PN3003 Midterm Exam with Accurate
Solutions Graded A+ 2025
DSM-5 (Appendix A) and Mental Illness Classification
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition)
is used to classify and diagnose mental disorders based on symptoms and criteria.
- Provides standardized language for healthcare providers.
- Helps guide treatment planning, insurance coverage, and clinical
communication.
Recovery Model
Focuses on the individual's potential to recover and live a meaningful life, even
with ongoing symptoms.
Psychosocial Rehab
Combines medication, therapy, skill-building, and support systems.
Examples: Clubhouse Model, Assertive Community Treatment (ACT), and
Supported Employment.
Pathophysiology and Nursing Management of Mental Illness
Understand neurobiological changes (e.g., neurotransmitter imbalances in
depression).
Nursing care includes holistic assessment, medication monitoring,
and therapeutic communication.
Across the lifespan: presentations vary (e.g., children may act out; older adults may
show confusion or somatic complaints).
Culture and Cultural Safety
- Culture shapes how people understand and respond to illness.
- Culturally safe care means avoiding assumptions, respecting values, and
providing care free of judgment.
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- Important to validate emotions and use interpreters when needed.
Holistic Healing for Chronic Illness
Includes spirituality, complementary therapies, family involvement, and mental
health support.
Examples: meditation, music therapy, traditional healing practices.
Evidence-Informed Resources in Community Care
Use: RNAO BPGs, Health Canada, PHAC, peer-reviewed journals.
Helps guide safe and effective care using current, evidence-based knowledge.
Stigma of Mental Illness and Disabilities
Can lead to social isolation, discrimination, and delayed treatment.
Nurses can reduce stigma through education, empathy, and supportive care.
Continuum of Care: Addictions and Concurrent Disorders
Includes detox, rehab, outpatient therapy, support groups, and community
follow-up.
Ongoing support prevents relapse.
Interprofessional Collaboration
Nurses work with doctors, therapists, social workers, addiction counselors.
Share information respectfully and promote a team-based approach to care.
Physiologic Alterations in Mental Illness
Changes in sleep, appetite, energy, and immune response.
Neurotransmitters involved: serotonin, dopamine, norepinephrine.
Acute behaviours
hallucinations, aggression, disorganized thoughts.
Chronic behaviours
flat affect, social withdrawal, poor hygiene.
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