RNSG 2213 (M.H.) - Exam 1, Modlule 1: Mental Health Nursing Exam: Historical Perspectives on Psychiatric Care, DSM-5 & NANDA Diagnoses, Psychotropic Medications, Community Mental Health, Therapeutic Milieu, Trauma-Informed Care, Stages of Nurse-Patient Re

RNSG 2213 (M.H.) - Exam 1, Modlule 1: Mental Health Nursing Exam: Historical Perspectives on Psychiatric Care, DSM-5 & NANDA Diagnoses, Psychotropic Medications, Community Mental Health, Therapeutic Milieu, Trauma-Informed Care, Stages of Nurse-Patient Relationship (Preorientation, Orientation, Working, Termination), Transference & Countertransference, Patient Rights (Autonomy, Informed Consent, Confidentiality, Least Restrictive Environment), Legal & Ethical Principles (Beneficence, Justice, Fidelity, Veracity), Positive & Negative Communication Strategies, Empathic Connection, Cultural Competence, Violence Risk & De-escalation, Mental Status Assessment Components (Appearance, Behavior, Speech, Motor Activity, Thought Process & Content, Affect, Mood, Insight, Judgment, Orientation, Memory, Attention/Concentration) Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Historical Perspective ¢ 1790 Period of Enlightenment ¢ 1880 Period of Scientific Study ¢ 1950 Period of Psychotropic Drugs ¢ 1960 Community Mental Health ¢ 1990 Decade of the Brain ¢ 21st Century Ancient Beliefs & Early Treatments 6500 BC trephined skulls Mental illness result of demonic possession, sins against God, supernatural forces. Mental Illness: Disease of Mind not possession of demons tranquilizing chair 1810, and the swinging or whirling chair in which the "raving lunatic" was spun continuously until they became docile Period of Enlightenment: 1790 -Modern age of psychiatric care -Concept of asylum -Dorothea Dix Period of Scientific Study: 1880s ¢Mental illness was studied, classified ¢Freud - theories of unconscious mind ¢Term schizophrenia introduced to world in 1908 Period of Psychotropic Drugs 1950s ¢Thorazine for schizophrenia ¢Lithium for mania ¢Antidepressants & antianxiety agents introduced With this hope for incurable mental illnesses and improved quality of life. Hospital stays shortened A new discipline: psychopharmacology Period of Community Mental Health- 1960s ¢1963 Community Mental Health Act ¢Massive deinstitutionalization ¢Incomes for mentally disabled- SSI & SSDI ¢Changes in commitment laws - to protect civil liberties 3/4 of all M.H. pt were: -divorced -widowed -seperated Question: What are the repercussions of clients leaving state hospitals? The Decade of the Brain () ¢Neuroscience & Brain Research - significant discoveries: biological/genetic explanations for disorders ¢Neuroimaging techniques ¢2nd generation antipsychotics and antidepressants 21st Century cures Act ¢First major mental health legislation in a decade ¢The bill strengthens laws re: parity for mental and physical health care and includes grants to increase the number MH professionals ¢Pushes states to provide early intervention for psychosis ¢Funds to fight opioid abuse epidemic/provide treatment ¢Streamline drug and device development process Medical and nursing diagnoses: DSM 5 and NANDA ¢DSM 5 updated in 2013 ¢ Diagnose psychiatric disorders via present symptoms, developmental perspective ¢NANDA : the person's responses to mental health problems Schizophrenia is DSM 5 Disturbed sensory perception, auditory is NANDA Settings for Psychiatric Care ¢ Is person dangerous to self or others, gravely disabled, acutely psychotic, suicidal or homicidal?