Exam 2-Mental Health

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Questions and Answers

Which principle of care planning emphasizes interventions being practical and achievable within the available resources?

  • Individualized
  • Feasible (correct)
  • Safe
  • Holistic

What type of nursing intervention considers the patient's emotional, psychological, and social well-being?

  • Holistic (correct)
  • Measurable
  • Patient-centered
  • Collaborative

When planning nursing interventions, what is the primary reason for assessing potential contraindications and side effects?

  • To prioritize patient safety and minimize risks (correct)
  • To ensure the intervention is collaborative
  • To ensure the intervention is measurable
  • To ensure the intervention is feasible

If a care plan needs to include input from multiple healthcare disciplines, which type of intervention should be considered?

<p>Collaborative (C)</p> Signup and view all the answers

Which principle of care planning ensures nursing interventions are based on the latest scientific findings and best practices?

<p>Evidence Based (A)</p> Signup and view all the answers

Which of the following best describes the purpose of outcome criteria in nursing?

<p>To identify achievable health goals reflecting optimal patient health achievable through planned interventions. (D)</p> Signup and view all the answers

Why is it important for outcome criteria to be written in positive terms?

<p>It provides a clear direction for improvement, and continuity of care. (C)</p> Signup and view all the answers

What does the 'Measurable' aspect of outcome criteria refer to?

<p>Established criteria for measuring progress including quantifiable metrics. (C)</p> Signup and view all the answers

Why should nurse-led goals be 'Achievable'?

<p>To ensure goals are realistic and attainable based on the patient's circumstances. (D)</p> Signup and view all the answers

What does it mean for a goal to be 'Relevant' according to outcomes identification criteria?

<p>The goal aligns with the patient’s overall care plan and addresses their specific health issues. (D)</p> Signup and view all the answers

What is the purpose of having 'Time-bound' criteria in goal setting?

<p>To provide urgency and allow for timelines for evaluation of progress. (B)</p> Signup and view all the answers

Why is it essential for outcome criteria to be 'Patient-driven'?

<p>To ensure the patient’s priorities and motivations are integrated into goal setting. (D)</p> Signup and view all the answers

What is the purpose of 'Flexible' criteria in outcome identification?

<p>To allow for adjustments based on ongoing assessments and changes in the patient’s condition. (D)</p> Signup and view all the answers

Which of the following is the MOST effective strategy when communicating with elderly patients?

<p>Simplifying explanations and ensuring clarity. (B)</p> Signup and view all the answers

A patient's educational level primarily impacts which of these communication aspects?

<p>Their capacity to comprehend medical information and participate in discussions. (C)</p> Signup and view all the answers

When communicating with a patient, what is the primary reason for considering their previous interactions with healthcare providers?

<p>To shape their current expectations and willingness to communicate. (B)</p> Signup and view all the answers

How should healthcare providers adjust their communication when interacting with an introverted patient?

<p>Allow more time for them to share their thoughts. (A)</p> Signup and view all the answers

How does a patient's health status typically influence the communication process?

<p>It may affect their concentration and ability to process information. (D)</p> Signup and view all the answers

Which scenario BEST exemplifies the 'universality' curative factor in group therapy?

<p>A participant realizes their struggles are shared by others in the group. (C)</p> Signup and view all the answers

A therapy group focused on practicing social skills MOST directly aligns with which of Yalom's curative factors?

<p>Development of Socializing Techniques (A)</p> Signup and view all the answers

Which factor is the LEAST important when adapting communication strategies for diverse patients?

<p>Their personal dietary preferences. (C)</p> Signup and view all the answers

A group consists of what type of individuals?

<p>Individuals who are interconnected and independent and share a purpose. (C)</p> Signup and view all the answers

Which of the following statements is a DISADVANTAGE of group therapy?

<p>Members may not receive equal attention due to group size. (C)</p> Signup and view all the answers

Why is understanding gender important when communicating with patients?

<p>It can influence their communication style, preferences and comfort levels. (B)</p> Signup and view all the answers

In group therapy, 'Corrective Recapitulation of the Primary Family Group' is when:

<p>Members reenact family behavioral patterns, allowing for insight. (D)</p> Signup and view all the answers

How does group therapy potentially lead to 'altruism'?

<p>By providing an opportunity for members to support and help each other. (A)</p> Signup and view all the answers

Which of the following scenarios BEST demonstrates the 'imitative behavior' curative factor in group therapy?

<p>A member learns social skills from observing and copying others. (B)</p> Signup and view all the answers

Which group therapy example would BEST serve an individual with Borderline Personality Disorder and PTSD?

<p>DBT- skills group (A)</p> Signup and view all the answers

What is a PRIMARY benefit of the leader in a therapeutic group when the goal is 'instillation of hope'?

<p>To share optimism about the success of group treatment. (A)</p> Signup and view all the answers

Which of the following best exemplifies the role of a 'blocker' in a group setting?

<p>Consistently expressing disagreement and hindering the group's progress. (C)</p> Signup and view all the answers

If a group leader says, 'What do you mean when you say you can't go back to work?', which communication technique are they primarily utilizing?

<p>Clarification (D)</p> Signup and view all the answers

Which communication technique is demonstrated when a leader says: 'Jane, you're saying nothing is wrong, but you are crying'?

<p>Confrontation (C)</p> Signup and view all the answers

A leader remarks, 'It took a lot of courage to explore those painful feelings. You're working really hard on solving this problem.' Which technique are they applying?

<p>Support (B)</p> Signup and view all the answers

In a group setting, which behavior exemplifies a 'help seeker'?

<p>Frequently requesting sympathy and understanding from others. (A)</p> Signup and view all the answers

A group leader says, 'We've discussed cognitive distortions, and everyone identified an irrational thought. Next, we will explore strategies to correct that.' This is an example of:

<p>Summarizing (B)</p> Signup and view all the answers

A leader who exerts significant control over group discussions, discourages open interaction among members, and does not request feedback from the group is demonstrating which leadership style?

<p>Autocratic (C)</p> Signup and view all the answers

A leader who encourages group interaction during problem-solving while supporting the group's narrative, but also leads the group, is best described as:

<p>Democratic (C)</p> Signup and view all the answers

A parent tells their child 'I love it when you are so independent', but then becomes visibly upset when the child independently makes a decision. This is an example of which concept?

<p>Double bind (B)</p> Signup and view all the answers

Which of the following best describes the concept of a family life cycle?

<p>The developmental process of a family over time, through different stages. (A)</p> Signup and view all the answers

In a family, a father frequently blames his teenage daughter for any conflict or issues that arise in the family. This behaviour best demonstrates:

<p>Scapegoating (D)</p> Signup and view all the answers

Which concept focuses on the emotional and behavioral patterns passed down through generations?

<p>Multigenerational issues (A)</p> Signup and view all the answers

A mother consistently mediates disagreements between her two children, but in doing so allows for a growing distance between them. This is an example of:

<p>Triangulation (D)</p> Signup and view all the answers

In family dynamics, which concept describes the distribution of power and roles within a family structure?

<p>Hierarchy (B)</p> Signup and view all the answers

Considering a family's race, ethnicity, economic status, and sexual orientation refers to which concept?

<p>Sociocultural context (C)</p> Signup and view all the answers

A parent tells a child 'You should always be honest with me' while also becoming visibly angry when the child tells them something 'unpleasant' about their behavior. This is an example of which concept?

<p>Double bind (C)</p> Signup and view all the answers

Flashcards

Outcomes Identification

Expected outcomes that reflect the highest level of health achievable for a patient through nursing interventions.

Outcome Criteria

Specific criteria used to measure the progress towards achieving desired outcomes. These criteria should be measurable, achievable, relevant, time-bound, patient-driven, flexible, and planned.

Expected Outcome

A desired change that is measurable and provides direction for continuous care. It should be written in positive terms.

Specific Outcome

The goal should be clearly defined and focused on a particular outcome. For example, instead of 'improve mobility', state 'patient will ambulate 50 feet using a Walker'.

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Measurable Outcome

Established criteria for measuring progress. For instance, include quantifiable metrics (e.g., 'will report pain level of three or less on a scale of 0-10').

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Achievable Outcome

Goals must be realistic and attainable based on the patient's condition, resources, and support systems. Consider the patient's baseline abilities and limitations.

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Relevant Outcome

Goals should align with the patient's overall care plan and address their specific health issues or conditions.

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Time-bound Outcome

Assign a time frame for achieving the goals to provide urgency and allow for evaluation. For instance, 'within 3 days'.

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Evidence-Based Intervention

The chosen action must be backed up by scientific studies and accepted practices within the nursing field.

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Individualized Intervention

Care plans should be tailored to each person's unique situation, including their cultural, ethical, and personal needs and preferences.

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Safe Intervention

The chosen action must be safe for the patient and minimize any potential risks or side effects.

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Feasible Intervention

The intervention must be practical within the healthcare setting, considering available resources, time, and support.

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Holistic Intervention

Interventions should consider the patient's physical, emotional, psychological, and social well-being to provide holistic care.

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Age & Development

Variations in communication style caused by a person's age, affecting how they process information and express themselves.

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Gender Influence

How gender can influence communication preferences, comfort, and discussing personal issues.

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Education Level

A patient's level of education affects understanding medical information and their ability to participate in discussions.

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Personality Influence

Personality traits like introversion or extroversion impact how individuals engage in conversations and express feelings.

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Prior Experiences

Past healthcare experiences shape a patient's expectations and willingness to communicate openly.

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Health Status Impact

Health status can affect a patient's ability to concentrate, process information, and communicate effectively.

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Group Definition

A collection of individuals with a shared purpose, connected yet independent.

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Group

Interconnected and independent individuals come together for a specific reason.

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Therapeutic Group

A group of people who meet for personal development and psychological growth.

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What is Group Therapy?

Group therapy is a form of therapy where a group of people with shared issues meet with a therapist to discuss their problems and learn coping mechanisms.

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Shared Purpose in Group Therapy

A shared purpose, problem, or diagnosis that unites the members of a therapy group. Examples include addiction, trauma, or mental health disorders like anxiety or depression.

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Benefits of Group Therapy

A safe and structured environment for individuals to learn new ways of interacting, practicing communication skills, and gaining support from others facing similar challenges.

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Lack of Individual Attention

A potential disadvantage where group members feel like they don't get enough individual attention from the therapist.

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Privacy Concerns in Group Therapy

Concerns regarding confidentiality and the potential for sensitive information to be shared outside the group.

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Yalom's Curative Factors

A group of factors identified by Yalom that contribute to the effectiveness of group therapy.

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Instillation of Hope

The belief, shared by the therapist and group members, that the group therapy approach is beneficial and can lead to positive change. This sets a hopeful tone for the therapy process.

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Aggressor

A group member who consistently criticizes and attacks others' ideas and feelings, hindering constructive discussion.

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Blocker

A group member who consistently disagrees with and blocks group progress, often opposing ideas and solutions.

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Help-seeker

A group member who seeks excessive sympathy or attention from the group by oversharing personal issues or emotions.

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Recognition Seeker

A group member who seeks attention and validation by boasting about their accomplishments or achievements, often interrupting or dominating the conversation.

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Self-Confessor

A group member who makes irrelevant personal comments or shares feelings unrelated to the group's topic, distracting from the discussion.

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Autocratic Leader

A leadership style characterized by strong control over the group, minimal interaction among members, and lack of feedback-seeking.

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Democratic Leader

A leadership style that encourages extensive group interaction, supports problem-solving, and promotes collaboration.

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Laissez-faire Leader

A leadership style characterized by minimal involvement in group activities, allowing members to work independently with little guidance.

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Double bind

A communication pattern where two conflicting messages are sent, leaving the receiver confused and trapped in a no-win situation. For example, a parent telling a child "be spontaneous" while frowning.

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Family life cycle

The stages a family goes through over time, marked by changes in family structure, roles, and responsibilities. Examples include the stages of newly married couples, families with young children, and families with teenagers.

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Hierarchy

The distribution of power within a family, defining roles and establishing boundaries between generations.

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Multigenerational issues

Emotional patterns and behaviors passed down from previous generations, leading to repetitive interactions and themes within the family. Examples include predictable roles like the 'overfunctioner' and 'underfunctioner'.

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Scapegoating

Blaming a particular family member, often the least powerful, for the problems or distress of others. This is a way to avoid confronting the real issues within the family.

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Sociocultural context

The social and cultural factors that influence a family, such as their gender, ethnicity, religion, socioeconomic status, and sexual orientation.

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Triangulation

A pattern where a third person is involved to manage anxiety or conflict between two people, often creating another layer of complexity.

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Study Notes

Psychiatric Nursing Care - Assessment

  • Subjective Information: What the patient states
    • History of Present Illness (HPI): Includes reason for seeking treatment (voluntary/involuntary), thoughts, perceptions, suicidal/homicidal ideations, hallucinations, delusions, illusions, obsessions, ruminations
    • Insight & Judgment: Understanding own condition, problem-solving ability
    • Psychiatric History: age of symptom onset, when treatment sought, received diagnosis, history of psychiatric hospitalizations, suicide attempts/self-harm, homicidal ideation, legal history
    • Substance Use History: caffeine, nicotine, controlled substances, illicit substances
    • Social History: Developmental information, relationship history (childhood and adulthood, children), education, occupation, current living situation, support, medical history

Psychiatric Nursing Care - Assessment (continued)

  • Objective Information: What the nurse observes/assesses
    • Vital signs
    • Physical assessment
    • Diagnostic tests (labs, scans)
    • Screening tools
    • Mental Status Exam (MSE)
      • Evaluates patient's cognitive, emotional, and psychological functioning.
      • Crucial for diagnosis, treatment planning, and monitoring progress.

Psychiatric Nursing Care - Diagnosis

  • Analyze assessment data to determine diagnosis, problems, areas for care and treatment
  • Diagnostic statement components: Problem/potential problem (unmet need), probable cause, supporting data (signs/symptoms)
  • Example: Disturbed mood regulation (emotional dysregulation) related to prolonged mood irritability as evidenced by...

Psychiatric Nursing Care - Outcomes

  • Outcome criteria: Reflect maximal patient health achievable through nursing interventions, measurable, positive terms, and provision of care direction
  • Example: Patient will ambulate 50 feet using a walker

Psychiatric Nursing Care - Evaluation

  • Criteria for Evaluation (Specificity): Ensure patient outcomes are specific and clearly observable
  • Measurability: Use quantitative methods (lab values, vital signs) and qualitative observations (patient self-reports) to evaluate outcome success
  • Achievability: Realistic goals based on the patient's circumstances and resources.
  • Relevance: Aligned with the patient's priorities and overall treatment plan
  • Timeliness: Evaluation performed at appropriate intervals
  • Documentation: Thorough documentation of evaluation findings and modifications to the care plan
  • Patient feedback on effectiveness of interventions and progress
  • Comparison against standards

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