Chapters 1,5,7,10 Flashcards
Mental health
is the emotional and psychological well-being of a person who has the capacity to interact, deal with ordinary stress, and perceive surroundings realistically
Mental wellness
emotional- being kind to self
financial- ability to meet basic needs and manage money
social- building and trusting relationships
spiritual- connecting with inner and outer worlds
occupational- pursue career paths that support your goals
physical- knowing your body and supplying it with your needs
intellectual- allowing your brain both stimulation and rest
environmental- engaging with spaces that are safe
Wellness
is actively caring for your self to achieve well-being
Mental illness/disorder= syndrome
a set of symptoms that cluster together that may have multiple causes and may represent several disease states
Epidemiology
the study of patterns of disease distribution and determinants of health within populations. DOES NOT determine causes of illnesses
Different populations (Rate)
number of cases in the population divided by the total number within the population
Different populations (Prevalence)
amount of people with a disorder within the population within a specific time
Different populations (Point Prevalence)
a basic measure that refers to the proportion of people in a population who have a disorder at a specified point in time.
Different populations (Incidence)
rate of new cases
Diagnostic and statistical manual of mental disorders (DSM-5)
contains subtypes and other specifiers to classify disorders
Culture bound syndromes
look at slide 10
Different stigmas (Public)
common stereotypes, dangerous, unpredictable, and sometimes treated as the person is responsible for their disability
Different stigmas (Self-stigma)
internalizing negative stereotypes, begin applying stigma to themselves and develop low self esteem
Different stigmas (Label avoidance)
avoiding treatment in order to not be labeled as mentally ill
Trauma-informed care
people that experience trauma have higher incidence of chronic disease and behavior health issues
Transference
displacement of thoughts, feelings, and behaviors that is associated with a significant other
Countertransference
the direction and displacement of the nurse’s feelings and attitudes toward the patient
Sigmund Freud (psychoanalytic theory)
study of the unconscious- transference, and countertransference
Neo-Freudian Models
deals with principles of respect in terms of extroverted vs introverted, and disadvantages that women face
Humanistic Theories
focused on positivity and acceptance of self as well as exploring personal capabilities in order to develop self-worth
Maslows hierarchy
Psychological needs
Safety
Love and belonging
Esteem
Self-actualization
Mental health recovery
it is a holistic approach, the goal is to facilitate a person’s recovery
Paternalistic model
decisions made by clinicians and given to patients, makes the patients feel as though they have lost their ability to make decisions
Informed choice model
info is given to a patient, they make decisions which exclude clinician expertise and ultimately lead to poor decisions
Employment and recovery of mental health
is one of the most important factors impacting mental health recovery
Homelessness
higher rates of PTSD, they fear being hospitalized
Social, economic, and political barriers
reduction of stigma, education, access to mental health services, and healthcare worker’s involvement in the community
Recovery-Oriented Psychiatric–Mental Health Nursing Practice
development of partnerships with patients through therapeutic relationship approaches based on shared decision-making, interventions made by specialists and providers, as well as engagement of peer support during patient recovery
Patient interview
use open-ended questions to allow observation, and use closed-ended questions to elicit specific information
Interventions related to mental health
relax management, promote self-care, sleep intervention, pain and med management
Interventions related to the psychological domain
cognitive interventions, counseling, behavior therapy, health teaching
Interventions related to the social domain
promotion of patient safety, milieu therapy (validation, open communication, containment, and structured interaction)
Erickson’s psychological development (8 stages)
trust vs mistrust (infant)
autonomy vs shame and doubt (toddler)
initiative vs guilt (pre-schooler)
industry vs inferiority ( grade-schooler)
identity vs role confusion (teenager)
intimacy vs isolation (young adult)
generativity vs stagnation (middle age adult)
integrity vs despair (older adults)
