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N3132 MENTAL HEALTH > DAY ONE > Flashcards

DAY ONE Flashcards

1
Q

Good Mental Health

A

reflects a positive approach to life; stressful events can be challenges, not difficulties. Helps determine relationships and choices

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2
Q

Declining or Poor Mental Health

A

mental health starts to decline but is not a diagnosable mental illness

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3
Q

Mental Illness

A

difficulties in thinking, mood and/or behaviour associated with substantial distress and general dysfunction

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4
Q

Continuum of Mental Health: MILD

A

Joys, sorrows, and anxiety levels that aid in the work of living

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5
Q

Continuum of Mental Health: MILD TO MODERATE

A

Psychophysiologic factors affecting medical conditions

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6
Q

Continuum of Mental Health: MODERATE TO SEVERE

A

Anxiety disorders, dissociative disorders, Somatoform disorders, Personality disorders, Eating disorders

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7
Q

Continuum of Mental Health: SEVERE TO PSYCHOSIS

A

Depressive disorders, Bipolar disorders, Schizophrenic disorders, Cognitive disorders

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8
Q

Top 3 Mental Illnesses in Canadians

A

Major Depression, Substance Abuse, Generalized Anxiety

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9
Q

Risk Factors of Mental Illness

A
  • appears to “run in families” but also linked to events and environment
  • lifestyle choices and learned thoughts and behaviours can influence
  • Unhealthy choices
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10
Q

Cause of Mental Illness: INTERNAL FACTORS

A
  • Genetics
  • Neurochemistry
  • Biologic vulnerability
  • Personality
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11
Q

Cause of Mental Illness: EXTERNAL FACTORS

A
  • Social Determinants of Health
  • Stress
  • Coping Skills
  • Adverse Childhood Experiences
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12
Q

Assessments on Mental Health

A
  • Personal History
  • Presenting Problem
  • History of Presenting Problem
  • Medical History
  • Mental Status Assessment/Exam
  • Geno/Eco Map
  • MMSE
  • Geriatric Depression Scale
  • Panic Attack Questionnaire
  • Collaboration with family
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13
Q

What does Mental Status Assessment/Examination do?

A
  1. detects changes or abnormalities in intellectual functioning, thought content, judgment , mood, affect
  2. may help identify possible brain lesions
  3. like a physical examination in general medical nursing
  4. does not reflect a patient’s past or future; evaluated patient’s current state
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14
Q

What are the categories of mental status examination?

A
  • Appearance
  • Behaviour
  • Speech
  • Mood/Affect
  • Thought Perceptions
  • Sensorium and Cognition
  • Ideas of Harm
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15
Q

General Observations for APPEARANCE

A

Apparent age
Manner of dress
Cleanliness
Posture/gait
Facial expressions
Eye contact
Pupil dilation or constriction
General state of health, nutrition

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16
Q

Observations for Behaviour

A

Motor activity
1. Level of activity (lethargic, tense, agitated)
2. Type of activity (tics, grimaces, tremors)
3. Unusual gestures/mannerisms (compulsions)

Eye Contact

Rapport
1. Openness to interview (resistive, open)

17
Q

Observations for Speech

A

Rate: rapid or slow
Volume: loud or soft
Tonality: monotone, tremulous
Amount: paucity, muteness, pressured speech
Articulation: Slurring, stuttering, mumbling, unusual accents
Organization: Disorganized, tongued tied
Quality: poverty of speech, plentiful, articulate, vague

18
Q

Observations for Mood (Subjective)

A

“How are you feeling today?”
Ask patient to rate his/her mood on 0-10 scale

19
Q

What does the 0-10 scale do?

A
  1. provide immediate reading
  2. valuable to compare changes during treatment
20
Q

Qualities of Affect (Observed)

A

Range
Duration
Intensity
Appropriateness
( Joy, Surprise, Anger, Contempt, Sadness, Disgust, Fear)

21
Q

How would you describe Affect?

A

Flat affect
Restricted or blunted
Labile
Stable
Incongruent
Congruent

22
Q

What is Thought Content?

A

WHAT the person is thinking

Specific meaning expressed in patient’s communication
Throughout interview, important the nurse obtains information but does not dispute patient’s beliefs

23
Q

What is Thought Process?

A

HOW the person is expressing thoughts

Patient’s thought process observed through speech patterns or forms of verbalization rather than content.

N3132 MENTAL HEALTH (10 decks)

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