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Advanced Practice Registered Nurse, Psychiatric Mental Health
A licensed RN with a master of science or Doctor of Nursing practice in Psychiatric nursing.
Basic Level Registered Nurse, RN
Any nurse with basic training, a diploma, associate degree, or baccalaureate degree in nursing., completed nursing program, state licesure and qualified to work in most any general or speciality area.
Diagnostic And Statistical Manual Of Mental Disorders, Fourth Edition, DSM 4
A classification of mental disorders that includes descriptions of diagnostic categories. The DSM 4 is the most widely accepted system of classifying abnormal behaviors used in the United States today.
Electronic Health Care, E H C
The provision of health care through methods which are not face-to-face but rather through an electronic medium.
Care based on the collection, interpretation, and integration of valid, important, and applicable patient-reported, clinician-observed, and research-derived evidence.
Refers to the number of new cases of mental disorders in a healthy population within a given period of time. For example, the number of New York City adolescents who were diagnosed with major depression between 2000 and 2010.
Mental Health Continuum
A conceptual line used to represent levels of mental health and mental illness that vary from person to person and vary for a particular person over time.
A clinically significant behavioral or psychological syndrome marked by the patient's distress, disability, or the risk of suffering disability or loss of freedom.
Nursing Intervention Classification, N I C
A listing of research-based nursing intervention labels that provide standardization of expected nursing interventions.
Nursing Outcomes Classification, N O C
A classification system which defines and describes patient outcomes to nursing interventions.
Phenomena Of Concern
The central interests of a particular discipline. In nursing they are commonly considered to be person, health, environment, and nursing.
Describes the total number of cases, new and existing, in a given population during a specific period of time. Example: the number of adolescents who screen positive for major depression in New York City schools between 2000 and 2010
Psychiatric Mental Health Nursing, P M H N
This specialty area in nursing and core mental health profession promotes mental health through the nursing process in the treatment of mental health problems and psychiatric
Psychiatry's Definition Of Mental Health
Evolves over time and is shaped by the prevailing culture and societal values. Reflects changes in cultural norms, society's expectations, and political climates.
Registered Nurse-Psychiatric Mental Health, R N, P M H
A nursing graduate who possess a diploma, AA, or BA and chooses to work in the specialty of psychiatric mental health nursing.
The ability to adapt and cope, which helps people to face tragedies, loss, trauma, and severe stress.
Global Assessment of Functioning
A 0 to 100 rating of a person, with more severe disorders indicated by lower numbers and more effective functioning by higher numbers
Electronic Health Record
A long-term accumulation of a patient's health care information from a many different of providers.
10 Fundamental Components of the Recovery process
Self directed, Individule and person centered, Empowering, Holistic, Nonlinear, Strength Bases, Peer supported, Respect, Responsibility, Hope.
Suggests that a person may be predisposed for a mental disorder that remains unexpressed until triggered by stress or trauma. This is the most accepted explanition for mental illness.
Decade of the Brain
•1990 - 2000 by Pres. George H. W. Bush
•Years dedicated to new studies & to make legislation/general public aware of advances that were made in neuroscience/brain research
Traits of Mental Health
Think rationally, most of the time.
Learn - frontal lobe working properly.
a state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively and fruitfully, and make a contribution to the community.
Occur in specific sociocultural contexts and are easily recognized by people in those cultures.
a culture-bound syndrome of Southeast Asia, in which a person, usually a male, runs around engaging in furious, almost indiscriminate violent behavior.
an uncontrollable desire to tear off one's clothing and expose oneself to severe winter weather, is a recognized psychological disorder in parts of Greenland, Alaska, and the Artic regions
The fact that some people, even those with the most serious illnesses, such as schizophrenia, will recover. A consumer-focused process, in which people are able to live, work, learn, and participate fully in their communities.
Why is it important to recognize & treat mental illnesses early?
Because with each "episode", the risk goes up 50% that they will have another episode
A biological predisposition to a disorder. Also known as vulnerability. A diathesis only causes abnormal behavior when it is combined with a stress or challenging experience.
National Alliance on Mental Health (NAMI)
•1979 - Formed by people w/ mental illness & their families.
•1980's - Group began resisting traditional "paternalistic" mental health care providers who dictated care & treatment
New Freedom Commission on Mental Health
2003 - Release of recommendations for mental health care in America. Called for a streamlined system. Advocated for Early diagnosis and treatment, New expectation for principles of recovery, Increased assistance in helping people find housing & work.
Identify high-risk groups, and high-risk factors associated with illness onset, duration, & recurrence.
Examples of high-risk groups associated w/ illness onset, duration, & recurrence.
•Kids facing traumatic experiences at young age.
Examples of high-risk factors associated w/ illness onset, duration, & recurrence are.
In the DSM 4, mental disorders are MANIFESTATIONS of a dysfunction of an individual's.
behavior, psychology, and biology.
In the D S M 4, mental disorders are ASSOCIATED with?
Distress or painful symptom.
Disability of important areas of function.
High risk of suffering death, pain, disability, or loss of freedom.
Mental disorder that is the focus of treatment; refers to a collection of s/s that together constitute a particular disorder. Example: Major depressive disorder
Psychosocial & environmental problems. Example: relationship failing, job loss, finances. 300 to 500 means high stress.
The Global Assessment of Functioning Score, or G A F Score. Example: 31; unable to work or respond to family & friends.
The Main Personality Disorders are
Obsessive-Compulsive, Narcissistic, Histrinic, Paranoid, Boarderline, Dependent, Schizoid, Anxious or Avoidant, Schizotypal, and Antisocial.
any treatment based upon clinical judgment and knowledge that a nurse performs to enhance patient/client outcomes
I C D-10
International classification of diseases
•Clinical descriptions of mental & behavior disorders
•Divided into 10 disease categories
This is a clinical judgment about individual, family, or community responses to actual or potential health problem/life processes. It provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.
A well defined nursing diagnosis provides the framework for
Identifying appropriate nursing interventions for dealing w/ the patients reaction to the disorder
Basic Level Psych RN interventions
•Health teaching andmaintenance
•Pharmacological, biological & integrative therapies
Psych nurse advanced practice interventions
Basic interventions plus Med Rx's and treatment, hospital admitting, Psychotherapy, Consultation-sharing clinical expertise with nurses or other health care professionals to enhance the treatment of patients
Coordinate patient care provided to individuals, their families, and significant other on a continuum and to provide efficient transitions to services that may be needed after discharge at home, in clinics, or other health care facilities.
Community nursing centers
Centered on low cost by providing care in established community buildings. The focus is on wellness and ease of accessible within the community. Serves low-income and uninsured people as long as they can secure funding.
Sensitivity to different cultural views reguarding health, illness, and response to treatment.
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