Chapter 1: Foundations of Psychiatric - Mental Health Nursing Flashcards

1
Q

WHO definition of health

A

State of complete physical, mental, and social wellness, not merely the absence of disease or infirmity

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2
Q

Mental Health definition?

A

State of emotion, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior, and coping

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3
Q

What can factors that influence a persons mental health be categorized as?

A

Individual, Interpersonal, and Social/Cultural

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4
Q

Individual or Personal Mental Health factors include

A

a person’s biologic makeup, autonomy, and independence, self-esteem capacity for growth, ability to find life meaning, emotional resilience, sense of belonging, and coping or stress management

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5
Q

Interpersonal Mental Health Factors include

A

effective communication, ability to help others, intimacy, and balance of separateness and contentedness

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6
Q

Social/Cultural Mental Health Factors include

A

sense of community, access to adequate resources, intolerance of violence, support of diversity amount people, mastery of environment, and positive, realistic view of ones world

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7
Q

Mental illness includes disorders that affect

A

mood, behavior, and thinking such as depression, schizophrenia, anxiety and addictive disorders

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8
Q

Individual factors that contribute to mental illness include

A

biologic makeup, intolerable or unrealistic worries or fears, inability to distinguish reality from fantasy, intolerance of life uncertainties, a sense of disharmony in life

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9
Q

Interpersonal factors that contribute to mental illness include

A

ineffective communication, excessive dependence on or withdrawal from relationships, no sense of belonging, inadequate social support, and loss of emotional control

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10
Q

Social/Cultural factors that contribute to mental illness include

A

lack of resources, violence, homelessness, poverty, and discrimination

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11
Q

What is the Diagnostic and Statistical Manual of MEntal Disorders (DSM-5)?

A

Taxonomy published by the American Psychiatric Associated and revised as needed. Described all mental disorders, showing detailed criteria for each

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12
Q

DSM-5 has what three purposes?

A

Provide standardized nomenclature and language for all mental health professionals

Present defining characteristics or symptoms that differentiate specific diagnoses

To assist in identifying the underlying causes of disorders

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13
Q

What was the ancient therory about how emotions were controlled?

A

That amount of blood, water, and yellow and black bile controlled emotions. Corresponded with happiness, calmness, anger, and sadness

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14
Q

During Christian times, what severe and brutal measures were performed?

A

Incarceration in dungeons, flogging and starving

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15
Q

Who developed the idea of an asylum?

A

Philippe Pinel in France and William Tuke in England

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16
Q

What was the concept of asylum?

A

A safe refuge or haven offering protection at institutions where people had been whipped, beaten and starved because of being ill

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17
Q

What did Dorothea Dix do?

A

Began a crusade to reform the treatment of mental illness after a visit to Tukesinstitution in England. 32 state hospitals openeded

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18
Q

What were the first psychotropic drugs used?

A

Chlorpromazine (Thorazine , an antipsychotic drug) and Lithium (an antimanic agent)

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19
Q

10 years after the first drugs were introduced, what other drugs were introduced?

A

Monoamine Oxidase Inhibitors Antidepressnats

Haloperidol (Haldol), an antipsychotic

Tricyclic Antidepressants

Anxianxiety Agents called Benzodiazepines

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20
Q

What movement caused the enactment of the Community Mental Health Centers Construction act?

A

Movement toward treating those with mental illness in less restrictive environments . Lead to Deinstitutionalization

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21
Q

What was Deinstitutionaliztion?

A

Deliberate shift from institutional are in state hospitals to community facilities. Closer to patients home and provided emergency care, inpatient care, and education.

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22
Q

How many people have a mental illness in the US?

A

44.7 million

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23
Q

How many poeple in the US actually seek treatment?

A

19.2 million

24
Q

What age group has the highest prevalence of mental illness and lowest percentage to seek treatment?

A

Those 18-25

25
Q

What are some consequences that can happen from not being treated?

A

Homelessness, Psychiatric Boarding, Arrest, Incarceration, Victimization

26
Q

What is managed care?

A

Concept designed to purposely control the balance between the quality of care provided and the cost of the care . Care received is based on need rather than on request

27
Q

What did Utilization review firms or managed care organizations develop?

A

Control the expenditure of insurance funds by requiring providers to seek approval before the delivery of care

28
Q

What is case management?

A

This is an effort to provide necessary care while containing cost. Person assigned case manager who coordinates all care

29
Q

Who manages mental health care?

A

Privately owned behavioral health cre firms that manage their costs

30
Q

What must a person do if they do not have insurance?

A

Rely on their counties of residence to provide funding through tax dollars

31
Q

What is Medicare?

A

COvers people 65 years and older, those with kidney failure, and poeple with certain disabilities

32
Q

What is Medicaid?

A

Jointly funded by federal and state governments and covers low-income individuals and families

33
Q

Medicaid expires when?

A

When you turn 65 who are receiving SSI or SSDI

34
Q

What is the Mental Health Parity Act?

A

This eliminated annual and lifetime dollar amounts for mental health care . Substance abuse was not covered however

35
Q

Who is Linda Richards?

A

The first American Psychiatric nurse. She improved nursing care in psychiatric hospitals and organized educational programs in state mental hospitals

36
Q

What are some early therapies that were tested?

A

Insulin shock therapy, psychosurgery, and electroconvulsive therapy

37
Q

Who were the two nursing theorists that shaped psychiatric nursing practice?

A

Hildegard Peplau and June Mellow

38
Q

What did June Mellows book focus on?

A

Described her approach of focusing on client’s psychosocial needs and strengths focusing on the here and now

39
Q

What did Peplau describe?

A

Desvribed the therapeutic nurse-client relationship with its phases and taks and wrote about anxiety

40
Q

What are the standards of care?

A

Are authoritative statements by professional organizations that describe the responsibilities for which nurses are accountable

41
Q

What is the Phenomena of concern?

A

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

42
Q

What is self-awareness?

A

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

43
Q

A significant advance in treating persosn with mental illness was the development of

A

psychotropic drugs in the 50’s

44
Q

A shift of institutional care to care in the community began when7

A

1960s

45
Q

One result of deinstitutionalization is what?

A

The revolving door of repetitive hospital admission without adequate community follow-up

46
Q

Treatment rates for children and adults?

A

68% and 57%

47
Q

How many homeless have mental illness?

A

1/3

48
Q

How many homeless have abuse problems?

A

1/2

49
Q

Treatment rates for homeless and those with dual diagnosis of mental illness and substance abuse?

A

37% and 3%

50
Q

Psychiatric nursing was recognized when?

A

Late 1800s

51
Q

When was psychiatric nursing required in nursign education?

A

1950s

52
Q

Psychiatric nursing practice has been influced by who?

A

Hildegard Peplau and June Mellow

53
Q

What did June Mellow write?

A

About nurse-client relationship, anxiety, nurse therapy, and interpersonal nursing theory

54
Q

What has the ANA published?

A

Standards of care that guide psychiatric-mental health nursing clinical practice

55
Q

What is the goal of self-awareness?

A

To know oneself so that one’es values, attitudes, and beliefs are not projected onto the client, interfering with nursing care