Describe the continuum of mental health and mental illness. - correct answer
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.
Explore the role of resilience in the prevention of and recovery from mental illness and consider
resilience in response to stress. - correct answer 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
Identify how culture influences the view of mental illnesses and behaviors associated with them. -
correct answer
Discuss the nature/nurture origins of psychiatric disorders. - correct answer 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.
Summarize the social influences of mental health care in the United States. - correct answer
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 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
Explain how epidemiological studies can improve medical and nursing care. - correct answer
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
Identify how the Diagnostic and Statistical Manual, 5th edition (DSM-5) is used for diagnosing psychiatric
conditions. - correct answer Dominant method for categorizing and diagnosing
mental illnesses
2013 - latest edition, describes 157 disorders
Identifies disorders based on certain criteria
Used in all mental health settings where diagnosis can be made
DSM 5 diagnoses disorders, not people.
Describe the specialty of psychiatric mental health nursing and list three phenomena of concern. -
correct answer 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