Mental Health Exam 1
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1. Describe the continuum of mental health and mental illness.: Almost linear, you can
go from one end to another.
On one end - Mental health: sense of well being, adequate to high functioning. No serious impairments in day to day
life.
On the other end - Mental illness: can range from mild to severe mental illness. One may feel mild discomfort and
alterations in functioning and seek help. Others that are severely impacted also fall in this category.
You can go from one end to the other, back and forth.
2. Explore the role of resilience in the prevention of and recovery from mental
illness and consider resilience in response to stress.: Resilience is the ability and capacity for
people to secure the resources they need to support their well-being.
People who are resilient are able to effectively regulate emotions, and not focus on negative, self-defeating thoughts
"Brief Resilient Coping Scale" in box 1.1 pg. 4
3. Identify how culture influences the view of mental illnesses and behaviors
associated with them.:
4. Discuss the nature/nurture origins of psychiatric disorders.: 1800's - Germ theory of
illness, mental illness was thought to be biological, dismissed because no causative factors
Psychological theories were explored i.e., depression comes from childhood memories
1952 - Thorazine was found to calm agitated patients, more biological research was done
diathesis-stress model—in which diathesis represents biological predisposition and stress represents environmental
stress or trauma—is the most accepted explanation for mental illness. This nature-plus-nurture argument asserts that
most psychiatric disorders result from a combination of genetic vulnerability and negative environmental stressors.
5. Summarize the social influences of mental health care in the United States.-
: 1979 - NAMI was formed, called for patients to be able to make decisions about their mental healthcare vs. giving
providers total control. Also brought about the concept of recovery defined now as "a process of change through which
individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential." The focus
, Mental Health Exam 1
Study online at https://quizlet.com/_azdf49
is on the consumer and the consumer's abilities.
1990 - decade of the brain. Emphasis on neuroscience, and how the brain impacts our health and wellness.
1999 - first surgeon general's report on mental health. Basically established that (1) mental health is fundamental to
overall health and (2) there are effective treatments. The report is reader-friendly and a good introduction to mental
health and illness.
2003 - President's new freedom commission on mental health: called for a streamlined system with less fragmentation
in the delivery of care. The commission advocated for early diagnosis and treatment, adoption of principles of recovery,
and increased assistance in helping people find housing and work.
WAY more detail on page 7
6. Explain how epidemiological studies can improve medical and nursing care.: -
Epidemiology, as it applies to psychiatric-mental health, is the quantitative study of the distribution of mental disorders
in human populations
Helps identify high risk groups and risk factors associated with illness onset, duration, and recurrence
Comorbidity - presence of 2 or more disorders (same time, or in sequence)
Incidence - info about the risk of contracting disease, number of new cases of mental disorders in a healthy population
in a given time (usually one year)
Prevalence - total number of cases, existing and new, in a given population for a specific period of time, regardless of
when they became ill
Nurses treat problems associated with illness
7. Identify how the Diagnostic and Statistical Manual, 5th edition (DSM-5) is used
for diagnosing psychiatric conditions.: Dominant method for categorizing and diagnosing mental
illnesses
2013 - latest edition, describes 157 disorders
, Mental Health Exam 1
Study online at https://quizlet.com/_azdf49
Identifies disorders based on certain criteria
Used in all mental health settings where diagnosis can be made
DSM 5 diagnoses disorders, not people.
8. Describe the specialty of psychiatric mental health nursing and list three
phenomena of concern.: Psychiatric mental health nursing - the nursing specialty that is dedicated to
promoting mental health through the assessment, diagnosis, and treatment of behavioral problems, mental disorders,
and comorbid conditions across the life span
-Assist those in crisis, or with life problems, or long-term mental health disorders
-Also defined as: promoting mental health through the assessment, diagnosis, and treatment of human responses to
mental health problems and psychiatric disorders
phenomena of concern—human experiences and responses
• Promotion of optimal mental and physical health and well-being
• Prevention of mental and behavioral distress and illness
• Promotion of social inclusion of mentally and behaviorally fragile individuals
• Co-occurring mental health and substance use disorders
• Co-occurring mental health and physical disorders
• Alterations in thinking, perceiving, communicating, and functioning related to psychological and physiological
distress
• Psychological and physiological distress resulting from physical, interpersonal, and/or environmental trauma or
neglect
• Psychogenesis and individual vulnerability
• Complex clinical presentations confounded by poverty and poor, inconsistent, or toxic environmental factors
• Alterations in self-concept related to loss of physical organs and/or limbs, psychic trauma, developmental conflicts,
or injury
• Individual, family, or group isolation and difficulty with interpersonal relations
• Self-harm and self-destructive behaviors, including mutilation and suicide
• Violent behavior, including physical abuse, sexual abuse, and bullying
• Low health literacy rates contributing to treatment nonadherence
Study online at https://quizlet.com/_azdf49
1. Describe the continuum of mental health and mental illness.: Almost linear, you can
go from one end to another.
On one end - Mental health: sense of well being, adequate to high functioning. No serious impairments in day to day
life.
On the other end - Mental illness: can range from mild to severe mental illness. One may feel mild discomfort and
alterations in functioning and seek help. Others that are severely impacted also fall in this category.
You can go from one end to the other, back and forth.
2. Explore the role of resilience in the prevention of and recovery from mental
illness and consider resilience in response to stress.: Resilience is the ability and capacity for
people to secure the resources they need to support their well-being.
People who are resilient are able to effectively regulate emotions, and not focus on negative, self-defeating thoughts
"Brief Resilient Coping Scale" in box 1.1 pg. 4
3. Identify how culture influences the view of mental illnesses and behaviors
associated with them.:
4. Discuss the nature/nurture origins of psychiatric disorders.: 1800's - Germ theory of
illness, mental illness was thought to be biological, dismissed because no causative factors
Psychological theories were explored i.e., depression comes from childhood memories
1952 - Thorazine was found to calm agitated patients, more biological research was done
diathesis-stress model—in which diathesis represents biological predisposition and stress represents environmental
stress or trauma—is the most accepted explanation for mental illness. This nature-plus-nurture argument asserts that
most psychiatric disorders result from a combination of genetic vulnerability and negative environmental stressors.
5. Summarize the social influences of mental health care in the United States.-
: 1979 - NAMI was formed, called for patients to be able to make decisions about their mental healthcare vs. giving
providers total control. Also brought about the concept of recovery defined now as "a process of change through which
individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential." The focus
, Mental Health Exam 1
Study online at https://quizlet.com/_azdf49
is on the consumer and the consumer's abilities.
1990 - decade of the brain. Emphasis on neuroscience, and how the brain impacts our health and wellness.
1999 - first surgeon general's report on mental health. Basically established that (1) mental health is fundamental to
overall health and (2) there are effective treatments. The report is reader-friendly and a good introduction to mental
health and illness.
2003 - President's new freedom commission on mental health: called for a streamlined system with less fragmentation
in the delivery of care. The commission advocated for early diagnosis and treatment, adoption of principles of recovery,
and increased assistance in helping people find housing and work.
WAY more detail on page 7
6. Explain how epidemiological studies can improve medical and nursing care.: -
Epidemiology, as it applies to psychiatric-mental health, is the quantitative study of the distribution of mental disorders
in human populations
Helps identify high risk groups and risk factors associated with illness onset, duration, and recurrence
Comorbidity - presence of 2 or more disorders (same time, or in sequence)
Incidence - info about the risk of contracting disease, number of new cases of mental disorders in a healthy population
in a given time (usually one year)
Prevalence - total number of cases, existing and new, in a given population for a specific period of time, regardless of
when they became ill
Nurses treat problems associated with illness
7. Identify how the Diagnostic and Statistical Manual, 5th edition (DSM-5) is used
for diagnosing psychiatric conditions.: Dominant method for categorizing and diagnosing mental
illnesses
2013 - latest edition, describes 157 disorders
, Mental Health Exam 1
Study online at https://quizlet.com/_azdf49
Identifies disorders based on certain criteria
Used in all mental health settings where diagnosis can be made
DSM 5 diagnoses disorders, not people.
8. Describe the specialty of psychiatric mental health nursing and list three
phenomena of concern.: Psychiatric mental health nursing - the nursing specialty that is dedicated to
promoting mental health through the assessment, diagnosis, and treatment of behavioral problems, mental disorders,
and comorbid conditions across the life span
-Assist those in crisis, or with life problems, or long-term mental health disorders
-Also defined as: promoting mental health through the assessment, diagnosis, and treatment of human responses to
mental health problems and psychiatric disorders
phenomena of concern—human experiences and responses
• Promotion of optimal mental and physical health and well-being
• Prevention of mental and behavioral distress and illness
• Promotion of social inclusion of mentally and behaviorally fragile individuals
• Co-occurring mental health and substance use disorders
• Co-occurring mental health and physical disorders
• Alterations in thinking, perceiving, communicating, and functioning related to psychological and physiological
distress
• Psychological and physiological distress resulting from physical, interpersonal, and/or environmental trauma or
neglect
• Psychogenesis and individual vulnerability
• Complex clinical presentations confounded by poverty and poor, inconsistent, or toxic environmental factors
• Alterations in self-concept related to loss of physical organs and/or limbs, psychic trauma, developmental conflicts,
or injury
• Individual, family, or group isolation and difficulty with interpersonal relations
• Self-harm and self-destructive behaviors, including mutilation and suicide
• Violent behavior, including physical abuse, sexual abuse, and bullying
• Low health literacy rates contributing to treatment nonadherence
