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What is the DSM-5?
Significant dysfunction in cognition, emotion, or behavior that reflects a disturbance in psychological, biological, or developmental processes (not due to an event)
What is a state of successful performance of mental function that results in productive activities, fulfilling relationships and the ability to adapt to change/cope with adversity?
Surgeon General 1999
What is the McNaughton rule?
Person is innocent by reason of insanity if behavior was due to defect of reason from disease of mind as to not know the nature and quality of act, or did not know that it was wrong
How does culture affect mental health?
it is difficult to have a standard measure
What is resilience
The ability and capacity for people to secure the resources they need to support their well-being.
What is the diathesis-stress model
Biological predisposition and environmental factors explain mental illness (nature plus nurture)
What did the consumer movement emphasize?
What were the goals of Human Genome Project
- Identify genes
- Determine gene sequence
- Store info in databases
- Improve tools for analysis
- Address ethical, legal, and social issues arising from project
What were the 6 goals of the President's New Freedom Commission on Mental Health?
- Mental Health essential to overall health
- Mental health consumer/family driven
- Disparities in mental health eliminated
- Early screening, assessment, referral
- Excellent care delivered, research accelerated
- Technology to access mental health care/info
What did QSEN focus on to develop a structure to support education of future nurses who possess the knowledge, skills, and attitudes to continuously improve safety and quality of healthcare?
- Pateint-centered care
- Teamwork and collaberation
- Evidence-based practice
- Quality improvement
What is the quantitative study of the distribution of mental disorders in human population
What is a co-morbid condition
When there is more than one mental disorder at a time
Difference between incidence and prevalence?
Incidence is number of new mental disorders
Prevalence is total number (new and existing)
What does the axis system include within the DSM-IV-TR?
- 1. Psych dx
- 2. Personality disorders
- 3. General Medical conditions
- 4. Environmental stressors
- 5. Global assessment of function (GAS)
How is the DSM-5 organized?
Developmentally with similar conditions situated more closely
What is the ICD-9-CM
International Classification of Disease 9th revision, clinical modification
How is ICD-9-CM organized
Two broad classifcations:
Psychosis and Neurotic disorders
What is NANDA-1
Provides 216 standardized nursing diagnoses, with 40% psychosocial/psychiatric related
What is the NOC
A comprehensive source of standardized outcomes, definitions of these outcomes, and measuring scales to help determine the outcome or nursing interventions
What is NIC?
Any treatment, based upon clinical judgement and knowledge, that a nurse performs to enhance patient/client outcomes
Name 4 basic level practices of psychiatric nursing interventions
- Coordinate care
- Milieu Therapy
- Pharmacological, biological, integrative therapy
What is the sensitivity to different cultural views regarding health, illness, and response to treatment?
What is the psychoanalytic theory? Who developed it?
Freud, Talking about difficult emotional issues had the potential to heal wounds caused by mental illness ("talk therapy" or "Cathartic Method")
What conclusions did Freud draw from his psychoanalytic theory?
- 3 levels of awareness
- Personality structure (3)
- Defense Mechanisms
- Psychosexual stages
Who was a neurologist from Austria who believed that mental illness was largely caused by unresolved childhood conflicts?
What two things are used through talk therapy
catharsis and free association
What level of awareness does Freud use to describe all the material a person is aware of at any one time? (perceptions, memories, thoughts, fantasies, feelings)
What state of awareness does Freud use to describe material that can be retrieved rather easily through conscious effort?
What state of awareness does Freud use to describe repressed memories, passions, and unacceptable urges lying deep below the surface?
What personality structure did Freud develop to explain the source of all drives, instincts, reflexes, needs, genetic inheritance, and capacity to respond as well as wishes that motivate us? (Pleasure principle)
What personality structure did Freud describe relies on the reality principle?
What personality principle did Freud describe relies on the moral principle? Ideal rather than real?
When does the Id structure develop
When does the ego structure develop
first few years of life
What makes us the superego?
conscious and ego ideal
What two common features does defense mechanisms share?
Unconscious (except suppression) and deny/falsify/distort reality to make it less threatening
According to Freud, what psychosexual stage includes 0-18 months? What does this stage entail?
According to Freud, what psychosexual stage includes 18 mo-3 years? What does this stage entail?
According to Freud what psychosexual stage includes 3-6 yrs? What does this stage include?
According to Freud, what psychosexual stage includes 6-12 years? What does this stage include?
- Repressed sexuality
According to Freud, what psychosexual stage includes 13-20 years? WHat does this stage include?
- Puberty/Desire opposite sex
What is feelings that the patient has toward the healthcare worker that were originally held toward signifcant others in his/her life?
What is unconscious feelings that the healthcare worker has toward the patient?
What requires full and honest disclosure of thoughts and feelings as they come to mind?
What does Freud believe occurs during dreams?
Urges and impulses of the unconscious mind are symbolically played