Psychiatric Nursing Flashcards
Health meaning by WHO
It is a state of complete physical, mental, and social well- being and not merely the absence of disease and infirmity.
The branch of psychiatry that deals with the science and practice of maintaining and restoring mental health, and of preventing mental disorder through education, early treatment, and public health measures
Mental Hygiene
Science of maintaining mental health and preventing disorders to help people function at their full mental potential
Mental Hygiene
6 techniques to take care of our mental hygiene
- Transcend the environment
- Cultivate constructive acceptance
- Visualize the ideal self
- Use positive affirmation
- Practice psychological counterpunching
- Change your internal computer chip
Who coined 6 techniques to take care of our mental hygiene
Edward G. Brown
It is a state of emotional, psychological and social wellness evidence by satisfying interpersonal relationships, effective behavior and coping, a positive self-concept and emotional stability.
Mental health
It is a psychological state of well-being, characterized by continuing personal growth, a sense of purpose in life, self- acceptance, and positive relations with others.
Mental Health
It is the ability to solve problems, fulfill one’s capacity for love and work, cope with crisis without assistance beyond the support of family and friends, and maintain a state of well-being by enjoying life’s setting goals and realistic limits, and becoming independent, interdependent, or dependent as the need arises without permanently losing one’s independence.
Mental health
Factors Influencing Mental Health
Inherited characteristics
Nurturing childhood
Life’s circumstances
Ways to maintain mental health
*Good interpersonal communication
*Ego defense mechanisms
*Significant others or support people.
*Involvement in physical activities
It is a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress or disability or with a significantly increased risk of suffering death, pain, disability or an important loss of freedom.
Mental Disorder
It is the science of curing or healing of the psyche.
Psychiatry
It is the medical specialty that is derived from the study, diagnosis, treatment and prevention of mental disorders
Psychiatry
It is the ‘diagnosis and treatment’ of human responses to actual and potential mental health problems.
Psychiatric Nursing
It is a specialized area of nursing practice, employing theories of human behavior as its science and purposeful use of self as its art.
Psychiatric Nursing (ANA)
It is an interpersonal process that strives to promote and maintain behavior which contributes to integrated functioning.
Psychiatric Nursing (Gail Stuart)
It is an interpersonal process whereby the professional nurse practitioner assists an individual, family and community to promote health, to prevent or cope with the experience of mental illness and suffering and if necessary to find meaning in these experiences.
Psychiatric Nursing (Travelbee)
Role enhancement
*Sleep enhancement
*Spiritual support
*Substance abuse treatment
*Suicide prevention
*Teaching
A safe, structured, group treatment method for mental health issues. It involves using everyday activities and a conditioned environment to help people with interaction in community settings.
Milieu Therapy
The goal of the individual is one of….
Growth, health, autonomy, and self-actualization
Behavior consists of:
Perception, thought, feelings, and actions
Individuals vary in their coping capacities, which depend on:
genetic endowment, environmental influences, nature and degree of stress and available resources.
a critical and necessary component of comprehensive health care services.
Mental Health
Helping the mother in labor and support person cope with anxiety or stress during labor and delivery.
Obstetric Nursing
Providing support to the bereaved parents in the event of fetal demise, inevitable abortion, or the birth of an infant with congenital anomalies.
Obstetric Nursing
Providing support to a mother considering whether to keep her child or give the child for adoption.
Obstetric Nursing
oProviding services to incarcerated clients
oActing as consultant to medical and legal agencies
oServing as an expert witness in a court
oProviding support for victims of violent crimes.
Forensic Nursing
Helping cancer patients or other terminally ill individuals on oncologic units work through the grieving process.
Oncologic Nursing
Implementing or participating in industrial substance abuse programs for employees and their families.
Industrial (Occupational Health) Nursing
Providing crisis intervention during an industrial accident or the acute onset of a physical or mental illness
Industrial (Occupational Health) Nursing
Assessing the person both physically and psychologically
PHN
Assisting the client by explaining somatic or emotional concerns during the assessment process
Office Nursing
Providing support with the problem- solving process when people call the office and the physician is unavailable.
Office Nursing
Acting as community resource person
Public Health Nursing
Providing crisis intervention as the need arises
Emergency Room Nurse
The mental health and psychiatric nurse provides direct care to patients with mental or emotional disorders, including:
Promoting self-care and independence.
Assisting with problem solving to facilitate activities of daily living.
Aiding communication and interpersonal relations
Helping the client examine behaviors the test alternatives.
Teaching about the disorder
Administering prescribed medications and treatments
responsible for constructing and maintaining a therapeutic environment.
Nurse
Acting as an advocate on behalf of the patient and family, she:
Teaches about rights and responsibilities
*Shares information about self- help groups
Responsibilities associated with primary prevention include:
Teaching principles of mental health
Teaching how to recognize and reduce stress
Promoting effective family functioning
Participating in community activities related to mental health promotion.
It is the listing of officially recognized mental disorders.
DSM 5
Is intended to assist researchers, health care providers, insurance providers, regulatory institutions, and other parties in the medical field in guiding treatment of mental health issues.
DSM 5
7 Biggest Changes from DSM IV-TR to DSM 5
*Modification of artificial categorization
*The Autism Spectrum
*Elimination of Childhood Bipolar Disorder
*Revisions of ADHD Diagnosis
*Increasing Detail on PTSD Diagnosis
*Reclassification of Dementia
*Intellectual Disability
The use of multi-axial system to group disorders into 5 categories is no longer used . The categorization has been simplified to clarify relationships between different disorders
Modification of Artificial Categorization
The previous categories of autism were Asperger’s, childhood disintegrative disorder, and pervasive developmental disorder are no longer used.
The autism spectrum disorder
In response to an observed trend of harmful over-diagnosis and over-treatment of childhood bipolar disorder, the DSM 5 removes this disorder and replaces this with Disruptive Mood Dysregulation Disorder (DMDD), it does provide a new diagnosis that more accurately matches a set of symptoms characterized by extreme temper outbursts
Elimination of Childhood Bipolar Disorder
DSM 5 broadens the ADHD diagnosis, allowing for adult-onset and relaxing the strictness of the criteria to more accurately reflect new research on this bipolar. Given that adults have more developed brains and generally greater impulse control, adults can now be diagnosed with ADHD if they have fewer signs and symptoms than children do.
Revision of ADHD Diagnosis
Partly due to the wars in Iraq and Afghanistan, medical researchers have gained a great deal more insight into PTSD in the last 15 years.
Increasing Detail on PTSD Diagnosis
The DSM-5 reflects this increased understanding, adds nuance for children with PTSD, and describes four main types of symptoms:
- Arousal
- Avoidance
- Flashbacks
- Negative impacts on thought patterns and mood
In DSM-5, both dementia and the category of memory/ learning difficulties called amnestic disorders have been subsumed into a new category, neurocognitive Disorder
Reclassification of Dementia
The DSM-5 splits this disorder into 2 broad severities (major and mild) to encourage early detection and treatment of these issues
Reclassification of Dementia
To reflect common language, the issues previously referred to as “mental retardation” are now classified as
Intellectual Disability or Intellectual Development Disorder
The diagnostic criteria for this disorder has also been updated to more strongly focus on
adaptive functioning, rather than IQ score
