INSTRUCTIONS: Upon completion of the study guide,

INSTRUCTIONS: Upon completion of the study guide, the student will be able to Discuss at least five client rights including the right to receive treatment, the right to refuse treatment, and the right to informed consent. This guide will be done in groups that will be assigned by your teacher. To answer this guide you will need to read your textbook Varcaloris’ foundation of psychiatric mental health nursing: A clinical approach, the following topics: Legal ethical aspects Nursing Process therapeutic relationship Communication and clinical intervention Crisis and Disasters Understanding and managing the Stress Response. OBJECTIVES Mention the ethical-legal responsibility of the nursing staff. Explain the situations in which the health care professional has the right to break client confidentiality. Define the concepts of beneficence, autonomy, negligence, malpractice, justice, non-maleficence (Fidelity), and truthfulness. Explain the different areas of the mental health examination (MSE). Explain the three principles that a nurse follows when planning actions to achieve desired goals. Demonstrate the use of therapeutic and non-therapeutic communication techniques when analyzing a hypothetical reporting process. Explain the phases of the nurse-client relationship. Discuss the roles of empathy, authenticity, and positive respect on the part of the nurse in the therapeutic relationship. Explain what limits, transference, and countertransference are. List three reasons why nurses should be trained in disaster preparedness. Explain the long-term and short-term physiological consequences of stress. Contrast the following stress models: a. Cannon Theory: Fight or Flight b. Seyle’s general adaptation syndrome c. Psycho-neuroimmunological Questions: Define what is ethics, bioethics, and ethical dilemma. Define the five basic principles of bioethics. What does the judicial decree of habeas corpus mean? Explain the different types of admissions. Does detention mean that the person will be forced to take her medication? Why? Under what circumstances can a person be medicated against their consent? What is jurisdiction and what is the order to assign a legal guardian? What is the difference between isolation and timeout? Explain the duty to Warn and Protect Third Parties. What is an intentional and unintentional tort? Give examples of each. On a concept map outline the nursing process. a. What components of the Mental Examination and Psychosocial Assessment can be seen in the video? b. List the nursing problems (NANDA Categories) identified during the client interview. 13. On your first clinical day, you are assigned to work with an elderly person, Mrs. Sara, who is depressed. The first impression of her is: “Oh, she looks like my nasty Aunt Helen. She even sits like her.” You approach her with a vague feeling of unease and say hello. Mrs. Sara replies, “Who are you and how can you help me?” “My name is Alicia. I’m a nursing student and I’ll be working with you today.” She tells him that “a student” could never understand what’s going on. Then she says, “If you really want to help me, you’ll get me a good job after getting out of here.” a. Identify transference and countertransference problems in this situation. What is your most important course of action? b. What other information will you give Ms. Sara during her first clinical meeting? Be specific. c. What are some helpful answers you could give Ms. Sara regarding her concern about whether you could understand what she was going through? d. Discuss Mrs. Sara’s request that you find her a job. Bearing in mind the goal of Peplau’s interactive nurse-client process, describe some useful ways to respond to this request. 14. You are interviewing Tom, a 17-year-old client who was admitted to a psychiatric unit after a suicide attempt. How would he best respond to each of the following customer requests and behaviors? a. “I’d feel a lot better if you sat closer to me and held my hand.” b. “I’ll tell you if I still feel like killing myself, but you have to promise not to tell anyone else. If you do, I just can’t trust you, ever.” c. “I don’t want to talk to you. I have absolutely nothing to say.” d. “I am going home tomorrow, and you have been very helpful and good to me. either. I want you to have my watch to remind me. and. Tom loses control and starts sobbing. 15. Taking into consideration the answers you gave in the previous question, identify and classify if it is a therapeutic or non-therapeutic communication technique. 16. Explain each of the phases of the therapeutic relationship. 17. Explain the factors that promote customer growth. 18. List the three critical areas in estimating a crisis once security issues have been identified. Give examples of two questions for each site that should be asked before planning begins. a. Cannon’s theory: fight or flight. b. Seyle’s general adaptation syndrome. c. Psycho-neuroimmunological. 20. Explain the different stress reduction techniques that are beneficial for managing stress. 21. Explain the short-term effects of stress on the sympathetic system – adrenal medulla and identify three long-term effects if you cannot resolve the stress. 22. Explain the short-term effects of stress on the hypothalamus-pituitary-adrenal cortex and identify three long-term effects if the stress becomes chronic.

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