WK 1 - Intro

Question 1

Comorbidity

Answer 1

Two co-occurring chronic illnesses:
depression and anxiety
depression and diabetes

Question 2

Deinstitutionalization

Answer 2

Legislation that resulted   
   in the mass movement 
   of severely mentally ill 
   persons from state 
   hospitals to outpatient care

Question 3

Diathesis-Stress Model

Answer 3

combination of biological predisposition, environmental stress, and vulnerability to result in a mental disorder.

Question 4

Dual Diagnosis

Answer 4

Co-occurring mental illness and substance use disorder

Question 5

Medication Adherence vs compliance

Answer 5

Adherence: Managing one’s care based on the plan of care developed as part of the health care team. Sticking to this developed plan of care.

Question 6

mental Health

Answer 6

well-being in which everyone can realize his or her own potential, cope with the normal stresses of life, work productively, and contribute to the community. Mental health provides people with the capacity for rational thinking, communication skills, learning, emotional growth, resilience, and self –esteem.

Question 7

Mental Health Parity

Answer 7

Parity = Equivalence

Required insurance companies to provide equal treatment coverage for psychiatric disorders

Question 8

Describe the continuum of mental health and mental illness

Answer 8

the continuum of mental health is a sliding scale with 3 categories ranging from health to illness including “well being” to “emotional problems or concerns” to “mental illness”
/
In well being = there is occasional stress to mild distress but NO impairment
/
emotional problems or concern = mild to moderate distress and mild or temporary impairment
/
mental illness = marked distress and moderate to disabling chronic impairment

Question 9

Revolving Door Treatment

Answer 9

patients that seek multiple admission to acute care facilities because community services are not available

Question 10

Victimization

Answer 10

verbal abuse, bullying, threats, theft, physical assaults, and rape to those with mental illness.

Question 11

Summarize the 5 social influences of mental healthcare in the United States

Answer 11

Consumer movement/recovery
/
National Alliance on Mental Illness (NAMI)
/
Surgeon General’s report on Mental Health
/
New Freedom Commission on Mental Health
/
Brain Research through Advancing Innovative Neurotechnology (BRAIN) Initiative

Question 12

The National Alliance on Mental Illness (NAMI)

Answer 12

Communicating that mental illnesses are brain disorders
/
Eliminating stigma and discrimination
/
Advocating for people with mental illness
/
Improving access to treatment services
/
Integrating mental illness into community life

Question 13

Brain Research through Advancing Innovative Neurotechnology (BRAIN) Initiative

Answer 13

The funding would be used to develop innovative techniques and technologies to unravel brain functions

The goal is to discover new ways to prevent, treat, and cure psychiatric disorders, epilepsy, and TBI

Question 14

acute care hospital

Answer 14

Highly structured setting that optimizes safety & addresses crisis intervention. Average length of stay is 3-7 days

Question 15

long term hospital

Answer 15

Recommended if patient requires longer than 7 days for illness/symptom stabilization

Question 16

partial hospitalization programs

Answer 16

Alternative for those that continue to need some supervision but are not appropriate for inpatient hospitalization

Question 17

voluntary admission

Answer 17

Both the individual and the health care professionals agree with the need for treatment and hospitalization.

The individual signs a consent for treatment.

Question 18

involuntary admission

Answer 18

The health care professionals feel that admission is necessary, but the individual does not wish to be admitted.

Question 19

Describe the least restrictive means of treatment

Answer 19

assess the patient to see what’s wrong 
/
encourage the patient to go into their room for decrease 
stimulation
/
offer PRN medication orally
/
escort to seclusion area
/
administer the PRN medication IM
/
restraints used only if patient is of danger to themselves or others

Question 20

Explain what is meant by a therapeutic milieu

Answer 20

Refers to the surroundings and physical environment of the inpatient hospital unit

Consisting of:

Containment: provision of basis needs; food, shelter, safety & security
/
Support: offer encouragement, praise, & positive feedback
/
Validation: respecting privacy, cultural needs, feelings lead to the client’s holistic health
/
Structure: control & limitation of maladaptive behaviors & setting limits
/
Involvement: promoting the self-efficacy of the client

Question 21

72 hour hold

Answer 21

The individual can be admitted against their will under a 72-hour hold.

During the 72 hours the patient may become better with treatment and sign themselves in thus becoming a voluntary admission.

If after 72 hours the patient still does not want to be in the hospital, but health care professionals believe treatment remains necessary, the court system will be petitioned for further care.

Question 22

patient rights

Answer 22

receive treatment
refuse treatment
be treated with dignity
be involved in treatment planning and decisions
leave the hospital against medical advice
be protected against harming oneself or others
a timely evaluation in the event of involuntary
hospitalization
legal counsel
communicate privately by telephone and in
person
informed consent
confidentiality
least restrictive means of treatment
participate in religious worship