Introduction to Mental Health Exam Review

Final Exam Blueprint - Introduction to Mental Health

  • Topics & Weighting:   - Working with Families, Groups, & Spirituality: 5   - Survivors of Abuse or Neglect: 3   - Anger and Aggression: 3   - Depression Disorders: 6   - Suicide Prevention: 4   - Alternative therapies: 1   - Bipolar: 6   - Schizophrenia: 8   - Neurocognitive: 3   - Older Adult: 1   - Military: 3   - Child & Adolescent: 2   - Anxiety: 6   - Anxiolytic medication: 2   - Grief: 1   - Personality disorders: 6   - Substance abuse: 5   - Eating disorders: 3   - Sexual disorders: 3

Introduction to Mental Health

  • Foundational Concepts:   - Legal & Ethical Issues in Therapeutic Care   - Revision Date: Riverside College of Health Sciences, 12/2025

Foundations of Mental Health Nursing

  • What is Mental Health?   - Ability to adapt and positively function in the face of stressors.
  • Mental Illness:   - Cognitive and emotional disturbances, abnormal behaviors, and impaired functioning.
  • Social Determinants of Health:   - Understanding how life factors impact mental health.

Diagnostics and Statistical Manual of Mental Disorders (DSM)

  • 5th Edition   - Known as the "Bible of Psychiatry"   - Outlines symptoms required for diagnosis   - Reviews categories for adults and children   - Guidelines provided for recording additional diagnostic information via Axis.

Mental Health Treatment History

  • Pre-Enlightenment Era:   - Prior to late 1700s, mentally ill were seen as wild animals, criminals.   - Confinement methods used; blamed on demons.
  • Enlightenment Era (1790s):   - Establishment of asylums for protection and humane treatment.   - The first mental hospital in the US was Eastern State Hospital.
  • 1850s-1870s:   - Focus on treatment and study of mental illness.   - Linda Richards, the first psychiatric nurse, emphasized treatment and human dignity.   - Limited drug use, mainly sedatives (alcohol and opium for violent patients).
  • Period of Psychotropic Drugs (1950s):   - Introduction of the first antipsychotic (chlorpromazine) and other psychotropic medications.   - Shortened hospital stays influenced the requirements for psychiatric nursing accreditation.
  • Period of Community Mental Health (1960s):   - Deinstitutionalization and establishment of the Community Mental Health Centers Act.   - Introduction of the Continuum of Care model for mental health treatment.
  • Decade of the Brain (1990s):   - Increase in brain research and biological explanations for mental health disorders.

Mental Health Continuum

  • Definition:   - Range of mental health functioning from wellness (ability to cope) to illness (inability to cope).
  • Influenced by behaviors, emotions, cognition, and physical adaptation.
  • Levels:   - Crisis, Struggling, Surviving, Thriving, Excelling.
  • Resilience:   - Ability to recover from stressors and difficulties, a goal achieved through therapy and support.

Diathesis-Stress Model

  • Diathesis:   - Genetic or biological predisposition to mental illness.
  • Stress:   - Psychological or physiological changes in the environment.
  • Adverse Childhood Experiences (ACEs):   - Events that impact mental health development.
  • Protective Factors:   - Conditions and behaviors that promote well-being, e.g., supportive relationships and access to healthcare.

Continuum of Care

  • Levels:   - Tailored to patient needs, from least to most restrictive environments.   - Patient Activation Measure Survey:     - Changes during treatment; relapse may lead to rehospitalization.   - Collaborative team essential for rapport and care delivery.

Continuum of Care: Discharge Planning

  • Factors to Consider:   - Least restrictive discharge options, medication compliance, and existing support systems.   - Safety planning critical, even if psych symptoms persist.

Legal, Ethical, and Political Issues

  • M'Naghten Rule (1843):   - Definition of insanity related to mental illness during a crime.
  • Omnibus Mental Illness Recovery Act (2000):   - Focus on enhancing community care and services.
  • Tarasoff Rule (1976):   - The duty to warn identified potential victims.
  • Mental Health Parity and Addiction Equity Act (2008):   - Requires insurance coverage for mental health services equivalent to medical treatment.
  • HIPAA (1996):   - Protects patient records from unauthorized access.
  • Mental Healthcare Act (2017):   - Protects patients' rights regarding mental illness treatment.

Legal Issues - Admission

  • Criteria for Admission:   1. Imminent risk of self-harm.   2. Imminent risk of harm to others.   3. Inability to care for oneself due to mental instability.
  • Types of Custody Orders:   - Emergency Custody Order (ECO): max 8 hours.   - Temporary Detention Order (TDO): max 72 hours until a hearing.
  • Commitment Types:   - Involuntary: maximum of 30 days initially, extendable to 180 days if necessary.

Admission Process

  • Assessment Procedures:   - Determine correct unit based on needs and behaviors.   - Skin assessments for self-injury indications conducted by two staff members.   - Levels 2/3 checks to prevent contraband within patient belongings.   - Appropriate precautions established.

Patient Belongings

  • Allowed Items:   - Clothing without strings and metal, personal hygiene items (secured), and books without binding.
  • Contraband Examples:   - Items such as glass objects, recreational drugs, lighters, cash, or electronics.

Evidence-Based Practice in Mental Health Nursing

  • Focus on nursing processes, building therapeutic relationships, and coordination of care.

Scope and Standard of Practice

  • Priority:   - Safety
  • Implementation:   - Coordination, education, pharmacological, complementary therapies, and milieu therapy.

Roles of Psychiatric Nurse

  • Helping patients adapt and cope with stressors, developing therapeutic rapport, administering medications, and setting behavioral limits.

Mental Status Exam (MSE)

  • Components of MSE:   - Movement and Gait: Monitor for abnormal signs such as tics or tremors.   - Appearance: Assess posture, grooming, signs of self-harm.   - Behaviors: Note mannerisms, gestures, expressions, and attention to command.   - Consciousness Level: Ranging from alertness to lethargy.

Mental Status Exam: Speech

  • Criteria of MSE Speech Exam:   - Quantity: Talkative, spontaneous.   - Rate: Speed of speech.   - Volume: Loudness or softness of voice.   - Fluency: Assess clarity and hesitancy.

Mental Status Exam: Emotion

  • Components:   - Mood (Subjective): Individual's emotional state.   - Affect (Objective): Signs of emotional expression.

Mental Status Exam: Perception

  • Types of Perceptual Disturbances:   - Illusions: Misperception of actual stimuli.   - Hallucinations: Sensory experiences without external stimuli.

Mental Status Exam: Thought Content and Process

  • Examples of Disturbances:   - Delusions: Fixed, false beliefs or unusual ideas.
  • Thought Process Types:   - Linear, Circumstantial, Tangential, etc.

Maslow's Hierarchy of Needs

  • Structural Levels:   1. Physiological Needs: Basic survival needs (food, shelter).   2. Safety Needs: Security of body, resources, health.   3. Love and Belonging Needs: Friendship and intimacy.   4. Esteem Needs: Self-esteem and recognition.   5. Self-Actualization Needs: Achieving personal potential.

Evidence-Based Practices in Mental Health

  • Milieu Therapy: Supportive environments improve mental health.
  • Trauma-Informed Care: Awareness of trauma impact on individuals.

Therapeutic Relationships

  • Steps to Build:   - Pre-interaction, Orientation, Working, and Termination phases.

Psychopharmacology

  • Understanding Medications:   - 50% of individuals with severe mental illness do not adhere to medication regimens.
  • Mechanisms:   - Different classes and effects (SSRIs, antipsychotics, etc.).

Medication Effects and Side Effects

  • Common Outcomes:   - Understanding medication interactions and risks of dependency.

Mental Health Theories and Therapies

Psychoanalytic Theory - Sigmund Freud

  • Components of Personality:   1. Id: Instant gratification.   2. Ego: Rational self, adhering to rules.   3. Superego: Moral compass.

Psychosocial Development - Erik Erikson

  • Stages of Development:   - Importance of overcoming challenges in stages.   

Cognitive Behavioral Therapy

  • Focus: Interplay between thoughts and behaviors.

Biopsychosocial Model Theory

  • Understanding Disorders:   - Interplay of biological, psychological, and social factors.

Nursing Theories and Therapeutics

Imogene King - Goal Attainment Theory

  • Nurse and Patient Collaboration: Setting and achieving health goals.

Hildegard Peplau - Interpersonal Relations

  • Therapeutic Relationships: Engagement through mutuality and respect.

Psychoanalytic Therapy

  • Explanation of Techniques:   - Exploring unconscious conflicts and transference.

Behavioral Therapy

  • Focus: Modify maladaptive behaviors.

Recovery Interventions

  • Therapeutic Management and Support:   - Facilitate recovery and improvement in patients.

Milieu Therapy

  • Creating a Supportive Environment:   - Key elements include containment, structure, and validation.

Trauma Care Concepts

  • Understanding Trauma's Impact:   - Support systems and adaptive coping strategies.

Questions and Resources

  • Resource References:   - Textbooks: Essential readings for understanding mental health nursing.   - Organizations: Agencies providing additional educational resources.

Conclusion

  • In-depth understanding of mental health nursing, legal and ethical considerations, treatment methodologies, and the therapeutic relationship.
  • Importance of a compassionate, informed approach to patient care in mental health settings.