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Mental Health Notes

Chapter 1: Foundations of Psychiatric Mental Health Nursing
Chapter 2: Neurobiological Theories and Psychopharmacology
Chapter 3: Psychosocial Theories & Therapy
Chapter 4:Treatment Settings & Therapeutic Programs
Chapter 5: Therapeutic Relationships
Chapter 6: Therapeutic Communication
Psycho STIMULANTS
-
-
common s E are messes /Appetite so give
After breakfast/luneh , WT loss , Dizzy , nausea
* BP , Insomnia confusion , Potential
.
,
for addiction
-
AVOID Caffeine ,
sugar chocolate
,
MENTAL STATUS EXAM
O
·
·
·
LABILE : MOOD is
Affect: How they show mood
shifting
a lot
to subject a lot
TANgental : JumpingSubject
to
Circumstantial : Circling back
/
On
things you're fixated
-
A
.
. 1 0
E
.
.
U
Alcohol/DRUGS ?
E endocrine/Hormone ?
A=
:
1=
o=
Insulin
Oxygenation
U = uremic
Working phase : feelings , Coping skills , problem
Solving be in control
,
Termination phase :
starts at the
beginning/
. So They don't
Orientation phase
get dependent
and we're supposed to give them hope
NOT
Do
be
:
I
Judgmental no opinions
,
DATE
,
pts/ friendships sympathize encourage
,
pt
dependacy
,
them to
If
is
encourage
=
,
angry don't
express feelings Instead
deep breathing closed ended ? 's
,
,
nonverbal communication , validate
ASK
,
, don't belittle
Why
, Reassure
Be
bas
s
D
.
1
.
G
F
.
.
.
A
,
and
S
.
e
group therapy Un
for Mania
T
ImpriSivity Grandiosity
Flight of ideas , Activity # I sleep deficets Talkative
DISTRACTED
,
,
,
,
4 or more = mania/Bipolar 1 (worse)
4 or LeSS = Hypomania
If score
If score
ASSERTIVE:
Appropriately honest
PASSIVEAGGRESSIVE :Sayingyes ,butnotfollowinga
Emotionally honest
AGGRESSIVE :
PROVIDING
Inappropriately
INFO
HEAD TRAUMA:
IS The
honest
for feedback
reason
Acetylcholine Serotonin
,
=
Fever
,
memory loss , change in appetite
Chapter 7: Client’s Response to Illness
Chapter 8: Assessment / Mental Status Exams
Chapter 9: Legal and Ethical Issues