foundations of mental health Flashcards

1
Q

mental health status improvement

A

-reduce the suicide rate
-reduce suicide attempts
-reduce proportion of adolescents w/ eating disorders to control weight
-reduce proportion of people who have a major depressive episode

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2
Q

treatment expansion- healthy people expansion

A

increase in..

-primary care facilities that provide MH tx onsite or by paid referral
-children & adults with MH who receive tx
-people with substance abuse and mental disorders who get tx for both disorders
-juvenile residential facilities that screen admissions for MH problems
-people with serious MH probs that are employed
-depression screening by PCP
-PCP office that screen 12-18yo for depression
-homeless adults with MH problems who receive MH services

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3
Q

Richards

A

-first trained nurse in U.S
-developed school that recruited students to be psych nurses

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4
Q

Freud

A

-developed neurosis, psychosis, and Id, Ego, & Superego theory

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5
Q

neurosis

A

-less severe mental illness but has emotional distress

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6
Q

psychosis

A

-severe mental illness that impairs daily function due to breaks in contact with reality
-hallucination, delusions, disorganized thoughts, speech, or behavior

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7
Q

Id, Ego, & Superego

A

-Id: impulsive part of our psyche that responds directly and immediately to basic urges, needs, and desires
-Ego: what a person is aware of when they think about themselves & what they try to project on others
-superego: part of the unconsciousness that’s the voice of the conscience and the source of self-critisism

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8
Q

institutionalism

A

forced confinement of individuals for long periods of time in large facilities

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9
Q

de-institutionalism

A

release of pts with severe and persistent mental illness from state mental hospitals into the community for tx, support, and rehabilitation

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10
Q

mental health

A

emotional and physiological well-being of an individual who has the capacity to interact with others, deal with ordinary stress, and perceive one’s surrounding realistically

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11
Q

wellness

A

-being in good physical and mental health
-includes mental, emotional, physical, occupational, intellectual, and spiritual aspect of a person’s life

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12
Q

mental disorders

A

-disturbance in cognition, emotional regulation, or behavior that reflect a dysfunction
-usually associated with distress or impaired functioning

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13
Q

DMS-5

A

-used to dx mental disorders
-there are no boundaries separating one disorder from another; disorders often have different manifestations at different times

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14
Q

public stigma

A

-stereotypes developed and believed by the public
-“all schizophrenics are dangerous”

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15
Q

self stigma

A

-when one develops a negative stereotype about oneself and internalizes it
-ex: “i have a mental illness, so i must be incompetent”

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16
Q

label avoidance

A

avoiding tx or care in order to not be labeled mentally ill

17
Q

recovery

A

-process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential
-most important goal for pts with mental illness

18
Q

the four dimensions that support recovery

A

-health
-home
-purpose
-community

19
Q

things to consider for recovery oriented care

A

-Empowerment: encourage/support to be independent
-Person-centered care: pt actively involved in care, making their own decisions
-Shared – decision: helping individual learn how to make decisions
-Employment/Housing: give them resources to help
-Peer support: get pt involved for support; ex: AA meetings
-Barriers to recovery: stigma, poverty, homelessness, lack of services

20
Q

cultural syndromes

A

specific disorders found within a particular culture

21
Q

trauma

A

-physically or emotionally harmful or life threatening
-has lasting adverse effects on individual

22
Q

cultural identity

A

a set of cultural beliefs with which one looks for standards of behavior; may consider themselves to have multiple cultural identities

23
Q

cultural competence

A

-the ability to recognize and interact effectively with people of different cultures
-what needs to be done to meet patient’s needs?

24
Q

rural disadvantages

A

-limited access to care
-higher suicide rates due to use of firearm

25
Q

religion vs. spirituality

A

-religion: participation of a community with common beliefs and worship
-spirituality: what gives someone a meaning to life

26
Q

self-determination

A

right to have free will to make decisions, right to autonomy

27
Q

patient rights

A

-informed consent
-treated in the least restrictive enviornment
-voluntary admission
-involuntary commitment
-privacy
-confidentiality

28
Q

accountability for nurses

A

-Assault- threat of unlawful force to cause bodily injury upon another
-Battery- intentional & unpermitted contact with someone else
-Medical battery- intentional unauthorized contact; pt treated without informed consent
-Negligence- breach of duty of reasonable care for a patient for whom a nurse is responsible that results in personal injuries
-False imprisonment: imprisonment contraindicated to law

29
Q

documentation

A

-Observations of the patient’s subjective and objective physical, psychological, and social responses to mental disorders and emotional problems
-Interventions implemented and the patient’s response
-Observations of therapeutic and side effects of medications
-Evaluation of outcomes of interventions

30
Q

ethics, standards, and nursing framworks

A

-Autonomy: able to make their own decisions
-Beneficence: good tx for patient
* Justice: treat all fairly
* Nonmaleficence: cause no harm/danger
* Paternalism: professional makes decisions for the pt; pt has no say so
* Veracity: tell the truth
* Fidelity: faithfulness to obligations and duties; loyalty
* Professional Nursing Organizations