Exam 1 Study Guide (1).docx - Chapter One Mental Health and...

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Chapter One - Mental Health and Mental Illness Mental Health - state of well-being in which each individual is able to realize his or her potential, cope with the normal stresses of life, work productively, and make contribution to the community Mental Illness - all mental disorders with a definable diagnosis Significant impairment of… Cognition or thinking (autism, dementia) Emotions (bipolar) Behavioral changes (schizophrenia) Contributing Factors Resilience - ability and capacity for people to secure the resources they need to support their well-being; being able to recognize the feelings, deal with them,and learn from the experience (abused children reaching out for help) If your emotional regulation is below average: deep breathing, relax muscles, positive imagery Culture - based on interpretations of effective functioning according to societal norms Cultural competence - nurses need to increase this; sensitivity to different cultural views regarding health, illness, and response to treatment Mental health vs Physical health Nature vs Nurture Social Influences on Mental Health Care Consumer Movement and Mental Health Recovery National Alliance on Mental Illness - began to resist care from providers who didn’t take input from patients; promoted the notion of recovery Decade of the Brain Goal was to make legislators and the public aware of advances that had been made in research with the brain and neurotransmitters Surgeon General’s Report Mental health is fundamental to overall health There are effective treatments for mental health Human Genome Project Strengthened biological and genetic explanations for psychiatric conditions President’s New Freedom Commission on Mental Health Called for a streamlined system with less fragmented delivery of care; advocated for early diagnosis and treatment Institute of Medicine Highlighted effective treatments for mental illness Legislation and Funding Mental Health ACA (Medicare, Medicaid) Wellstone-Domenici Parity - required that any plan providing mental health coverage must do so in the same manner as med/surg coverage Diagnosing Mental Illness Diagnostic and Statistical Manual (DSM V) Classifies disorders NOT people Organized by hierarchy - occur youngest to oldest International Classification of Diseases (ICD 9-CM) Divided into 2 broad classifications with subclassifications Psychiatric Mental Health Nursing Promoting mental health through the assessment, diagnosis, and treatment of human response such as confusion, low self-esteem, impaired ability to function in job or family situations. Etc. Levels of Psychiatric Nursing Basic level (RN-PMH) Diploma, AD, BS Advanced (APRN-PMH) MSN, DNP, PhD Chapter 4 - Settings for Psychiatric Care
Outpatient PCPs,specialty care providers, patient centered medical/health homes, community clinics Inpatient Hospitals

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