Nur429 Notes Exam1.pdf - Nur429 Exam#1 Mental Illness and...

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Nur429 Exam #1 Mental Illness and Mental Health: Mental Health: Adapt to life stressors Work productively Maintain interpersonal relationships Characteristics of Mental Health: Think clearly Manage emotions Resilient Healthy self-esteem Levels of Mental Health Prevention: Primary→ prevent actual mental disorder Ex: stress management, self-esteem building Secondary→ identify what the mental health problem is early Ex: screening for depression, crisis intervention Tertiary→ rehabilitation to reduce the effect of whatever the mental illness is Ex: support groups Mental Illness: Inability to adapt to stressors Impairment in important areas of functioning Demonstrated through behavior: excessive hand washing with anxiety Social Occupational Physical Schizophrenia → impaired cognition Mental Health Continuum Mild: mental health and well-being Severe: mental illness, major distress and impairment Mild, moderate, severe Ex: Anxiety Mild→ starting new class Moderate→ taking exam Always be culturally sensitive to what’s happening Severe→ panic disorder
Neurobiologic Causes: Most accepted explanation for mental illness Genetic vulnerability combined with environmental stressors Diathesis is the biological predisposition (Diathesis-Stress Model) Psychosocial Theories: Freud→ id, ego, superego, defense mechanisms All behavior has meaning but it might be subconscious Personality is influenced by experience Erikson→ developmental tasks completed in sequence Sullivan→ nurse will focus on interventions that deal with interpersonal issues Maslow→ human needs are organized in hierarchy Piaget Historical Overview of Mental Illness: Evil spirits and magical powers Aristotle/Hippocrates→ related to physical Exorcism Witchcraft Dorothea Dix→ began hospitals; society should take care of them (1800s) Hildeguard Peplau→ started psychiatric nursing; diagnose/treat mental illness Psychopharmacology/Psychotropics→ Thorazine (1st antipsychotic-1950s) Deinstitutionalization (1963)- shift from inpatient to community settings Mental Illness in 21st Century: Economic burden Revolving door effect Homelessness Mental health movement National Alliance of Mental Illness (NAMI) Decade of the Brain (90s) President’s New Freedom Commission on Mental Health Mental Health Parity Act Healthy People 2020; ↑ treatment Epidemiology of Mental Disorders: High risk factors/groups Incidence→ new cases Prevalence→ all cases (new/old) Comorbidity
Classification of Mental Disorders: DSM-5 Diagnostic and Statistical Manual of Mental Disorders: Subtypes Severity ICD-10 International Classification of Disease Psychiatric Nursing Practice: Standards of Practice APA/ANA: promoting mental health through assessment and diagnosis and treatment of human responses, mental health problems and psych disorders Levels of practice: Basic level: RN Advanced practice: NP EBP QSEN→ SBAR Psychiatric Mental Health Levels of Treatment:

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