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12 Cards in this Set

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Managed Care

A concept designed to purposely control the balance between the quality of care provided and the cost of that care.

Began in the 1970s People receive care based on need rather than on request.

Managed Care Organizations

Developed to control the expenditure of insurance funds by requiring providers to seek approval before the delivery of care.

Doctors have to get the ok from someone in a cubicle at the insurance company. I say BS

Mental Health

A state of emotional, psychological, and social wellness evidenced by satisfying relationships, effective behavior and coping, positive self-concept, and emotional stability.

Hard to define but acting appropriate for society

Mental Illness

A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress or disability or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom.

Anxiety disorders, schizsophrenia, depression, addictive disorders

Phenomena of Concern

Describe the 13 areas of concern that mental health nurses focus on when caring for clients.

Review page 8 box 1.2

Self-awareness

The process by which the nurse gains recognition of their own feelings, beliefs, and attitudes.

Being aware of one’s feelings, thoughts and values is a primary focus.


Ie: be aware if your views on abortion are different than client’s views, you need to separate your views from the clients.

Social determinants

Nonmedical factors that influence health, such as sense of community, access to adequate resources, intolerance of violence, support of diversity among people, mastery of the environment, education, employment, income and social protection, and food security.

Standards of care

Authoritative statements by professional organizations that describe the responsibilities for which nurses are accountable; the care that nurses provide to clients meets set expectations and is what any nurse in a similar situation would do.

Practices used to decide safe and acceptable practice and to access the quality of care

Utilization review firms

Formed in the 1990s


Developed to control the expenditure of insurance funds by requiring providers to seek approval before the delivery of care.

Also called Managed Care Organizations


Doctor has to get the ok from someone behind a desk at the insurance company before they can deliver care to a patient. BS

Linda Richard’s (1873)

Believed to be first American psychiatric nurse.


“She beloved that mentally sick should be at least as well cared for as the physically sick”

Two early nursing theorists that shaped psychiatric nursing practice

Hildegard Peplau


June Mellow

HP wrote about therapeutic nurse-client relationship and about anxiety


Mellow focused on clients’ psychosocial needs and strengths

Dorothea Dix

Began a crusade to reform the treatment of mental illness and opened 32 state hospitals that offered asylum to the suffering.

She believed society was obligated to those who were mentally ill