Study Cards Chapter 1 Terms - Mental Health and Mental Illness

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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