Exam 1 Flashcards
Mental illness
Significant dysfunction in mental functioning, definable diagnosis
Resilience
Adaptation
Ability to access resources to promote well-being
Optimism
Mastery
Competence
3 As
Anxious
Anger
Aggressive
If you don’t deal with the previous one you might have the next
Protective factors for mental health and well being
Things that keep us going such as a family member or pet
Risk factors for mental health and well being
Things that make you at risk of killing yourself (engaging in dangerous activity like drinking for a while)
Warning signs for mental health and well being
Leads to risk factors, like saying you’re thinking of going back to drinking or saying you started again
Diathesis-stress model
Diathesis— biological predisposition like neurotransmitters or viruses during birth can increase risk for schizophrenia
Stress—environmental stress or trauma (outside environment)
Most accepted explanation for mental illness
NAMI and SAMHSA
NAMI: Support for patients and families
SAMHSA: people seek to live their full potential (substance abuse mental health society)
2 important components on mental health
Mental health is part of overall health
There exists effective mental health treatments
Human genome project
Identify genes and sequences, store information and analytic tools, address ethical, legal, and social issues
Most psych disorders result from mutated or defective genes
President’s new freedom commission on mental health
Goals for transforming US mental health system
Understanding that mental health is essential to overall health
Mental health care is consumer and family driven
Used to be patient driven and so slow
Early screenings and technology are important
Institute of medicine (IOM)
Now called national academy of medicine (NAM)
Improving quality of healthcare for mental and substance use conditions quality chasm series
If you had substance abuse history and mental illness, they wouldnt treat the substance abuse. This report allowed both to happen
Identified treatments and gaps
Highly educated nurses care for diverse populations with chronic conditions
Mental health parity act
Parity for mental health just like medicine
Wellstone-domenici party act
Based on volume of employees (50), we don’t have to cover mental health costs for substance abuse as well as mental
Patient protection and affordable care act
Coverage for everyone
Most common mental illnesses
Depression
Generalized anxiety
Panic disorder
3 studies we do for people with mental disorders
Natural history of illness (diathesis stress model, environment, did they meet all their milestones)
Diagnostic screening tests
Intervention
Results of mental disorder studies are used to describe the frequency of
Mental disorders
Symptoms appearing together (depression with cardiac disease and breast cancer)
Most patients who undergo bypass surgery develop depression
DSM-V
Diagnostic manual, categorized. By disorders occurring from youngest to oldest, and disorders related to one another
ICD-10-CM
International classification of disorders
Basic vs advanced nursing care
Basic: nursing graduate, can seek certification as part of professional development
Advanced: CNS and NP, certification or licensure—therapy, may have prescription privileges
CNS vs NP
CNS focuses more on education whereas NP focuses more on medical aspect and prescribing
Psych care in the 1860s
Has roots in the asylums before the civil war era
Psych care in the 1950s
Private psych/mental hospital—first antipsychotic med (thorazine, chlorpromazine)