Nur 114 - Mental Health
___________ is normally the priority for mental health patients - correct answer safety
self actualization occurs in mental health patients when - correct answer they are treated
effectively
physiological needs - correct answer food, water, warmth, rest
(breathing, blood circulating, clear airway, etc)
safety needs - correct answer security, safety
(housing)
belongingness and love needs - correct answer intimate relationships, friends
(being loved)
esteem needs - correct answer prestige and feeling of accomplishment
(feeling good about oneself)
self-actualization needs - correct answer achieving one's full potential, including creative
activities
(the best we can be)
Self-esteem is the desire to feel good about oneself, while self-actualization is the process of
realizing one's potential and finding purpose in life - correct answer true
Esteem is achieved by feeling self-confident and respected by others.
Self-actualization needs are met when an individual engages in self-development and personal
growth - correct answer true
good mental health - correct answer the ability to function and fulfill daily responsibilities
people in their life may affect this may affect this.
"what do your relationships look like" (family, friends, coworkers, lovers, etc)
all mental health patients have the right to be informed about - correct answer their benefits,
qualifications of providers, availability of treatment options, appeals/grievance processes that
involve them
,Nur 114 - Mental Health
(the same as a non-mental health patient; we do not discriminate)
mental health patients have the right to have the least restrictive environment that meets their
needs; this includes - correct answer restraints (chemical and physical)
this means we cannot just give them medication and tie them down; they must be at risk of
harming themselves or someone else (this includes medical equipment- ripping out a central
line, tracheostomy, etc)
restraints must be assessed often, and the nurse must check for
________________________________________________________________. once assessed,
if restraints are still needed, the physician must resign the restraint order. - correct answer
circulation (pulses), availability of food and water
Mental health patients have all civil rights afforded to all people, except - correct answer the
right to leave hospital in case of involuntary commitment
Involuntary Hospitalization - correct answer Civil commitment (court order), determined and
evaluated differently in each state
Persons held without consent presenting with imminent danger to self or others (they are
evaluated often) (Proven at hearing if person is to be committed)
Detention in facility for 48 to 72 hours on emergency basis, then hearing to determine possible
commitment to facility
if a person is admitted to a mental health facility, voluntary, they can be released - correct
answer at any time
Voluntary hospitalization means the patient has the right to request discharge at any time
UNLESS - correct answer they are a danger to self or others; if such danger is present, then
commitment proceedings instituted
Continued participation in treatment on involuntary basis after release from hospital into
community
Examples- - correct answer taking prescribed medications,
keeping appointments with health-care providers for follow-up,
attending specific treatment programs or groups
nobody at the hospital is responsible for getting the mental health patient a ride home -
correct answer true
,Nur 114 - Mental Health
discontinued participation in treatment after release from the hospital is what usually causes
the patient to come back.
we are NOT responsible for ensuring they continue treatment once they leave. - correct
answer true
there can be a court order where someone, such as a liaison, oversees the patient's care, to
ensure they follow treatment - correct answer true
HIPAA - correct answer Health Insurance Portability and Accountability Act
HIPAA _________________ apply to people in mental health facilities - correct answer does
the mental health patient has the right to decide who is involved in their care, this means
_________________________________________________________________________.
there must be clear boundaries and the nurse must be kept aware of these things. - correct
answer we respect and enforce their decision on who is/isn't allowed in their room, who the
appointed family is, etc
Any restrictions to a client's rights in the mental health facility must be made for a verifiable,
documented reason.
These restriction decisions must be made by a court or a designated decision-making person
(primary nurse, treatment team).
Examples include- - correct answer • A suicidal client may not be permitted to keep a belt,
shoelaces, or scissors because they may use these items for self-harm.
• A client who becomes aggressive after having a particular visitor may have that person
restricted from visiting for a period of time.
• A client making threatening phone calls to others outside the hospital may be permitted only
supervised phone calls until their condition improves.
patients hospitalized involuntary (meaning under the conditions of harming themselves or
others), are committed to a facility _________________________________________ - correct
answer until they no longer pose a threat to themself or others
A person can be detained in a psychiatric facility for ________________________ on an
emergency basis until a hearing can be conducted to determine whether or not they should be
committed to a facility for treatment for a specified period.
, Nur 114 - Mental Health
Many states have similar laws governing the commitment of clients with substance abuse
problems who represent a danger to themselves or others when under the influence. - correct
answer 48 to 72 hours
If a VOLUNTARY client who is dangerous to themself or to others signs a request for discharge,
the psychiatrist - correct answer may file for a civil commitment to detain the client against
their will until a hearing can take place to decide the matter.
Legally assisted or ___________________________________________________ is the
requirement that clients continue to participate in treatment on an involuntary basis after their
release from the hospital into the community. - correct answer mandatory outpatient
treatment
Benefits of mandated treatment include - correct answer shorter inpatient hospital stays,
although these individuals may be hospitalized more frequently; reduced mortality risk for
clients considered dangerous to themselves or others; and protection of clients from criminal
victimization by others.
After an initial financial investment, assisted outpatient treatment is more cost-effective than
repeated involuntary hospital stays.
Court-ordered outpatient treatment is most common among persons with - correct answer
severe and persistent mental illness who have had frequent and multiple contacts with mental
health, social welfare, and criminal justice agencies.
seclusion - correct answer the involuntary confinement of a person in a specially constructed,
locked room equipped with a security window or camera for direct visual monitoring. For
safety, the room often has a bed bolted to the floor and a mattress. Any sharp or potentially
dangerous objects, such as pens, glasses, belts, and matches, are removed from the client as a
safety precaution.
Short-term use of ______________________ is permitted only when the client is imminently
aggressive and dangerous to self or to others and all other means of calming the client have
been unsuccessful - correct answer restraint or seclusion
One exception to the client's right to confidentiality is the - correct answer duty to warn
with duty to warn, you must notify - correct answer your supervisor/physician of any harm
that you suspect to a third party
a report must be done
