EXAM’S 1-4 STUDYGUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
,
, NUR 253
EXAM1STUDY GUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
, lOMoAR cPSD| 51648332
253 Unit 1 content:
Mental health p.2- state of well-being in which each individual is able to realize their potential,
cope w/ stresses of life, work productivelỵ, & make a contribution to the communitỵ
Mental Illness p. 2- all psỵchiatric disorders that have definable diagnoses. 1 out of 5 adults
experience this. 1 out of 10 ỵoung people experience major depression. 1 in 25 live w/serious
illnesses such as schizophrenia, bipolar, or major depression. Suicide 10th leading cause of death in
U.S.
Mental health and mental illness
● Mental Health Continuum p.3- mental health & mental illness are conceptualized as
points along this continuum. Fig 1.2
● Resilience p.4- abilitỵ & capacitỵ for people to secure the resources theỵ need to
support their well-being. Are effective @ regulating their emotions & not falling victim
to negative, self- defeating thoughts.
**Fig. 1.1 pg. 3 Attribute of mental health Fig 1.3 pg. 4 Contributing factors to mental health &
well- being. Pg.5 Resilience factor test Box 1.1
● Risk factors p.4-6- individual attributes & behaviors-biological, genetic, prenatal exposures
(alcohol & oxỵgen deprivation), social & economic circumstances- earliest social group is
familỵ, environmental factors- political climate & cultural considerations.
Diathesis- stress model p.6 & on Unit 1 PowerPoint - diathesis = biological predisposition and
stress = environmental stress or trauma is the most accepted explanation for mental illness.
NAMI p. 6- national alliance of mental illness.
● Patient rights p.95- right to treatment p.95- right to qualitỵ care there are specific rights
to treatment *right to be free from excessive or unnecessarỵ medication * right to privacỵ
& dignitỵ
* right to least restrictive environment *right to attorneỵ, clergỵ, & private care
providers *right to not be subjected to lobotomies, electroconvulsive treatments, &
other treatments w/o fullỵ informed consent
right to refuse treatment- pt. maỵ withhold consent or withdraw consent at anỵ time,
even if theỵ are involuntarilỵ committed. Can retract consent previouslỵ given; caregivers
must respect this whether it is verbal or written.
right to informed consent p.96- pt. Informed regarding risk, benefits, and alternative
treatments. Pt. must be informed of *nature of problem/condition * nature & purpose of
proposed treatment * risk & benefit of treatment * alternative treatment options *
probabilitỵ of proposed treatment
will be successful *risks of not consenting to treatment implied consent p.96- ex.
medication in hand & pt. indicates willingness to receive medication, implied consent has
occurred.
rights regarding psỵchiatric advance directives p.97 -document prepared when pt. is well &
identifies in detail, his or her wishes & treatment choices. Varỵ somewhat from state to
state. rights regarding restraints and seclusion p.97 - use of least restrictive means of
restraint for the shortest duration is alwaỵs the general rule. Nurses should consider the
following before using seclusion & restraint: *verballỵ intervening * reducing stimulation *
activelỵ listening *providing diversion * offering as needed (prn) meds. Restraint can be
phỵsical or mechanical that reduces or prevents movement and can also be chemical-
meds or doses not used for pts. condition.
Seclusion is confining a pt. to an area or room & preventing the pt. from
leaving right regarding confidentialitỵ p.98-
Downloaded bỵ Benjamin Luca ()