lecture 6: mental health assessment

Question 1

what is mental health? good mental health?

Answer 1

state of well being
- realizes their own potential
- can cope with normal stresses of life
- can work productively, good quality of life
- able to make a contribution to their community

Question 2

Mental health continuum

Answer 2

just because you have a mental illness, does not mean you can’t have good mental health
- changes overtime
- individual, society, community, family impact mental health

Question 3

Global impact of mental health & major health disorders in Canada

Answer 3

around 2/3 of people worldwide receive care for a mental disorder
- Anxiety disorders 12.2%
- Mood disorders 8.3%
- Personality disorders 7%

Question 4

Characteristics of positive mental health

Answer 4

1. interpret reality accurately
2. healthy concept of themselves (self-confidence)
3. achieve sense of meaning in life
4. control over own behaviours
5. can adapt/cope with change & conflict
6. demonstrate productivity

Question 5

what are mental health disorders?

Answer 5

illnesses with symptoms related to thinking & cognition, mood & affect, or behaviour
- can be due to genetic, biological, social, chemical, or psychological influences

Question 6

what is the DSM 5

Answer 6

source for diagnosing mental disorders
- standardize assessment data and outcomes to prevent indiscriminate (wrong) diagnoses
- used to get broad understanding of client, not focus on one specific diagnosis

Question 7

mental health nursing: domains

Answer 7

1. biologic
2. psychological
3. social
4. spiritual

Question 8

mental health nursing: biologic domain

Answer 8

• theories that explain neurobiologic changes related to mental health disorders (ex. health status, physical exam)

Question 9

mental health nursing: psychological domain

Answer 9

• theories related to psychological processes of thoughts and feelings
• how they influence one’s emotion, cognition, behaviour (ex. mental status, stress and coping, response to mental health problems)

Question 10

mental health nursing: social domain

Answer 10

• theories that account for the influence of social forces encompassing the patient, family, and community (family, quality of life, community, functional status)

Question 11

mental health nursing: spiritual domain

Answer 11

• core of who we are and the connections between ourselves and our universe (what gives life meaning?, participation in religious activities)

Question 12

personal mental health history (relevant)

Answer 12

• past medical history (including mental health)
• psychological trauma
• substance use
• family history

Question 13

mental health assessment: physical exam (ASEPTIC)

Answer 13

Appearance
Speech
Emotion
Perception
Thought
Insight
Cognition

Question 14

thought process disturbances vs. thought content disturbances

Answer 14

• thought processes disturbances is more being all over the place during conversation
• thought content disturbances is more delusions

Question 15

tools/tests for screening for mental disorders

Answer 15

• PHQ-9: used for all, commonly for depression
• GAD-7: used for anxiety
• CAGE: used for alcoholism
• suicide assessment

Question 16

stigma - relationship with discrimination

Answer 16

stigma is “mark of disgrace associated with a person/group” in this case
- stigma is the negative stereotype, discrimination is the behaviour resulted from this negative stereotype

Question 17

STOP criteria: what does it stand for? what is it?

Answer 17

how to identify stigmatizing language/behaviours in ourselves and others
- Stereotypes people with mental health conditions (assumes they’re all alike)
- Trivializes or belittles people with mental health conditions
- Offends people with mental health conditions by insulting them
- Patronizes people with mental health conditions by treating them on a lower level

Question 18

Recovery oriented care

Answer 18

“recovery means living a satisfying, hopeful, meaningful life, even when there may be ongoing limitations related to mental health problems/illnesses”

• focus on pursuing recovery, not achieving recovery, recovery is a process
• the patient is the expert in their own care (they experience their own life)
• individualized, each person’s path is different
• individual takes responsibility, requires supportive community

Question 19

recovery oriented care: 3 pillars of recovery

Answer 19

1. Choice - many publicly funded services and different models of care
2. Community - connection to the recovery community (social aspect)
3. integration - across all levels of government & society