Podcast
Questions and Answers
Which factor is NOT mentioned as a contributing cause to the patient's condition?
Which factor is NOT mentioned as a contributing cause to the patient's condition?
What is the main focus of Outcome Identification and Planning in nursing?
What is the main focus of Outcome Identification and Planning in nursing?
Which of the following is NOT a tool used in Planning in nursing?
Which of the following is NOT a tool used in Planning in nursing?
What is an expected outcome related to coping abilities in nursing interventions?
What is an expected outcome related to coping abilities in nursing interventions?
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How is the progress of Outcome Identification and Planning monitored in nursing practice?
How is the progress of Outcome Identification and Planning monitored in nursing practice?
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What role does the nurse play in Outcome Identification and Planning?
What role does the nurse play in Outcome Identification and Planning?
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What is a key aspect of developing a plan of care in nursing?
What is a key aspect of developing a plan of care in nursing?
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What is the purpose of conducting an Assessment in psychiatric nursing practice?
What is the purpose of conducting an Assessment in psychiatric nursing practice?
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Which scale can be applied by Psychiatrists to assess anxiety in patients?
Which scale can be applied by Psychiatrists to assess anxiety in patients?
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Which tool is typically utilized to evaluate depression in geriatric patients?
Which tool is typically utilized to evaluate depression in geriatric patients?
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What is the purpose of conducting a Mental Status Examination in psychiatric assessments?
What is the purpose of conducting a Mental Status Examination in psychiatric assessments?
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Which scale is utilized to assess mania in psychiatric patients?
Which scale is utilized to assess mania in psychiatric patients?
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What aspect of a patient's history is evaluated through the Alzheimer's Disease Rating Scale?
What aspect of a patient's history is evaluated through the Alzheimer's Disease Rating Scale?
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What is the main focus of the clinical pathways mentioned in the text?
What is the main focus of the clinical pathways mentioned in the text?
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What is one of the strategies listed for preventing relapse according to the text?
What is one of the strategies listed for preventing relapse according to the text?
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In the context of the text, what is the purpose of ongoing quality improvement?
In the context of the text, what is the purpose of ongoing quality improvement?
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Which activity is NOT included in the list of others under 'IMPLEMENTATION' in the text?
Which activity is NOT included in the list of others under 'IMPLEMENTATION' in the text?
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Why is it important to evaluate the client's progress in attaining expected outcomes according to the text?
Why is it important to evaluate the client's progress in attaining expected outcomes according to the text?
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Study Notes
Principles and Techniques of Psychiatric Nursing Interview
- Establishing boundaries:
- Greet the patient
- State the name of the patient
- State your name and background information
- Explain your role and the patient's role
- Discuss the schedule of interaction and end of interaction
Assessment
- Social History:
- Support System
- Value-belief system
- Present illness
- Spiritual Values
- Family History
- Medical History
- Special needs
- Discharge goals
- Recent stressors/losses
- Psychosocial/Psychiatric History
- Education
- Client participation
- Elements of Psychiatric History:
- Insight
- Presenting Problem
- Coping skills and Relationship
- Marital History
Assessment Rating Scales
- Hamilton Anxiety Scale (anxiety)
- Beck Inventory/Geriatric Depression Scale (GDS) (depression)
- Hamilton Depression Scale (depression)
- Mania Rating Scale (mania)
- Brief Psychiatric Scale/Overall Psyche Scale (psychosis)
- Abnormal Involuntary Movement Scale (EPS effects)
- Mini Mental State Examination (cognitive disorder)
- Eating Disorder Inventory/Body Attitude Test (eating disorder)
- Brief Drug Abuse Screen Test (B-DAST) (substance abuse)
- Global Assessment of Functioning (level of overall functioning)
- Alzheimer's Disease Rating Scale (cognitive disorder)
Nursing Diagnosis
- Post-trauma syndrome related to rape or assault/illness/war or disaster as evidenced by risk for suicide
- Risk for suicide related to post-trauma syndrome
- Imbalanced Nutrition: Less than the body requirements
- Ineffective Coping
Outcome Identification and Planning
- Develop a plan of care that is negotiated among the patient, nurse, family, and interdisciplinary team
- Prescribe evidence-based interventions to attain expected outcomes
- Identify expected client behaviors resulting from nursing interventions
- Make the outcome SMART (Specific, Measurable, Achievable, Relevant, and Time-bound)
Implementation
- Use interdisciplinary standardized care plans (NANDA)
- Develop individualized care plans
- Coordinate and delegate responsibilities
- Make clinical decisions about the use of psychotherapeutic and scientific principles using evidence-based practice
- Use tools such as clinical pathways, nursing diagnosis, and standardized care plans
Progress and Evaluation
- Evaluate the client's progress in attaining expected outcomes
- Compare the client's current mental health state/condition with the outcome statement
- Consider all possible reasons why the client did not achieve outcomes
- Identify strategies for improvement
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Description
Test your knowledge on identifying outcomes and planning coping strategies for clients with imbalanced nutrition and ineffective coping. Focus on SMART client goals and expected behaviors resulting from nursing interventions.