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Professional practice evaluation –improvement Collegiality Collaboration Ethics Research Resource utilization Leadership Delegation Education and certification of P/MH Nurses Technical level oUnlicensed personal – psychiatric aid (PA’S) oLicensed practical nurse – LPNProfessional Level oGeneralist: Associate degree, diploma or BSN RN, C (certified) oSpecialist : MSN, DNP, or PhDPMHNP or PMHCNS (board certified) Basic Practice Rn with BSN credentialed by the (ANCC)Use of nursing process to treat actual or potential mental health problems or psychiatric disorders Promote and foster health and safety Assess dysfunction; assist to regain or improve coping abilities Maximize strengths; prevent further disabilitiesAdvance practice Minimum entry masters level preparation oDNP, DNS, PHDNationally certified by ANCC licensed for advance practice by state oPMHCNSoPMHNPPt. Interviews State the purpose Use open ended questions to allow observations of pt.s verbal and noverbal responses Use closed- ended questions to elicit specific information Clarify when words do not have the same meaning Summarize to allow the pt. correct the nurse’s interpretation Motivational interviewing (OARS)Suicide thoughts - yes/nooVery pointed questions Philosophy of PMHNAssist the person to change or cope with current or potential problems oTherapeutic use of self
oHumanistic focus, belief in client’s worth dignity and human rights oHolistic view of client as intellectual bio-psych-social – spiritual being Promote constructive coping mechanisms Maximize adaptive coping responses oWhat did you used to do to manage Responsibilities of the PMHNAssess identify outcomes and evaluate responses Manage the therapeutic milieu 24/7 ( secure safe environment) Administers psychotropic medications ( LPN/RN) or prescribes them (APRN)Educates clients to resolve problems Supports clients to improve recreational occupational and social skills Preforms counseling (generalist) or psychotherapy ( CS) Only staffed there then continually Biopsychsocial Nursing Assesment Biologic oHealth status oPhysical examinationoPhysical functionoPharmacologic Psychological oResponses to mental health problems oMental status oBehavior oSelf-concept oStress and coping oRisk assessment Assessment of Mental Status A snap shot of the pat. Current mental status at this point in time Baseline for future comparison Objective, nonjudgmental observations and factual information oNo interpretations or global opinions Note the content as well as the process of the pts’s communication Have specific evidence to back it up Categories of the mental status Exam General observations oPhysical appearance, Speech, attitude, motor activity Orientation oLevel of consciousness Mood and affect Cognition and thought process o