Foundation of Psychiatric-Mental Health Nursing

Indicators of Mental Illness

dissatisfaction with self and relationships, ineffective coping and overwhelming daily life, feelings of hopelessness

True or False: DSM-5-TR is used for diagnosing

false (student nurses do not use DSM-5-TR to diagnose clients)

Which of the following factors is NOT considered a social determinant influencing mental health?

A. Sense of community

B. Access to resources

C. Emotional resilience

D. Support of diversity

E. Social inclusion

C. Emotional resilience

what is the Community Mental Health Centers Construction Act (1963)

shift from institutional care to community facilities.

Dual Diagnosis

severe mental illness and substance misuse exaberate symptoms and increase rehospitalization likelihood

Healthy People 2030 Objectives

Focus on prevention, screening, assessment, and treatment of mental disorders

aim to improve health and quality of life for those affected by mental health and behavioral disorders.

Community Support Service Programs

Focus on rehabilitation, vocational needs, education, socialization, symptom management, and medication

Nurses must be aware of ______ differences in mental health and treatment

cultural

Future trends

continued increase in diversity in the U.S. households, challenge for nurses to provide sensitive, competent care.

American Nurses Association (ANA)

Develops and revises standards of care that describe nurses’ responsibilities, used to determine safe and acceptable practice in legal issues.

American Psychiatric Nurses Association (APNA)

Has standards of practice and professional performance

Outlines areas of practice and phenomena of concern

true or false: chlorpromazine (Thorazine) and lithium were among the first psychotropic drugs introduced in the 1950s.

true

Student Concerns: true or false- be indirect with patients to avoid saying the wrong thing, handling inappropriate behavior, and personal safety

false (we need to be direct)

what is a good way to make a client feel heard?

listening

true or false: Student nurses are doing enough just by talking to patients

true (therapeutic relationships and trust takes time and patience)

true or false: student nurses should avoid physical restraint

true

what is the most common concern for student nurses in psychiatric-mental health nursing?

fear of saying the wrong thing

Self-awareness

awareness of ones feeling, beliefs, attitudes, values, and thoughts (essential to psychiatric nursing)

Mental health as well as mental illness are influenced by many ______ factors.

individual

the goal of self awareness is to…

know oneself so that ones values, attitudes, and beliefs are not projected to the client, interfering with nursing care.