CH1 Foundations Of Psych/Mental Nursing

Question 0

What are the 3 categories of factors influencing a person’s mental health?

Answer 0

1) Individual (Personal)
2) Interpersonal (Relationship)
3) Social/Cultural (Environmental)

Question 1

Define Health

Answer 1

A state of complete physical, mental, and social wellness, not merely the absence of disease.

Question 2

Name 10 types of Individual/Personal factors that influence a person’s mental health?

Answer 2

1) Biological make-up
2) Autonomy and independence
3) Self-esteem
4) Capacity for growth
5) Vitality
6) Ability to find meaning in life
7) Emotional resilience or hardiness
8) Sense of belonging
9) Reality orientation
10) Coping/Stress management

Question 3

Name 4 types of Interpersonal/Relationship factors that influence a person’s mental health?

Answer 3

1) Effective communication
2) Ability to help others
3) Intimacy
4) Balance of separateness and connectedness

Question 4

Name 6 types of Social/Cultural factors that influence a person’s mental health?

Answer 4

1) Sense of community
2) Access to adequate resources
3) Intolerance of violence
4) Support of diversity among people
5) Mastery of the environment
6) Positive, yet realistic view of one’s world

Question 5

Define Mental Disorder

Answer 5

A clinically significant behavioral or psychological syndrome or pattern associated with present distress, disability, a significantly increased risk of death, pain, disability, or important loss of freedom.

Question 6

What are the 5 general criteria for diagnosing Mental Disorders?

Answer 6

1) Dissatisfaction with one’s characteristics, abilities, or accomplishments.
2) Ineffective or unsatisfying relationships
3) Dissatisfactions with one’s place in the world
4) Ineffective coping with life events
5) Lack of personal growth

Question 7

(T/F) Deviant behavior does not necessarily indicate mental disorder.

Answer 7

True

Question 8

What are the 6 examples of Individual/Personal factors that influence mental illness?

Answer 8

1) Biological make-up
2) Intolerable or unrealistic worries or fears
3) Inability to distinguish reality from fantasy
4) Intolerance of life’s uncertainties
5) A sense of disharmony in life
6) A loss of meaning in one’s life

Question 9

What are the 6 examples of Interpersonal/Relationship factors that influence mental illness?

Answer 9

1) Ineffective communication
2) Excessive dependency
3) Withdrawal from relationships
4) No sense of belonging
5) Inadequate social support
6) Loss of emotional control

Question 10

What are the 7 examples of Social/Cultural factors that influence mental illness?

Answer 10

1) Lack of resources
2) Violence
3) Homelessness
4) Poverty
5) Unwarranted negative view of the world
6) Discrimination (i.e., stigma, racism, classism, ageism, and sexism)

Question 11

What are the 3 Purposes of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR)?

Answer 11

1) To standardize nomenclature and language
2) To identify defining characteristics or symptoms
3) To assist in identifying underlying causes of mental disorders

Question 12

Define the 5 Axes of classification of Mental Illness.

Answer 12

1) Axis I - Major psychiatric disorders except mental retardation and personality disorders.
2) Axis II - Mental retardation and personality disorders as well as prominent maladaptive personality features and defense mechanisms.
3) Axis III - Current medical conditions potentially relevant to understanding the person’s mental disorder.
4) Axis IV - Psychosocial and environmental problems
5) Axis V - Global assessment of functioning (0-100)

Question 13

Give 4 examples of an Axis I classification.

Answer 13

1) Schizophrenia
2) Anxiety
3) Depression
4) Substance-related disorders

Question 14

What are the 7 Basic Level Functions in the practice of mental health?

Answer 14

1) Counseling
2) Milieu Therapy
3) Self Care Activities
4) Psychobiological Interventions
5) Health Teaching
6) Case Management
7) Health Promotion and Maintenance

Question 15

What are the 6 Advanced Level Functions in the practice of mental health?

Answer 15

1) Psychotherapy
2) Prescriptive Authority for Drugs (in many states)
3) Consultation and Liaison
4) Evaluation
5) Program Development and Management
6) Clinical Supervision

Question 16

Define Deinstitutionalization

Answer 16

A deliberate shift from institutional care in state hospitals to community facilities, which began in 1963.

Question 17

Define Managed Care

Answer 17

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

Question 18

What is the deference between Medicare and Medicaid?

Answer 18

1) Medicare - Covers people 65yrs and older, people with permanent kidney damage, and people with certain disabilities.
2) Medicaid - Covers low-income individuals and families and is jointly funded by Federal and State governments.

Question 19

Define Standards of Care

Answer 19

Authoritative statements by professional organizations that describe responsibilities for which nurses are accountable.

Question 20

Define Phenomena of Concern

Answer 20

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

Question 21

Define Self Awareness

Answer 21

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

Question 22

Define Utilization Review Firms (aka Managed Care Organizations)

Answer 22

A new form of Managed Care developed to control expenditure of insurance funds by requiring providers to seek approval before the delivery of care.

Question 23

Define Case Management

Answer 23

Management of care an a case-by-case basis, representing an effort to provide services necessary while containing cost.