Mental Health Nursing Chapter 1 - Mental Health and Mental Illness

Describe the continuum of mental health and mental illness.

A scale ranging from health and well-being to having emotional problems or concerns to mental illness.
Well-being: Occasional stress to mild distress with no impairment.
Emotional problems or concerns: Mild to moderate distress with mild or temporary impa

Explore the role of resilience in the prevention of and recovery from mental illness and consider resilience in response to stress.

The ability and capacity for people to secure the resources they need to support their well-being, such as children of poverty and abuse seeking out trusted adults who provide them with the psychological and physical resources to allow them to excel. This

Identify how culture influences the view of mental illnesses and behaviors associated with them.

Cultures differ in not only their views regarding mental illness, but also the types of behavior categorized as mental illness.
There is no standard measure for mental health, in part because it is culturally defined and is based on interpretations of eff

Identify how the Diagnostic and Statistical Manual, fifth edition (DSM-5) is used for diagnosing psychiatric conditions.

It organizes diagnoses for psychiatric disorders on a developmental hierarchy. This hierarchy means that disorders that are usually seen in infancy, childhood, and adolescence are listed in the first chapter, Neurodevelopmental Disorders, and disorders th

Describe the specialty of psychiatric mental health nursing and list 3 phenomena of concern.

The focus of psychiatric mental health nursing is that of promoting MENTAL health through the nursing process via assessment, diagnosis, planning, treatment of human responses to mental health problems and psychiatric disorders as well as evaluation.
Thre

Compare and contrast a DSM-5 medical diagnosis with a nursing diagnosis.

Psychiatric mental health nursing includes the diagnosis and treatment of human responses to actual or potential mental health problems. A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential hea

Advanced practice registered nurse-psychiatric mental health (APRN-PMH)

Licensed RN with a MSN or Doctor of Nursing Practice (DNP) in psychiatric nursing. DNP is not the same as PhD. A DNP prepares advanced practice nurses.

Basic level RN

Professionals who have completed a nursing program, passed the state licensure exam, and are qualified to work in most any general or specialty area.

Clinical epidemiology

Broad field that examines health and illness at the population level.
Includes the following:
1. Studies the natural history, or what happens if there is no treatment and the problem is left to run its course, of an illness.
2. Studies of diagnostic scree

Comorbid condition

Having more than one mental disorder at a time. This co-occurrence is known as having a comorbid condition.

Cultural competence

Sensitivity to different cultural views regarding health, illness and response to treatment.

DSM-5

Publication of the American Psychiatric Association (APA). It is the official guideline for diagnosing psychiatric disorders.

Diathesis-stress model

Diasthesis represents biological predisposition and stress represents environmental stress or trauma. This is the most accepted explanation for mental illness.
This nature-PLUS-nurture argument asserts that most psychiatric disorders result from a combina

Electronic health care

Provision of health care through methods that are not face-to-face but rather through an electronic medium.

Epidemiology

Quantitative study of the distribution of mental disorders in human populations. P. 9

Incidence

Number of new cases of mental disorders in a healthy population within a given period of time. P. 9
Example: A disease with a short duration, such as the common cold, tends to have a high incidence (many new cases in a given year), and a low prevalence (n

Mental health

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

Mental health continuum

A scale ranging from health and well-being to having emotional problems or concerns to mental illness.
Well-being: Occasional stress to mild distress with no impairment.
Emotional problems or concerns: Mild to moderate distress with mild or temporary impa

Mental illness

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.
The cognition may be impaired - as in

Nursing Interventions Classification (NIC)

Tool used to standardize, define and measure nursing care.
Nursing intervention defined as: "any treatment, based upon clinical judgment and knowledge, that a nurse performs to enhance patient/client outcomes." There are 7 domains:
1. Physiological.
2. Co

Nursing Outcomes Classification (NOC)

Comprehensive source of standardized outcomes, definitions of these outcomes, and measuring scale that help to determine the outcome of nursing interventions. Outcomes are organized into 7 domains:
1. Functional Health.
2. Physiologic Health.
3. Psychosoc

Phenomena of concern

The central interests of a particular discipline. In nursing, these are commonly considered to be person, health, environment, and nursing.

Prevalence

Describes the total number of cases, new and existing, in a given population during a specific period of time, regardless of when they became ill. P. 9
Example: A disease with a short duration, such as the common cold, tends to have a high incidence (many

Psychiatric mental health nursing

A core mental health profession, employs a purposeful use of self as its art and a wide range of nursing, psychosocial and neurobiological theories and research evidence as its science.
Promoting mental health through the assessment, diagnosis and treatme

Psychiatry's definition of mental health

Evolves over time and 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 by third-party payers.

Recovery

On one hand it represents a concept that has been around a long time: that some peole - even those with the most serious illnesses such as schizophrenia - recover.
A newer concept of recovery evolved into a consumer-focused process "in which people are ab

RN-PMH (RN-psychiatric mental health)

Nursing raduate who possesses a diploma, an associate deree, or a bachelor baccalaureate degree and chooses to work in the specialty of psychiatric mental health nursing.
After 2 years of FT work as an RN, 2000 clinical hours in a psychiatric setting, and

Resilience

The ability and capacity for people to secure the resources they need to support their well-being, such as children of poverty and abuse seeking out trusted adults who provide them with the psychological and physical resources to allow them to excel. This

Stigma

Negative attitudes or behaviors toward a person or group, based on a belief that they possess negative traits.

Axis System

The previous version, DSM-IV-TR, included a 5-axis system:
Axis I - Psychiatric Diagnosis.
Axis II - Personality Disorders.
Axis III - General Medical Conditions.
Axis IV - Environmental Stressors.
Axis V - Tool that measured global functioning with a spe