What is mental illness? - ANSthe loss of the ability to respond to the environment in ways that
are in accord with one's own or society's expectations
- feeling of loss of control with regard to self and the environment
- characterized by thought and behavior patterns that impair function and cause the individual
distress
- sometimes addressed with the use of coping mechanisms
- influences that affect mental health
what are personality characteristics of mental illness? - ANS- unaccepting of self and dislikes
the self
- has an unrealistic perception of self and thoughts; perceptions may not be reality based
- lacks direction and is unable to find meaning and purpose in life
- has difficulty meeting own needs and depends on others for thoughts and actions
- unable to love and care fro others and unable to feel loved by or to accept feelings from others
Voluntary hospital admission - ANS- the client seeks admission for care
- the client is free to sign out of the hospital with primary health care provider notification and a
prescription to do so
- detaining a voluntary client against their will is termed false imprisonment
- civil rights and client rights, including the right to confidentiality, care retained fully by the client
Involuntary admission - ANS- this type of admission may be necessary when a person is
mentally ill, is a danger to self or others, or is in need of psychiatric treatment of physical care
- an order from a judge is required for an involuntary admission except in the case of
emergency, in which the client is admitted after obtaining the necessary order from a judge; in
the case of all involuntary admissions, legal counsel must be provided for the client
- the client retains their right to informed consent
- the client retains the right to refuse treatment, including medications, unless they pose an
immediate danger to themself or others and require immediate action by the health care team
What are the principles behind the nurse client relationships - ANS- maintain genuineness,
respect, an empathic understanding, and reality with the client
- care for the client in the holistic manner; consider physiological, psychosocial, cultural,
religious, and spiritual needs when planning and implementing care
- assess the religious and spiritual practices of the client, which may give the client hope,
comfort and support in healing
, - assess the client's cultural beliefs and values, including emotion-producing situations, how
emotions are expressed, and what the appropiate social response to expressed emotions may
be
- maintain appropriate limits and boundaries
- maintain honest, open communication
- encourage expression of the client's feelings
- assist the client in finding and developing resources
- the goal is to assist client in developing problem-solving abilities
Describe the pre interaction phase - ANS- involves self-exploration of the nurse's values and
feelings about caring for the mental health client
- anticipates potential client issues and prepares client for interaction
- nurse needs to identify their own preconceived ideas, stereotypes and biases
describe the orientation or introductory phase - ANS- establish boundaries, acceptance, and
trust with the client
- identify the expectations of the relationships (establishing a contract)
- determine why the client sought help and whether this action was voluntary
- indentifies clients strengths and needs
- collects data and forms basis for diagnosis and client-centered needs
- assess anxiety in the client
- define goals with the client
- prepare the client for eventual termination of the relationship and separation
Describe the working phase - ANS- promote an attitude of acceptance
- help the client express feelings
- identify problems and actively solve with client
- promote insight and the use of constructive coping mechanisms
- increase the clients independence
Describe the termination phase - ANS- the nurse would have begun preparing the client for
termination and separation at the beginning of the nurse-client relationship
- evaluate progress and achievement of goals
- identify and deal with termination and separation
encourage the client to discuss their feelings about the termination of the relationship
- do not promise the client the relationship will be continued
- refer and transfer the client to other sources of support
Describe milieu therapy - ANS- the milieu is the safe physical and social environment in which
an individual in undergoing treatment
- the physical and social environment is used to effect positive changes directed at fulfilling the
clients treatment goals
- community meetings, actively groups, social skills groups and physical exercise programs are
all used to accomplish treatment goals in a therapeutic manner
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