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Found. Psych Nursing
Notes Chapter 1 Videbeck
| Question | Answer |
|---|---|
| Mental Health | dynamic ever-changing state. Influenced by individual, interpersonal and social/cultural factors |
| Individual Factors affect Mental Health | biologic makeup, autonomy and independence, self-esteem, capacity for growth, vitality and ability to find meaning in life. emotional resilience, reality, stress management, |
| Interpersonal Factors affecting Mental Health | effective communication, ability to help others, intimacy, balance of separateness and closeness |
| Social/cultural factors affecting Mental Health | sense of community, acces to adequate resources, intolerance of violence, support of diversity, positive and realistic view of the world |
| Mental disorder | APA defines it clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and is associated with present distress, disability, or high increased risk of suffering death pain, disability or loss of freedom |
| Criteria to diagnose mental disorder | dissatisfaction with self, ineffective relationships, dissatisfaction with one's place, ineffective coping, lack of personal growth. |
| Diagnostic and Statistical Manual of mental disorders DSM-IV-TR | taxonomy published by APA listing all mental disorders and diagnostic criteria for each |
| DSM has three purposes | provide nomenclature: define charecteristics or symptoms for each diagnosis: assist in identifying underlying causes |
| Multiaxial classification system | allows practitioner to identify all factors that relate to a condition |
| Axis 1 | identifies all major psych disorders except mental retardation and personality disorders |
| Axis 2 | reporting mental retardation and personality disorders, and maladaptive personality features and defense mechanisms |
| Axis 3 | reporting current medical conditions relevant to mental disorder or that are necessary to understand the person |
| Axis IV | psychosocial and enviromental problems that might affect diagnosis, treatment and prognosis. |
| Axis V | global assessment of functioning, rates overall psych functioning scale of 0-100. |
| Psychotropic drugs | used to treat mental illness, developed starting in the 1950's |
| deinstitutionalization | deliberate shift from institutional care to community facilities for mentally ill (1960's) |
| Estimated number of Adult Americans with diagnosable mental disorder | 26% (approx 57.7 million) |
| Revolving door effect | mentally ill patients have shorter stays in hospital but are admitted more frequently |
| number of chronic homeless with mental illness | 85% |
| community support service programs | focus on rehab, vocational needs, education, and socialization, management of symptoms and meds |
| managed care | concept designed to control balance between quality of care provided and the cost of that care |
| managed care organizations | (aka utilization review firms) developed to control the expenditure of insurance funds by requiring providers to seek approval before delivery of care |
| case management | system where assigned a person who coordinates all types of care needed by the client (effort to provide necessary care while containing costs) |
| Healthy People 2010 Mental Health objectives | reduce suicide rate, reduce suicide attempts, reduce number of homeless mentally ill, increase jobs for mentally ill, increase treatment rates.... |
| standards of care | authoritative statements by professional organizations that describe nursing responsibilities |
| phenomona of concern | 13 areas of concern that mental health nurses must focus on when caring for clients |
| promotion of optimal mental and physical health and prevention of mental illness | |
| impaired ability to function related to psych, emotional and physiological distress | |
| alteration in thinking, perceiving, and communicating due to psych disorders or mental health problems | |
| behaviors and mental states that indicate danger to self or others | |
| emotional stress | |
| symptom management, treatments | |
| barriers to treatment and recovery by alcohol or substance abuse or dependance | |
| self concept and body image, developmental, life processess and end of life issues | |
| physical symptoms caused by psych issues | |
| psych symptoms caused by physical issues | |
| outside influences on a persons mental and emotional well being | |
| elements of recovery | |
| society factors | |
| Psych Nursing Areas of Practice | counseling, milieu therapy, self care activities, meds, health teaching, case management, health promotion |
| self-awareness | process by which the nurse (or someone) gains recognition of her own feelings, beliefs and attitudes |
| Mental illness | seen as medical problem with symptoms causing dissatisfaction with ones lace in life and inability to cope |
| number of adults who need mental health services and actually receive care | 1 in 5 |
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