Mental Health Concepts
“The successful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are age-appropriate and congruent with local and cultural norms”
Concept of Mental Health
A normal, healthy response to a negative stimulus
Anger
This medication class is generally used to treat long-term anxiety
Anti-depressants (used to treat long-term anxiety & depression) (Benzos and Barbs while treat anxiety are highly addictive and should not be used for long-term/maintenance therapy)
Preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors.
Reaction Formation
Your client is experiencing severe anxiety/panic attack or severe sadness. What is the safest and most appropriate nursing response?
Stay with your patient, DO NOT LEAVE THEM ALONE! Give them your time!
“A biological, psychological, social, or chemical factor that causes physical or emotional tension and may be a factor in the etiology in certain illnesses.”
Stress
Preservation & protection of individual autonomy in determining what will and will not happen to a person’s body
Informed Consent
Bruxism, hyponatremia and sexual dysfunction are side effects of which anti-depressant class?
SSRIs
Involuntarily blocking unpleasant feelings and experiences from one’s awareness.
Repression
If used sparingly, Self-Disclosure can be useful in the nurse-client relationship when it...
Benefits the client (not the time to share your life's history, only tell the client what is beneficial to them!!)
“Maladaptive responses to stressors from the environment, evidenced by thoughts, feelings, and behaviors that are incongruent with the local and cultural norms and that interfere with the individual’s social, occupational, and/or physical functioning.”
Mental Illness
Patients must be able to demonstrate three concepts in order to provide Informed Consent
Knowledge, free will, competency
Risk of XX increases early in treatment with anti-depressants
Suicide
Retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning.
Regression
Always ask before you XX. Do not use this with angry patients unless it is necessary.
Touch
Set of skills academic and interpersonal skills that are respectful of and responsive to health beliefs, practices, and cultural needs to bring about positive health outcomes.
Cultural Competency
An in-person evaluation by physician, clinical psychologist, or licensed practitioner must be conducted within XX hour(s) of initiating restraint or seclusion
One
Serious complication of antipsychotic use. See muscle rigidity and high fever, tachycardia, diaphoresis
Neuroleptic Malignant Syndrome (Potentially fatal side effect of anti-psychotics, occurs in beginning of or usually within two weeks of starting or increasing antipsychotic meds)
Voluntary blocking of unpleasant feelings and experiences from ones awareness.
Supression
This type of therapeutic communication helps the patient to better understand their feelings
Reflecting (always deals with emotions and feelings)
The client directs attitudes/feelings they experienced in other relationships onto the nurse/therapist
Transference
Three criteria for Involuntary Commitment/Hospitalization
1. Patient is imminently dangerous to self
2. Patient is danger to others
3. Patient is unable to take care of basic needs (the gravely disabled)
Five foods containing Tyramine
Aged cheeses, Raisins, Fava beans, Red wines, Smoked & processed meats, Caviar, pickled herring, Soy sauce, MSG, Beer, Chocolate, Yogurt, Bananas
Creating a temporary or compartmentalization or lack of connection between the person’s identity, memory, or how they perceive the environment
Dissociation
Broad Opening