Beruflich Dokumente
Kultur Dokumente
Term:
Definition:
References:
Barton, D., Joubert, L., Alvarenga, M., Norrie, P., Brenchley, C., & Grigg, M., (2007).
“Nurses dealing with patients experiencing acute stress reaction may have a hard time
during the assessment. It may interfere with the ability to cooperate with the nursing
procedures and medical examinations,” (Thobaben, 2006, p. 664). As a nurse in the future
I believe that in order to address this problem, it is important that I should really know
first all the necessary data or past medical history of my patient. In that way, I will be
assure that I will not alleviate their situation and gain their cooperation.
Reference:
2
Psychiatric Mental Health Nursing (pp. 635-678). Clifton Park, NY: Thomson Delmar
Learning
Term
Definition:
This therapy is given to clients with personality disorders so that they can learn how to
help themselves in overcoming their situation. Unlike other therapies which only focus on
how the problem developed or started, cognitive behavioral therapy (CBT) deals with
how these people will make use of their past experiences in a positive way to make
changes in achieving their goals in life. Through this therapy, the client will learn how to
deal with different circumstances of life and have a positive outlook within themselves
References:
Bardwell, M. & Taylor, R., (2005). Schizophrenic Disorder. In R. Elder, K. Evans, & D.
Nizette (Eds.), Psychiatric and mental health nursing (pp. 218-233). Marrickville,NSW:
Elsevier.
Turkington, D., Kingdon D., et al.(2003, cited in Bardwell and Taylor, 2005 p. 224) state
that in the recent study conducted by a British study group of researchers on the effect of
CBT, it reveals that CBT had the potential to increase the individual’s level of insight and
this could be achieved safely and effectively. This means that not all treatment for mental
health care should always include anti-psychotic medications which have adverse side
effects on the clients. As a future nurse, I can help my clients not just by giving
medications for them to be healed but, I can also use this kind of therapy which can help
Reference:
Bardwell, M. & Taylor, R., (2005). Schizophrenic Disorder. In R. Elder, K. Evans, & D.
Nizette (Eds.), Psychiatric and mental health nursing (pp. 218-233). Marrickville,NSW:
Elsevier.
4
Term
3. Empowerment
Definition:
Empowerment is a kind of method which helps the client to solve his or her problem. In
this method the nurse will guide the client to figure out or identify some ways in order to
address those problems. Through this, client will regain their own confidence and be able
References:
Staton, C., & Staton, V.,(2005). The context of practice. In R. Elder, K. Evans, & D.
Elsevier.
To be an effective health practitioner who will be dealing with mental health patients, I
must know how to help my clients to resolve whatever crisis or problems they are going
through. For me, it is important to empower them so that it will help them to be more
independent in making the right decisions. An interesting view was expressed by Barker
(2001, cited in Staton and Barbara Tooth, 2005 p.25) is that” disempowerment only
occurs when there is a failure to hear people’s stories of their experiences and their
my patient will say. This is in order to gain their trust of me as their health care provider.
If that happens they will believe when I encourage them that they can resolve their own
References:
Staton, V., & Tooth, B., (2005). The context of practice. In R. Elder, K. Evans, & D.
Elsevier.
6
Term
4. Delirium
Definition:
Delirium is a state of the mind wherein clients experiences disturbances in the way they
think. This can happen and develop in a very short period of time which is usually hours
or days. Patients with this mental state usually don’t know what is happening on his or her
environment.
References:
Butcher, J., Mineka, S.,and Hooley, J. (2007). Cognitive disorder, Abnormal Psychology
Moyle, W.,(2005). Disorders of old age, In R. Elder, K. Evans, & D. Nizette (Eds.),
Holmes & House’s study in 2000(cited in Johnson, 2006, p. 601) found that, the failure to
identify and correct delirium in the older-adult adversely affects many outcomes such as
increased length of stay for the hospitalized elder, morbidity and mortality and quality of
life”. This only means that delirium is not just a simple mental health problem. As a
future nurse, I have the responsibility for my patient and I am the one who is often the
first to identify those sudden changes in behavior and mental state of the patient. It is my
role to prevent the risk factor to develop rather than just identifying delirium.
References:
Johnson, B., (2006). The elderly, Psychiatric mental Health nursing (pp. 921-929).
Term
Definition:
This is usually given to the patient having the signs of depression who are not responding
anymore to anti-depressant drugs. This can also be given to pregnant women causing no
9
harm to their fetus and suicidal patients. The procedure starts by attaching electrodes to
the head of the client. Those electrodes will bring an impulse to the brain to initiate
seizures. The shock acts as stimulant in order to correct the imbalances in the brain.
References:
Epstein, M., McDermott, F., Meadows, G., & Olsen, A.,(2007). Society, mental health,
and illness, In G. Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia
Giving ECT to the client is not easy; one wrong move could end up with the client in a
coma. I as a future nurse play an important role in making sure the safety of my client
who will be receiving ECT. It is my responsibility to prepare the client before the ECT
and monitor them after the therapy. I have experienced before one incident wherein the
patient’s life was almost at risk during an ECT therapy. I was having my clinical
placement in one of the mental health institution in my country during my nursing course.
Before the ECT began, we were asked by our clinical coordinator to observe in the
therapy. We saw the client who was already very aggressive. He was tied in the bed
which was made of wood. Doctors and nurses were there preparing the client. The ECT
was ready to be given when all of a sudden one nurse shouted,” Stop, the IV stand is in
contact with the bed”. That means metal was in contact near the patient and might cause
10
malfunction in the therapy. That scenario served as an eye opener for me that I must
Term
11
Definition:
This refers to the adverse reactions of anti-psychotic drugs. It affects the nerve pathways
which causes some neurological symptoms such as muscle stiffening and involuntary
movements.
References:
Butcher, J., Mineka, S., and Hooley, J. (2007). Schizophrenia and other psychotic
“Not surprisingly, negative side effects are the major factor in patient’s refusal”, (Durand
and Barlow, 2003, p. 468). One of the most important roles of a nurse is client teaching. I
anti-psychotic medication regarding its side effects. Any early signs like extrapyramidal
side effects should be reported immediately in order to prevent further negative results.
Another thing that I can do for my patient is to identify some ways on how to avoid these
side effects. Recognizing the early symptoms and managing it properly will make my
References:
12
Durand, V.M., and Barlow, D. (2003) Schizophrenia and other psychotic disorders,
Essentials of Abnormal Psychology (pp. 442-477). Pacific Grove, CA: Thomson Learning
13
Term
7. Hallucinations
Definition
It is a mental state wherein what the client perceive are not genuine or true. People in this
kind of condition see, hear smell and even taste something where in reality there is
nothing.
References:
Barling, J., (2005). Assessment and diagnosis. In R. Elder, K. Evans, & D. Nizette (Eds.),
Frisch, N. & Frisch L.,(2006). Through The Door Your First Day in Psychiatric Nursing,
Psychiatric mental Health nursing (pp. 3-12). Clifton Park, NY: Thomson Delmar
Learning
According to Videbeck (2008) “ nurses tries to understand and make sense of what the
client is saying, but this can be difficult if the client is hallucinating, withdrawn from
reality, or relatively mute” (p. 238). Regarding this matter, I as a future nurse must know
how to deal with patients with hallucinations. Finding some ways to address this problem
will be very helpful in the communication process with the patient. This includes
listening, being with the patient for quite some time and orienting the patient in reality
References:
Term
Definition:
Is a kind of assessment which includes a series of approaches that observes the current
mental health condition of the client both physically and cognitively at the time the
References:
16
Nucombe, B., & Ebert, M., (2008). The Psychiatric Interview. In M. Ebert, B. Nucombe,
P. Loosen and J.Leckman (Eds.), Current Diagnosis and Treatment (pp. 35-55). USA:
“The nurse cannot let personal feelings and beliefs influence the clients treatment”,
(Videbeck, 2008, p. 153). During actual assessment like a mental state examination, it is
very important for a future nurse like me to know how to deal with the patient. I must not
possess any doubtful or discriminating manner towards whatever my client will say in
References:
Term
9. Stigma
Definition:
17
Is a negative mark being attached to a certain individual’s whole being or personality who
is affected by some condition which other people will think are not acceptable in the
society.
References:
Byrt, R. & Dooher, J., (2006). The Social Consequences of a “personality disorder”
Forensic Mental Health nursing: Interventions with People with “personality disorder”
Epstein, M., & Olsen, A., (2007). Mental Illness: responses from the Community. In G.
Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia (pp.13-20). UK:
Healey (2003) stated in his article that “whether you have, or have had a mental illness or
not, stigma can affect you. Considering that 1 in 5 people are affected by mental illness at
some stage in their lives, then if it hasn’t affected you directly, it surely has had an impact
on someone you know”. Mental health patients are facing this stigma in our society today.
We as future nurses can play a big role in order to overcome this issue. In doing this, we
need to start first with our own selves. Reflecting and considering the facts that we know
all about mental health illnesses will help a lot in the way how we understand their
situation.
References:
18
Healey, J. (2003). Stigma and Mental Health Illness, Mental Health, 190,8-10
Term
19
Definition:
This term means that a person with mental health condition is getting support or needs
like emotional and attention as well as financial help from their families.
References:
Durand, V.M., and Barlow, D. (2003) Somatoform and Dissociative Disorders, Essentials
Butcher, J., Mineka, S.,and Hooley, J. (2007). Somatoform and Dissociative Disorders,
Healey (2003) stated in his article that “a carer is someone who helps his/her
relative/friend with mental health illness on their journey to recovery”. As a future nurse,
I can help my patient to recover with their current condition not just through nursing
remedies but also with the help of their families and love ones. Nurses must inform the
families of the patient regarding the current status of their love one with mental a health
condition. Nurses may provide clear and concise information about the particular illness.
References:
Healey, J. (2003).Caring for someone with a mental illness, Mental Health, 190, 37-40
20
Term
Definition:
These are groups of symptoms seen in a person experiencing schizophrenia. The first one
which is the negative symptoms deals with the observable sudden changes in the lack or
reduction on how the brain works normally like talking. In contrary, the positive
symptoms are the behaviors which are not normally seen before just like having delusions
and hallucinations.
References:
Durand, V.M., and Barlow, D. (2003) Schizophrenia and Other Psychotic Disorders,
Bennette, C., Fossey, E., Farhall, J., & Grigg, M. (2007). Schizophrenia and Other
Boyd (2002, p. 350) is also important to note that the quieter periods between
exacerbation of symptoms are actually very active and important phase of intervention”.
Nursing management for patient with schizophrenia is a long term goal. Through
recognizing the different symptoms of this mental illness nurses can develop more
21
efficient and attainable interventions for the patient. Having the knowledge with these
negative and positive symptoms will be much easier for nurses to initiate a good patient
References:
Term
Definition:
include high fever, increase heart rate and muscle rigidity that can lead to coma.
References:
Sernyak, M., & Rohbaugh, R., (2008). Emergency psychiatry. In M. Ebert, B. Nucombe,
P. Loosen and J.Leckman (Eds.), Current Diagnosis and Treatment (pp. 679-719). USA:
Bennett, C., Fossey, E., Farhall, J., & Grigg, M., (2007). Schizophrenia and Other Related
It is essential that the nurse explains the future side effects of any regimen to be given to a
patient. As a future nurse practitioner, explaining the necessary details regarding the
medication is a priority when giving health education. This will help to manage the side
Term
Definition:
Is a sudden onset of feelings of severe fear together with the signs of physical symptoms
References:
24
Butcher, J., Mineka, S.,and Hooley, J. (2007).Panic, Anxiety, and Their Disorder,
Hederson, S., & Elsom, S., (2005). Anxiety disorder. In R. Elder, K. Evans, & D. Nizette
(Eds.), Psychiatric and mental health nursing (pp. 262-286). Marrickville,NSW: Elsevier.
Schultz and Videbeck (2002, cited in Elsom and Hederson, 2005 p. 273) state that
nurses,” stay with the client during the panic attack, as the panic will escalate if they are
left on their own”. Being a nurse in the future I should be knowledgeable on how to react
or handle when I encounter situation like panic attack. It may happen anytime and
anywhere so I must be prepared at all times. My very first task in that situation is to make
sure that the person experiencing the panic attack knows I am present.
References:
Hederson, S., & Elsom, S., (2005). Anxiety disorder. In R. Elder, K. Evans, & D. Nizette
(Eds.), Psychiatric and mental health nursing (pp. 262-286). Marrickville,NSW: Elsevier.
Term
Definition:
25
Mood is the term use to describe how a certain individual feels from within whether
depressed or irritable. On the other hand, affect means how the person reacts or shows
References:
Barling, J., (2005). Assessment and Diagnosis. In R. Elder, K. Evans, & D. Nizette (Eds.),
“The nurse is cautioned to interpret vocal cues within the context of the client’s cultural
and social/familial norms”, (Frisch and Johnson, 2006, p. 92). As a nurse in the future, I
must know how to observe and analyze whatever mood my patient is experiencing and
how they react or expressing these moods. Through this, I can identify the essential
observed that my client is in a depressed mood and acting bluntly. I will try to lessen
his/her feelings by getting their trust through listening to them and empowering him/her.
References:
26
Firsch, N., & Johnson, V.,(2006). Tools of Psychiatric Mental Health Nursing,
Firsch (Eds.), Psychiatric mental Health Nursing (pp.88-103). Clifton Park, NY: Thomson
Delmar Learning
27
Term
15. Phobia
Definition:
Is an exaggerated fear of an object or situation that affects their own way of living.
References:
For me having a phobia is not easy but it’s avoidable and can be eliminated. Every time
you will encounter the object or the situation that gives you that phobic feeing, you want
to escape and sometimes escaping it affects our lives. Before, I myself have a phobia;
phobia in needle injection. This phobia started when I was accidentally pricked myself
with an injection during our return demonstration in my nursing course. Since that time I
became afraid of using syringes and needles. Every time I will hold one, my hands are
trembling and shaking. Then I realized I am a future nurse so I need to overcome this
28
phobia. That is the time I started making myself brave and determined to hold syringes. I
assured myself that I can do injection without causing harm to myself and to my patient.
Since that time until now I have already overcome that phobia. I realize that facing your
fear is the most effective therapy for this condition which I can use in my future
profession.
Term
16. De-institutionalization
Definition:
It is an approach wherein the mental health patient is being cared for not in the hospital,
instead they are living free and sociably together in the society.
References:
McDermott, F., and Meadows, G., (2007). Society, mental Health, and Illness. In G.
Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia (pp.3-11). UK:
“Mental patients are usually found on the lowest rungs of the socio-economic scale”,
condition of mental health patients and they are willing to accept them as part of the
society. As a future nurse I can help teaching and orienting the society about how to
accept these mental health patients through proper education. I should make them realize
why these patients are not in the institutions because of their economical status.
References:
Sartorius (Eds.), Understanding the Stigma of Mental Illness (1-18). West Sussex,
Term
Definition:
This is use to identify the probable negative effect when a mental health patient behaves
in an unpleasant manner that may cause harm to other people and to their own self.
References:
Bland, R., Farhall, J., Fossey, E., Happell, B.,Meadows, G.,Renouf, N., & Willshire, D.,
Risk assessment is very useful for me as a future nurse practitioner. By using this
approach to my patient, I can identify and make appropriate decisions in order to manage
their different behavior. Through this assessment I can reduce the instance of causing
Term
Definition:
depression.
References:
Planning, Conceptual Skills For Mental Health Professionals (pp. 203-234). Upper
“Living with persistent psychotic disorder that has a mood component makes suicide risk
disorder need a careful assessment. Being a nurse in the future, I should be very cautious
in history taking of my patient so that the right and proper documentation can help to
diagnose the correct condition of the patient. I will keep these things in my head at all
References:
and Wilkins.
Term
19. Delusion
Definition:
References:
32
Nucombe, B., & Ebert, M., (2008). The Psychiatric Interview. In M. Ebert, B. Nucombe,
P. Loosen and J.Leckman (Eds.), Current Diagnosis and Treatment (pp. 35-55). USA:
Dealing with patients having delusion is a great challenge for a future nurse like me. In
order to make it easy, I should assess first what kind of delusion my client is
experiencing. Delusion can make it hard for the nurse to gather the concise data needed in
history taking. Before the history taking nurses should re-orient first the patient in reality.
Term
20. Psychoeducation
Definition:
Is a teaching strategy use by care providers in order to enhance the ability of patient to
References:
Palmer, C., (2005). Therapeutic Intervention. In R. Elder, K. Evans, & D. Nizette (Eds.),
(Boyd, 2002, p. 267). Psychoeducation is very helpful both for the nurse and the patient.
In my future profession, I can use this teaching strategy so that my patients could learn
how to deal with their own condition and it could also help them gain their self-reliance
and confidence.
References:
List of References
Sartorius (Eds.), Understanding the Stigma of Mental Illness (1-18). West Sussex,
Bardwell, M. & Taylor, R., (2005). Schizophrenic Disorder. In R. Elder, K. Evans, & D.
Nizette (Eds.), Psychiatric and mental health nursing (pp. 218-233). Marrickville,NSW:
Elsevier.
Barling, J., (2005). Assessment and diagnosis. In R. Elder, K. Evans, & D. Nizette (Eds.),
Barton, D., Joubert, L., Alvarenga, M., Norrie, P., Brenchley, C., & Grigg, M., (2007).
Bennette, C., Fossey, E., Farhall, J., & Grigg, M. (2007). Schizophrenia and Other
Bland, R., Farhall, J., Fossey, E., Happell, B.,Meadows, G.,Renouf, N., & Willshire, D.,
and Wilkins.
Butcher, J., Mineka, S.,and Hooley, J. (2007). Cognitive disorder, Abnormal Psychology
Butcher, J., Mineka, S.,and Hooley, J. (2007).Panic, Anxiety, and Their Disorder,
Butcher, J., Mineka, S., and Hooley, J. (2007). Schizophrenia and other psychotic
Butcher, J., Mineka, S.,and Hooley, J. (2007). Somatoform and Dissociative Disorders,
Byrt, R. & Dooher, J., (2006). The Social Consequences of a “personality disorder”
Forensic Mental Health nursing: Interventions with People with “personality disorder”
Durand, V.M., and Barlow, D. (2003) Schizophrenia and other psychotic disorders,
Essentials of Abnormal Psychology (pp. 442-477). Pacific Grove, CA: Thomson Learning
Durand, V.M., and Barlow, D. (2003) Somatoform and Dissociative Disorders, Essentials
Epstein, M., & Olsen, A., (2007). Mental Illness: responses from the Community. In G.
Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia (pp.13-20). UK:
Epstein, M., McDermott, F., Meadows, G., & Olsen, A.,(2007). Society, mental health,
and illness, In G. Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia
Frisch, N. & Frisch L.,(2006). Through The Door Your First Day in Psychiatric Nursing,
Psychiatric mental Health nursing (pp. 3-12). Clifton Park, NY: Thomson Delmar
Learning
Firsch, N., & Johnson, V.,(2006). Tools of Psychiatric Mental Health Nursing,
Firsch (Eds.), Psychiatric mental Health Nursing (pp.88-103). Clifton Park, NY: Thomson
Delmar Learning
38
Healey, J. (2003).Caring for someone with a mental illness, Mental Health, 190, 37-40
Healey, J. (2003). Stigma and Mental Health Illness, Mental Health, 190,8-10
Hederson, S., & Elsom, S., (2005). Anxiety disorder. In R. Elder, K. Evans, & D. Nizette
(Eds.), Psychiatric and mental health nursing (pp. 262-286). Marrickville,NSW: Elsevier.
McDermott, F., and Meadows, G., (2007). Society, mental Health, and Illness. In G.
Meadows, B. Singh & M. Grigg (Eds.), Mental Health in Australia (pp.3-11). UK:
Moyle, W.,(2005). Disorders of old age, In R. Elder, K. Evans, & D. Nizette (Eds.),
Johnson, B., (2006). The elderly, Psychiatric mental Health nursing (pp. 921-929).
Nucombe, B., & Ebert, M., (2008). The Psychiatric Interview. In M. Ebert, B. Nucombe,
P. Loosen and J.Leckman (Eds.), Current Diagnosis and Treatment (pp. 35-55). USA:
Palmer, C., (2005). Therapeutic Intervention. In R. Elder, K. Evans, & D. Nizette (Eds.),
Planning, Conceptual Skills for Mental Health Professionals (pp. 203-234). Upper Saddle
Sernyak, M., & Rohbaugh, R., (2008). Emergency psychiatry. In M. Ebert, B. Nucombe,
P. Loosen and J.Leckman (Eds.), Current Diagnosis and Treatment (pp. 679-719). USA:
Staton, C., & Staton, V.,(2005). The context of practice. In R. Elder, K. Evans, & D.
Elsevier.
Psychiatric Mental Health Nursing (pp. 635-678). Clifton Park, NY: Thomson Delmar
Learning