Galen Mental Health Exam 1 (Content Only) questions and answers verified 100% Challenging Leaders in Group: Democratic Leader - decide how to do it or make decisions as a group What is mental health? - o State of well being o People are able to re
Galen Mental Health Exam 1 (Content Only) questions and answers verified 100% Challenging Leaders in Group: Democratic Leader - decide how to do it or make decisions as a group What is mental health? - o State of well being o People are able to realize their own potential, cope with normal stress of life, work productively, make contributions to community and able to function normally o Able to find help when stressed and deal with life's problems o With mental illness, there is significant dysfunction of daily living What is resilience? - o Ability and capacity to secure resources needed to support well-being o Essential to recovery. We have to learn to be resilient and work through things. Diathesis-Stress Model - o biological predisposition or genetics (First degree relative who suffers from illness predisposes us to suffering from the same illness) o Stress: environmental stress or trauma (Ex hurricane Katrina and those survivors never being the same again) o Most accepted explanation for mental illness o Combination of genetic vulnerability and negative environmental stressors DSM 5 Book - "The Diagnostic and Statistical Manual of Mental Disorders, 5th edition" - o Official medical guidelines of the American Psychiatric Association for diagnosing psychiatric disorders o Criteria for diagnosing someone with a psychiatric disorder Social Influences on psychiatric care settings: 1950s - Thorazine: First medication developed that would help calm down agitated/aggressive patients. Sedation Social Influences on psychiatric care settings: 1960s - Community Mental Health Centers Act: Deinstitutionalization Social Influences on psychiatric care settings: 1980s - o Carters Commission on Mental Health - recommended more community based care Affordable Care Act - 2010: Insurance available to those who didn't have it before. People were able to be covered for mental health issues Primary Prevention Strategy - § Occurs before problem is manifested § Seeks to reduce the incidence of new cases § Educating them about their disease, coping strategies Secondary Prevention Strategy - § Aimed at reducing the prevalence of new and old cases § Early identification of problems, screening, prompt, and effective tx = 2nd prevention § Doesn't prevent disorder, but may delay or avert progression to symptomatic stage Tertiary Prevention Strategy - § Seeks to prevent the progress to a severe course, disability or death § treatment Types of Outpatient Psychiatric care - o Primary care providers o Specialty psychiatric care providers o Patient-centered health/medical homes o Community clinics o Psychiatric home care Easy Access outpatient psychiatric care - § Telephone crisis counseling § Telephone outreach § Internet § Tele psychiatry Characteristics of Outpatient Psych Nurses - § Strong problem-solving and clinical skills § Cultural competence § Flexibility § Knowledge of community resources § Autonomy Roles of Outpatient Psych Nurses - § Biopsychosocial assessment § Case management § Promoting continuation of treatment § Teamwork and collaboration What are some reasons individuals would be admitted to Inpatient Pysch Facilities? - § Suicidal § Homicidal § Extremely disabled and in need of short-term acute care Do patients lose their rights while being admitted to an inpatient psych facility? - § Patients reserve their rights ALWAYS o Patients need for safety must be balanced against patients' rights as a citizen o Mental health facilities have written statements of patients right and applicable state laws o Refusal, medications, visitation, informed consent, confidentiality A 95-year-old woman is reported by neighbors for leaving her front door wide open all night long and noticing the smell of gas consistently because the stove is not being turned off. She is deemed to be a danger to herself. Would she need inpatient or outpatient care? - Inpatient What does "milieu" mean? - The unit - a therapeutic environment. "The milieu is organized
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