NUR 326 Blueprint - Answer -when they are a danger to them- selves,...

NUR 326 Blueprint

• when do you involuntary admit a patient

Answer -when they are a danger to them- selves, others, or functional status (cant keep themselves safe)

• residential treatmetn

Answer dont have anywhere else to go

• partial hospitalization programs (PHP)

Answer -get help and safe to go home at night

• intensive outpatient programs (IOP)

Answer -therapy and then you can go home

• assertive community treatment (ACT)

Answer -serious mental illness like schizophre- nia

• effective therapeutic communication

Answer -silence -active listening -general leads -questions (open ended, close eneded, projective, presuppositon) -carrifying techniques

• 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 1 / 3

-giving approval or disapproval

• 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

• therapeutic communication with a depressed patient

Answer -needs to be more thoughtful therapeutic communication -do more listening

• vouluntary admission

Answer -no AMA -have to request evaluation of discharge

• 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

• 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

• long term involuntary admission

Answer -60 to 180 days

• When do you use restraints

Answer -after all non invasive measure are used -danger to self or others

• clients rights regarding seclusion and restraints 2 / 3

Answer

SUBSCRIBE

-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

• reaction formation

Answer -behaving opposite to how you feel -telling a person you like that you hate them

• projection

Answer -projecting your own feelings onto someone else -person is cheating but accuses the other person of cheating

• dissociation

Answer -detachment from reality

• milleu therapy

Answer -therapeutic environment -prioritizes safe environment for clients and staff -roles and boundaries -assist in appropriate activities (therapy)

• 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

• transference

Answer -moving you feelings onto someone else -you remind me of my daughter so now ur nice to paitent

• countertransference
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