Key Terms Exam 1 Flashcards
comorbidity
two co-occurring chronic illnesses
deinstitutionalization
legislation that resulted in mass movement of severely mentally ill persons from state hospitals to outpatient care
* put into community, medicated but did not have the skills to function independently in society *
diathesis-stress model
diathesis: biological predisposition
stress: env or trauma
most accepted explanation for mental illness –> combo of genes and env lead to mental illness
dual diagnosis
co-occurring mental illness and substance use disorder
med adherence vs compliance
adherence: sticking to the developed plan of care
mental health
state of wellbeing in which everyone can realize their own potential, cope with stressors, work productively, and contribute to the community
mental health parity
requires insurance companies to provide equal treatment coverage for psychiatric disorders
mental illness
health conditions involving changes in emotion, thinking or behavior (or combo)
- associated with distress and or problems functioning in social, work, family activities
NAMI
national alliance for mental illness –> ADVOCATE for proper term usage and treatment
- communicate that mental illness are brain disorders
- eliminate stigma and discrimination
- advocate for people with mental illness
- improve access to treatment services
- integrate mental illness into community life
revolving door treatment
patients weren’t given adequate resources to function in society after deinstitutionalization so they would frequent the ED for care and would have repeated admission to inpatient units
recovery
process of change through which individuals improve their health and wellness
- self directed life
- strive to reach full potential
resilience
ability and capacity to secure resources needed to support well being
- characterized by optimism, sense of mastery, competence
therapeutic milieu
the surroundings and physical env of the inpatient hospital unit providing sense of safety and security
- interactions with peers and staff
- engage to achieve social competence and self worth
- real life training and coping skills
- activities, rules, reality orientation
stigma
widespread fear and misunderstanding of mental illness
- heightened by focus on extraordinary sx in film and literature
acute care hospital
highly structured setting that optimizing safety and addresses crisis intervention
- avg 3-7 days
long term hospitalization
if patient needs more than 7 days of treatment
partial hospitalization programs
alternative for patients who need some supervision but are not appropriate for inpatient hospitalization
transference
patient’s past experiences impact how they react towards you, unconsciously associates nurse with someone
- you remind me of my granddaughter
counter transference
the nurse’s past may impact one’s perception and influence how one provides care, barrier created when nurse responds emotionally, negatively or positively
- you remind me of my grandma
interpersonal therapy
focus on interpersonal relationships by improving functioning and communication patters
- identification of emotion
- expression of emotion
- dealing with emotional baggage
group therapy
2+ people with a common goals/interest
- each has characteristics that influence its progress and outcomes
cognitive behavioral therapy
cognitive + behavioral
- thoughts cause feelings and behaviors not external things, like people, situations, or events
- brief, time limited and structured
- hw and self counseling
- goals identified by patient
- changing our thoughts can change feelings that result in better outcome
dialectic behavior therapy
treats chronically suicidal inds, actively participating to change problematic behaviors
- cognitive + behavioral + mindfulness
- emotional regulation, interpersonal effectiveness, distress tolerance, mindfulness, self management skills
challenging stinking thinkin
taking internal conversation and making it positive
