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Class notes

Mental Health Outline

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  • Nursing associated
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All the notes you will need to pass your mental health class!!!

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  • January 27, 2025
  • 43
  • 2024/2025
  • Class notes
  • Ocean county college
  • All classes
  • Nursing associated
  • Nursing associated

1  review

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By: chaveznancy10 • 2 months ago

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julianareddan18
Mental Health Outline

Psychosocial Theories:

Mental illness: Alterations in one's thinking, mood, behavior. Associated with
distress or impaired functioning.

Adaption: return to equilibrium, function in society
Maladaptive: Persistent disequilibrium, unhealthy coping

Freud: Mind to behavior, sexual behaviors. Founder of psychoanalysis
Id: Thinks impulsively, irrational
Ego: Balance
Superego: Concerned about mortality, perfectionist

Conscious mind: Present awareness, easily remembered
Preconscious mind: Not present, easily recalled
Unconscious mind: Surface in dreams, defense mechanisms

Sullivan: therapeutic milieu

HIldegard Peplau: “Mother” of psychiatric nursing, interpersonal relationships
Created levels of anxiety

Transference: Patient puts feelings onto nurse
Countertransference: Nurse puts feelings onto patient

Cognitive behavior therapy: Aaron Beck

Benjamin Rush: Father of psychiatry, humanistic care

Dorotheo Dix: creation of MH hospitals, activist

Linda Richards: First psych Nurse

,1963: Community MH act
-Funding
-Deinstitutionalization

1950: Chlorpromazine, first TCA
1960: Chlordiazepoxide: First benzodiazepine
1967: Haloperidol
1970: Lithium

Legal Ethical

Ethical Dilemma: two unfavorable decisions
Voluntary: Obtain release, may leave 48-72 hours
Involuntary: Stays on record, harm to self/others. Includes 3 legal documents.
Signed by judge within 20 days

Autonomy: self determination
Beneficence: Doing good for others best interest
Non-maleficence: Doing no harm
Justice: Fair/equal treatment
Veracity: Truth/honesty
Fidelity: honors commitment



1992: Patients bill of rights (AHA)

Assault: Threat
Battery: touching without consent

Restraints:
Only good for 4 hours, must be face to face w/ physician in 1 hour
Has to have 1:1, or frequent checks

, Psychiatric Assessment

Clanging: Rhymes
Word salad: bunch of random words
Neologisms: Made up word
Preservation: Won't get off topic
Flight of ideas: Fast pace, topic jumping; often in bipolar
Tangentially: Never gets to point
Circumstantially: Eventually gets to point
Echolalia: Copying words
Echopraxia: Copying movements
Loose association: Same topic, all over the place
Anhedonia: Lack of pleasure
Grandiosity: Superiory, thinks they are the king/queen

Cerebellum: Voluntary movements, posture
Cerebrum: Regulates temp, logic
Brain stem: Respiratory, cardiovascular
Limbic system: Frontal lobe, sensation, memory, feelings

​ ​ ​ ​

, Neurotransmitters

Serotonin: Derived from tryptophan, modules mood, sleep, appetite, sex.
LOW IN DEPRESSION

Norepinephrine: Flight/fight response. UNDERSUPPLY DEPRESSED MOOD, CAN
CAUSE ADHD

Epinephrine: Stress hormone, managed by adrenal system

Dopamine: Addictive behaviors, psychotic symptoms. HIGH DOPAMINE IN
BIPOLAR AND SCHIZOPHRENIA. Low in parkinsons, ADHD. Derived from tyrosine

Histamine: Released in allergic reaction, can cause sedation, low bp, weight gain.
Arousal,learning

Acetylcholine: Muscle activation, alzheimers linked to low levels of acetylcholine.
Low in bipolar, high in depression

GABA: natural antianxiety, UNDERSUPPLY=SEIZURES.
BENZODIAZEPINES WORK ON GABA

GABA/GLUTAMATE BALANCE EACHOTHER OUT

​ ​ ​

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