Behavioral Health Exam 1 Study Guide for NURS 4572
Historical Perspectives, Theory, and Psychiatric Practice
(Ch. 1 & 2)
Evolution of Mental Health Care
The transition from long-term institutionalization to
community-based care models like Intensive Outpatient
Programs (IOP) and Partial Hospitalization Programs
(PHP).
The deinstitutionalization movement in the 1970s led to a
significant reduction in state hospital beds, dropping to less
than 10% of previous levels.
Current inpatient admissions are primarily due to suicidal
ideation, homicidal ideation, or aggressive behavior,
emphasizing the importance of patient safety.
Causes and Theoretical Frameworks of Mental Illness
Mental illness arises from a combination of
biological/genetic factors, individual attributes, and
environmental influences, including trauma.
The Diathesis-Stress Model illustrates how a biological
predisposition combined with environmental stressors can
lead to the manifestation of mental illness, such as
schizophrenia.
Key theorists include Freud, who introduced concepts like
the Id, Ego, and Superego, and Maslow, who developed the
, Hierarchy of Needs, emphasizing the importance of
fulfilling basic needs before achieving self-actualization.
Barriers to Mental Health Care
Societal stigma remains the primary barrier to accessing
mental health care, impacting individuals' willingness to
seek help.
Access issues include transportation challenges, limited
clinic hours, and affordability of services, which hinder
treatment opportunities.
Understanding these barriers is crucial for developing
strategies to improve mental health service accessibility.
Key Theorists and Their Contributions
Freud's theories on transference and countertransference
are essential for understanding the dynamics of the nurse-
patient relationship.
Peplau's emphasis on the nurse-patient relationship
highlights the various roles a nurse can play, including
counselor and resource person.
Cognitive-Behavioral Therapy (CBT) is recognized as an
evidence-based approach for treating anxiety disorders and
thought distortions.
Legal, Ethical, and Standards of Practice (Ch. 6 & 7)
Admission Types and Patient Rights
Distinction between voluntary and involuntary admissions,
with the latter requiring proof of danger to self or others.
Historical Perspectives, Theory, and Psychiatric Practice
(Ch. 1 & 2)
Evolution of Mental Health Care
The transition from long-term institutionalization to
community-based care models like Intensive Outpatient
Programs (IOP) and Partial Hospitalization Programs
(PHP).
The deinstitutionalization movement in the 1970s led to a
significant reduction in state hospital beds, dropping to less
than 10% of previous levels.
Current inpatient admissions are primarily due to suicidal
ideation, homicidal ideation, or aggressive behavior,
emphasizing the importance of patient safety.
Causes and Theoretical Frameworks of Mental Illness
Mental illness arises from a combination of
biological/genetic factors, individual attributes, and
environmental influences, including trauma.
The Diathesis-Stress Model illustrates how a biological
predisposition combined with environmental stressors can
lead to the manifestation of mental illness, such as
schizophrenia.
Key theorists include Freud, who introduced concepts like
the Id, Ego, and Superego, and Maslow, who developed the
, Hierarchy of Needs, emphasizing the importance of
fulfilling basic needs before achieving self-actualization.
Barriers to Mental Health Care
Societal stigma remains the primary barrier to accessing
mental health care, impacting individuals' willingness to
seek help.
Access issues include transportation challenges, limited
clinic hours, and affordability of services, which hinder
treatment opportunities.
Understanding these barriers is crucial for developing
strategies to improve mental health service accessibility.
Key Theorists and Their Contributions
Freud's theories on transference and countertransference
are essential for understanding the dynamics of the nurse-
patient relationship.
Peplau's emphasis on the nurse-patient relationship
highlights the various roles a nurse can play, including
counselor and resource person.
Cognitive-Behavioral Therapy (CBT) is recognized as an
evidence-based approach for treating anxiety disorders and
thought distortions.
Legal, Ethical, and Standards of Practice (Ch. 6 & 7)
Admission Types and Patient Rights
Distinction between voluntary and involuntary admissions,
with the latter requiring proof of danger to self or others.
