Final Exam Review.docx - Final Exam Review Chapter 4 Psychiatric mental Health Nursing in Acute Care Settings 1 Pages 78 \u2013 79 a Inpatient Psychiatric

Final Exam Review.docx - Final Exam Review Chapter 4...

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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
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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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