CMAN 272 EXAM 1 STUDY GUIDE
Mental health - Answer -state of well-being in which each person can reach their
potential
Mental Illness - Answer -all psychiatric disorders that have a definable diagnosis
"health conditions involving changes in emotion, thinking or behavior../ associated with.
distress and/or problems functioning in social, work or family activities"
DSM-5 - Answer -Diagnostic and Statistical manual of mental disorders
outlines criteria used to define mental disorders (helps make diagnosis, outline a
treatment plan, predict outcomes)
represents psychosocial and biological functioning
corresponds with ICD-10 codes preceding each diagnosis in the manual
Previous DSM Axis 1 - Answer -clinical disorders and principle disorders
(influxes diagnosis)
Previous DSM Axis II - Answer -personality disorders or intellectual disabilities
(influxes diagnosis)
Previous DSM Axis III - Answer -general medical conditions or neurological problems
(influxes diagnosis)
Previous DSM Axis IV - Answer -psychosocial and environmental stressors
(psychosocial and contextual)
Previous DSM Axis V - Answer -Global Assessment of Functioning (0-100)
Global functioning assessment, 0-100 - Answer -0: inadequate information
20: some danger to self or others or failing to maintain minimal hygiene or
communication impairment
40: serious symptoms, reality impairment, major impairment in several areas
60: moderarte symptoms or difficulty in functioning
,80: (if present) symptoms are transient and expectable reactions to psychosocial
stressors, slight impairment in functioning
100: superior functioning in wide range of activities, no symptoms
Etiology of mental illness - Answer -individual dimensional traits
life story
behaviors
structural racism
environmental factors
social/economic circumstances
hormones
medical conditions
trauma
transfer of drugs across the blood brain barrier
Is mental illness a constant? - Answer -no, it is on a continuum
What does WHO report as the leading cause of disability worldwide? - Answer -
Depression
Top mental illnesses in the US - Answer -depression, bipolar disorder, schizophrenia,
OCD
How have suicide rates changed since 2001? - Answer -increased, especially in
veterans
5 points of PMHN scope of practice - Answer -quality of human life and its relationship
to health
relationships between optimum psychobiologic health and feelings of self-worth,
personal integrity, self-fulfillment, and creative expression
promote basic needs
promote healthy relationships
, recognize basic human needs
Psychiatric mental health nursing (PMHN) - Answer -promoting mental health through
the assessment, diagnosis, and treatment of human responses to mental health
problems and psychiatric disorders
Components of comprehensive PMHN - Answer -biological
spiritual
social and economic
psychological
cultural
environmental
Mental health care team - Answer -nurse
social worker
technician
counselor/therapist
psychiatrist
psychologist
case manager
3 tiers of mental illness prevention - Answer -primary: decrease the incidence of mental
disorders
secondary: screen for mental disorders
tertiary: decrease the disability and severity of mental disorders
Maslow's Hierarchy of Needs - Answer -Physical: need for air, water, food, rest, health
Security: need for safety, shelter, stability
Social: need for being loved, belonging, inclusion
Ego: need for self-esteem, power, recognition, prestige
Self Actualization: need for development, creativity
Standards of practice - Answer -assessment, diagnosis (NANDA), outcomes
identification (NOC), planning, implementation, evaluation
Components of PMHN Assessment - Answer -MSE
Psychosocial assessment
physical exam
history taking
interviews
Mental health - Answer -state of well-being in which each person can reach their
potential
Mental Illness - Answer -all psychiatric disorders that have a definable diagnosis
"health conditions involving changes in emotion, thinking or behavior../ associated with.
distress and/or problems functioning in social, work or family activities"
DSM-5 - Answer -Diagnostic and Statistical manual of mental disorders
outlines criteria used to define mental disorders (helps make diagnosis, outline a
treatment plan, predict outcomes)
represents psychosocial and biological functioning
corresponds with ICD-10 codes preceding each diagnosis in the manual
Previous DSM Axis 1 - Answer -clinical disorders and principle disorders
(influxes diagnosis)
Previous DSM Axis II - Answer -personality disorders or intellectual disabilities
(influxes diagnosis)
Previous DSM Axis III - Answer -general medical conditions or neurological problems
(influxes diagnosis)
Previous DSM Axis IV - Answer -psychosocial and environmental stressors
(psychosocial and contextual)
Previous DSM Axis V - Answer -Global Assessment of Functioning (0-100)
Global functioning assessment, 0-100 - Answer -0: inadequate information
20: some danger to self or others or failing to maintain minimal hygiene or
communication impairment
40: serious symptoms, reality impairment, major impairment in several areas
60: moderarte symptoms or difficulty in functioning
,80: (if present) symptoms are transient and expectable reactions to psychosocial
stressors, slight impairment in functioning
100: superior functioning in wide range of activities, no symptoms
Etiology of mental illness - Answer -individual dimensional traits
life story
behaviors
structural racism
environmental factors
social/economic circumstances
hormones
medical conditions
trauma
transfer of drugs across the blood brain barrier
Is mental illness a constant? - Answer -no, it is on a continuum
What does WHO report as the leading cause of disability worldwide? - Answer -
Depression
Top mental illnesses in the US - Answer -depression, bipolar disorder, schizophrenia,
OCD
How have suicide rates changed since 2001? - Answer -increased, especially in
veterans
5 points of PMHN scope of practice - Answer -quality of human life and its relationship
to health
relationships between optimum psychobiologic health and feelings of self-worth,
personal integrity, self-fulfillment, and creative expression
promote basic needs
promote healthy relationships
, recognize basic human needs
Psychiatric mental health nursing (PMHN) - Answer -promoting mental health through
the assessment, diagnosis, and treatment of human responses to mental health
problems and psychiatric disorders
Components of comprehensive PMHN - Answer -biological
spiritual
social and economic
psychological
cultural
environmental
Mental health care team - Answer -nurse
social worker
technician
counselor/therapist
psychiatrist
psychologist
case manager
3 tiers of mental illness prevention - Answer -primary: decrease the incidence of mental
disorders
secondary: screen for mental disorders
tertiary: decrease the disability and severity of mental disorders
Maslow's Hierarchy of Needs - Answer -Physical: need for air, water, food, rest, health
Security: need for safety, shelter, stability
Social: need for being loved, belonging, inclusion
Ego: need for self-esteem, power, recognition, prestige
Self Actualization: need for development, creativity
Standards of practice - Answer -assessment, diagnosis (NANDA), outcomes
identification (NOC), planning, implementation, evaluation
Components of PMHN Assessment - Answer -MSE
Psychosocial assessment
physical exam
history taking
interviews
