NUR 253
EXAM 1 STUDY GUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
, lOMoARcPSD|51648332
253 Unit 1 content:
Mental health p.2- state of well-being in which each individual is able to realize their potential, cope w/
stresses of life, work productively, & make a contribution to the community
Mental Illness p. 2- all psychiatric disorders that have definable diagnoses. 1 out of 5 adults experience
this. 1 out of 10 young people experience major depression. 1 in 25 live w/serious illnesses such as
schizophrenia, bipolar, or major depression. Suicide 10th leading cause of death in U.S.
Mental health and mental illness
● Mental Health Continuum p.3- mental health & mental illness are conceptualized as points along
this continuum. Fig 1.2
● Resilience p.4- ability & capacity for people to secure the resources they need to support their
well-being. Are effective @ regulating their emotions & not falling victim to negative, self-
defeating thoughts.
**Fig. 1.1 pg. 3 Attribute of mental health Fig 1.3 pg. 4 Contributing factors to mental health & well-
being. Pg.5 Resilience factor test Box 1.1
● Risk factors p.4-6- individual attributes & behaviors-biological, genetic, prenatal exposures
(alcohol & oxygen deprivation), social & economic circumstances- earliest social group is family,
environmental factors- political climate & cultural considerations.
Diathesis- stress model p.6 & on Unit 1 PowerPoint - diathesis = biological predisposition and stress =
environmental stress or trauma is the most accepted explanation for mental illness. NAMI p. 6- national
alliance of mental illness.
● Patient rights p.95- right to treatment p.95- right to quality care there are specific rights to
treatment *right to be free from excessive or unnecessary medication * right to privacy & dignity
* right to least restrictive environment *right to attorney, clergy, & private care providers *right
to not be subjected to lobotomies, electroconvulsive treatments, & other treatments w/o fully
informed consent
right to refuse treatment- pt. may withhold consent or withdraw consent at any time, even if they
are involuntarily committed. Can retract consent previously given; caregivers must respect this
whether it is verbal or written.
right to informed consent p.96- pt. Informed regarding risk, benefits, and alternative treatments.
Pt. must be informed of *nature of problem/condition * nature & purpose of proposed treatment *
risk & benefit of treatment * alternative treatment options * probability of proposed treatment
will be successful *risks of not consenting to treatment implied consent p.96- ex. medication in
hand & pt. indicates willingness to receive medication, implied consent has occurred.
rights regarding psychiatric advance directives p.97 -document prepared when pt. is well &
identifies in detail, his or her wishes & treatment choices. Vary somewhat from state to state.
rights regarding restraints and seclusion p.97 - use of least restrictive means of restraint for the
shortest duration is always the general rule. Nurses should consider the following before using
seclusion & restraint: *verbally intervening * reducing stimulation * actively listening *providing
diversion * offering as needed (prn) meds. Restraint can be physical or mechanical that reduces or
prevents movement and can also be chemical- meds or doses not used for pts. condition.
Seclusion is confining a pt. to an area or room & preventing the pt. from leaving
right regarding confidentiality p.98-
**Goals for transformed mental health systems in US. p. 8 Box 1.2
**Incidence p.10- refers to # of new cases in a healthy population w/in a time period usually annually.
Prevalence- total # of cases, new & existing regardless of when they became ill. Table 1.1 12- month
prevalence in U.S.
Psychiatric assessment
Downloaded by Benjamin Luca ()
EXAM 1 STUDY GUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
, lOMoARcPSD|51648332
253 Unit 1 content:
Mental health p.2- state of well-being in which each individual is able to realize their potential, cope w/
stresses of life, work productively, & make a contribution to the community
Mental Illness p. 2- all psychiatric disorders that have definable diagnoses. 1 out of 5 adults experience
this. 1 out of 10 young people experience major depression. 1 in 25 live w/serious illnesses such as
schizophrenia, bipolar, or major depression. Suicide 10th leading cause of death in U.S.
Mental health and mental illness
● Mental Health Continuum p.3- mental health & mental illness are conceptualized as points along
this continuum. Fig 1.2
● Resilience p.4- ability & capacity for people to secure the resources they need to support their
well-being. Are effective @ regulating their emotions & not falling victim to negative, self-
defeating thoughts.
**Fig. 1.1 pg. 3 Attribute of mental health Fig 1.3 pg. 4 Contributing factors to mental health & well-
being. Pg.5 Resilience factor test Box 1.1
● Risk factors p.4-6- individual attributes & behaviors-biological, genetic, prenatal exposures
(alcohol & oxygen deprivation), social & economic circumstances- earliest social group is family,
environmental factors- political climate & cultural considerations.
Diathesis- stress model p.6 & on Unit 1 PowerPoint - diathesis = biological predisposition and stress =
environmental stress or trauma is the most accepted explanation for mental illness. NAMI p. 6- national
alliance of mental illness.
● Patient rights p.95- right to treatment p.95- right to quality care there are specific rights to
treatment *right to be free from excessive or unnecessary medication * right to privacy & dignity
* right to least restrictive environment *right to attorney, clergy, & private care providers *right
to not be subjected to lobotomies, electroconvulsive treatments, & other treatments w/o fully
informed consent
right to refuse treatment- pt. may withhold consent or withdraw consent at any time, even if they
are involuntarily committed. Can retract consent previously given; caregivers must respect this
whether it is verbal or written.
right to informed consent p.96- pt. Informed regarding risk, benefits, and alternative treatments.
Pt. must be informed of *nature of problem/condition * nature & purpose of proposed treatment *
risk & benefit of treatment * alternative treatment options * probability of proposed treatment
will be successful *risks of not consenting to treatment implied consent p.96- ex. medication in
hand & pt. indicates willingness to receive medication, implied consent has occurred.
rights regarding psychiatric advance directives p.97 -document prepared when pt. is well &
identifies in detail, his or her wishes & treatment choices. Vary somewhat from state to state.
rights regarding restraints and seclusion p.97 - use of least restrictive means of restraint for the
shortest duration is always the general rule. Nurses should consider the following before using
seclusion & restraint: *verbally intervening * reducing stimulation * actively listening *providing
diversion * offering as needed (prn) meds. Restraint can be physical or mechanical that reduces or
prevents movement and can also be chemical- meds or doses not used for pts. condition.
Seclusion is confining a pt. to an area or room & preventing the pt. from leaving
right regarding confidentiality p.98-
**Goals for transformed mental health systems in US. p. 8 Box 1.2
**Incidence p.10- refers to # of new cases in a healthy population w/in a time period usually annually.
Prevalence- total # of cases, new & existing regardless of when they became ill. Table 1.1 12- month
prevalence in U.S.
Psychiatric assessment
Downloaded by Benjamin Luca ()
