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MEDSURG 2 NUR 265 EXAM
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MEDSURG 2 NUR 265 EXAM
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MEDSURG 2 NUR 265 EXAMWhat is Mental Health Continuum? - ANSWER how someone is functioning in a
point in time. One can be adequate to high level of functioning in daily life to at the
end point of severe mental illness. Ranges from low to high
High level Mental Health Continuum? - ANSWER · occasional stress to mild
distress, no impairment, knows that there not okay and can recover with coping
mechanisms.
Low level Mental Health Continuum?
(mental illness) - ANSWER · marked distress, moderate to disabling or chronic
impairment. EX: altered thinking, mood, and behavior, common disorders such as
depression and anxiety, and schizophrenia
MIddle level Mental Health Continuum? (emotional problems or concerns) -
ANSWER · mild to moderate distress, and mild or temporary impairment. EX:
insomnia, lack of concentration, loss of appetite.
Individual Attributes (biological and genetics): - ANSWER : Biological such as
prenatal exposure to alcohol & O2 deprivation at birth are biological factor. Genetic
factors are huge predictors of mental health.
Resilience: - ANSWER the ability and capacity for people to secure resources
needed for well-being. Does not mean they are unaffected by stress.
Social and Economic: - ANSWER Family, peer groups, school-promote confidence,
coping skills, inadequacy, instilling anxiety.
Environmental: - ANSWER Culture- different views on mental illness, social and
economic policies, political environment & culture consideration
Diathesis-Stress Model: - ANSWER both diathesis and stress are present for the
disorder. (Nature vs. nurture)
What represents biological predisposition (genetics) - ANSWER Diathesis
What represents environmental stress or trauma (triggers the disorder)? - ANSWER
Stress
Patient rights Legislation - ANSWER Parity = equivalence
Mental health parity: - ANSWER required insurers that provide mental health
coverage to offer annual and lifetime benefits at the same level provided for
medical/surgical coverage for insurers who employ 50 or more employees.
, Affordable care act: - ANSWER - improve coverage for most Americans who are
uninsured through a combination of expanded Medicaid and health insurance
exchanges.
What are some components of the Affordable care act? - ANSWER $Medical HX
cannot result in denials, or "pre-existing condition"
$ No lifetime or annual dollar limit
Available to many who previously have been uninsured
§ Prescription's coverage
§ Cover preventative care at no cost to the patient
§ Young adults to remain on parents' health care plan until the age of 26
Mental Health Nursing - ANSWER promoting mental health through assessment,
diagnosis, and treatment of human responses to mental health problems and
psychiatric disorders. Pain scale is there depression scale
QSEN (quality and safety education for nurses): - ANSWER improve the safety and
quality of healthcare.
- Provide patient -centered care
- Work in interdisciplinary teams
- Employ evidence-based practice
- Apply quality improvement
- Utilize informatics
Peplau's Model: - ANSWER shift from what nurses "do to" patients to "do with"
patients
What is the goal of Peplau's interpersonal relationship? - ANSWER the goal is to
reduce or eliminate psychiatric symptoms (particularly depression) by improving
interpersonal functioning and satisfaction with social relationships
Peplau's nurse-patient relationship
1. Pre-interaction- before meeting the patient, - ANSWER · prepares environment
such as lighting/seating to promote comfort,
· anticipates potential client issues
· how to approach client, nurse should identify their own stereotypes, biases, and
values that may impinge on the nurse-client relationship.
Peplau's nurse-patient relationship
2. Orientation or introductory phase- - ANSWER · acceptance/rapport/trust/ and
boundaries are established.
· Nurses introduce to the client with first and last name and designation
· Identifies purpose and time frame of the relationship (establishing a contract)
· Identifies client's strength and needs
· Collect data and forms basis for diagnosis and client-centered goals
· Termination is discussed with the client.
Peplau's nurse-patient relationship
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