Chapter 1-5 ; 7-9
Textbook Chapter 1:
Science of Nursing Art of Nursing
Textbook Chapter 2:
Mental Health Mental Illness
Successful performance of Medical conditions
mental functions, resulting in (dysfunctions of the brain and
the ability to engage in neurotransmitters) that affect
productive activities, enjoy a person’s thinking, feeling,
fulfilling relationships, adapt mood, ability to relate to
to change, and cope with others, and daily functioning.
adversity. Basically, mental illness can
Mental health is the be seen as the result of
foundation of thinking, flawed biological,
communication skills, psychological, or social
learning, emotional growth, processes.
resilience, and self-esteem Mental illnesses are treatable,
throughout the life span and individuals can
It is a state of well-being in experience symptom relief,
which individuals can realize and complete cure in some
their abilities as well as cases, with treatment and
contribute to their community support
within the context of life
stressors.
• Diagnostic and Statistical Manual of Mental Disorders = DSM-5
, Current official guidebook for categorizing and diagnosing psychiatric
mental health disorders in the United States
DSM-5 is used by psychiatrists, psychiatric nurse practitioners, and other
clinicians as a guide for assessing, diagnosing, and planning care.
The DSM-5 lists specific diagnostic criteria for each mental disorder,
which were developed using research and clinical observation.
In the DSM -5 the axis system was deleted. HOWEVER,
DSM-IV-TR is still in use as clinicians and institutions transition into full
use of the DSM-5
Axis I: lists the psychiatric diagnosis or diagnoses (for example, major
depressive disorder and alcohol dependence) that are generally considered
biological in nature. All psychiatric disorders are listed on Axis I with the
exception of personality disorders and mental retardation, are listed on
Axis II.
Axis II: lists personality disorders and mental retardation to ensure long-
standing issues that may co-occur with the Axis I disorders are considered,
such as borderline personality disorder.
Axis III: lists any medical conditions the patient may have, which may or
may not influence the mental health diagnosis (for example, coronary
artery disease and hypothyroidism).
Axis IV: lists psycho-social stressors in a brief narrative form, such as
homeless, going through divorce, or job loss.
Axis V: the Global Assessment of Functioning (GAF) score, is noted on
this axis. The GAF is rated on a scale of 1 to 100 and indicates the
patient’s level of functioning. The higher the score, the higher the level of
functioning.