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Flashcards in Mental health - Mental illnesses Deck (17):
1

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

Benjamin Rush

2

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

Linda Richards

3

New England school teacher; humanistic therapeutic care;

Dorothea Dix

4

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

National Mental Health Act Law +

5

"Hierarchy of needs", highest potential - self actualization

Maslow

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

Jahoda

7

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

The American Psychiatric Association - definition of mental health

8

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

Horwitz; elements of mental illness

9

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

APA - definition of mental illness

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

The DSM-IV-TR multiaxial evaluation system

11

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

Axis I - because it is major psychiatric disorder

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

Diagnostic procedures used to detect altered brain functioning

13

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

PET - positron emission tomography

14

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

SOAPIE - problem oriented recording

15

Client responses to actual or potential health problems

Nursing diagnoses

16

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

associated with depression

17

Alternation in the GABA system have been related to ...

Anxiety , movement and seizure disorders