Professional Documents
Culture Documents
Illness
Mental Health
Able to recognize own potential
Cope with normal stress
Work productively
Make contribution to community
Case Study
Mrs. M is your neighbor. She works full time
Mental Illness
Disorders with definable diagnosis
Significant dysfunction in mental functioning
related to
Developmental
: environmental problems
(nature vs nurture)
Biological: Alzheimer's, genetic tendencies
Culturally defined:
Anorexia (some developed countries)
Running Amok (Southeast Asia)
Pibloktoq (Greenland, Alaska)
Copyright 2014, 2010, 2006 by Saunders, an
imprint of Elsevier Inc.
Resilience
Ability and capacity to secure resources
Essential to recovery
Diathesis-Stress Model
Diathesis Biological predisposition
Stress Environmental stress or trauma
Most accepted explanation for mental illness
Combination of genetic vulnerability and
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Social Influences on
Mental
Health
Care
Consumer/recovery movement
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Epidemiology of
Mental
Disorders
Study distribution
of mental disorders
Identify high-risk groups
Identify high-risk factors
year
Prevalence how many people have the
condition at an given time
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Clinical Epidemiology
Groups treated for specific mental disorders
studied for
Natural history of illness
Diagnostic screening tests
Interventions
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DSM-5
The Diagnostic and Statistical Manual of
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ICD-9-CM
International Classification of Diseases
Clinical descriptions of mental and behavior
disorders
2 broad classifications
Subclassifications
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NANDA-I
The North American Nursing Diagnosis
Association International
(NANDA-I) describes a nursing diagnosis as a
clinical judgment about individual, family, or
community responses to actual or potential
health problems and life processes.
Approved nursing diagnosis
Ex. ineffective coping
http://www.mentalhealthcaring.com/2009/03/n
anda-nursing-diagnosis-and-behaviors.html
Copyright 2014, 2010, 2006 by Saunders, an
imprint of Elsevier Inc.
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Levels of Psychiatric
Nursing Practice
Basic Level
Passed state RN licensure and can work as RN
After two years as nurse, 2000 clinical hrs. in psychiatric setting and 30 hrs. continuing ed. can
take certification exam and become RN-BC.
Advanced Practice
Clinical Nurse Specialist
Psychiatric Nurse Practitioner
Prescriptive privileges
Diagnostic privileges
Psychotherapy
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Audience Response
Questions
1. A person has a high level of resilience. Which
other characteristic would the nurse expect
this person to have?
A.
B.
C.
D.
Optimism
Patriotism
Aggressiveness
Depressed affect
Copyright 2014, 2010, 2006 by Saunders, an
imprint of Elsevier Inc.
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Audience Response
Questions
2. Which of these mental health problems has
the highest annual prevalence in the United
States?
A.
B.
C.
D.
Schizophrenia
Alzheimers disease
Major depressive disorder
Generalized anxiety disorder
Copyright 2014, 2010, 2006 by Saunders, an
imprint of Elsevier Inc.
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