Hx of Mental health, Psychiatric Nursing Flashcards

1
Q

What was the common perception of mental illness in ancient civilizations?

A

It was often attributed to supernatural forces or punishment by the gods.

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2
Q

Who was Hippocrates and what was his contribution to mental health?

A

A Greek physician known as the ‘Father of Medicine,’ he suggested that mental illness had natural causes and could be treated.

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3
Q

What is the significance of the Middle Ages to the history of mental healthcare?

A

Mental illness was mostly viewed as demonic possession, leading to exorcisms and imprisonment in asylums.

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4
Q

Who was Philippe Pinel and what did he advocate for in the late 18th century?

A

A French physician who advocated for humane treatment of the mentally ill and removed chains from patients in asylums.

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5
Q

What movement did Dorothea Dix lead in the 19th century?

A

The mental hygiene movement, which aimed to promote better care for the mentally ill and establish state hospitals.

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6
Q

What was the impact of the establishment of asylums in the 18th and 19th centuries?

A

They provided care for the mentally ill but often became overcrowded and abusive, leading to neglect and mistreatment.

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7
Q

Who proposed the psychoanalytic theory of mental illness?

A

Sigmund Freud, emphasizing the importance of the unconscious mind and childhood experiences.

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8
Q

What were ‘moral treatment’ methods in mental healthcare?

A

Approaches that focused on providing a nurturing environment, occupational and recreational activities, rather than restraint and isolation.

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9
Q

Describe the significance of the development of psychopharmacology in the 1950s.

A

Psychopharmacology introduced medications that could effectively treat mental health disorders, shifting care from institutions to outpatient settings.

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10
Q

What did the National Mental Health Act of 1946 establish?

A

It aimed to improve mental health care and research in the United States following World War II.

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11
Q

How did deinstitutionalization in the 1960s affect mental health care?

A

Patients were discharged from state hospitals and services were shifted to community settings, often without adequate support.

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12
Q

Who is considered the ‘Mother of Psychiatric Nursing’?

A

Hildegard Peplau, known for her work in developing the nurse-patient relationship model.

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13
Q

What is the importance of the ‘Therapeutic Milieu’ concept in psychiatric nursing?

A

It refers to creating a structured environment that supports recovery and promotes personal growth through social interactions.

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14
Q

What did the Community Mental Health Act of 1963 aim to achieve?

A

It intended to establish community mental health centers to provide comprehensive services.

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15
Q

Who was Emil Kraepelin and what was his contribution?

A

A German psychiatrist known for classifying mental disorders and introducing the concept of manic-depressive illness.

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16
Q

What is one major criticism of the medical model of mental illness?

A

It often overlooks the social and environmental factors contributing to mental health issues.

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17
Q

When was the first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) published?

A

In 1952.

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18
Q

What are the three primary roles of psychiatric-mental health nurses?

A

To provide care, education, and support to patients with mental health disorders.

19
Q

How did war influence the evolution of mental health treatment?

A

World Wars I and II highlighted the need for mental health services for returning soldiers, leading to increased awareness and research.

20
Q

What was the impact of the antipsychotic drug chlorpromazine (Thorazine)?

A

It marked the beginning of modern psychopharmacology and allowed patients to manage symptoms more effectively.

21
Q

What did the American Nurses Association (ANA) play in psychiatric nursing?

A

The ANA has established standards and established the importance of specialty practice in psychiatric nursing.

22
Q

What was the societal response to mental illness during the Renaissance?

A

Increased interest in the human experience led to more humane treatment, but there were still significant stigmas.

23
Q

Describe the emergence of the concept of ‘mental hygiene.’

A

A movement in the early 20th century that focused on prevention and early intervention in mental health issues.

24
Q

Who was Anna Freud and what did she contribute to psychiatry?

A

A psychoanalyst who expanded on her father’s theories, focusing on child development and the importance of ego defense mechanisms.

25
Q

What did the term ‘mental illness’ encompass in the 19th century?

A

A broad range of conditions, often with vague definitions, including everything from mood disorders to neuroses.

26
Q

What was the goal of the 1913 establishment of the National Committee on Mental Hygiene?

A

To promote awareness and education about mental health issues and advocate for better care and prevention.

27
Q

How has stigma affected the treatment of mental health over the years?

A

Stigma has led to discrimination, isolation, and reluctance to seek help, impacting patient outcomes and recovery.

28
Q

What was the historical view on women’s mental health in the 19th century?

A

Conditions like hysteria were prevalent diagnoses, often attributed to women’s emotional instability.

29
Q

What is ‘moral therapy’?

A

A historical therapeutic approach that emphasized kindness, relaxation, and the moral management of patients in asylums.

30
Q

In what way did the 1980s mental health legislation in the U.S. improve care?

A

It increased funding for community-based mental health services and promoted the rights of individuals with mental illness.

31
Q

Who was Karen Horney, and what did she criticize in Freud’s theories?

A

A psychoanalyst who challenged Freud’s theories on female psychology and emphasized social and cultural factors.

32
Q

What impact did the deinstitutionalization era have on psychiatric nursing?

A

Shifted focus from inpatient care to community-based services, increasing the need for psychiatric nurses to work in diverse settings.

33
Q

What was the significance of the Recovery Movement in the 1990s?

A

It emphasized hope, personal responsibility, and the active role of individuals in their mental health recovery.

34
Q

How did popular culture in the late 20th century affect perceptions of mental illness?

A

Increased media portrayal of mental illness led to greater public awareness but also sometimes perpetuated stereotypes and stigma.

35
Q

Define ‘trauma-informed care’ in the context of psychiatric nursing.

A

An approach that recognizes the impact of trauma on individuals and aims to provide supportive care that minimizes re-traumatization.

36
Q

Who are the primary advocates for mental health policy changes?

A

Mental health professionals, patients, families, and organizations dedicated to mental health awareness.

37
Q

What was the significance of group therapy in mental health treatment?

A

It provided a support system, allowing individuals to share experiences and learn from one another in a therapeutic environment.

38
Q

What role do advocacy groups play in mental healthcare?

A

They raise awareness, promote legislation for mental health services, and encourage a more supportive environment for individuals with mental illness.

39
Q

What is ‘psychosocial rehabilitation’?

A

A recovery-oriented approach that helps individuals with mental illness reintegrate into the community through skills training and support.

40
Q

How did the introduction of CBT (Cognitive Behavioral Therapy) revolutionize mental health treatment?

A

It provided a structured, evidence-based approach to treat various mental health disorders, focusing on changing thought patterns.

41
Q

What is the significance of cultural competence in mental health care?

A

Acknowledging and understanding cultural differences helps provide effective, sensitive, and individualized care.

42
Q

Who is recognized for developing the first psychiatric nursing school in the U.S.?

A

Linda Richards, who established a nursing school for psychiatric nursing in 1882 at McLean Hospital in Massachusetts.

43
Q

What impact did the Internet age have on mental health awareness?

A

Greater access to information, support groups, and resources, though it also poses challenges regarding misinformation and stigma.