NUR 326 Blueprint
1. when do you involuntary admit a patient
Answer
-when they are a danger to them- selves, others, or functional status (cant keep themselves safe)
2. residential treatmetn
Answer
dont have anywhere else to go
3. partial hospitalization programs (PHP)
Answer
-get help and safe to go home at night
4. intensive outpatient programs (IOP)
Answer
-therapy and then you can go home
5. assertive community treatment (ACT)
Answer
-serious mental illness like schizophre- nia
6. effective therapeutic communication
Answer
-silence
-active listening
-general leads
-questions (open ended, close eneded, projective, presuppositon)
-carrifying techniques
7. barriers to therapeutic communication
Answer
-giving personal opinions
-asking irrelevant personal questions
-giving adivce
-giving false reassureance minimizing feelings
-changing the topic
-asking why questions
-offering value judgements
-excessive questioning
,-giving approval or disapproval
8. therapeutic communcation with a manic person
Answer
-needs to be told simple commands in a respectful tone, needs structure
-be at same eye level
-ex, go brush your teeth
9. therapeutic communication with a depressed patient
Answer
-needs to be more thoughtful therapeutic communication
-do more listening
10. vouluntary admission
Answer
-no AMA
-have to request evaluation of discharge
11. involuntary admission
Answer
-indefinite period of time
-danger to self, others or inability to care for self or keep self safe
-manic
-cant demand reassessment
-limit is 60 days
12. criteria for involuntary admission to a mental health setting
Answer
-poses a dan- ger to self or others
-requires tx but unable to seek it voluntary impact of mental illness
-demonstrates severe disability to meet basic necessities
13. long term involuntary admission
Answer
-60 to 180 days
14. When do you use restraints
Answer
-after all non invasive measure are used
-danger to self or others
15. clients rights regarding seclusion and restraints
, Answer
-CHECKED q 15 min!
-can be voluntary
-least restrictive and shortest duration first!!
-need an order
-provider reassesses and rewrite order q 24 hours
-must be offered food, water, toileting, monitored for pain/vital signs
16. reaction formation
Answer
-behaving opposite to how you feel
-telling a person you like that you hate them
17. projection
Answer
-projecting your own feelings onto someone else
-person is cheating but accuses the other person of cheating
18. dissociation
Answer
-detachment from reality
19. milleu therapy
Answer
-therapeutic environment
-prioritizes safe environment for clients and staff
-roles and boundaries
-assist in appropriate activities (therapy)
20. nursing interventions to ensure physical safety within the milieu
Answer
-no dan- gerous objects such as sharps, cords or mirrors
-roommates (agressive=sitter), (manic patients need to be alone bc they dont sleep)
-you can have 2 depressed roommates bc they will j talk to eachother
21. transference
Answer
-moving you feelings onto someone else
-you remind me of my daughter so now ur nice to paitent
22. countertransference
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