Focus: Reduce risk factors before clinical manifestation. Example: Teaching stress reduction techniques in a community program.

Focus: Early detection and treatment of mental illness. Example: Screening older adults for depression.

Focus: Reduce the disabling effects of mental illness and promote quality of life. Example: Leading support groups for clients post-substance use treatment.

weeks 1-2 Flashcards by Leah Alpers

What is mental illness?

Refers to diagnosable mental health conditions that significantly impact a person’s thinking, mood, behavior, or overall ability to function.

How well did you know this?

Not at all

Perfectly

What does mental health refer to?

A person’s overall emotional, psychological, and social well-being.

How well did you know this?

Not at all

Perfectly

What are the types of bias in mental health?

Cultural and Racial Bias
Gender Bias
Socioeconomic Bias
LGBTQ+ Bias
Weight Bias
Research and Diagnostic Bias
Stigma and Stereotypes

How well did you know this?

Not at all

Perfectly

What is the Clinical Judgment Action Model (CJAM)?

A model consisting of six steps: recognize, analyze cues, prioritize hypotheses, generate solutions, take actions, and evaluate outcomes.

How well did you know this?

Not at all

Perfectly

What should be evaluated in the physiologic status of a client?

Client’s ability to participate in the assessment
Co-occurring conditions
Client history

How well did you know this?

Not at all

Perfectly

What is the FICA spirituality tool used for?

Guiding the nurse in collecting data related to the client’s spiritual beliefs.

How well did you know this?

Not at all

Perfectly

What are the components of a Mental Status Examination (MSE)?

Level of Consciousness
Physical Appearance
Cognition/Orientation
Speech
Thought Process
Behavior
Mood and Affect

How well did you know this?

Not at all

Perfectly

What is cultural competence in healthcare?

The ability of healthcare providers to deliver care that respects and acknowledges the diverse values, beliefs, and practices of patients.

How well did you know this?

Not at all

Perfectly

What is the purpose of the DSM-5?

Used to diagnose mental health disorders and provides standard criteria and expected assessment findings.

How well did you know this?

Not at all

Perfectly

Define transference in a nurse-client relationship.

The client displaces feelings onto the nurse.

How well did you know this?

Not at all

Perfectly

Define countertransference in a nurse-client relationship.

The nurse displaces feelings onto the client.

How well did you know this?

Not at all

Perfectly

Maslow’s hierarchy concerning mental illness

Physiological Needs
Safety Needs
Love and Belonging
Esteem Needs
Self-Actualization

How well did you know this?

Not at all

Perfectly

Applications of Maslow’s hierarchy concerning mental illness in care

Prioritize basic needs in treatment.
Foster social connections and self-esteem through therapy.
Support long-term goals for self-actualization when stability is achieved

How well did you know this?

Not at all

Perfectly

What are the stages of the nurse-client relationship?

Phase 1: Orientation (Establish the relationship, set the tone for interactions, identify boundaries)
Phase 2: Identification (The client presents an unmet need, the nurse assists the client in identifying barriers to wellness)
Phase 3: Exploitation (Working Phase, Nurse and client collaborate to achieve set goals)
Phase 4: Resolution (Original goals are achieved and the relationship concludes, new goals are established, continuity of care plan is developed)

How well did you know this?

Not at all

Perfectly

What are the ethical principles in nursing?

Autonomy - self rule
Nonmaleficence - do no harm
Beneficence - duty to do good
Fidelity - keep promises and commitments
Veracity - tell the truth
Justice - equal treatment

How well did you know this?

Not at all

Perfectly

What are the three types of prevention in mental health?

Primary Prevention
Secondary Prevention
Tertiary Prevention

How well did you know this?

Not at all

Perfectly

Primary prevention

Focus: Reduce risk factors before clinical manifestation.
Example: Teaching stress reduction techniques in a community program.

How well did you know this?

Not at all

Perfectly

Secondary Prevention

Focus: Early detection and treatment of mental illness.
Example: Screening older adults for depression.

How well did you know this?

Not at all

Perfectly

Tertiary prevention

Focus: Reduce the disabling effects of mental illness and promote quality of life.
Example: Leading support groups for clients post-substance use treatment.

How well did you know this?

Not at all

Perfectly

What are the rights of patients in mental health care?

Right to information and consent
Right to privacy/confidentiality
Right to access to care and non-discrimination
Right to participate in care decisions
Right to safety and protection from harm

What is the difference between informed consent and implied consent?

Informed Consent: Clear information on treatments, risks, benefits, and alternatives
Implied Consent: Assumed in emergencies when the client is unable to provide consent

What are therapeutic communication techniques?

Ensure congruence between verbal and nonverbal communication
Use open-ended questions
Provide affirmations
Reflect client messages
Summarize discussed concepts

What is milieu therapy?

Modifying and controlling the environment to support healing and help clients develop life and social skills.

Excelling - mental health continuum

The peak of well-being
- Cheerful, energetic
- High-performance flow
- Fully realizing potential

Thriving - mental health continuum

satisfactory level of mental well-being and can function without difficulty on a daily basis - Positive, calm, performing - Sleeping well, eating healthily - Satisfying Social Activities

Surviving - mental health continuum

an unsettled state of mind and indicates that problems may worsen - Nervous, irritable, sad - Trouble sleeping - Distracted, withdrawn

Struggling - mental health continuum

signifies trouble in mental health - anxiety and depression - poor concentration, low energy - struggles with work

Crisis - mental health continuum

indicates when a person is in a state of emergency with their mental health, and require immediate health - suicidal ideation - severe anxiety and depression to the point where social isolation and lack of self-care are present

What is the role of primary care providers in mental health?

Initial point of contact for mental health concerns.

What is Assertive Community Treatment (ACT)?

A service that provides the support of an inpatient psychiatric treatment facility while the client is in their own home.

What is the purpose of de-escalation techniques?

To use clear, calm verbal communication and non-threatening body language to reduce client anxiety.

What does Home-Based Services include for high-need clients?

Assertive Community Treatment (ACT) ## Footnote ACT involves a mental health care professional providing services in the client's home.

What is the role of a mental health care professional in Home-Based Services?

Assist clients in taking medications and monitor mental health status ## Footnote This service is typically provided by a nurse or social worker.

What does Assertive Community Treatment provide?

Services of an inpatient psychiatric treatment facility while the client is at home ## Footnote It includes medical staff trained in psychiatric care needs.

Define Telehealth in the context of mental health care.

Remote mental health care via digital platforms ## Footnote Utilizes virtual technology like computers or smartphones.

What are Mobile Mental Health Crisis Teams designed for?

Immediate intervention for acute crises ## Footnote They consist of specially trained mental health professionals providing emergency care onsite.

What do Day Treatment Programs offer?

Structured daytime programs for therapy and skills training ## Footnote They provide mental health care and nonclinical support like job training.

What is the purpose of Family and Peer Services?

Support and education for clients and families ## Footnote They equip families with tools to care for clients and pair clients with peers for support.

What is Systematic Desensitization?

Gradual exposure to anxiety-provoking stimuli ## Footnote It is a behavioral therapy technique used to reduce anxiety.

What does Behavioral Therapy focus on?

Learning behaviors and their consequences ## Footnote It treats unwanted behavior through relaxation techniques and modeling.

What is the goal of modifying maladaptive behaviors?

To use adaptive strategies ## Footnote This involves employing various techniques to change unwanted behaviors.

What is Modeling in the context of behavioral therapy?

Therapist demonstrates desired behaviors ## Footnote This technique helps clients learn through observation.

What does Operant Conditioning involve?

Rewards for positive behaviors ## Footnote It is a technique used in behavioral therapy to reinforce desirable actions.

What is Aversion Therapy?

Pairing maladaptive behaviors with unpleasant stimuli ## Footnote This technique aims to discourage unwanted behaviors.

Explain Flooding in behavioral therapy.

Intense exposure to anxiety triggers ## Footnote This method aims to help clients confront their fears directly.

What is Response Prevention?

Blocking compulsive behaviors to reduce anxiety ## Footnote This technique is often used for clients with obsessive-compulsive behaviors.

What does Thought Stopping involve?

Interrupting negative thoughts with positive ones ## Footnote This technique helps manage intrusive thoughts.

What is Trauma-Focused CBT?

Reframing trauma in a healthier way ## Footnote It is a therapeutic approach specifically designed to address trauma.

What is the purpose of Validation Therapy?

Acknowledge clients’ perceptions, especially in dementia care ## Footnote This approach helps validate the feelings and experiences of clients.