Week 1 Flashcards
why is mental health and mental illness different?
- absence of mental health does not man the presence of mental illness
- presence of mental illness does not imply an absence of mental wellness
what is a mental illness?
a clinically significant pattern of behaviour of emotion that are associated with distress, suffering or impairment at school, work, social
what does a comprehensive assessment include in psychiatric nursing?``
- establishes an understadning of the patients concerns and needs - as well as strengths and resources
- health history, physical and mental status
- psycho social assessment (biological, psychological, developmental, emotional, and spiritual) - how they all function together)
what does a focused assessment include in psychiatric nursing?
- collection of specific information about a need, concern, or situation (meds, risk for self harm, knowledge deficits)
- narrower in scope, present oriented
what is an acute assessment?
- based on immediate needs of the patient
- deal with safety issues first then to perform a focused assessment to provide treatment
what does subjective data collection require for mental health?
- open ended questions (allows nurse to assess)
- art (able to communicate - asks personal questions
- science (accurate labeling of findings to screen for mental illness
- establish rapport with patient
what are the topics for health promotion in a mentally ill patient?
- sleep patterns, alterations in life
- psychical, sexual, psychological abuse
- anxiety
- thoughts or behaviours
who is more at risk for depression?
- those who have a history
- female gender
- fam history
- life stress
- serious or chronic disease
- post partum
what is dementia?
an irreversible syndrome that is characterized by a decline in intellectual functioning
- 4 types: alzheimers, vascular disease. dementia with lewy bodies, frontotemporal dementia
what is canadas mental health strategy?
- people of all ages are engaged and supported in their recovery and well being
- mental health is promoted and prevented
- mental health needs respond to the diverse needs of canadians
- families are supported to promote well being
list the assessment of risk factors
- health concerns, changes in mental health
- past health history
- medications
- family history
- support network
- stressors
- substance use
what is the CAGE questionnaire? what is it used for?
- cut down on drinking?
- annoyed by criticism of drinking?
- guilty feelings about drinking?
- eye opener - drinking first thing in the morning to get rid of a hangover?
what are the substances that can affect mental health?
- injectable drugs
- narcotics
- CNS stimulants
- club drugs
what affect does club drugs have on the body?
- sepsis, pulmonary fibrosis, renal disease
- dependence and addiction
- loss of memory and subsequent sexual assault
- salvia = a sychedelic state which leads to errors in judgement
what are the common symptoms and signs of altered mental health?
- changes in mood and affect
- suicide ideation
- aggressive behaviour
- hallucinations including visual and auditory
questions for analysis of “stressed out, nervous, or anxious”
- OLDCARTS
- significant to patient - how is it affecting your daily life?
- patient perspective - why do you think this is happening?
how to assess signs and symptoms
- altered mood and affect
- suicidal ideation
- homicidal ideation and aggressive behaviour
- auditory hallucinations
- visual hallucinations
how do you assess for the risk of suicide?
- sad personas
- sex, age, depression, previous attempt, ethanol abuse, rational thought loss, social supports lacking, organized plan, no spouse, access to lethal means, sickness
- 1 point for each the higher the number the higher the risk
what are descriptive words for mood and affect?
mood = sad, tearful, angry, anxious, feaful affect = bland, dramtic, constricted, flat
