Psychiatric p2

• Areas of Practice:

  • Basic Level Functions
  • Advanced Level Functions
• Basic Level Functions:

  1. Counseling
  2. Milieu Therapy
  3. Self-Care Activities
  4. Psychobiologic Intervetions
  5. Health Teachings
  6. Case Management
  7. Health Promotion and Maintenance
• Basic Level Functions:

  • Counseling - Help resolve issues and concerns through interview
• Basic Level Functions:

  • Milieu Therapy - Non-competitive
• Basic Level Functions:

  • Psychobiologic Intervetions - Not only mind but also body
• Advanced Level Functions:

  1. Psychotherapy
  2. Prescriptive Authority for Drugs
  3. Consultation
  4. Evaluation
  5. Program Development and Management
  6. Clinical Supervision
• Advanced Level Functions:

  • Psychotherapy - give treatment to change thoughts, behavior, emotions
• Advanced Level Functions:

  • Program Development and Management - All ties back to client
• Roles:

  1. Teacher
  2. Caregiver
  3. Advocate
  4. Patient Surrogate
  5. Counselor
  6. Technical
  7. Coordinator or Colleague
  8. Team Leader
  9. Supervisor and Trainer
  10. Consultant
• Roles:

  • Supervisor and Trainer - Oversee day to day of client and staff
• Roles:

  • Consultant - provide expert advice, guidance, and solution.
• Expanded Roles:

  1. Managed Care Nursing
  2. Parish Nursing
  3. Telehealth or Telephone Nursing
  4. Forensic Nursing
• Expanded Roles:

  • Managed Care Nursing - delegation of tasks
• Expanded Roles:

  • Parish Nursing - Beliefs and Religion connected
• Expanded Roles:

  • Telehealth or Telephone Nursing - Answer questions or concerns through the phone
• Expanded Roles:

  • Forensic Nursing - Deals with investigations
• Essential Qualities:

  1. Therapeutic Use of Self
  2. Genuineness and Warmth
  3. Empathy
  4. Acceptance
  5. Maturity
  6. Self-Awareness
• Essential Qualities:

  • Therapeutic Use of Self - Heart of Psychiatric Nursing
• Essential Qualities:

  • Genuineness and Warmth - Kindness, Openess, Consistency, and Caring.
• Essential Qualities:

  • Empathy - Understand and share feelings of another
• Essential Qualities:

  • Maturity - Ability to tolerate difference and be responsive to client
• Essential Qualities:

  • Self-Awareness - Exploring reaction to specific client or clinical situation
• Generalist Nurse

  • Facilitates and reinforces adaptive coping patterns
• Generalist Nurse

  • Assess and prevent further disability
• Generalist Nurse

  • Understands relationship between underlying biological processes
• Advanced-Practice Psychiatric Registered Nurse

  Encompasses generalist nurse with addition of:

  • Psychotherapy
  • Prescriptive Authority
• Interdisciplinary Team:

  • Pharmacist
  • Psychologist
  • Psychiatrist
  • Psychiatric Nurse
  • Recreation Nurse
  • Occupational Nurse
  • Psychiatric Social Worker
  • Vocational Rehabilitation Specialist
• Interdisciplinary Team:

  • Psychologist - Study cognitive, emotional, and social process of client with mental disturbances
• Interdisciplinary Team:

  • Psychiatrist - Doctors responsible for diagnosing and treating clients
• Interdisciplinary Team:

  • Psychiatric Nurse - Assess physical well-being and behavioral problems
• Interdisciplinary Team:

  • Recreation Nurse - Uses leisure activties to promote recovery
• Interdisciplinary Team:

  • Psychiatric Social Worker - Assist outpatient clients
• Mental Health - Mental Illness Continuum

  • Ability of individual to respond and adapt to external and internal stressors or crisis
• Mental Health

  • State of well-being able to realize own capabilities to cope with normal stresses of life and work productively
• Mental Health

  • State of emotional, psychological, and social wellness
• Characteristics of A Mentally Healthy Person

  • Self-acceptance
  • Perceives reality accurately
  • Exhibits environmental mastery
  • Self-determination or autonomy
  • Achieves a unifying, integrated outlook in life
• Characteristics of A Mentally Healthy Person

  • Exhibits environmental mastery - able to adapt to culture in a specific place
• Mental Disorder  

  • Medically diagnosable illness which results in significant impairment of one’s cognitive, affective, or relational abilities.
• Mental Disorder

  • A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual
• Mental Disorder

  • Associated with present distress or disability, or with significantly increased risk of suffering death, pain, disability, or loss of freedom