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NURS 303 Midterm Review – Questions With Clear Solutions

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Terms in this set (147)



What is mental health? A state of well-being that helps people cope with
stress, realize abilities, learn, work, and contribute to
community


Integral to general health and part of everyone's life


More than the absence of mental illness


Can exist and be strengthened even with mental
illness


Affects thinking, feeling, acting, stress handling,
relationships, and decision-making


What is a mental illness (mental Health conditions involving changes in mood, affect,
disorder)? behaviour, thinking, and cognition
Associated with distress and impaired functioning
Examples: anxiety disorders, eating disorders, PTSD


Can someone with a mental disorder Yes, if the condition is well managed
still have optimal mental health? Person is functioning, coping, and feeling fulfilled


How are mental health and mental Mental health = overall emotional, psychological, and
illness different? social well-being
Mental illness = diagnosable conditions affecting
thinking, mood, and behaviour
Mental health requires emotional, psychological, and
social wellness

,What are key components of mental Self-esteem
health? Self-regulation
Growth orientation
Tolerance of uncertainty
Mastery of environment
Stress management
Resilience
Quality of life


What is wellbeing? Sense of contentment (peaceful state), happiness,
and flourishing
Shaped by social attitudes and structures
Stigma is a major barrier to flourishing
Affects help-seeking, social inclusion, and self-
perception


What is stigma in mental health? Negative attitudes, beliefs, and stereotypes
Directed at people with mental illness, substance
use, or social status
Leads to fear, labeling, and discrimination


What are the types of stigma? • Public stigma = negative or discriminatory attitudes
of others
• Self-stigma = internalized shame about one's
condition
• Structural stigma = system-level policies limiting
opportunities (e.g., low funding, fewer services)


How have understandings of mental Traditionally focused on biology (brain,
health and illness changed? neurotransmitters, hormones, genetics, medication)
Increased public awareness and advocacy
Some reduction in stigma
More positive attitudes toward mental illness


What are the social determinants of Conditions of daily life across the lifespan
mental health? (conception to death)
Influence mental health outcomes
Contribute to population disparities

, What is the nurse's role in addressing Design prevention strategies
social determinants of mental health? Target modifiable social risk factors
Promote population mental health
Viewed as an issue of social justice


What is the DSM-5? Diagnostic and Statistical Manual of Mental Disorders
Used in Canada, U.S., and worldwide
Provides symptoms, descriptions, and diagnostic
criteria


Why is diagnosis important in mental Structures thinking and treatment planning
health care? Creates common language across disciplines
Guides treatment recommendations
Supports service planning using prevalence data
Identifies research groups
Documents public-health data (morbidity, mortality)


What is comorbidity in mental health? Presence of more than one mental disorder at the
same time
Common in practice
Essential to understand patterns


What is concurrent (dual) diagnosis? Co-occurring mental health and substance-use
disorders
Complex
Associated with poorer health outcomes


What challenges exist in complex Limited resources
mental health nursing care? Increasing patient complexity
Poor system integration
"Band-aid" solutions
Wicked problems with no clear solutions
Complex systems theory = unpredictability and
paradox


What does the "missing middle" in People too unwell for primary care or basic
mental health care refer to? counseling
Not sick enough for hospital or specialized services
Creates a gap in the system

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