MENTAL HEALTH EXAM THE RED IS IMPORTANT

MENTAL HEALTH EXAM THE RED IS IMPORTANT - Mental Health...

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Mental Health Fundamentals Who are the five theorist discussed in class and information provided for in the file sections on canvas and what are their contributions to mental health assessment and treatment? THERE ARE 5 THEORIST!!! 1. Florence Nightingale : 1 st nurse theorist, She stated that proper use of fresh air, light, warmth, cleanliness, quiet & diet – provide proper environment & God’s help will promote healing. 2. Hildegard Peplau - Mother of psychiatry. Having a therapeutic relationship with patients by 1st building trust. Be an advocate for the patient. a. Orientation : (Nursing Process) getting to know the patient and establish trust. b. Identification : (Nursing Care Plan) why are you here and what do you want to work on while you’re here. c. Exploitation : (Implementing the Care Plan) using the resources needed to achieve the patient’s goals. d. Resolution : (Termination of Relationship) achieving the patient’s goals. 3. Martha Rogers - people & environment are one, not separate, The energy field is the fundamental unit of both the living and nonliving 4. Jean Watson - . Keep spirituality in check. Focused on power outside what we can see, a healing power. Such as list 2 or three from the bottom. a. 10 caractive factors i. The formation of a humanistic- altruistic system of values. ii. The installation of faith-hope . iii. The cultivation of sensitivity to one’s self and to others. iv. The development of a helping-trust relationship v. The promotion and acceptance of the expression of positive and negative feelings. vi. The systematic use of the scientific problem-solving method for decision making. vii. The promotion of interpersonal teaching-learning. viii. The provision for a supportive, protective and /or corrective mental, physical, socio- cultural and spiritual environment. ix. Assistance with the gratification of human needs. x. The allowance for existential-phenomenological forces.
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5. Maslow’s Hierarchy of Needs a. Order of Assessment: From class lecture describe the assessment process in detail and prioritize by Importance. What are the types of defense mechanisms? How are defense mechanisms developed? You will need to know all of the information on the Mental Status Examination assessment (This is in the class one file on canvas)!!!!!!!! 1. LOC – alert, lethargy, stupor, coma 2. Physical appearance – hygiene, grooming, dressed appropriately 3. Behavior – mood, affect 4. Cognitive and intellectual abilities a. Orientation b. Memory c. Level of knowledge d. Calculate e. Think Abstractly f. Objective assessment (patient self assessment) g. Judgment h. Rate and volume of speech Communication, Legal, and Environmental Safety Seclusion & Restraints : Medication is a form of restraint so do not say to pt going to use as a form of restraint or punishment Restraints and seclusions have a lot of medical issues and need to be reassessed
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Needs to be done in a way that is not personal and is done for the safety of the patient and/or other people Many times, pt is very remorseful Be very thorough with documentation
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