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21. Signs of mental illness in children, adolescents, adults, elderly (Couldn't find in book) Ch. 7?ii.Consider developmental levels in the evaluation of children. One of the hallmarks of psychiatric disorders in children is the tendency to regress (i.e., return to a previous level of development). For example, although it is developmentally appropriate for toddlers to suck their thumbs, such a gesture is unusual in an older child.○Adolescents and adultsi.Excessive worrying or fear, feeling excessively sad or low, substance abuse, difficulty perceiving reality, changes in sex drive, changes in sleeping habits, avoiding friends.ii.Threats of suicide, homicide, sexual abuse, or behaviors that put the patient or others at risk for harm○Elderlyi.Changes in appearance of dress, confusion, decrease appetite/changed weight, depressed mood, social withdrawal, unexplained fatigue, trouble with finances. ii.They may be sensory (difficulty seeing or hearing), motor (difficulty walking or maintaining balance), or medical(back pain, cardiac or pulmonary deficits). All of these problems can cause increased anxiety, stress, or physical discomfort.22. MH self-care○Cannot care for others if you are not adequately caring for self. Must provide self with proper self-care techniques in order to provide quality care to patients○ANA Code of Ethics states that nurses should model the same self care for their own health that they teach to their patients23. The HEADSSS Psychosocial Interview Technique – Adolescents – Types of questions for each element of HEADSSS. Know what the acronym stands for and what type of questions would be asked.○24. Role of resilience in mental health and mental illness○Resilience is the ability and capacity for people to secure the resources they need to support theirwell-being. People who are resilient are effective at regulating their emotions and not falling victim to negative thoughts. Resilience helps you deal with normal issues life presents that may impact your mood negatively. 11
25. Diathesis-stress model ○An interaction between a predisposition vulnerability and a stress caused by life experiences causing mental illness. I.e. nature and nurture26. Patient Rights under the law / Rights when client is at risk to self or others / Rights to refuse treatment (Exceptions) / when psychotic or out of touch with reality? 27. Laws related to Psychiatric Nursing / liable / restraint / seclusion / treat without consent situations / negligence / malpractice / related to keeping clients safe○ Exceptions to informed consent-Patient lacks decision making capacity or is legally incompetent-Implied consent in an emergency-Therapeutic privilege-withholding information when disclosure would severely harm the patient