Psych Ch. 1 Mental health and mental illness

The WHO defines mental health as:

a state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively, and make a contribution to the community.

Mental health according to the U.S. Department of Health and Human Services, 1999

Mental health provides people with the capacity for rational thinking, communication skills, learning, emotional growth, resilience, and self-esteem

Some attributes of mental health: figure

Psychiatry's definition of mental health evolves over time. It is a definition shaped by:

the prevailing culture and societal values, and it reflects changes in cultural norms, society's expectations, political climates, and even reimbursement criteria by third-party payers.

Mental illness glossary definition

A clinically significant behavioral or psychological syndrome marked by the patient's distress or disability or the risk of suffering disability or loss of freedom.

Mental health glossary definition

A state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively and fruitfully, and make a contribution to the community.

Mental _________ refers to all mental disorders with definable diagnoses. These disorders are manifested in significant dysfunction that may be related to developmental, biological or psychological disturbances in mental functioning.

Mental illness. It is not until we experience marked distress or suffer from impairment or inability to function in our everyday lives that the line is crossed into mental illness.

Name a mental illness where cognition is impaired

Alzheimer's disease

Name a mental illness where emotions are affected

major depression

Name a mental illness where behavioral alterations may be apparent


Behavior that deviates from socially accepted norms does not indicate a mental illness unless:

there is significant disturbance in mental functioning.

Mental health and mental illness can be conceptualized as points along a mental health ________.


_____-_____ is characterized by adequate to high-level functioning in response to routine stress and resultant anxiety or distress.


Mental health- mental illness continuum visual

What does DSM-5 mean?

The Diagnostic and Statistical Manual of Mental Disorders, fifth edition. This is a manual that classifies 157 separate disorders, states that there is evidence suggesting that the symptoms and causes of a number of disorders are influenced by cultural an

List characteristics of mental health

Resilience--adaptable, able to get resources to support well-being, learn from experience, do not fall victim to negative, self-defeating thoughts (identify problems/challenges, accept things can't be changed, focused on what can be overcome)

Currently, the ________-_________ model�in which diathesis represents biological predisposition and stress represents environmental stress or trauma�is the most accepted explanation for mental illness.

diathesis-stress model (a nature plus nurture argument)

In 1979, people with mental illnesses and their families formed a nationwide advocacy group:

National Alliance on Mental Illness (NAMI)

The consumer movement also promoted the notion of ________, a new and an old idea in mental health. On one hand, it represents a concept that has been around a long time: that some people�even those with the most serious illnesses, such as schizophrenia�r



people are able to live, work, learn, and participate fully in their communities

According to the Substance Abuse and Mental Health Services Administration (SAMHSA) (2011), recovery is defined as:

a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential." The focus is on the consumer and what he or she can do.

From the vignette: 10 guiding principles of recovery

Self-directed: Consumers lead, control, exercise choice over, and determine their own path of recovery.
Individual- and person-centered: Recovery is based on unique strengths and resiliencies, as well as needs, preferences, experiences (including past tra

In 1990, President George H.W. Bush designated the last decade of the 1900s as the Decade of the _____.


The two most important messages from the first Surgeon General's report on the topic of mental health in 1999:

(1) mental health is fundamental to overall health, and
(2) there are effective treatments for mental health


Goal 1
Americans understand that mental health is essential to overall health.
Goal 2
Mental health care is consumer- and family-driven.
Goal 3
Disparities in mental health services are eliminated.
Goal 4
Early mental health screening, assessment, and ref

List 2 examples of disorders that affect men and women equally

schizophrenia and bipolar disorder

Disorders that affect women more than men

major depressive disorder, , PTSD

Disorders that begin in childhood or adolescence

OCD, , panic disorder, social phobia, agoraphobia (Symptoms include fear and avoidance of places and situations that might cause feelings of panic, entrapment, helplessness, or embarrassment), specific phobia,

Disorder more common in men

any personality disorder, especially antisocial personality disorder

How is the DSM-5 organized?

In a developmental hierachy. Starts with infancy, childhood, adolescence, for example.

A look at the order of disorders in the DSM-5:

1.Neurodevelopmental Disorders
2.Schizophrenia Spectrum Disorders
3.Bipolar and Related Disorders
4.Depressive Disorders
5.Anxiety Disorders
6.Obsessive-Compulsive Disorders
7.Trauma and Stressor-Related Disorders
8.Dissociative Disorders
9.Somatic Sympto

List off some mental health nursing interventions

coordination of carecommuity screenings
parenting classess
stress management
milieu therapy
commuincate with other members of the health care team

Mental health and illness are not either/or propositions but endpoints on a ___________.


Examples of Standardized nursing classification systems are used to form and communicate patient problems, outcomes, and interventions specific to nursing care.


Which statement about mental illness is true?
a.Mental illness is a matter of individual nonconformity with societal norms.
b.Mental illness is present when individual irrational and illogical behavior occurs.
c.Mental illness changes with culture, time i


A nursing student new to psychiatric mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
a.Nursing Interventions Classification (NIC)


Epidemiological studies contribute to improvements in care for individuals with mental disorders by:
a.Providing information about effective nursing techniques.
b.Identifying risk factors that contribute to the development of a disorder.
c.Identifying who


Which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis?
a.There is no functional difference between the two; both serve to identify a human deviance.
b.The DSM-5 diagnosis disregards culture, whereas the nursin


The intervention that can be practiced by an advanced practice registered nurse in psychiatric mental health but cannot be practiced by a basic level registered nurse is:
c.Coordination of care
d.Community-based care


The quantitative study of the distribution of mental disorders in human populations is called
clinical epidemiology.


________ refers to the proportion of a population with a mental disorder at a given time.


Which statement best describes the DSM-5?
It is a medical psychiatric assessment system.
It is a compendium of treatment modalities.
It offers a complete list of nursing diagnoses.
It suggests common interventions for mental disorders.

It is a medical psychiatric assessment system.

Current information suggests that the most disabling mental disorders are the result of
biological influences.
psychological trauma.
learned ways of behaving.
faulty patterns of early nurturance.

biological influences.

List biologically influenced illnesses

schizophrenia, bipolar disorder, major depression, obsessive-compulsive and panic disorders, posttraumatic stress disorder, and autism.

A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a history of paranoia asks, "What does that title mean?" The nurse responds best by answering:
"Don't be afraid; it means I'm here to help, not hurt, you.

We have the specialized skills needed to care for those with mental illnesses.

Which statement about diagnosis of a mental disorder is true?
The symptoms of each disorder are common among all cultures.
Culture may cause variations in symptoms for each clinical disorder.
All mental disorders listed in the DSM-5 are seen in all other

Culture may cause variations in symptoms for each clinical disorder.

The prevalence rate over a 12-month period for major depressive disorder is
lower than the prevalence rate for panic disorders.
greater than the prevalence rate for psychotic disorders.
equal to the prevalence rate for psychotic disorders.
greater than th

greater than the prevalence rate for generalized anxiety.

These severe mental illnesses are recognized across cultures:
antisocial and borderline personality disorders.
schizophrenia and bipolar disorder.
bulimia and anorexia nervosa.
amok and social phobia.

schizophrenia and bipolar disorder.

Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)?


A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking?
Control over behavior
Appraisal of reality
Effectiveness in work

Appraisal of reality

A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a history of school truancy but reports that her parents are just old- fashioned and don't understand her. The assessment data supports that the client
is disp

is displaying deviant behavior.

The nurse planning care for a mentally ill client bases interventions on the concept that the client
has areas of strength on which to build.
has right that must be respected.
comes with experiences that contribute to their problem.
share fears that are s

as areas of strength on which to build

In order to best differentiate whether an Asian client is demonstrating a mental illness when attempting suicide is to
ask the client whether he views himself as being depressed.
identify his culture's view regarding suicide.
explain to him that suicide i

identify his culture's view regarding suicide.

An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to b

not demonstrating any definitive signs of mental illness.

A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
justifying the use of certain psychotropic medication.
providing data essential for insurance reimbursement.
providing a framework for selecting appropriate interventions.

providing a framework for selecting appropriate interventions.

Which of the following best demonstrates parity related to mental health care?
The client is admitted for a 72-hour mental hygiene evaluation.
Advance practice nurse can be certified as psychiatric nurse specialist.
A client's mental health coverage is eq

A client's mental health coverage is equal to his medical/surgical coverage.

The mental health status of a particular client can best be assessed by considering
the degree of conformity of the individual to society's norms.
the degree to which an individual is logical and rational.
placement on a continuum from health to illness.

placement on a continuum from health to illness.

According to the DSM-5, there is evidence that symptoms and causes of mental illness are influenced by:
cultural and ethnic factors.
occupation and status.
birth order.
sexual preference.

cultural and ethnic factors.

One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is:


You are caring for Kiley, a 29-year-old female patient who is being admitted following a suicide attempt. Which of the following illustrates the concept of patient advocacy?
"Dr. Raye, I notice you ordered Prozac for Kiley. She has stated to me that she d

Dr. Raye, I notice you ordered Prozac for Kiley. She has stated to me that she does not want to take Prozac because she had adverse effects when it was previously prescribed.

You have graduated with your BSN degree and have taken your first job on a psychiatric unit after becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient on the psychiatric unit, regarding his daily schedule. Wh

You will attend a psychotherapy group that I lead.

A nurse who is active in local consumer mental health groups and in local and state mental health associations and who keeps aware of state and national legislation affecting mental illness treatment may positively affect the climate for treatment by:

reducing the stigma of mental illness and advocating for equality in treatment.