community mental health center act - focused on community care instead of institutionalization if possible
mental health continuum - A conceptual line
... [Show More] used to represent levels of mental health and mental illness that vary from person to person and vary for a particular person over time.
standards of practice for psychiatric nursing were developed by - ANA, APNA, ISPN
what is the official manual for psychiatric medical dx - DSM-5
therapeutic strategies in community mental health setting (all RNs) - -counseling/psychotherapy
-cognitive, behavioral, milieu therapies
-health teaching on social and coping skills
-promoting self care
-health promotion (psychoeducational groups)
-admin meds
-case management
therapeutic strategies in community mental health setting (Adv. Practice RN) - conducting psychotherapy
boundary crossings - brief excursions across professional lines of behavior that may be inadvertent, thoughtless or even purposeful, while attempting to meet a special therapeutic need of the patient.
boundary violations - when there is confusion between the needs of the nurse and those of the patient.
transference - the pt is the only one that can have this experience; transferring something of importance in their past onto someone who was not involved (you remind me of my granddaughter. expecting the nurse to tx the pt exactly like the granddaughter)
Countertransference - Refers to the nurse's behavioral and emotional response to the client based on past experiences (care differs because a new pt reminds the nurse of an old, awful pt)
SAMHSA's Six Key Principles of a Trauma-Informed Approach - -safety
-collab and mutuality
-trustworthiness and transparency
-empowerment, voice, and choice
-peer support
-cultural, historical, and gender issues
clients rights under the law - -Right to treatment
-Right to refuse treatment
-Right to informed consent
-Rights surrounding involuntary commitment
Psychiatric advanced directives
-Rights regarding seclusion and restraint
due process - following established legal procedures
writ of habeas corpus - A court order that requires police to bring a prisoner to court to explain why they are holding the person
least restrictive alternative - a hospitalized patient must be treated in a setting that imposes as few restrictions as possible on his or her freedom.
Tarasoff Doctrine - Public safety is more important than client confidentiality if it is believed that the pt is a risk to themselves/others
duty to warn and protect third parties includes - •Assessing and predicting a patient's danger of violence toward another
•Identifying specific individual(s) being threatened
•Identifying appropriate actions to protect victim(s) [Show Less]