NUR236 - mental health
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What is a mental health assessment? - process of obtaining information about specific aspects
of individuals mental experiences and behaviours
When to conduct a MHS - during admission, in course of taking history, change in clinical
presentation
Why should you conduct a MSH - identify signs and symptoms, monitor change/improvement,
may inform treatments/interventions
What is the depot injection - Anti-psychotic medication administered through a deep
intramuscular injection given fortnightly
What is the "dopamine hypothesis"? - psychotic symptoms of schizophrenia are because of
excess dopamine activity in the synapse
What is schizophrenia characterised by? - characterised by psychosis = reasoning and thinkings
are disordered -> loss of contact with reality + exhibit hallucinations
What are the three phases of schizophrenia? - 1. prodromal - loss of social, organisational and
intellectual functioning. 2. Acute - distortion of perception -> further loss of functioning,
increase in hallucinations, delusions, decreased self-care, acute stress/anxiety. 3. Chronic -
"burnout" of positive symptoms + increase in negative symptoms
Positive symptoms of schizophrenia - thought disorders - delusions (illogical and incoherent
thinking) e.g. disorganised speech and behaviour, exaggeration of distortion of normal function,
hallucinations
, negative symptoms of schizophrenia - reduction in normal functioning e.g. apathy, loss of
pleasure, social inactivity, lack of motivation and energy, low mood and depression
what are Extra pyramidal side effects (EPSM)? - anti-psychotics work on dopamine and
dopaminergic pathways --> produce motor side effects
Side effects of EPSM - Dystonia - muscle spams in the neck, jaw, and back
Parkinsonism - tremor, bradykinesia (flat voice, facial expressions, movement), bradyphrenia
(slowed thinking), salivation
Akathisia - restlessness, pacing, fidgeting
Tardive dyskinesia - lip-smacking, difficulty eating, speaking and breathing
What is BPAD? - bipolar disorder - extreme cycles in one mood "manic depression", extreme
"Highs" and "lows", caused by neurotransmitter imbalance, HP axis significance, and differences
in blood flow to brain
Treatment of BPAD? - depressive symptoms = anti-depressants
manic = anti-psychotics, anxiolytics + mood stabiliser
What are mood stabilisers? - Lithium - naturally occurring salt that treats bpad
others: CBT, occupational therapy and electro-convulsive therapy
Why conduct a mental health risk assessment (MHRA)? - process of assessing possible factors of
risk factors of a persons mental health problems on themselves
when to conduct a MHRA? - during admission, on discharge/transfer, informally constantly,
change in presentation, in course of taking history
Top-Rated Exam Review 2025 | 100% Verified Answers | Full Coverage | A+
Guaranteed!!
What is a mental health assessment? - process of obtaining information about specific aspects
of individuals mental experiences and behaviours
When to conduct a MHS - during admission, in course of taking history, change in clinical
presentation
Why should you conduct a MSH - identify signs and symptoms, monitor change/improvement,
may inform treatments/interventions
What is the depot injection - Anti-psychotic medication administered through a deep
intramuscular injection given fortnightly
What is the "dopamine hypothesis"? - psychotic symptoms of schizophrenia are because of
excess dopamine activity in the synapse
What is schizophrenia characterised by? - characterised by psychosis = reasoning and thinkings
are disordered -> loss of contact with reality + exhibit hallucinations
What are the three phases of schizophrenia? - 1. prodromal - loss of social, organisational and
intellectual functioning. 2. Acute - distortion of perception -> further loss of functioning,
increase in hallucinations, delusions, decreased self-care, acute stress/anxiety. 3. Chronic -
"burnout" of positive symptoms + increase in negative symptoms
Positive symptoms of schizophrenia - thought disorders - delusions (illogical and incoherent
thinking) e.g. disorganised speech and behaviour, exaggeration of distortion of normal function,
hallucinations
, negative symptoms of schizophrenia - reduction in normal functioning e.g. apathy, loss of
pleasure, social inactivity, lack of motivation and energy, low mood and depression
what are Extra pyramidal side effects (EPSM)? - anti-psychotics work on dopamine and
dopaminergic pathways --> produce motor side effects
Side effects of EPSM - Dystonia - muscle spams in the neck, jaw, and back
Parkinsonism - tremor, bradykinesia (flat voice, facial expressions, movement), bradyphrenia
(slowed thinking), salivation
Akathisia - restlessness, pacing, fidgeting
Tardive dyskinesia - lip-smacking, difficulty eating, speaking and breathing
What is BPAD? - bipolar disorder - extreme cycles in one mood "manic depression", extreme
"Highs" and "lows", caused by neurotransmitter imbalance, HP axis significance, and differences
in blood flow to brain
Treatment of BPAD? - depressive symptoms = anti-depressants
manic = anti-psychotics, anxiolytics + mood stabiliser
What are mood stabilisers? - Lithium - naturally occurring salt that treats bpad
others: CBT, occupational therapy and electro-convulsive therapy
Why conduct a mental health risk assessment (MHRA)? - process of assessing possible factors of
risk factors of a persons mental health problems on themselves
when to conduct a MHRA? - during admission, on discharge/transfer, informally constantly,
change in presentation, in course of taking history
