Guide to Mental Health: Resilience, Illness, & Therapeutic Approaches, Study Guides, Projects, Research of Nursing

This comprehensive study guide provides an in-depth exploration of mental health, focusing on resilience, mental illness, and various therapeutic approaches. Topics covered include the diathesis-stress model, defense mechanisms, anxiety levels, and intervention strategies. The guide also delves into ethical considerations, admission procedures, and legal aspects of mental health care.

Typology: Study Guides, Projects, Research

2023/2024

Available from 06/18/2024

LEARNERSTORE
LEARNERSTORE 🇺🇸

4.1

(11)

3.4K documents

1 / 9

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Mental Health Study
Guide 1
Resilient
-Ability and capacity to secure resources needed to support well-
being.
-Ability to withstand and recover quickly from difficult situation.
- Strive, adapt and recover
Mental illness versus physical illness
- Diathesis-stress Model (Nature versus nurture)
-Diathesis – Biological predisposition“Greek word”-
predisposition/sensibility
***EXAM***
-Stress – Environmental stress or trauma
-According to this model, people are born with a certain biological or
genetic predisposition to a mental illness.
-Most accepted explanation for mental illness how biology and
environment work together on people's minds
Assertion: Most psychiatric disorders result from a combination of
genetic vulnerability and negative environmental stressors
Traits of mental health to look at include:
- Is she thinking rationally?
- What about her communication skills?
- How has she handled stress in her life in the past? (resilience)
- How does she feel about her self (self-esteem)?
- Is she able to function as wife, mother, daughter, employee?
Optimism
- characteristic of a person who has a high level of resilience( the
ability to withstand quickly in any difficult situation).
Insulin Shock Therapy :
- insulin coma therapy (ICT) was a form of psychiatric treatment
in which patients were repeatedly injected with large doses of
insulin in order to produce daily comas over several weeks.
- Nurses must adjust their own practices to meet their patient’s cultural
beliefs and practices.
pf3
pf4
pf5
pf8
pf9

Partial preview of the text

Download Guide to Mental Health: Resilience, Illness, & Therapeutic Approaches and more Study Guides, Projects, Research Nursing in PDF only on Docsity!

Mental Health Study

Guide 1

Resilient

- Ability and capacity to secure resources needed to support well- being.

  • Ability to withstand and recover quickly from difficult situation.
  • Strive, adapt and recover Mental illness versus physical illness **- Diathesis-stress Model (Nature versus nurture)
  • Diathesis** – Biological predisposition“Greek word”- predisposition/sensibility EXAM - Stress – Environmental stress or trauma - According to this model, people are born with a certain biological or genetic predisposition to a mental illness. - Most accepted explanation for mental illness how biology and environment work together on people's minds ■ Assertion: Most psychiatric disorders result from a combination of genetic vulnerability and negative environmental stressors Traits of mental health to look at include:
  • Is she thinking rationally?
  • What about her communication skills?
  • How has she handled stress in her life in the past? (resilience)
  • How does she feel about her self (self-esteem)?
  • Is she able to function as wife, mother, daughter, employee? Optimism
  • characteristic of a person who has a high level of resilience( the ability to withstand quickly in any difficult situation). Insulin Shock Therapy :
  • insulin coma therapy (ICT) was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks.
  • Nurses must adjust their own practices to meet their patient’s cultural beliefs and practices.

1950s: First antipsychotic medication

  • Know Thorazine on exam ICD-10-CM
  • Resources for: disease coding,signs and symptoms abnormal findings, and psychiatric complaints. Therapeutic Milieu
  • defined as “a scientific structuring of the environment to effect behavioral changes and to improve the psychological health and functioning of the individual”.
  • Surroundings and physical environment
  • Unit Structure: activities, ground rules, reality orientation
  • Emotional climate
  • Sense of safety and security
  • Managing behavioral crises
  • Safety of staff and patient
  • Encourage patient to walk to orient them Assistive Outpatient Treatment(AOT)
  • Outside facility once a week ACT Program Guidelines 2007
  • Delivers comprehensive and effective services to individuals whose needs have not been well met by more traditional service delivery approaches. ABC
  • Appearance
  • Behavior
  • Communication

Peplau influenced by Sullivan’s work The art of nursing: -Provide care, compassion, and advocacy -Enhance comfort and well-being The science of nursing: -Application of knowledge to -Understand a broad range of human problems and psychosocial phenomena -Intervene in relieving patients’suffering and promote growth -Based on Sullivan’s interpersonal theory, Peplau is considered the “mother” of psychiatric mental health nursing. SHE SAID TO KNOW THIS**** Four Levels of Anxiety Mild: seldom a problem, increase ability to perceive reality. Moderate: individual’s perceptual field diminishes. Severe: perceptual field is so diminished that concentration centers on one detail only or on many extraneous details. Severe: where the individual also starts to feel physical symptoms like palpitations, headaches, and insomnia. Panic: the most intense state. Intervention to Lower Anxiety

  • Aims to improve patient’s ability to think and function
  1. Social support: Have other people they can turn to
  2. Relaxation Training/Biofeedback- deep breathing, visualizations, and meditation to calm their physiological arousal. 3) Optimistic Thinking-
  3. Humor- “ laughter- the best medicine”

Behavioral Therapy

- Modeling -initiating desirable behavior for others through imitation.

  • Operant conditioning -learned behavior through reward and punishmen t.
  • Systematic desensitization- Use to treat phobias by using relaxation techniques in response to fear.
  • Aversion therapy -treat problems with drugs and alcohol. Therapist will teach patient to replace memory of alcohol and drug use into unpleasant memory of using.
  • Biofeedback -teaches patient to relax, meditatate , to control involuntary muscles. As a result, it lowers blood pressure, heart rate, patient anxiety is reduced. Cognitive-behavioral therapy (Beck)
  • Test distorted beliefs and change way of thinking; reduce symptoms
  • Stage 1 - therapist and client agrees on nature of problems & goals for therapy
  • Stage 2 - therapist challenges the clients negative thoughts 8 stages of Development
  1. Trust Vs Mistrust(Age 0-1.5)
  2. Autonomy Vs shame-Doubt(Age 1.5-3)
  3. Initiative Vs Guilt( Age 3-6)
  4. Industry Vs inferiority(Age 6-12)
  5. Identity Vs role Confusion(Age 12-20)
  6. Intimacy vs isolation(Age 20-35)
  7. Integrity vs Despair(Age 65+)

*5250 is also emergency commitment Given:

  • 5mg of Haldol
  • 2mg of Ativan
  • 50mg of Benadryl Involuntary admission requires that the client:
  • retain freedom from unreasonable bodily restraints,
  • right to informed consent, and
  • the right to refuse medications, including psychotropic or antipsychotic medications.
  • Involuntary admission loses legal rights except for restraints For consent to be effective legally, it must be informed. Generally, the physician or advanced practice provider must obtain the informed consent from the patient before performing a treatment or procedure.
  • Duty to warn and protect third parties - when in danger
  • Child and elder abuse reportings statutes - GO TELL SOMEONE If patient says “nurse can you keep a secret?I have a knife under my belt.”
  • “I am responsible for reporting” Tort Law ● Tort —a civil wrong for which money damages may be collected by the injured party (plaintiff) from the responsible party (the defendant) ● Intentional tort —willful or intentional acts that violate another person’s rights or property
  • Assault - a threat, physical attack
  • Battery – caused bodily harm
  • False imprisonment- being imprisoned without legal authority
  • Invasion of privacy- intrusion into the personal life of another, without just cause.
  • Defamation of character (slander or libel)
  • Slander- false spoken statement
  • libel - publishing false statement

Schizophrenia

  • Characterized by psychosis which refers to altered cognition, perception or impaired ability to determine what is real or not real
  • Symptoms include hallucinations, delusions and or disorganized speech/thought
  • Basic needs such as hygiene, nutrition,health care are often neglected DSM-5 criteria for schizophrenia A.2 or more of the following present
  1. Delusion
  2. Hallucination
  3. Disorganized speech
  4. Grossly Disorganized or catatonic behavior
  5. Negative symptoms B. Level of functioning is usually below the level achieved before onset C. Continuous signs of the disturbance persist for at least six months D. Schizoaffective disorder and depressive bipolar disorder with psychotic features have been ruled out because of either no major depressive of ir mood episode have occurred E. The disturbance is not attributable to the physiological effects of a substance F. If there is history of autism spectrum disorder of a communication disorder of childhood onset