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PMHN Chapter 1
Terms in this set (42)
3 influencing factors of mental health:
Mental illness includes disorders that affect (3):
Mental illness indicates signs of _____ and/or impaired _________.
Mental illness often indicates signs of distress and/or impaired functioning.
Biologic makeup, intolerable or unrealistic worries or fears, inability to distinguish reality from fantasy, intolerance of life's uncertainties, a sense of disharmony in life, and loss of meaning in life are examples of what influencing factor of mental health?
Inefective communication, excessive dependency on or withdrawal from relationships, no sense of belonging, inadequate social support, and loss of emotional control are examples of what influencing factor of mental health?
Lack of resources, violence, homelessness, poverty, negative view of the world, and discrimantion are examples of what influencing factor of mental health?
What is the diagnostic and statistical manual of mental disorders?
DSM: Taxonomy of American Psychiatric Association
Three purposes of DSM:
Standardize nomenclature, language
Identify defining characteristics or symptoms
Assist in identifying underlying causes
Who opened up state hospitals in the US in the 1800s?
Name of drugs used to treat mental illness:
Three goals of the community health movement:
Legislation for disability income
Changes in commitment laws
First two drugs to be developed:
Chlorpromazine (Thorazine) and lithium
This act encouraged deinstitutionalization:
Community Mental Health Centers Construction Act
What 2 pieces of legislation provided income to residents of community mental health centers?
Supplemental Security Income (SSI) and Social Security Disability Income (SSDI)
Issues of community health (8)
1. "Revolving-door" effect due to deinstitutionalization
2. Shorter hospital stays
5. dual diagnoses
7. increase in physical illness comorbidities
8. lack of adequate community resources
4 objectives of Healthy People 2020:
1. Increase number of people identified, diagnosed, treated, helped to live healthier lives
2. Decrease rates of suicide, homelessness
3. Increase employment for those with serious mental illness
4. Provide more services for incarcerated persons with mental health problems
Equality in insurance coverage provided for both physical and mental illnesses is known as:
If no private insurance, the patient must:
If no private insurance, reliance on counties of residence for payment
True or False: Community-based programs are preferable for treating many people with mental illness.
Rationale: Although there are flaws in the system, community-based programs have positive aspects that make them preferable for treating many people with mental illness.
Who was the first psychiatric nurse?
site of first training for nurses to work with persons with mental illness
McLean Hospital, Belmont, MA
First psychiatric nursing textbook:
Nursing Mental Diseases) published in 1920
First school of nursing to include psych and what year?
Johns Hopkins, 1913
Required schools to include psychiatric nursing experience who and what year?
National League for Nursing (1950)
Who established therapeutic nurse-client relationship; interpersonal dimension (foundation for current practice)
Who focused on client psychosocial needs/strengths?
Basic level functions: 7
Health promotion, maintenance
Advanced level functions: 4
Prescriptive authority for drugs
What is the purpose of the five-axis system used in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, text revision (DSM-IV-TR)?
To give a comprehensive picture of client functioning
Involuntary confinement and institutional care of mentally ill people was the foremost treatment modality up until the:
A nurse shows the best understanding of mental illness when defining it as the:
Inability to function in a manner that manages both external and internal stressors effectively
When providing care to a client, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
In any given year, approximately how many people in the United States have a diagnosable mental disorder or illness?
3 things H. Paplau did:
• Published the landmark work Interpersonal Relations in Nursing
• Conceptualized nursing practice as independent of physicians
• Developed the first graduate nursing program in psychiatric nursing
Covers individuals and families with low incomes.
A psychiatric-mental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which of the following would the nurse emphasize as the primary goal of mental health services?
Recover from mental illness
A nurse is caring for a client who is depressed from the death of his wife. Identify the process through which the nurse tries to implement new findings in treating depression?
Caring for the client with optimal use of limited resources is:
During the moral treatment period (1790-1900), patients were routinely placed into which environment?
Chlorpromazine (Thorazine) is a drug in which classification?
Which interventions are assigned to the registered nurse? (2)
• Milieu therapy
• Coordination of care
What are the standards of professional performance that a nurse should implement when caring for a mentally ill client? (3)
• Integration of research
• Collegial interaction
• Collaboration with clients and their families
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