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NUR205 med surg
psychiatric mental health-overview- unit 1
| Question | Answer |
|---|---|
| What are some Misconceptions about Mental Health | a. Abnormal behavior is different or odd and easily recognized b. Abnormal behavior can be predicted c. People who exhibit abnormal behavior are dangerous d. Maladaptive behavior always inherited e. Mental illness is curable |
| Mental Health in Review | a. There is no universal definition of psychiatric-mental health b. The nurse understands that symptomology fluctuates dynamically |
| What are characteristics of Mentally healthy people: | Interpret reality accurately Have a healthy self-concept Are able to relate to others Achieve a sense of meaning in life Demonstrate creativity/productivity Have control over their behavior Adapt to change and conflict |
| What happened between 1773 – 1881 regarding mental health | Special institutions were built; Attendants hired to socialize with clients; Dorothea Dix improves care for those in asylums |
| What happened between 1882-1914 regarding mental health | Training began in mental health nursing |
| What happend between 1915-1935 regarding | Harriet Bailey wrote the 1st nursing textbook on mental health nursing; Linda Richards changed the way treatment was given |
| What happened between 1963-1979 regarding mental health | The Mental Retardation Facilities & Community Mental Health Centers; Insurance companies began to pay for services; Deinstitutionalization began;Construction Act was implemented |
| What happen in 1980 regarding mental health | Omnibus Budget Reconciliation Act curtailed federal funding |
| Today - (history of mental health) | Nothing much has changed |
| The DSM – What is it? | Classifies mental illness and presents guidelines and diagnostic criteria for various mental disorders |
| What is psychiatric-mental health nursing? | Classifies mental illness and presents guidelines and diagnostic criteria for various mental disorders; Ihe specialty of nursing that cares for people of all ages with mental illness or mental distress and the need for psychiatric-mental health nurses |
| Defining Psychiatric-Mental Health Nursing | b. The individual is in contact with reality and the environment a. A lifelong process of successful adaptation to a changing internal or external environment and possesses the ability to love, work and resolve conflicts with a framework of reasonability |
| What is Psychiatric-Mental Health Illness | a. The loss of the ability to respond to the environment in ways that are in accord with oneself or society’s expectations b. Is characterized by thought or behavior patterns that impair functioning and cause the individual distress |
| What are Personality Characteristics of patient with mental illness? | a. Is unaccepting of self and dislikes self b. Thoughts and perceptions may not be reality based c. Is unable to find meaning and purpose in life d. Has difficulty in meeting own needs |
| How do patients Adapt to Stress? | a. Feels out of control with self and the environment b. Has a negative perception of the environment c. Has ineffective coping mechanisms |
| What are Interpersonal Relationships | a. Is unable to love and care for others b. Is unable to feel loved by others or accept feelings from others |
| What are some of the things that improve or impede mental health care? | Access to Care ; Availability of Care; Ability to Pay for Care ; Social Being ; Biological Factors ; Environmental Threats |
| What are Patient Care Populations –regardless, discuss their beliefs and concerns | a. Varied amongst age, class and gender as well as financial status b. Asians view mental illness is a spiritual issue c. African-Americans may view mental illness as a hex or spell |
| What are Patient Care Populations –regardless, discuss their beliefs and concerns (con't)? | Native Americans view mental illness as an imbalance with the rest of the natural world. Chinese may view mental illness as an imbalance of harmony ; Remember, touch means different things to people – keep your hands to yourself |
| What is Culture & Ethnicity ? | – learn and appreciate this in your patients; Much of an individuals behavior and way of thinking is automatic and originates from childhood (trauma; family; programming) |
| What is culture? | A set of shared beliefs/values/ behavioral norms/ practices that are common to a group of people sharing a common identity/language; Cultural background can affect willingness to sacrifice individual needs to fulfill obligations/ shapes decision making |
| What are Subcultures | A smaller group that exists within a large culture May not share some of the same beliefs and practices |
| What is Ethnicity | Refers to people in a larger social system whose members have in common ancestral, racial, physical or national characteristics and who share cultural symbols such as language, lifestyles and religion |
| What is Ethnocentrism | Is the tendency to believe that one’s way of thinking, believing and behaving is superior |
| What are Ethnic Differences | Affect the efficacy of medications and the incidence of adverse and side effects |
| What are Physical & Psychological Responses | a. Fight or Flight Response (increased heart rate, facial flushing, anxiety, nausea and/or fear) b. Anxiety c. Ineffective Coping d. Use of defense mechanisms e. Denial f. Guilt g. Grief |
| What are Care Settings in mental health | Inpatient hospital; Outpatient hospital; Outpatient clinics; Day or night care; SheltersAssisted ;Living centers. ;Nursing homes |
| Who makes up the Psychiatric-Mental Health Multidisciplinary Team | Psychiatric Aide/Technician; PharmacistRecreational ;Therapist ; Social Worker or case manager; Nurse Occupational ; Therapist; Psychiatrist (dr) ; Psychologist |
| What did Freud do? | – introduced psychoanalytical theory Id – the pleasure principle Ego – the rational self Superego – the perfection principle |
| What did Erickson do? | – defined stages of psychological development throughout the lifespan |
| What did Piaget do? | – developed theory of cognitive development |
| What did Peplau do? | – introduced the interpersonal theory; development of problem-solving skills |
| What is “revolving door phenomenon”? | Mental health term used for patients that return repeatedly for treatment; common with substance abuse patients |
Created by:
nanrit1417