NUR 333 Exam 1 Study Guide.docx - NUR 333 Exam 1 Study...

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NUR 333 Exam 1 Study Guide Introduction o Mental health = state of wellbeing in which each individual is able to realize his or her own potential, cope with normal stresses in life, work productively, make contribution to the community, providing people with the capacity of normal thinking Attribute = rational thinking, effective coping, resiliency, self-control, self-awareness, developmentally on task, spiritual satisfaction, happiness and joy, self-care, positive self- concept, learning and productivity, effective communication, meaningful relationships o Mental Illness = refers to all psychiatric disorders that have definable diagnoses May be related to developmental, biological, psychological disturbances o Medical Diagnosis (DSM V) vs. Nursing Diagnosis Think Anorexia Nervosa (medical) vs Anorexia (nursing) o Roles of Psych Nurse = nursing that is dedicating to promoting mental health through assessment, diagnosis, and treatment of behavioral problems, work with dual diagnosis (issue + comorbidities) Care Coordination Teaching Milieu Therapy – group therapy, how the unit is run Patient Advocacy o Inpatient Admission vs. Outpatient Treatment Inpatient always more acute Inpatient is a risk to self or others Inpatient unable to fulfill basic human needs o Attending Behaviors Eye contact Body Language Vocal Qualities Verbal Tracking o Verbal vs Nonverbal Communication o Phases of Nurse Patient Relationship Orientation Working Termination Therapeutic Communication o Transference vs. Countertransference Transference = the unconscious feelings that the patients has toward healthcare workers which originated in childhood (you remind me of my sister), could be positive or negative Countransference = unconscious feelings that the healthcare worker has towards the patient o Boundary Blurring o Confidentiality Mental Status Exam o Youtube Video from Class o General Observations
Hygiene Body Odor? Shaven? Clean? Dress Well dressed? Neat? Ragged? Climate appropriate? Jewelry? Makeup? Scars, Tattoo’s? Speech Speed of speech? Tone? Volume, is it consistent? Pressured Speech? Fluent/understandable vs impoverished speech, Delay/latency? Tangential? Eye Contact Avoidant? Intense? Appropriate? Motor Activity Restless? Tics? Slowed? Steady Gait? Limp? Wheelchair/ Walker?

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