Psychiatric Mental Health Nursing Chapter 1; Mental Health/illness

Front 1

Traits of Mental Health

Back 1

Think rationally (most of the time)
Communicate appropriately
Learn - frontal lobe working properly
Grow emotionally
Be resilient
Healthy self-esteem

Front 2

Mental health

Back 2

State of well being which an individual is able to realize his/her own potential, cope w/ normal stressors of life, work productively & fruitfully, & make a contribution to the community.

Front 3

Mental illness is considered to be a clinically significant behavioral or psychological syndrome marked by...

Back 3

Patient's distress, disability, or the risk of suffering disability or loss of freedom.

Front 4

Why is it important to recognize & treat mental illnesses early?

Back 4

Because with each "episode", the risk goes up 50% that they will have another episode

Front 5

True or False
Mental health & mental illness can be conceptualized as points along a "Mental health continuum"?

Back 5

True

Front 6

Diathesis

Back 6

A biological predisposition to disorder. Also known as vulnerability. A diathesis only causes abnormal behavior when it is combined with a stress or challenging experience.

Front 7

DSM

Back 7

•Most accepted explanation for mental illness
•Combination of genetic vulnerability & negative environmental stressors; nature + nurture

Front 8

True or False
The DSM-IV-TR states that there "is not" evidence suggesting that the symptoms & causes of a number of disorders are influenced by cultural & ethnic factors.

Back 8

False
The DSM-IV-TR states there "IS" evidence...

Front 9

Resilience

Back 9

Closely associated w/ the process of adapting & helps people facing tragedies, loss, trauma, & severe stress.

Front 10

__________ is a characteristic of mental health, increasingly being promoted & essential to the recovery process.

Back 10

Resilience

Front 11

National Alliance on Mental Health (NAMI)

Back 11

•1979 - Formed by people w/ mental illness & their families
•1980's - Group began resisting traditional "paternalistic" mental health care providers who dictated care & treatment

Front 12

Decade of The Brain

Back 12

•1990 - 2000 by Pres. George H. W. Bush
•Years dedicated to new studies & to make legislation/general public aware of advances that were made in neuroscience/brain research.

Front 13

New Freedom Commission on Mental Health

Back 13

•2003 - release of recommendations for mental health care in America
•Called for streamlined system w/ less fragmented delivery of care
•Advocated;
+Early diagnosis/treatment
+New expectation for principles of recovery
+Increased assistance in helping people find housing & work

Front 14

The report from ___________ noted that the American system of delivering health care was "in shambles."

Back 14

New Freedom Commission on Mental Health

Front 15

This legislation made it illegal for companies w/ 50+ employees to limit annual or lifetime dollar mental health benefits, unless they also limited benefits for physical illness.

Back 15

Mental Health Parity Act of 1996

Front 16

Parity

Back 16

Equality

Front 17

Quantitative study of distribution of mental health disorders in human populations.

Back 17

Epidemiology

Front 18

Epidemiologists study ______-risk groups, & ______-risk factors associated w/ illness onset, duration, & recurrence.

Back 18

High
High

Front 19

Examples of high-risk groups associated w/ illness onset, duration, & recurrence...

Back 19

•Kids facing traumatic experiences at young age
•Genetic predisposition

Front 20

Examples of high-risk factors associated w/ illness onset, duration, & recurrence...

Back 20

•Old treatments
•Poverty
•Isolation

Front 21

The results found in Epidemiology studies is used to....

Back 21

•Improve clinical practice
•Plan public health policies

Front 22

Incidence

Back 22

Number of new cases of mental disorders in a healthy population, w/in a given time; exmp - # of NYC teens diagnosed w/ major depression between 2000-2010

Front 23

Prevalence

Back 23

Total number of cases, new & old, in a given population, w/in a given time; exmp - # of OKC school teens who screen positive for major depression between 2000-2010

Front 24

Annually, an estimated ____% of Americans aged 18+, about 1:5 adults, suffer from a diagnosable mental disorder.

Back 24

21.1

Front 25

Clinical epidemiology

Back 25

A broad field that addresses what happens after mental health consumers are seen by providers of clinical care; conducted in groups.

Front 26

Clinical epidemiology study groups can be defined by any of the following;

Back 26

•Specific illness
•Symptoms
•DIagnostic procedures/treatments given for the illness

Front 27

Clinical epidemiology includes:
•Studies of the (1)_________ history of an illness
•(2)_________ screening tests
•Observational & experimental studies of (3)____________ used to treat mental health consumers

Back 27

1-natural
2-Diagnostic
3-interventions

Front 28

In the DSM-IV-TR, mental disorders are considered MANIFESTATIONS of (1)________, (2)__________, or (3)________, dysfunctions of the individual.

Back 28

1-behavioral
2-psychological
3-biological

Front 29

In the DSM-IV-TR, mental disorders are ASSOCIATED w/ (1)_______, (2)__________, or w/ a significantly (3)_________ risk of suffering death, pain, disability, or an important loss of freedom.

Back 29

1-distress (painful symptom)
2-disability (impairment in 1 or more important areas of functioning)
3-high

Front 30

DSM-IV-TR classifies the (1)_______, not the (2)______.

Back 30

1-disorder
2-people

Front 31

Axis I

Back 31

Mental disorder that is the focus of treatment; refers to a collection of s/s that together constitute a particular disorder (Major depressive disorder)

Front 32

Axis II

Back 32

Personality disorders & mental retardation (Dependent personality disorder)

Front 33

Axis III

Back 33

General medical conditions relevant to the mental disorder on Axis I (Diabetes)

Front 34

Axis IV

Back 34

Psychosocial & environmental problems (relationship failing, job loss, finances)

Front 35

Axis V

Back 35

Global Assessment of Functioning (GAF Score) (31; unable to work or respond to family & friends)

Front 36

ICD-10

Back 36

International classification of diseases
•Clinical descriptions of mental & behavior disorders
•Divided into 10 disease categories

Front 37

A clinical judgement about individual, family or community responses to actual or potential health problems & life processes.

Back 37

Nursing Diagnosis

Front 38

A well defined nursing diagnosis provides the framework for (1)__________ appropriate nursing (2)______________ for dealing w/ the patients (3)__________ to the disorder.

Back 38

1-identifying
2-interventions
3-reaction

Front 39

Psych nurse basic level interventions

Back 39

•Coordinate care-coordinates implementation of care plans
•Health teaching/maintenance-individual guidance to prevent/reduce illness or promote health (comm. screening, parenting classes)
•Milieu therapy-Provides/structures & maintains safe/therapeutic environment, along w/ patients/families/other health prof
•Pharmacological, biological & integrative therapies-assess patient's response to meds, provides med teaching, & shares w/ members of health care team

Front 40

Psych nurse adv practice interventions

Back 40

•All basic interventions plus
•Med Rx's & treatment-hosp admitting
•Psychotherapy-individual, couple, group or family therapy using evidence-based therapy & nurse-patient relationship
•Consultation-share clinical expertise w/ nurses or other health care prof to enhance treatment of patients