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Chapter 8 Terms - The Nursing Process & Standards of Care for PMHN
Foundations of Psychiatric Mental Health Nursing, A Clinical Approach. 6th ed Elizabeth M. Varcarolis Voice, audio, audiobook, Saunders
Terms in this set (29)
A combination of clinical skill and the use of clinically relevant research in the delivery of effective pt centered care.
Identifying the health education needs of the patient and teaching basic principles of physical and mental health. Such as giving info about coping, relationships, social skills, mental disorders, & treatments
Make sure pts are maintained in the "Lease Restrictive Environment" safety permits. Orienting and pts to their rights and responsibilities selecting physical and special activities to meet pts physical and mental health needs.
NIC (Nursing Interventions Classification)
Listings of Planned care
NOC (Nursing Outcomes Classification)
Standardization of pt, family, and community outcomes.
Hoped for outcomes that reflect the maximal level of pt health that can realistically be achieved in nursing interventions. Outcomes reflect the desired change.
Assist pt in assuming responsibility for ADL's, Focus on improving mental and well being
Mixture of words meaningless to listener and speaker.
Mental status examination (MSE)
Analogous to the physical examination in general medicine and the purpose is to evaluate an individuals current cognitive processes.
Ability to conceptualize ideas (Finding meaning in proverbs)
Feeling, mood, emotional tone
Type of mood that is non-expressive, flat or blunt
Normal range of affect, called the broad affect
Indirect or delay by getting caught up in details before getting to the point or answering question.
Immediate experience, not abstract. Over emphasize specifics.
False fixed mistake. pt believes it's true even though there is fact it is false
Expressionless - see Blunted Affect.
Flights of Ideas
Grandiose exaggerated evaluations of multiple thoughts and ideas of different topics in one description/conversation. Connected, but all over in thought
Any 5 sense perception in which no external stimulus exists. Hearing voices, seeing something that is not there, etc.
Ideas of Reference
False impression that outside events have special meanings of oneself.
Understanding an awareness for and meaning behind one's motives and behavior.
The ability to make logical and rational decisions
Rapid mood shifts, laughing then crying
Pattern of thinking that is illogical and confused. Connections in thought are interrupted. Seen in Schizophrenic disorders. Not connected in thought
Disturbance of thinking. Loosing the topic. Loosing train of thought.
Sudden interruption of thinking or speaking. Absence of thought.
delusion that one is capable of "inserting" thoughts into other individual's minds, or that others can perceive them telepathy. I'm doing it to you
delusion that thoughts are being inserted into one's mind by someone else. You're doing it to me
delusion that thoughts have been 'taken out' of the patient's mind.
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