Chp 1 Mental Health & Mental Illness Flashcards
Entails both process of preventing and reducing effects of health disturbance after adversity.
The process of swift recovery from adversity-related Mental ill health
Resiliency
the scientific study of mental illness or disorders
Psychopathology
Culture affects how mental illness is defined
T or F
T
Running Amok
Southeast Asia teenager males
Violent murderous spree that may end in suicide/death
Pibloktoq
Artic circle women will take off clothes
Which countries have Anorexia
Europe, North America, Australia
Which Culture-Bound mental health problems affects the Algonquins
Wendigo psychosis
Kill, eat human flesh, self-harm
Stigma or Bias
Negative attitudes & beliefs about patient
Social stereotypes & misconceptions about patient
Bias
Negative attitudes & beliefs about patient
Stigma
Social stereotypes & misconceptions about patient
Mistrust in Mental Health Treatment is mostly seen in these types of groups?
Populations that differ from majority culture
____ % of all lifetime mental illness begins by age 14
___ % by age 24
50% of all lifetime mental illness begins by age 14
75 % by age 24
Orgin of most mental disorders occur in ___ abnormalities
Intercellular
Diathesis-Stress model
What does Diathesis mean?
Mental disorder develops when an individual has a vulnerability or predisposition combined with exposure to stressful life events.
Diathesis = predisposition (nurture)
Mental health parity (equivalence) act (1996)
Did what?
Required insurance companies to provide equal treatment coverage for psychiatric disorders
Epidemiology for mental disorders
Incidence vs Prevalence
Incidence= number of new cases in a given time
Prevalence= number of cases regardless when they began
DSM & ICD are both resources for…
Diagnosis, description of mental & behavioral disorders
According to PowerPoint
Greatest tool is the purposeful use of self. (Psy Nursing)
T or F
T
International Classification for Nursing Practice (ICNP) developed by International Council of Nurses (ICN)
Does what…
Provides standardized nursing diagnoses
Continuum of Care
Health Promotion
Prevention
Treatment
Recovery
All designed to enhance factors of…
Resilience
The recovery model
mental disorder or substance dependence help that emphasizes and supports a person’s potential for recovery.
5 parts
hope, social inclusion, community participation, personal goal setting and self-management.
hope, social inclusion, community participation, personal goal setting and self-management.
Are the 5 core principles for…
Recovery Model
Recovery model is supported in 4 major dimensions (POWERPOINT)
Home
Health
Purpose
Community
Rehab or Recovery
Achieving patients’ goals of their choosing
Managing patients deficits
Helping to learn to live with illness
Patients lead increasingly productive and meaningful lives
Focuses on patients’ strengths
Rehab
Managing patients deficits
Helping to learn to live with illness
Recovery
Achieving patients goals of their choosing
Patients lead increasingly productive and meaningful lives
Focuses on patients strengths
uses proactive engagement and provides continuous, rapid, flexible and mobile team based care, 24/7
Assertive
Community
Treatment
Mnemonic to remember major depression
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide ideation
First line of medication treatment for anxiety
SSRI
Somastatin (Up or Down) = Cognitive disease , learning peptides
Down
A frequent & severe SE of medication is called
Black Box warning
Most prescribed SSRI
Excitlopram (Lexapro)
This medication in low doses can help stop smoking.
Contradicted in low weight & Seizures
Bupropion
Lithium has narrow therapeutic range
Can reduce suicide
SE Polyuria, Drink lots of water.
Toxicity looks like drunk with flu
Should fine tremors be immediately reported?
No, but gross tremors yes
Typical antipsychotics
Fluphenazine & Haloperidol
Have this feature in common
Long term Injectable
1st gen
Clozapine
Most affective Atypical 2nd generation Antipsychotics
May lead to neutropenia
What is safe number for ANC (Absolute Neutrophil Count)
> 1500
What do these medications have in common besides being 2nd generation Antipsychotics
Aripiprazole, Olanzapine, Paliperidone, Risperidone
Long- term Injectable solutions
Trihayphenidyl Artane
Benadryl
Cogentin
Are used for….
EPS
Name meds used for EPS
Artane - Trihayphenidyl
Benadryl
Cogentin
Valbenasine
Deutetrubenzine
Are uses for….
Tardive dyskinesia treatment
Most important factor in resilience
Inherited & biological factora
Stigma / bias
Negative attitudes & beliefs about patient
Social stereotype and misconceptions about patients
Bias
Negative attitudes & beliefs about patient
Stigma
Social stereotype and misconceptions about patients
This level of serotonin
Anxiety/ OCD
Low
This level of serotonin
Sexual side effects, Akathisia, EPS
Too much
Level of NE
Pain, memory learning, lack of focus
Sex problem, HTN, Tachycardia
Low
Pain, memory learning, lack of focus
High
Sex problem, HTN, Tachycardia
This neurotransmitter
Alzheimer’s
Injuries
Consolidation of traumatic memories
Cognitive function
Behavior task
Glutamate
- Altered levels of this neuromodulators are associated with cognitive disease
Somatostatin
Substances that is released by neuron & transmits info to other neurons which alters their activities
Neuromodulators: Peptides
Acute mania
Therapeutic range 4 - 12
SE: Agranulocytosis/ SJS
Carbamazepine Tegretol
Common SE of Carbamazepine
NOT FOR PREGGERS
Serious Side Effects
Therapeutic range 4 - 12
Common: Anticholinergic, OH ,itchy, HTN, Ataxia, arrhythmias
Serious: Agranulocytosis/ SJS
Valproate (depakote)
NOT FOR PREGGERS
Therapeutic range 50 - 100
SE
Labs to check
Weight gain, mental dull,tremor, hair loss, libido loss, thrombocytopenia, pancreatitis, liver failure
Labs: AST, ALT ,ALBUMIN, CBC, AMMONIA
Lamotrigine
Helpful in depression with bipolar
Therapeutic range 3 - 14
SE…..
Dizzy, Ataxia, blurred vision, Anticholinergic, photosensitivty
What group are 2nd gen antipsychotic Contradicted in…
Dementia, CVA
Off lable use of these meds include
Anorexia
Impulsively
Refractory hiccups
Antiemetics
Personality disorders
Antipsychotics
SE profile
Somnolence
Weight gain
Photo sensitive
EPS
Anticholinergic
Metabolic syndrome
Cardiovascular disease
QT prolongation
Lower seizures threshold
Antipsychotic
