Read the summary and the most important questions on Nursing 310: Mental Health Nursing

• Mental Health Nursing

  This is a preview. There are 57 more flashcards available for chapter 11/10/2016
  Show more cards here

• Cultural  and Personal Considerations for Communication

  -must assess patient and situation before reacting
  -everyone has different spatial and personal boundaries
  -when initially meeting a patient yo should evaluate their needs
  -how far are they standing from you
  -their interactions with others
  -their actions/nonverbal behavior

• Nursing interventions for suicide

  Primary - Education, programs that support suicide prevention
  Secondary - The crisis, can determine life or death of the pt.
  -ex: restraints
  Tertiary - Supporting the significant others after a suicide occurs
  -coping strategies

• Lethality of Suicide Plan

  High risk (hard methods) - jumping off a bridge, poisoning, using a gun.
  -Men are more likely to use these (successfully commit).
  
  Lower risk (soft methods) - Cutting, ingesting pills.
  -Women are more likely to use these (more attempts, less success).   
  
  -availability of the method to the individual
  -individuals with depression and command hallucinations are at higher risk of suicide.

• Red Flags for Suicide

  -Patient gives away personal possessions
  -"it won't matter anymore"
  -"I won't have anymore pain soon enough" - esp. chronic pain
  -buys items discussed in plan for suicide

• SAD PERSONS Scale

  -Assessment tool
  -S = sex (male +1)
  -A = age (25-44 or >65= +1)
  -D = depression (present +1)
  -P = Previous Attempt (present +1)
  -E = Ethanol use (present +1)
  -R = Rational thinking loss (psychotic +1)
  -S = Social supports lacking (lacking/ recent loss +1)
  -O = Organized plan (lethal method +1)
  -N = No spouse (divorced, widowed, separated, single male +1)
  -S = Sickness (severe or chronic +1)
  
  (0-2): home with follow up (low risk)
  (3-4): Closely follow-up, consider hospitalization
  (5-6): strongly consider hospitalization
  (7-10): HAVE TO Hospitalize or commit

• Risk Factors for Suicide

  -having a psychiatric disorder
  -loss of relationship
  -financial issues
  -alcohol and substance abuse and impulsivity
  -Male
  -family hx
  -divorce
  -status at work
  -caucasian
  -physical health
  
  Youth Risk:
  -poor problem solving and coping skills
  -low self-esteem
  -impulsive and or aggressive
  -seeing themselves as being a burden
  -Isolation
  -Substance use
  -Bullying - social media
  -Exposure to abuse: physical, sexual, psychological

• Freud's Personality Structure

  Id:Basic personality functioning, an impulse reaction seeking pleasure (Knee jerk reaction).
  Ego:Problem solves situations, keeps the id in check (you should do this).
  Superego: Moral component, represents what is ideal vs what is wanted or real (you shouldn't do this) (too much can lead to OCD, anxiety and criticalness of self).

• Freud's Psychosexual stages of Development

  Oral stage:(0-1 yrs) Weaning, Trust in the environment vs. smoking/nail-biting
  Anal stage:(1-3 yrs) Toilet-training, control over impulse vs OCD
  Phallic stage:(3-6 yrs) Sexual Identity, Identify with same sex parent vs. oppositional defiant disorder
  Latent stage: (6-12 yrs) learning, Skills to cope with environment vs. cannot relate to others
  Genital stage:(12+ yrs) genital intercourse, ability to find pleasure in love and work

• Erikson - Stages of psychosocial development

  Trust vs. mistrust - 0-1.5
  Autonomy vs. shame and doubt - 1.5 - 3 yrs
  initiative vs. guilt - 3-6 yrs
  industry vs. inferiority - 6-12yrs
  identity vs. role confusion - 12-20 yrs
  intimacy vs. isolation- 20-35yrs
  Generativity vs. stagnation - 35-65yrs
  Integrity vs. despair - 65+ yrs

• Cognitive - Behavioral Therapy

  Identifying an individuals view/need for restructuring, targeting self talk/image and inserting new and more productive way of thinking.
  
  -Goals: recognition of thoughts based on distortions
  -challenge negative thinking
  -substitute negative thinking
  
  -I am stupid.
  What makes you say this?-I failed my exam.   
  One exam does not make you stupid - it doesn't define you as a whole-I am smart but didn't master the material for the exam.