Final Review

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School

Arizona State University *

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Course

MISC

Subject

Philosophy

Date

Apr 26, 2024

Type

docx

Pages

2

Uploaded by ChefComputer15922 on coursehero.com

WEEK 1 - Ethical principles – beneficence – act in a manner of doing good, nonmalificence – do no harm (pain meds, comfortable position), justice, veracity - truth, autonomy, fidelity – loyalty. Ethical dilemmas can occur in groups – never dealing with just one issue. Autonomy is always present. Implicit bias – unconscious – check your own thoughts and feelings at the door. HIPPA – protects patient privacy. Informed consent vs plain consent – must contain procedure, side effects, risk factors, benefits alternatives, patient can ask questions – nurse is just witnessing the signature. Hitting a patient would be battery – locking away would be false imprisonment. De-escalation Time out Seclusion – rooms are padded with mattress and camera. Restraints – have to constantly be watching client in restraints + maintaining their safety and airway DSM-5-TR = diagnostic manual, used to help diagnose (21 different disorder descriptions) Can tell you what some of the manifestations are (always based on a period) Milieu therapy – calm environment, no bright or dark colors WEEK 2 – Important to build nurse-client relationships to establish trust, client won’t trust you, do what you say or help in their recovery. Building the therapeutic relationship – mean what we say and say what we mean, be transparent, be at their level (sit when they’re sitting), identify yourself then how the client wants to be identified Non-verbal communication – body language Roles as a nurse = occupational – looking at the whole spectrum, social – doing things for the community, therapeutic – trying to establish trust Set professional boundaries
Affirmation statements, clarifying questions, reflection, open and close ended questions THE NURSING PROCESS Assessment – recognize cues (gathering information, assessments, MSE, depression/anxiety screening) Analysis – analyze/prioritize cues Planning – make a plan (SMART goals) Implement - Evaluate – Safety, medication adherence, participating in day activities on unit, working with a client to use more effective coping skills – all things that can be included in the plan of care WEEK 3 – Manifestations of anxiety – restless, pacing in room, shaking, poor eye contact Similar to depression where they can both be an illness or a manifestation of an illness Family history, trauma, ACEs, genetics – risks for anxiety OCD – compulsions are to relieve anxiety (comorbidities – schizophrenia, substance use, eating disorders) risk factors are the same as anxiety – treatment for OCD – nonpharmacological = CBT, psychotherapy, exposure therapy, support groups; pharmacologic – SSRI, SNRI, benzodiazepines – used to calm people down but do not give a lot (0.5-1mg), TCAs GO OVER SIDE EFFECTS OF MEDICATIONS Benzodiazepines can have the opposite effect Role of the nurse when caring for patient with anxiety – provide medications, remain patient/calm, find resources, blood work/results, education With OCD the client can say they want to talk to the nurse when feeling of obsession/compulsions – then evaluate them after WEEK 4 - Depression, mania, bipolar, hypomania Manifestations of depression – sadness, crying, don’t want to get out of bed/take care of self or go anywhere Mania – they don’t think about risk and are very impulsive, can dress crazy, can be hypersexual Depression – suicide
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