This document provides an overview of topics related to psychiatric nursing and client assessment. It covers theoretical models of treatment in psychiatry, psychosocial development models, common mental illnesses and defense mechanisms. It also discusses phases of the nurse-client relationship, communication tools and blocks, and termination. The second lesson focuses on assessing neurological function, including levels of consciousness, muscle strength, sensory deficits and vital signs. It provides examples of focused assessments and potential nursing interventions.
This document provides an overview of topics related to psychiatric nursing and client assessment. It covers theoretical models of treatment in psychiatry, psychosocial development models, common mental illnesses and defense mechanisms. It also discusses phases of the nurse-client relationship, communication tools and blocks, and termination. The second lesson focuses on assessing neurological function, including levels of consciousness, muscle strength, sensory deficits and vital signs. It provides examples of focused assessments and potential nursing interventions.
This document provides an overview of topics related to psychiatric nursing and client assessment. It covers theoretical models of treatment in psychiatry, psychosocial development models, common mental illnesses and defense mechanisms. It also discusses phases of the nurse-client relationship, communication tools and blocks, and termination. The second lesson focuses on assessing neurological function, including levels of consciousness, muscle strength, sensory deficits and vital signs. It provides examples of focused assessments and potential nursing interventions.
Therapist The Family Learning more Scapegoat Denver Developmental Undefined roles
B. THEORETICAL MODELS OF TREATMENT K. MILIEU THERAPY
Memories and thoughts Environmental Uncovering of childhood A view into the client's inner world Uncover unconscious Dance and Art Therapy
C. PSYCHOSOCIAL DEVELOPMENTL. L. MENTAL ILLNESS
MODEL Able to successfully masks problems Eric Erikson Different Infancy Allows a person to respond Autonomy vs Shame and Doubt M. DEFENSE MECHANISM - I D. ADOLESCENCE Displaying - Reaction formation 25-65 years old and giving back is important Sports activities Young adulthood Attributing - Projection Intimacy vs Isolation N. DEFENSE MECHANISM - II E. MASLOW An obvious alcoholic - Denial Top - Self-actualization Avoidance of disagreeable - Denial Abraham Maslow Being stuck - Fixation Bottom - Basic physiological needs O. NURSE CLIENT RELATIONSHIP F. BEHAVIORIST MODEL Social Positive reinforcement All encompassing Learning Theory Truth Individuals with clinical disorders P. PHASES OF THE NURSE-CLIENT REL. G. COMMUNITY MENTAL HEALTH Assessment Interdisciplinary Assessment of Nursing Primary Prevention Preinteraction and Orientation Primary, Secondary, Tertiary Prevention Q. COMMUNICATION TOOLS H. CRISIS Deflecting statements Normative Asking why questions Marriage Using specific Crisis Intervention R. COMMUNICATION BLOCKS I. GROUP THEORY Belittling Participants False assurance Individually focus on each group member A collection of 7-10 indiv. interacting together S. TERMINATION PHASE The Evaluation Phase Orientation Phase Acceptance LESSON 2
A. HEMIPARESIS J. SENSORY DEFICIT - POSITION
Crepitation rale Index finger of each hand Prescribing Great toe of each foot First-rate assessment skills Up and down
B. LEVEL OF CONSCIOUSNESS K. NURSING INTERVENTIONS
The client opens his eye in response - Lethargic Superficial touch The client opens his eye after tactile - Obtunded 4 hours Normal level of consciousness - Alert Nootropic Drugs
C. MENTAL STATUS L. FOCUSED ASSESSMENT
Date Meningitis or Cerebral Aneurysm Gesticulation Effect on the client's vision Central Nervous System Possible causes
D. MUSCLE STRENGTH - FACE ANDAMP M. VITAL SIGNS
Facial Nerve - Cranial Nerve VII Hypothalamus Trapezius and Sternocleidomastoid Medulla Oblangata Left-sided facial weakness - CN VII Elevated systolic pressure
E. MUSCLE STRENGTH - TRAPEZIUS N. PUPIL SIZE ANDAMP: REACTION
ANDAMP Shine the light into each pupil and watch for the Weakness of the Left Trapezius - CN XI opposite Spinal Accessory - CN XI Normal room light 4 Optic Chiasm
F. ARM STRENGTH O. OPTHALMOSCOPIC EXAMINATION
C5 and C6 Papilledema C6, C7 and C8 Right hand C7, C8 and T1 Optic disk
G. LEG STRENGTH P. ASSESSMENT FINDINGS
Knee Extension Choroid Plexus Pressing down the client's thigh - L2, L3, L4 Odynophagia Raising the client's thigh - L2, L3, L4 Hematuria
H. LEFT SIDED WEAKNESS Q. NURSING INTERVENTIONS
Motor Cortex Penicillin Corticospinal to the medulla 4 hours Damaged nerve fiber Vision acuity