgets who she is following a sexual assault.
*Projection – attributing one’s unacceptable thoughts and feelings onto another who doesn’t have
them. Ex – married woman who is attracted to another man accuses her husband of having an affair.
Denial – pretending the truth is not reality to manage the anxiety of acknowledging what is real.
Ex – parent informed son died tells everyone a month later that he is coming home for the holidays.
Rationalization – creating a reasonable and acceptable explanation for the unacceptable behavior.
Ex – guy explains he had to drive home drunk from a party because he had to feed his dog.
Levels of Anxiety
Mild – daily occurrence, identifiable cause of the anxiety. Can be positive – increases one’s ability to
perceive reality, helps to focus. Mild feelings of discomfort, restlessness, irritability, fidgeting.
Moderate – Increased HR, RR. Reduced perception and processing of information, selective
inattention. In this level – individual benefits from the direction of others. Somatic manifestations
– headaches, backache, urinary urgency and frequency, insomnia. Learning and problem solving do
occur.
Severe – perceptual field is greatly reduced with distorted perceptions, functioning is ineffective
and learning and problem solving do not occur. Characteristics – tachycardia, feelings of
impending doom, loud and rapid speech. Not able to take direction from others.
Panic – markedly disturbed behavior, unable to process what is occurring in the environment
and can lose touch with reality. Experiences of extreme fright and horror, severe hyperactivity or
flight, sometimes immobility; dysfunction in speech, dilated pupils, severe shakiness and
withdrawal, inability to sleep, delusions and hallucinations can occur.
Phases of a Therapeutic Relationship
Orientation – introduce yourself, discuss confidentiality, set goals with the patient.
Working – doing the assessment, helping to understand their needs, help them through problem
solving.
Termination – give the patient the chance to talk about how they feel about the end of the
relationship, and have them discuss their feelings, summarize your achievement, discuss ways the
patient can incorporate new healthy behaviors into their life.
3 Ch 7 Psychoanalysi Transference v. Countertransference
s, cognitive Transference – the RN reminds the patient of someone they know/knew in the past. Can be positive
therapy, or negative depending on the person.
behavioral Countertransference – the patient reminds you as the RN, of someone that you know/knew in the
therapy
past. Behavior can change towards the patient.
Psychoanalysis
Developed by Freud.
This theory delves into past relationships as a common focus for therapy – this model assesses your
unconscious thoughts and feelings to resolve internal conflicts, which generally occur from early
childhood experiences.
May do free association – say what comes to mind; dream analysis can be done as well.
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