Theory 1

Question 1

What is mental illness?

Answer 1

It is an alteration in occupational, social, physical, or mental function the degree of which is a continuum between illness and health.

Question 2

What are the components of the DSM-IV-TR? Include a description and example of each.

Answer 2

Axis I - Clinical Disorders - Major Depressive Disorder
Axis II - Personality Disorder and Mild Mental Retardation - OCD, paranoid personality disorder
Axis III - General medical - HTN, DM
Axis IV - Psychosocial/Environmental - Divorce, Loss, Homelessness
Axis V - Global Assessment of Function - scale of 1-100 where 100 is highest functioning and 1 is no functional ability

Question 3

What are two roles an advanced practice RN can perform?

Answer 3

Write prescriptions

Psychotherapy (talk therapy)

Question 4

What are the 6 primary patient rights?

Answer 4

Right to be treated
Right to refuse treatment
Right to informed consent
Right to advanced psychiatric directives
Right to least restrictive restraint or seclusion
Right to confidentiality

Question 5

What are the 2 main (broadest) categories of mental disorders?

Answer 5

Neurosis - describes anxiety

Psychosis - distortion of reality

Question 6

What are the types of admissions to mental health facilities?

Answer 6

Informal - can come and go as they choose, even against AMA
Voluntary - admit themselves, can attempt to leave but can be converted to involuntary by doctor order
Involuntary - Requires petition by someone 18 yrs or older, 2 certificates from physicians, held for 60 days, patient can petition court for release

Question 7

What are some precautions?

Answer 7

Self harm
- SP1 - suicide prevention - one to one
- SP2 - suicide prevention - monitor Q15 min
- DBS - destructive behavior to self
- SIP - one to one 
Elopement
Combative
Substance abuse
Fall risk