NRSG210 Flashcards
Define mental health
Complete cognitive welll-being
Define mental illness
Impaired mental functioning
Statistic of mental illness
1 in 5 Australians
Complete mental health assessment includes
MSE
Risk assessment
Substance abuse history
Recovery principles
Uniqueness of ind Choices Attitudes Dignity/respect Communication Evaluating recovery
2 types of recovery
Traditional
Contemporary
Recovery theorist
Andresen
Define stereotype
Belief
Define discrimination
Unfair treatment
Define stigma
Negative stereotype
Define crisis
Situation that immobilises a person
4 types of crisis
- Developmental
- Situational
- Social
- Complex
Define resilience
Capacity to adapt
Restrictive (coercive) practices (3)
- Seclusion
- Mechanical restraint
- Chemical restraint
Psychosis
Altered thinking and perception
Schizophrenia statitics
Affects 1% of population
Schizophrenic symptoms types (2)
- Positive - exaggerated emotions/behaviours
2. Negative - absence of emotions/behaviours
DSM-5
Diagnostic system for MD’s
Side effect of antipsychotic medications
Increases hyperglycaemia and dyslipidaemia
MSE Criteria
Appearance Behaviour Speech Mood Affect Thought form Thought content Perception Cognition Judgement & Risk
MSE Mood vs Affect
Mood - described
Affect - observed
MSE Thought Form vs Content
Form - HOW they’re thinking
Content - WHAT they’re thinking
Aetiology of depression
- Genetics
- Neurochemical factors
Bipolar disorder
Changing between:
Depressed - normal - manic
Grief
Natural response to loss
Neurotransmitter theory of depression
Specific symptoms are associated with an increase or decrease of specific neurotransmitters
SNRI’s
Selective NORADRENALINE reuptake inhibitors
Typical vs Atypical
Typical = 1st gen (lots of ADR's) Atypical = 2nd gen
Time taken for antidepressants to peak
6-8 weeks
TCA’s
Tricyclic antidepressants - block serotonin reuptake
MAOI’s
Monoamine oxidase inhibitors. MAO breaks down dopamine and serotonin
Quetiapine
Antipsychotic for BP and schizoaffective disorder
Comorbidity
Dual MH diagnosis (at same time)
Anxiety
Sense of dread
Types of Anxiety
GAD
Phobias
OCD
PTSD
4 categories of psychotropic drugs
Antipsychotics
Mood stabilisers
Anxiolytics
Antidepressants
Examples of psychotropic drugs (Antipsychotics)
Typical = chlorpromazine Atypical = Quetiapine
Examples of psychotropic drugs (Mood stabilisers)
Lithium
Examples of psychotropic drugs (Anxiolytics)
Benzodiazepine = Diazepam
Examples of psychotropic drugs (Antidepressants)
SSRI = Fluoxetine
MAOI = Phenelzine
Tricyclics (TCA) = Amitriptyline
Annual cost of MH
$20B
Crisis intervention model
Cognitive - pt recognises faulty thinking and takes action
Catatonia
Abnormal movements due to disturbed mental state
4 Phases of grief
- shock
- preoccupation
- disorganisation
- resolution
Lithium
Mood stabiliser: Increases serotonin synthesis.
Has SMALL therapeutic index range
Anxiety stats
14%
Types of personality disorders (3)
Cluster A: Odd
Cluster B: Dramatic
Cluster C: Anxious