RN Mental Health Nursing REVIEW MODULE EDITION 11.0

MENTAL HEALTH DIAGNOSES The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), published by the American Psychiatric Association, is used by mental health professionals to diagnose mental health disorders in clients following standard criteria. It includes expected assessment findings for disorders and helps with planning, implementing, and evaluating care. Nurses use diagnoses from the North American Nursing Diagnosis Association (NANDA) to provide the basis of appropriate nursing interventions for clients. QEBP SERIOUS MENTAL ILLNESS Includes disorders classified as severe and persistent mental illnesses Clients often have difficulty with activities of daily living (ADLS) Are lifelong disorders that can have remissions and exacerbations THERAPEUTIC STRATEGIES IN THE MENTAL HEALTH SETTING Counseling Using therapeutic communication skills Assisting with problem solving Crisis intervention Stress management Milieu therapy Orienting the client to the physical setting Identifying rules and boundaries of the setting Ensuring a safe environment for the client Assisting the client to participate in appropriate activities Promotion of self-care activities Offering assistance with self-care tasks Allowing time for the client to complete self-care tasks Setting incentives to promote client self-care Psychobiological interventions Administering prescribed medications Providing teaching to the client/family about medications Monitoring for adverse effects and effectiveness of pharmacological therapy Cognitive and behavioral therapies Modeling Operant conditioning Systematic desensitization Health teaching: Teaching social and coping skills Health promotion and health maintenance Assisting the client with cessation of smoking Monitoring other health conditions Case management: Coordinating holistic care to include medical, mental health, and social services