Mental health - Mental illnesses

Question 1

Farther of American psychiatry ; humanistic treatment and care for mentally ill

Answer 1

Benjamin Rush

Question 2

First American psychiatric nurse ; established first school of psychiatric nursing;

Answer 2

Linda Richards

Question 3

New England school teacher; humanistic therapeutic care;

Answer 3

Dorothea Dix

Question 4

Legislation (1946, aftermath of World War 2) that provided funds for the education of psychiatrists, psychologists, social workers, psychiatric nurses.

Answer 4

National Mental Health Act Law +

Question 5

“Hierarchy of needs”, highest potential - self actualization

Answer 5

Maslow

Question 6

Six indicators of mental health : 1. A positive attitude toward self ; 2. Growth, Development, and Self-actualization; 3. Integration; 4. Autonomy; 5. Perception of reality; 6. Environmental mastery

Answer 6

Jahoda

Question 7

1. relative rather than absolute ;
2. successful performance of mental functions;
3. ability to adapt to change;
4. cope with adversity

Answer 7

The American Psychiatric Association - definition of mental health

Question 8

1. Incomprehensibility - inability of the general population to understand the motivation behind the behavior ;
2. Cultural relativity - this rules conceived within culture

Answer 8

Horwitz; elements of mental illness

Question 9

Clinically significant behavioral or psychological syndrome; marked by distress, disability; or the risk of suffering disability . or loss of freedom

Answer 9

APA - definition of mental illness

Question 10

Axis I - clinical disorders ( all mental disorders except personality disorders and mental retardation )
Axis II - personality disorders and mental retardation ;
Axis III - general medical conditions
Axis IV - psychosocial and environmental ( unemployed )
Axis V - Global Assessment of Functioning ( 100 scale) - psychological, social, occupational functioning

Answer 10

The DSM-IV-TR multiaxial evaluation system

Question 11

Bipolar illness: manic phase - would be coded on which DSM-IV-TR axis …

Answer 11

Axis I - because it is major psychiatric disorder

Question 12

1. EEG - electroencephalography - brain electrical activity
2. CT - computed tomographic scan - accuracy of brain structures - detect lesions
3. MRI - magnetic resonance imaging - anatomical and biochemical status of brain
4. PET - positron emission tomography

Answer 12

Diagnostic procedures used to detect altered brain functioning

Question 13

measures specific brain functioning such as glucose metabolism, oxygen utilization, NEUROTRANSMITTER - RECEPTOR INTERACTION !!!

Answer 13

PET - positron emission tomography

Question 14

1. Subjective data
2. Objective data
3. Assessment
4. Plan
5. Intervention
6. Evaluation

Answer 14

SOAPIE - problem oriented recording

Question 15

Client responses to actual or potential health problems

Answer 15

Nursing diagnoses

Question 16

1. elevated serum cortisol
2. decreased thyroid-stimulating hormone
3. elevated melatonin

Answer 16

associated with depression

Question 17

Alternation in the GABA system have been related to …

Answer 17

Anxiety , movement and seizure disorders