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Published byBlaze Kelly Modified over 6 years ago
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Chapter 9 Assessment Strategies and the Nursing Process
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The nursing process in psychiatric mental health nursing
9-2 (Fig. 9-1) B Menu F
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Purposes of Psychiatric Assessment
Establish rapport Obtain understanding of problem Assess psychological functioning Identify goals Perform mental status examination Identify behaviors/beliefs/areas to be modified to effect positive change Formulate a plan of care B Menu F
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Levels of Intervention in Psychiatric Nursing
Primary - Prevention Secondary - Treatment Tertiary - Rehabilitation B Menu F
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Underlying Premises for All Levels
Individuals have the right to decide their destiny and be involved in decision-making Nursing intervention assists individuals to meet their own needs or solve their own problems The ultimate goal of nursing action is to assist individuals to maximize level of functioning B Menu F
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Queries to Facilitate Spiritual Assessment
What role does religion/spirituality play in your life? Does faith help you in stressful situations? Do you pray/meditate? Who or what supplies you with strength and hope? Has your illness affected religious/spiritual practices? Do you participate in any religious activities? Do you have a spiritual advisor or member of the clergy available? Is there anyone I can contact to help put you in touch with your church/place of worship? B Menu F
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Basic Level: Interventions
Counseling Milieu therapy Promotion of self care Psychobiological interventions Health teaching Case management Health promotion and health maintenance B Menu F
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Advanced Practice: Interventions
All basic level interventions plus: Psychotherapy Prescriptive authority and treatment Consultations B Menu
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