Summary
Summary NSG 335 Exam 1 Study Guide
- Course
- NSG 335
- Institution
- Marian University
This is a comprehensive and detailed summary on;Exam 1 for nsg 335.
[Show more]
Content preview
MODULE 1➔ Continuum of mental health/mental illness
◆ On one end of the continuum is mental health
● Mental health: 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
● Well-being is characterized by adequate to high-level functioning
● No serious impairments in daily functioning - may experience stress and
discomfort
◆ On the other end of the continuum is mental illness
● Mental illness: all psychiatric disorders that have definable diagnoses and
manifested in significant dysfunction that may be related to developmental,
biological, or psychological disturbances in mental functioning
● Individual may experience alt thinking, mood or behavior resulting in chronic
impairment or disability
● Emotional problems or concerns and experience mild to moderate discomfort and
distress
● Causing marked distress and moderate to disabling or chronic impairment
● Anything with a definable diagnosis
● Causes a significant dysfunction that may be developmental, biological, or
psychological disturbances
● Impairs the ability to think clearly at all times
● May cause behavioral alterations
➔ Risk and protective factors for developing mental health conditions
◆ Risk factors: Individual attributes and behaviors, genetics, biological, social & economic
circumstances, environmental
◆ Protective factors: resilience ( ability and capacity for people to secure resources to
promote well being) cultural and religious beliefs
➔ Define the Diathesis stress model: Nature vs. Nurture
◆ Suggests that both play a role individuals have biological predisposition and experience
environmental stress.
➔ DSM5 medical diagnosis vs. nursing diagnosis
◆ DSM5
● The actual, medical, diagnosis of the mental condition
● Provides criteria to diagnose psychiatric disorders
● Classification system
○ Realizes that symptoms vary culture to culture
● Organized on a developmental hierarchy
● System that allows us to diagnose someone
◆ Nursing diagnosis
● Clinical judgment concerning the patient’s response to their condition
● Assessment, diagnosis, planning, implementation, evaluation
● Provides framework for identifying appropriate nursing interventions
● A clinical judgment about actual or potential responses to health problems
● A way to guide treatment and care from a nursing perspective
➔ Terms
◆ Comorbid condition: the simultaneous existence of two or more disorders
◆ Incidence: the number of new cases of mental disorders in a healthy population within a
given period of time
◆ Prevalence: the total number of cases, new and existing, in a given population during a
specific period of time
, ◆ Parity: The equality of services given to mental health in relation to normal medical
conditions.
● Parity Act was passed in ‘96 requiring insurance companies to cover mental
health the same way they covered regular health. It didn’t work though, 87% of
companies enacted new rules that basically skirted the system. The Wellstone-
Domenici act of 2008 was for group plans with more than 50 employees.
Required everything for mental health to be identical to normal health in respect
to co-pays, coinsurance, out of pocket etc..
◆ Stigma: the belief that the overall person is flawed, characterized by social shunning,
disgrace, and shame
◆ Resilience: the ability and capacity for people to secure the resources they need to
support their well-being
➔ Psychiatric mental health nursing ROLE OF A NURSE
◆ Psychiatric-mental health RN (PMH-RN): a nursing graduate who possesses a diploma,
an associate degree, or a baccalaureate degree and chooses to work in the specialty of
psychiatric-mental health nursing
● Focus: promoting mental health through the assessment, diagnosis, and treatment
of human responses to mental health problems and psychiatric disorders
◆ Dedicated to promoting mental health through the assessment, diagnosis, and treatment
of behavioral problems, mental disorders, and comorbid conditions across the lifespan
◆ Assist people who are in crisis or who are experiencing life problems, as well as those
with long-term mental illness
◆ Phenomena of concern - human experiences and responses for psychiatric mental health
nurses
➔ Mental health nursing basic practice to advanced practice
◆ Psychiatric-mental health advanced practice RN (PMH-APRN): a licensed RN with a
Master of Science in Nursing (MSN) or Doctor or Nursing Practice (DNP) in psychiatric
nursing
● Coordination of care
● Health-teaching and health maintenance
● Milieu therapy
● Pharmacological, biological, and integrative therapies
● Medication prescription and treatment
● Psychotherapy
● Consultation
➔ What does a psychiatric mental health nurse do?
◆ Purposeful use of self
● Goal-directed and planned
◆ Identify and treat problems/responses to illness
◆ Assess and develop holistic plan of care that is grounded in theory and based on sound
research evidence
◆ Basic levels of intervention
● Coordination of care
● Health-teaching and health maintenance
● Milieu therapy
● Pharmacological, biological, and integrative therapies
➔ Therapeutic milieu
◆ What is milieu?
● Surrounding and physical environment
● In therapeutic content milieu refers to the overall environment interactions within
that environment
, ◆ What factor constitutes a therapeutic milieu?
● The setting, the people (patients and staff), the structure, and the emotional
climate
● Structured aspects - activities, rules, reality orientation practices, environment
➔ Continuum of care
◆ Provides patients with a wide range of treatment options
● Total freedom to total hospitalization
◆ Facilitates effective/appropriate care
◆ Standardized decision-making process
➔ Mental status exam
◆ Important in determining brain function
◆ Important in evaluating cog & Behavior for current function and diagnosis
◆ One time “snap shot” of the patient’s thoughts feelings and behavior
◆ More through than the mini mental status.
◆ There are 10 components to the exam
● Appearance
● Emotion - how pt is feeling, affect
● Thought process - logical?tangent
● Thought content - reality? Delusional ( persecuity, grandiose, somatic)vague?
● Perceptual distribution - sensory (seeing, hearing, tasting, smelling)
● Safety - duty to warn others break confidence
● Intellectual function - current events? Memory?
● Judgement - good, fair, poor?
● Insight - do they recognize they have a problem
● Motivation for treatment
➔ Stats on mental health
◆ 46.4% of all Americans will meet the criteria for a psychiatric disorder in their lifetime
◆ 44 million adults in the US experienced a diagnosable mental illness in 2013
MODULE 2: NURSE PT RELATIONSHIP & THERAPEUTIC COMMUNICATION
Chapter 8 - THERAPEUTIC RELATIONSHIP
➔ Terms:
◆ Therapeutic use of self (p. 125): use of distinct gifts/personality traits to promote healing
in others
◆ Psychotherapy (p. 125): “formalized approach to talk therapy that is based on theoretical
models”
● Who’s allowed to use psychotherapy: HCPs w/ advanced degrees and specialized
knowledge, psych-mental health RNs/NPs, psychologists
◆ Counseling (p. 125): “supportive, face-to-face process that help individuals problem-
solve, resolve personal conflicts and feel supported”
➔ Social v Therapeutic Relationship v. intimate
◆ Differences:
● Intimate: mutual needs are met with emotional commitment
● Social: intended for the purpose of friendship, socialization and enjoyment
○ Mutual needs are met
○ Communication may include giving advice and giving dependency
needs; communication is often superficial
● Therapeutic: nurse enhances the conversation to enhance pt’s growth
○ Nurse addresses pt issues and ID areas that need exploration and nurse
should periodically evaluate the degree of progress of the pt
○ Conversation/ relationship should be completely focused on the pt’s
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.89. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now