Mental Health Unit 1 and 2 NUR 253 Exam Questions and Answers

Mental Health Unit 1 and 2 NUR 253 zv zv zv zv zv zv zv



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1. Mental Health: -State of wellbeing zv zv zv zv



-Able to realize his/her ownpotential
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-Cope with normal stressors of life
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-Work productively
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-Contribute to the community zv zv zv




2. Mental Illness zv




1:5 Americans experienced a mental illness
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1:10 young people experience major depression: -All psychiatric disorders
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-Significant dysfunction zv




3. Risk and Protective Factors: -Biological and Genetic Factors
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-Resilience - the ability and capacity for people to secure resources needed for well-
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being. Does not mean they are unattected by stress.
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Social and Economic Circumstances
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Family, peer groups, school -
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promote confidence, coping skills, inadequacy, instilling anxiety Environmental Factors
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Culture - ditterent views on mental illness
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4. Legislation and Mental Health Funding zv zv zv zv




Affordable Care Act: -Medical Hx can not result in denials or "pre-existing condition"
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-No lifetime or annual dollar limit
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-Available to many who previously have been uninsured
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-Prescription coverage zv




-Cover preventive care at no cost to the patient
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-Young adults to remain on their parents' health care plan until theage of 26
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5. Assessment
Age Considerations
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Children
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-Child - feelings and emotions (interview and observation)
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-Parents - behaviors, conduct: Adolescents zv zv zv zv



-Concerned with confidentiality zv zv




-Threat of suicide, homicide, sexual abuse, behaviors that put patient at risk must be shared with professionals and parents
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Older Adults zv




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, Mental Health Unit 1 and 2 NUR 253 zv zv zv zv zv zv zv



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-Don't stereotype - Rule out Medical Cause
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-Be aware of any physical limitation
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- Sensory or motor deficits, physical illness(increase anxiety, stress, pain)
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6. Social vs Therapeutic Relationships zv zv zv zv




Social
-Purpose of friendship, socialization, enjoyment zv zv zv zv




-Giving advice, lending money, superficial zv zv zv zv




-Roles may shift zv zv




-Little emphasis on the evaluation of the interaction: Therapeutic
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Focus of the relationship is on the patient's ideas, experience and feelings.
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-Consistently focused on the patient's needs zv zv zv zv zv




-Clear boundaries are establishedzv zv zv




-Help the patient developing new coping mechanisms
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-Supports behavioral change zv zv




-Roles do not shift zv zv zv




7. Boundaries
Boundaries exist to protect the patient. Well- zv zv zv zv zv zv




established boundaries allow for a safe environment where the patient can expl zv zv zv zv zv zv zv zv zv zv zv




ore feelings and treatment concerns.: Under-involved nurse-lack of agreed-
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upon goals, no progress toward goals, failure to follow through with interventions, avoiding spending time with patie
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nt
Overly-involved nurse- zv




More frequent requests for help, not being able to complete tasks w/o assistance they formally could complete independentl
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y, angry co-workers r/t nurse behaviors
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8. Blurred Boundaries and Roles zv zv zv zv




Blurred boundaries zv




-Social relationships z v




-Nurse's needs are met at the expense of the patient's needs: Blurred Roles
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Transference - zv




pt transfers feelings and behaviors onto the nurse related to significant figures in the patient's past Countertransfere
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nce- Nurse transfers feelings and behaviors onto the patient related to significant figures in the nurse's past
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9. The Communication Process-terms.: Stimulus - someone has a need to communicate
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