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7/29/2019 Study Cards Chapter 1 Terms - Mental Health and Mental Illness
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10 Fundamental
Components of the
Recovery process
Self directed, Individule and
person centered, Empowering,
Holistic, Nonlinear, Strength
Bases, Peer supported,
Respect, Responsibility, Hope.
A well defined nursing
diagnosis provides the
framework for
Identifying appropriate
nursing interventions for
dealing w/ the patients
reaction to the disorder
Advanced Practice
Registered Nurse,
Psychiatric Mental
Health
A licensed RN with a master of
science or Doctor of Nursing
practice in Psychiatric nursing
Axis 1
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
Axis 2
Personality disorders &
mental retardation.
Example: Dependent
personality disorder
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Axis 3
General medical conditions
relevant to the mental
disorder on Axis 1. Example:
Diabetes
Axis 4
Psychosocial & environmental
problems. Example:
relationship failing, job loss,
finances. 300 to 500 means
high stress.
Axis 5
The Global Assessment of
Functioning Score, or G A F
Score. Example: 31; unable to
work or respond to family &
friends.
Basic Level Psych RN
interventions
Health teaching
andmaintenance
Milieu therapy
Pharmacological, biological &
integrative therapies
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.
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Case Management
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.
Clinical Epidemiology
broad term that
addresses what happens
after patients are seen
by providers
Co-morbid ConditionA condition that occurs
along with another
disorder.
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.
Cultural Competence
Sensitivity to different cultural
views reguarding health,
illness, and response to
treatment.
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Culture-Bound
Syndromes
Occur in specific sociocultural
contexts and are easily
recognized by people in those
cultures.
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
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.
Diathesis
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.
Diathesis-Stress Model
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.
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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.
Electronic Health
Record
A long-term accumulation of a
patient's health care
information from a many
different of providers.
Epidemiologists
Identify high-risk groups, and
high-risk factors associated
with illness onset, duration, &
recurrence.
Epidemiology
The quantitative study of
the distribution of
mental disorders in
human populations.
Evidence-Based Practice
Care based on the collection,
interpretation, and integration of
valid, important, and applicable
patient-reported, clinician-
observed, and research-derived
evidence.
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Examples of high-risk
factors associated w/
illness onset, duration, &
recurrence are.
Old treatments
Poverty
Isolation
Examples of high-risk
groups associated w/
illness onset, duration, &
recurrence.
Kids facing traumatic
experiences at young
age.
Genetic predisposition
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
I C D-10
International classification of
diseases
Clinical descriptions of mental &
behavior disorders
Divided into 10 disease categories
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.
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In the DSM 4, mental
disorders are
MANIFESTATIONS of a
dysfunction of an
individual's.
behavior, psychology,
and biology.
Incidence
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
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.
Mental Health
Consumer
Groups of people with
mental illnesses.
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.
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Mental Illness
A clinically significant behavioral or
psychological syndrome marked by
the patient's distress, disability, or
the risk of suffering disability or
loss of freedom.
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.
Nursing Diagnosis
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.
Nursing Intervention
any treatment based upon
clinical judgment and
knowledge that a nurse
performs to enhance
patient/client outcomes
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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.
Parity functional equality
Patient Advocatean individuale who
speaks for the patient
and protects their rights
Phenomena Of Concern
The central interests of a
particular discipline. In nursing
they are commonly considered
to be person, health,
environment, and nursing.
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Pibloktoq
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
Prevalence
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
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
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.
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Recovery
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.
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.
Resilience
The ability to adapt and cope,
which helps people to face
tragedies, loss, trauma, and
severe stress.
Running Amok
a culture-bound syndrome of
Southeast Asia, in which a person,
usually a male, runs around
engaging in furious, almost
indiscriminate violent behavior.
Stigma
a powerfully negative label
that greatly changes a person's
self-concept and social
identity
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The D S M 4 classifies
what?
the disorder not the
person.
The Main Personality
Disorders are
Obsessive-Compulsive, Narcissistic,
Histrinic, Paranoid, Boarderline,
Dependent, Schizoid, Anxious or
Avoidant, Schizotypal, and
Antisocial.
Traits of Mental Health
Think rationally, most of the time.
Communicate appropriately.
Learn - frontal lobe working properly.
Grow emotionally.
Resilient.
Healthy self-esteem.
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