N129 Mental Health Nursing - |\ |\ |\ |\ |\
EXAM I questions with answers |\ |\ |\ |\
Examples of Serious Mental Illness |\ |\ |\ |\
- |\ Major depressive disorder
|\ |\
- |\ Bipolar disorder |\
- |\ Schizophrenia
- |\ Schizoaffective disorder |\
- |\ Panic disorder
|\
- |\ Posttraumatic stress disorder (PTSD) |\ |\ |\
- |\ Borderline and antisocial personality disorder|\ |\ |\ |\
- |\ Obsessive-compulsive disorder (OCD) |\ |\
Comorbidities in the Seriously Mentally Ill |\ |\ |\ |\ |\
Physical disorders: |\
Mental health professional work together with medical to
|\ |\ |\ |\ |\ |\ |\ |\
undercover real medical conditions. |\ |\ |\
COMORBIDITIES Ex: HTN, obesity, cardiovascular disease & |\ |\ |\ |\ |\ |\ |\
diabetes, etc. |\
uRisk for premature death (3 times greater) due to:
|\ |\ |\ |\ |\ |\ |\ |\
uFailing to provide healthcare needs.
|\ |\ |\ |\
uForgetting to take medications. |\ |\ |\
uInability to access healthcare. |\ |\ |\
uHigher rates of smoking. |\ |\ |\
uPoor diet. |\
uCriminal victimization. |\
uStigma.
,uMisdiagnosis of illness- Bizarre description of symptoms. |\ |\ |\ |\ |\ |\
Depression and Suicide in the Seriously Mentally Ill |\ |\ |\ |\ |\ |\ |\
Experience a profound sense of loss of their pre-illness life &
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potential.
uRisk of suicide is 12 times more frequent.
|\ |\ |\ |\ |\ |\ |\
Substance Use in Seriously Mentally Ill |\ |\ |\ |\ |\
Occurs in 60% patients with serious mental illness.
|\ |\ |\ |\ |\ |\ |\
- Self-medicating.
|\
- Maladaptive response to boredom.
|\ |\ |\ |\
- Smoking rate is higher.
|\ |\ |\ |\
uHealth problems. |\
uDecreased quality of life. |\ |\ |\
uIncarceration.
uRelapse.
uDecreased effectivities of medications. |\ |\ |\
Social Problems in the Seriously Mentally Ill
|\ |\ |\ |\ |\ |\
Stigma:
uAbility to access healthcare & related services.
|\ |\ |\ |\ |\ |\
uFear & avoidance.
|\ |\
uDiscrimination.
uIsolation.
uIsolation and loneliness: |\ |\
uPoor self-image.
|\
uPassivity.
uImpaired hygiene & grooming. |\ |\ |\
uVictimization:
uMore likely to be involved in violence (victim)
|\ |\ |\ |\ |\ |\ |\
uSexual assault as victims (more than as predators).
|\ |\ |\ |\ |\ |\ |\
, Housing Instability |\
Limited funds with limited options.
|\ |\ |\ |\
Unsafe neighborhoods. |\
Living with family/friends can cause conflict related to their
|\ |\ |\ |\ |\ |\ |\ |\ |\
behavior.
History of arrests. |\ |\
Long waiting lists for housing.
|\ |\ |\ |\
Tx issues with the seriously mentally ill
|\ |\ |\ |\ |\ |\
Anosognosia:
Inability to recognize one's own illness. Patient can not accept it.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- leads to the patient being resistant to tx
|\ |\ |\ |\ |\ |\ |\ |\
(Denial is not understanding that they are mentally ill.)
|\ |\ |\ |\ |\ |\ |\ |\
Nonadherence:
50% are |\
Medication Side Effects: |\ |\
Treatment Inadequacy: |\
Residual Symptoms: |\
Relapse, chronicity & Loss |\ |\ |\
Assertive Community Treatment (ACT) |\ |\ |\
Consumer works with multidisciplinary team to receive range of
|\ |\ |\ |\ |\ |\ |\ |\ |\
services as opposed to going to multiple agencies
|\ |\ |\ |\ |\ |\ |\
Cognitive Behavioral Therapy (CBT) |\ |\ |\
EXAM I questions with answers |\ |\ |\ |\
Examples of Serious Mental Illness |\ |\ |\ |\
- |\ Major depressive disorder
|\ |\
- |\ Bipolar disorder |\
- |\ Schizophrenia
- |\ Schizoaffective disorder |\
- |\ Panic disorder
|\
- |\ Posttraumatic stress disorder (PTSD) |\ |\ |\
- |\ Borderline and antisocial personality disorder|\ |\ |\ |\
- |\ Obsessive-compulsive disorder (OCD) |\ |\
Comorbidities in the Seriously Mentally Ill |\ |\ |\ |\ |\
Physical disorders: |\
Mental health professional work together with medical to
|\ |\ |\ |\ |\ |\ |\ |\
undercover real medical conditions. |\ |\ |\
COMORBIDITIES Ex: HTN, obesity, cardiovascular disease & |\ |\ |\ |\ |\ |\ |\
diabetes, etc. |\
uRisk for premature death (3 times greater) due to:
|\ |\ |\ |\ |\ |\ |\ |\
uFailing to provide healthcare needs.
|\ |\ |\ |\
uForgetting to take medications. |\ |\ |\
uInability to access healthcare. |\ |\ |\
uHigher rates of smoking. |\ |\ |\
uPoor diet. |\
uCriminal victimization. |\
uStigma.
,uMisdiagnosis of illness- Bizarre description of symptoms. |\ |\ |\ |\ |\ |\
Depression and Suicide in the Seriously Mentally Ill |\ |\ |\ |\ |\ |\ |\
Experience a profound sense of loss of their pre-illness life &
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potential.
uRisk of suicide is 12 times more frequent.
|\ |\ |\ |\ |\ |\ |\
Substance Use in Seriously Mentally Ill |\ |\ |\ |\ |\
Occurs in 60% patients with serious mental illness.
|\ |\ |\ |\ |\ |\ |\
- Self-medicating.
|\
- Maladaptive response to boredom.
|\ |\ |\ |\
- Smoking rate is higher.
|\ |\ |\ |\
uHealth problems. |\
uDecreased quality of life. |\ |\ |\
uIncarceration.
uRelapse.
uDecreased effectivities of medications. |\ |\ |\
Social Problems in the Seriously Mentally Ill
|\ |\ |\ |\ |\ |\
Stigma:
uAbility to access healthcare & related services.
|\ |\ |\ |\ |\ |\
uFear & avoidance.
|\ |\
uDiscrimination.
uIsolation.
uIsolation and loneliness: |\ |\
uPoor self-image.
|\
uPassivity.
uImpaired hygiene & grooming. |\ |\ |\
uVictimization:
uMore likely to be involved in violence (victim)
|\ |\ |\ |\ |\ |\ |\
uSexual assault as victims (more than as predators).
|\ |\ |\ |\ |\ |\ |\
, Housing Instability |\
Limited funds with limited options.
|\ |\ |\ |\
Unsafe neighborhoods. |\
Living with family/friends can cause conflict related to their
|\ |\ |\ |\ |\ |\ |\ |\ |\
behavior.
History of arrests. |\ |\
Long waiting lists for housing.
|\ |\ |\ |\
Tx issues with the seriously mentally ill
|\ |\ |\ |\ |\ |\
Anosognosia:
Inability to recognize one's own illness. Patient can not accept it.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- leads to the patient being resistant to tx
|\ |\ |\ |\ |\ |\ |\ |\
(Denial is not understanding that they are mentally ill.)
|\ |\ |\ |\ |\ |\ |\ |\
Nonadherence:
50% are |\
Medication Side Effects: |\ |\
Treatment Inadequacy: |\
Residual Symptoms: |\
Relapse, chronicity & Loss |\ |\ |\
Assertive Community Treatment (ACT) |\ |\ |\
Consumer works with multidisciplinary team to receive range of
|\ |\ |\ |\ |\ |\ |\ |\ |\
services as opposed to going to multiple agencies
|\ |\ |\ |\ |\ |\ |\
Cognitive Behavioral Therapy (CBT) |\ |\ |\
