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1. What is mental health?: State of wellbeing • Able to realize his/her own potential• Cope with normal
stressors of life• Work productively• Contribute to the community
2. What is mental illness?: All psychiatric disorders• Significant dysfunction
3. The mental health continuum: Mental health--(occasional to mild distress with no impair-
ment)--(mild to moderate distress/mild to moderate impairment)--(Marked distress, moderate to disabling, chronic
impairment, inpatient/suicidal)--Mental Illness
4. Mental illness risk factors: biological, genetics, social, economic, culture, environmental
5. Resilience: the ability and capacity for people to secure resources needed for well-being. Does not mean they
are unaffected by stress.
6. Diathesis-stress model: suggests that a person may be predisposed for a mental disorder that remains
unexpressed until triggered by stress
7. DSM-5: Classifies Schizophrenia Spectrum Disorders• Depressive Disorders• Trauma and Stressor-Related
Disorders• Feeding and Eating Disorders
8. QSEN COMPETENCIES
Quality and Safety Education for Nurses: • All healthcare workers must:• Provide patient-cen-
tered care• Work in interdisciplinary teams• Employ evidence-based practice• Apply quality improvement• Utilize
informatics
9. Nursing Process: Assessment
Diagnosis
Planning
Implementation
Evaluation
10. Mental Status Exam: • Appearance• Behavior• Speech• Mood• D/O of the form of thought• Perceptual
Disturbances• Cognition• Ideas of Harming Self or others
11. SOAPIE documentation: subjective, objective, assessment, plan, intervention, evaluation
12. documentation legal considerations: • Do Chart - Timely, facts, descriptive, pertinent observa-
tions, Subjective data (patient's
feelings, thoughts)
• Do NOT chart - your opinion, false documentation, no blanks, do not chart "incident
report filed"
, NUR256 Mental Exam 1 Galen College
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13. Therapeutic Relationship: • Focus of the relationship is on the patient's
ideas, experience and feelings.
• Consistently focused on the patient's
needs
• Clear boundaries are established
• Help the patient developing new coping
mechanisms
• Supports behavioral change
• Roles do not shift
14. Boundaries: Boundaries exist to protect the patient. Well established boundaries allow for a safe environ-
ment where the patient can explore feelings and treatment concerns
15. Blurred roles: Transference: pt transfers feelings & behaviors onto the nurse related to significant
figures in the patient's past
16. Blurred roles: Countertransference: Nurse transfers feelings and behaviors onto the patient
related to significant figures in the nurse's past
17. Peplau's Model of the Nurse-Patient Relationship: The nurse-patient relationship "facil-
itates forward movement"
4 phases:
• Preorientation Phase
• Orientation Phase
• Working Phase
• Termination Phase
18. The communication process: Stimulus - someone has a need to communicate
Sender - the person sending the message
Message - information send or expressed
Channel - auditory, visual, tactile, olfactory or a combination
Receiver - person receiving the message
Feedback - validates the accuracy of the sender's message and is EXTREMELY IMPORTANT
19. Nonverbal communication: Tone, Facial expression, Body language
20. THERAPEUTIC COMMUNICATION TECHNIQUES: Using silence, Active listening, Clarifying
techniques: paraphrasing, restating, reflecting, exploring