True or False
Resilience is the ability to secure resources needed to support well-being.
TRUE. Key for recovery
It is characterized by:
Optimism
Sense of mastery
Competence
Combination of genetic vulnerability and negative environmental stressors
This is the most accepted explanation for mental illness. Diathesis represents biological predisposition and stress represents environmental stress or trauma.
What is the Diathesis–Stress Model?
what is stigma?
Stigma refers to the negative beliefs and attitudes held about mental illness which can lead to public prejudice, stereotyping, and discriminatory behaviours
a massive increase in homelessness, the criminalization of mental illness (jails/prisons becoming de facto mental hospitals), a lack of community support systems, and greater vulnerability and victimization for individuals with severe mental illness (SMI) who often "fell through the cracks" without adequate care, leading to cycles of re-arrest and re-hospitalization is sometimes called?
what is the unintended consequences of deinstitutionalization?
what is eustress
moderate or normal psychological stress interpreted as being beneficial for the experiencer.
Counter-Transference: The occurs when the nurse unconsciously displaces feelings related to significant figures in the nurse's past onto the patient (it is Transference in reverse)
True
id, ego, superego
Freud’s Psychoanalytic Theory
what is self-stigma?
–A process of internalization whereby mentally ill persons apply negative stereotypes to themselves.
•associated with hopelessness and low self-esteem. This can create poorer outcomes for recovery. Less likely to seek care/help
what is deinstitutionalization?
–Reduction of long term psychiatric units and an increase in preventative and community outpatient care.
what is primary, secondary and tertiary prevention? give examples of each
primary- school centers or healthy programs
secondary- telephone crisis line
tertiary- rehab centers
The DSM- 5 is where you can find nursing interventions for psychiatric patients
FALSE. The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing.
◦Use of total environment
◦People, setting, structure, and emotional climate are all important to healing
◦Milieu therapy
how can HCP negatively contribute to mental health stigma?
yes.
insensitive use of psychiatric language
attitude of pessimism and lowered expectations
discrimination in hospitals and other parts of the public health care system
Enacted in 1996, This is the privacy rule established to ensure that an individuals health information is protected while at the same time allowing health care providers to obtain information for the purpose of giving and promoting high quality healthcare.
HIPAA (Health Insurance Portability Act)
What are the 3 social determinants of mental health
Environmental
Social or economic
Individual attributes or behaviors
mental illnesses have a cure/ can be cured?
FALSE.
trust vs mistrust
Erikson’s Ego Theory
ages 0-1.5yrs old
Making negative comments about people with mental illness is a sign of what type of stigma?
What is overt stigma?
In what decade did pharmaceutical discoveries begin in mental health?
1950's
The concept that clients should have the ability to make rational decisions related to their care.
Autonomy
Cognitive behavioral therapy aims to ◦Test distorted beliefs and change way of thinking; reduce symptoms
True: that is CBT.
the art and science of nursing.
tidal model is based on this person/ theory
Hildegard Peplau’s Theory of Interpersonal Relationships
What are some issues related to stigma?
isolation, delay or lack of care, housing, health problems, stereotypes and discrimination
This legislation was passed in 1996 that required insurers that provide mental health coverage to offer annual and lifetime benefits at the same level provided for medical-surgical coverage.
What is a the mental health parity act?
This includes gathering data (ROS, Labs, MSE, spiritual/religious/cultural assessment, psychosocial assessment) Validating the assessment and using rating scales.
What is the psychiatric-mental health nursing assessment?