Final Exam Review
Chapter 4: Psychiatric mental Health Nursing in Acute Care Settings
1.
Pages 78 – 79
a.
Inpatient Psychiatric Mental health Care: Rights of the Hospitalized Patient
i.
All rights are retained
b.
Box 4-1 Typical Items Included in Hospital Statements of Patients’ Rights
i.
Right to be treated with dignity
ii.
Right to be involved in treatment planning and decisions
iii.
Right to refuse treatment, including medications
iv.
Right to request to leave (AMA)
v.
Right to the legally prescribed evaluation (within 72 hours)
vi.
Right to legal counsel
vii.
Right to vote
viii.
Right to informed consent
ix.
Right to communicate privately on phone
x.
Right to the least restrictive means
xi.
Right to keep personal belonging unless they are dangerous
c.
Priority when addressing behavioral crisis
2.
Pages 82 – 83: Documentation
a.
Communication among team members and coordination of services are primary goals
b.
Consider professional standards, legal issues, requirements for reimbursement by
insurers, and accreditation by regulatory agencies
Chapter 5: Psychiatric Mental Health Nursing in Community Settings
3.
Pages 88 – 90
a.
Community Psychiatric Mental Health Nursing
i.
Hinges on enhancing patient strengths in the same environment daily life is
maintained in, which makes individually tailored psychiatric care imperative.
ii.
Learn new ways of coping with symptoms or situational difficulties
b.
Box 5-1 Possible Community mental health Practice Sites
i.
Primary Prevention
1.
Adult and youth recreational centers
2.
Schools
3.
Day care centers
4.
Churches, temples, synagogues, mosques
5.
Ethnic cultural centers
ii.
Secondary Prevention
1.
Crisis centers
2.
Shelters
3.
Correctional community facilities
4.
Youth residential treatment centers
5.
PHP
6.
Chemical dependency programs
7.
Nursing homes
8.
Industry/work sites
9.
Outreach treatment in public places
10.
Hospices and AIDS programs
11.
Assisted living facilities
iii.
Tertiary Preventions
Lasanta, Mental Health
Winter 2013
Final Exam Review
1.
Community mental health centers
2.
Psychosocial rehab programs
4.
Page 92: Promoting Continuation of Treatment
a.
Shared decision making between the healthcare professional and the consumer of care
i.
Patient must be knowledgeable about the illness and treatment options (current
evidenced based information)
ii.
Nurse - manage patient medication, recognize side effects, and be aware of
interactions among drugs prescribed for physical illness and mental illness.
iii.
Patient-family education increases adherence with meds
5.
Pages 95 – 96:
Assertive Community Treatment (ACT)
a.
Intensive type of case management developed in response to the community-living
needs of people with serious, persistent psychiatric symptoms and patterns of repeated
hospitalization for services such as ER and inpatient care.
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- Fall '19
- Nursing, mental health, Psychiatry
