Ignore - Thursday - Chapters 2,9,10,11 (Also see therapeutic communication above)

Question 1

Chapter 2

Answer 1

Chapter 2

Question 2

What are some indicators of mental HEALTH?

Answer 2

1. Positive attitude toward self
2. Growth, development, and the ability to achieve self-actualization.
3. Integration (maintaining balance)
4. Autonomy
5. Perception of reality (accurate, not distorted, empathy/social sensitivity)
6. Environmental Mastery

Question 3

T or F: Families are most likely the people who will realize mental illness.

Answer 3

False, families try to normalize the behavior. Psychiatrists usually see a person AFTER the family can no longer deny the illness and behavior is at its worst.

Question 4

What are the four levels of anxiety? Describe them.

Answer 4

Mild - individual can function. Preps person for action. Heightened awareness.

(In mild to moderate anxiety - defense mechanisms are applied)

Moderate - ability to concentrate decreases. Person is tense and restless.

(In moderate to severe, left unresolved over period of time - can contribute to physiological disorders)

Severe - Behaviors is aimed at relieving anxiety. Diminished concentration. Headaches, palpitations, insomnia, confusion, dread.

(In Severe, extended periods can result in neurosis - a serious level psychosis. Examples are anxiety disorders, somatic symptom disorders, dissociative disorders)

Panic - misperceptions are common, may be delusional or halulcinate. Wild desperate actions or extreme withdraw. Feelings of: terror, convince they have life threatening illness or going crazy.

(In Panic, may lose contact with reality. Person seems unaware of maladaptive behavior and psychological problems. Schizophrenic/delusional disorders are some examples)

Question 5

In mental health, there are SIX steps in the nursing process which include? (ADPOIE)

Answer 5

Assessment - biopsychosocial; gathering information about client from various sources.

Diagnosis - Data gathered in the assessment is analyzed. Dx statements are formulated and prioritized. Use NANDA labels, prioritized based on maslow.

Outcome Identification - expected outcomes derived from Dx, must be measurable and include a time estimate for attainment. Use NOCs (outcomes)

Planning - Goals developed with the client. Choose interventions to be used. Prioritize! NICs

Implementation - execute interventions selected during the planning phase.

Evaluation-measure the success of the interventions in meeting outcomes.

Overall, the plan should support the team’s goals.