NUR 239 Test 1 UPDATED ACTUAL Questions and CORRECT
Answers
Mental Health A state of emotional, psychological, social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept,
and emotional stability.
Mental Illness Disorders that affect mood, behavior, and thinking, such as depression,
schizophrenia, anxiety, and addiction.
DSM-5 The American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, Fifth Edition; a widely used system for classifying psychological
disorders.
1. Provides standardized nomenclature and language for all mental health
professionals
2. Presents defining characteristics or symptoms that differentiate specific
diagnoses
3. To assist in identifying the underlying causes of disorders
Historical & Present View of Mental Health: Historically:
1. Demonic Possession
2. Sin
3. Weakness
And individuals were punished accordingly
Present Day:
1. Seen as a medical problem with symptoms
2. Affects individuals abilities, accomplishments, relationships, coping, personal
growth, and one's place in the world
,Institutionalized versus Community Mental Health Care Shifted from institutionalized to community based in the 1960's.
Least Restrictive Environment.
ANA has published standards of care that guide the nurses clinical practice in
mental health settings.
Safety Protocols were initiated: Medication Checking, Elopement, Seclusion,
Restraints, Violence, and Suicide Precautions
Treatment Teams are crucial; Psychiatrist, Psychologist, Pharmacist, RN, LPN,
Social Worker, OT, Recreational Therapist, MHT.
Roles of Treatment Team 1. Psychiatrist - dx, prescribe meds
2. Psychologist - dx, counsels, research
3. Pharmacist - prepares meds, provides education on medications
4. RN - works with client, promotes health, illness prevention, rehab in all areas,
provide holistic patient care
5. Social Worker - works with patients, families, and community support, referrals
for follow up care, housing, etc.
6. OT - focuses on functional abilities of the client and ways to improve
functioning; focusing on psychomotor skills
7. Recreational Therapist - helps client achieve balance of work and play in his or
her life
Various Treatment Settings Inpatient Hospital
Partial Hospital
Psychiatric Rehab
Residential Treatment
Transitional Care
Clubhouse Model
Assertive Community Model
Inpatient Hospitalization 1. Most restrictive environment
2. Voluntary/involuntary
3. Locked areas
4. Rapid diagnosis, assessment, stabilization of symptoms with medication
management and discharge planning, maintaining safety, assisting with placement,
applies for benefits.
5. Short/Long stays depend on severity of illness
Goals:
Stabilization of symptoms
Medication management
Develop coping skills
Provide education regarding their illness
, Partial Hospitilization Less restrictive than inpatient. Works to reduce the cost and disruption of inpatient
hospitalization.
1. Unstable symptoms
2. Medication adjustments
3. Monitoring for adverse reactions
4. No safety concern
Types:
1. Day tx, patient returns home at night
2. Evening tx, client spends the night and returns home during the day
Goals:
Stabilization of symptoms
Monitor drug effectiveness
Stabilize living environment
Improving ADL's
Learning structure
Develop social skills
Obtain meaningful work, employment, or volunteer position
Provide follow up for any health concerns
Psychiatric Rehabilitation Implemented after stabilization of symptoms and medication effectiveness.
1. Clients still work to improve symptoms
2. Learn & Watch for Medication rxns
3. Learning coping skills
4. Re-establishes themselves back into the community
Goals:
Continued recovery from mental illness
Personal growth; Empowerment
Quality of life
Improved social & vocational functioning
Community reintegration
Decrease hospitalizations
Recover sense of self
Answers
Mental Health A state of emotional, psychological, social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept,
and emotional stability.
Mental Illness Disorders that affect mood, behavior, and thinking, such as depression,
schizophrenia, anxiety, and addiction.
DSM-5 The American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, Fifth Edition; a widely used system for classifying psychological
disorders.
1. Provides standardized nomenclature and language for all mental health
professionals
2. Presents defining characteristics or symptoms that differentiate specific
diagnoses
3. To assist in identifying the underlying causes of disorders
Historical & Present View of Mental Health: Historically:
1. Demonic Possession
2. Sin
3. Weakness
And individuals were punished accordingly
Present Day:
1. Seen as a medical problem with symptoms
2. Affects individuals abilities, accomplishments, relationships, coping, personal
growth, and one's place in the world
,Institutionalized versus Community Mental Health Care Shifted from institutionalized to community based in the 1960's.
Least Restrictive Environment.
ANA has published standards of care that guide the nurses clinical practice in
mental health settings.
Safety Protocols were initiated: Medication Checking, Elopement, Seclusion,
Restraints, Violence, and Suicide Precautions
Treatment Teams are crucial; Psychiatrist, Psychologist, Pharmacist, RN, LPN,
Social Worker, OT, Recreational Therapist, MHT.
Roles of Treatment Team 1. Psychiatrist - dx, prescribe meds
2. Psychologist - dx, counsels, research
3. Pharmacist - prepares meds, provides education on medications
4. RN - works with client, promotes health, illness prevention, rehab in all areas,
provide holistic patient care
5. Social Worker - works with patients, families, and community support, referrals
for follow up care, housing, etc.
6. OT - focuses on functional abilities of the client and ways to improve
functioning; focusing on psychomotor skills
7. Recreational Therapist - helps client achieve balance of work and play in his or
her life
Various Treatment Settings Inpatient Hospital
Partial Hospital
Psychiatric Rehab
Residential Treatment
Transitional Care
Clubhouse Model
Assertive Community Model
Inpatient Hospitalization 1. Most restrictive environment
2. Voluntary/involuntary
3. Locked areas
4. Rapid diagnosis, assessment, stabilization of symptoms with medication
management and discharge planning, maintaining safety, assisting with placement,
applies for benefits.
5. Short/Long stays depend on severity of illness
Goals:
Stabilization of symptoms
Medication management
Develop coping skills
Provide education regarding their illness
, Partial Hospitilization Less restrictive than inpatient. Works to reduce the cost and disruption of inpatient
hospitalization.
1. Unstable symptoms
2. Medication adjustments
3. Monitoring for adverse reactions
4. No safety concern
Types:
1. Day tx, patient returns home at night
2. Evening tx, client spends the night and returns home during the day
Goals:
Stabilization of symptoms
Monitor drug effectiveness
Stabilize living environment
Improving ADL's
Learning structure
Develop social skills
Obtain meaningful work, employment, or volunteer position
Provide follow up for any health concerns
Psychiatric Rehabilitation Implemented after stabilization of symptoms and medication effectiveness.
1. Clients still work to improve symptoms
2. Learn & Watch for Medication rxns
3. Learning coping skills
4. Re-establishes themselves back into the community
Goals:
Continued recovery from mental illness
Personal growth; Empowerment
Quality of life
Improved social & vocational functioning
Community reintegration
Decrease hospitalizations
Recover sense of self
