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Definition
- MH advocate
- 1841
- worked for 20 years to reform psych care in mental hospitals
- directly helped found 32 psych hospitals (including Whitfield Mississippi state hospital)
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Definition
| what year is associated with Dorothea Dix? |
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Term
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Definition
- founder of modern-day nursing
- opened first nursing school
- 1860
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Definition
| what year is Florence Nightingale associated with? |
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Definition
| in this year, the first American nursing schools were opened |
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Definition
- first graduate nurse in US (1873)
- developed better nursing care in psych hospitals
- first American psych nurse
- opened first American school for psych nurses (1882)
- created first system for individualized hospital medical records
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Term
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Definition
| Linda Richards became the first graduate nurse in the US in this year |
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Definition
| Linda Richards opened the first American school for psych nurses at McClean Psychiatric Asylum in this year |
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Term
| McClean Psychiatric Asylum |
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Definition
| Linda Richards, in 1882, opened the first school for psych nurses here |
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Term
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Definition
| In a general hospital, pts with _____ disorders are cared for. In a psychiatric hospital, pts with _____ disorders are cared for. |
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Term
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Definition
| by this time, many asylums had schools to train psych nurses |
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Definition
| Psych nurses could only work here |
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Term
- physical care
- administer meds
- supervise hydrotherapy
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Definition
| What were the roles of psych nurses in the 1890s |
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Term
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Definition
| It was not unusual for this ratio of psych nurses to psych pts. to exist |
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Term
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Definition
| True or false. In some asylums, there were no trained nurses for the MH pts. |
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Term
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Definition
| in asylums, pt care was mainly _____. |
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Term
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Definition
| first school to include psych nursing in its curriculum (1913) |
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Term
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Definition
| In what year did John Hopkins begin to include psych nursing in its curriculum? |
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Term
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Definition
| In 1920, this psych nursing text by Harriet Bailey became the first of its kind |
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Term
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Definition
| In what year was "Nursing Mental Disease" by Harriet Bailey published? |
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Term
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Definition
| author of "Nursing Mental Disease"-the first psych nursing text |
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Term
- define the role
- standards/accreditation for psych nurses
- responsibility for educating psych nurses
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Definition
| What were some struggles for early psych nurses? |
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Term
| National Mental Health Act |
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Definition
- created by National Institute of MH
- developed programs to train professional psych personnel
- psych research
- development of MH programs
- 1946
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Term
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Definition
| In what year was the National Mental Health Act created? |
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Term
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Definition
| What organizations created the National Mental Health Act? |
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Term
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Definition
| NLN required nsg. schools to provide an experience in psych nursing for accreditation in this year |
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Term
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Definition
| In this year, The Therapeutic Community by Maxwell Jones was published. |
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Term
| The Therapeutic Community |
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Definition
| Written by Maxwell Jones, this work said that mental hospitals function like cities. |
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Term
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Definition
| wrote The Therapeutic Community in 1953 |
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Term
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Definition
| In this year, major tranquilizers were developed. |
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Term
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Definition
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Term
| Interpersonal Relations in Nursing |
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Definition
- provided systematic and theoretical framework for nsg
- 1952
- written by Peplau
- defined nsg as "significant, therapeutic process"
- phases of nurse-pt. relationship
- scientific approach essential to nsg. practice
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Term
| Interpersonal techniques: The Crux of Psychiatric Nursing |
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Definition
| Written by Peplau in 1962, this identified the role of psych nurse counselor or psychotherapist and differentiated bw levels of practice |
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Term
| Community Mental Health Act |
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Definition
| with this act in 1963, community health centers were funded, multidisciplinary teams were created, and pts were deinstitutionalized. |
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Term
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Definition
| The Community Mental Health Centers Act was created in this year |
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Term
| Patients were evicted before proper MH centers existed |
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Definition
| This was a major problem with the Community Mental Health Centers Act. |
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Term
- ANA focus on specialty practice
- standards of psych nsg. practice published
- generalist/specialist certification by ANA
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Definition
| Developments in MH nursing in the 1970s |
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Term
| Consumer Movement & MH Recovery |
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Definition
| MH consumers advocated for pt. rights |
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Term
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Definition
- 1990
- George HW Bush
- Goal was to make legislators/public aware of advances in MH field
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Term
| Mental Health Parity Act of 1996 |
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Definition
| Stated that annual and lifetime MH and medical/surgical insurance benefits must be the same |
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Term
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Definition
- 1990-2003
- study human DNA
- wanted to: improve data analysis tools, identify genes, determine sequence, store info, and address social, legal, and ethical issues resulting from study
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Term
| Insurance companies could try to use this information to determine eligibility for benefits |
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Definition
| Potential problem associated with the Human Genome Project |
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Term
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Definition
| What year(s) did the study of the Human Genome Project take place? |
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Term
| First Surgeon General's Report on MH |
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Definition
- 1999
- extensive review of literature
- MH fundamental to overall health
- effective Txs exist
- raised Qs for psych nurses like: Are they providing EB care?, Are they aware of efficiency of Tx/interventions which they provide?, Is outcome/characteristics of care documented?
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Term
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Definition
| When was the First Surgeon General's Report on MH released? |
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Term
| President's New Freedom Commission on MH |
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Definition
- 2003
- said MH system was "in shambles" and called for streamlined Tx system
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Term
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Definition
- 2005
- addressed gaps in care (physical/MH)
- stated that the aim of high quality care should be safe, efficient, effective, pt. centered delivered in a timely and equitable manner.
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Term
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Definition
- stated that there was a gap bw best-evidence Tx & effective delivery into practice
- report results in easy to understand language
- 2006
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Term
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Definition
| Core MH profession that employs purposeful use of self as its art and a wide range of nsg., psychosocial, and neurobiological theories and research evidence as its science. |
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Term
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Definition
| Use of scientific evidence for psychological, sociological, and psychopharmacological decision making regarding Tx |
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Term
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Definition
A social model of disability vs. medical model of tx.
A personal journey of healing.
Empowering those with mental illness to find meaning and satisfacgtion, realize potential and fx at maximal level of independence. |
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Term
- aids effective decision making
- prevents habitual practice based on experience alone
- enhances clinical performance
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Definition
| What are some benefits of EB practice? |
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Term
Ask a question
Acquire literature
Appraise literature
Apply evidence
Assess performance |
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Definition
| What are the 5 As of integrating EB practice? |
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Term
- Who interprets "Best Evidence"
- Not all issues are solvable by scientific experiments
- few scientific studies to select nsg interventions
- cost, reduced staffing, complex pts.
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Definition
| What are some problems rl/t use of EBP in nsg.? |
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Term
| Internet MH resources, Clinical practice guidelines |
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Definition
Ways to access best-evidence practice
- ______ - .com least reliable
- based on literature review of scientific research or "expert clinical experience"
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Term
| Clinical Algorithms, Clinical/critical pathways |
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Definition
ways to access best-evidence practice
- step by step guidelines in a flowchart format
- institution specific and target specific pop. Outlines specific Tx. and interventions w/i a specific time (a prob. they are seeing often)
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Term
- Caring
- attending
- patient advocacy
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Definition
| Three parts to the art of nursing |
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Term
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Definition
| empathetic understanding, actions, and patience on another's behalf. Use of actions and words and being there for pts., giving self while preserving self |
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Term
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Definition
| being present, listening, touching, giving attentive physical care, active listening, using effective communication skills |
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Term
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Definition
| taking action against instances of incompetence, unethical, illegal, or impaired practices by another HCT member; commiting to pts' health, well-being, and safety; advising pts of their rights; providing accurate/current info; helping improve/expand MH care. |
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