Mental Health Nursing History and Scope of Practice Flashcards
Peplau’s 3 core elements of mental health nursing
- the patient
- the nurse
- interaction between patient and nurse
Peplau’s 4 phases of the mental health nursing interpersonal theory negotiated relationship
- orientation
- identification
- exploitation
- resolution
What does ‘recovery’ mean in a mental health context?
Recovery is being able to live a meaningful and satisfying life, as defined by each person, in the presence or absence of symptoms. It is about having control over and input into your own life. Each individual’s recovery, like his or her experience of the mental health problems or illness, is a unique and deeply personal process.
Common mental illnesses
- anxiety
- bipolar disorder
- delirium
- dementia
- depression
- schizophrenia
3 types of personality disorders
- cluster A: odd/eccentric
- cluster B: dramatic, erratic and emotional
- cluster C: anxious and fearful
4 tiers of mental health services
tier 1 - mild
tier 2 - moderate
tier 3 - severe
tier 4 - enduring
how are mental disorders classified?
1- International Classification of Diseases (ICD-11) produced by the World Health Organization (WHO)
2- Diagnostic and Statistical Manual of Mental Disorders (DSM-V) produced by the American Psychiatric Association (APA)
What are the classifications of the IDC-11?
F1 Organic, including symptomatic, mental disorders (e.g. alzheimer’s, dementia)
F2 Mental and behavioural disorders due to use of psychoactive substances
F3 Schizophrenia, schizotypal and delusional disorders
F4 Mood (affective) disorders
F5 Neurotic, stress-related and somatoform disorders
F6 Behavioural syndromes associated with physiological disturbances and physical factors
F7 Disorders of personality and behaviour in adult persons
F8 Mental retardation
F9 Disorders of psychological development
F10 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
Substance abuse key terms
- addiction
- dependence
- harmful use
- hazardous use
- intoxication
- tolerance
- withdrawal
What is the role of nursing in mental health assessment?
- listen
- validate and explore concerns
- ask key questions about the person’s problems
- observe
- offer an interpretation
What are the focuses of assessment in mental health nursing?
- the client’s presenting problems
- clinical symptoms
- mental health history
- current mental state
- risk
- strengths and protective factors
- physical health strengths and protective factors
- other aspects of psychosocial functioning
different tools and models of mental health assessment?
- conversational interview
- history-taking
- systems review
- validated assessment instruments
validated assessment instruments?
- Alcohol Use Disorders Identification Test (AUDIT) for assessment of alcohol use
- Mini-Mental State Examination (MMSE) for assessment of cognitive function
- Beck Depression Inventory (BDI) for assessment of mood
- Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS) for assessment of side effects of medication
Mental state assessment using BATOMI mnemonic
- Behaviour and appearance
- Affect and mood
- Thought and speech
- Orientation
- Memory
- Insight and Judgement
Steps for mental state assessment
- Determine the need to assess mental state of patient.
- Focused mental health history
- Assess mental state
a. appearance
b. behaviour
c. affect and mood
d. thought and speech
e. orientation
f. memory