Test #1 Mental 1
Health
Mental Health vs Mental Illness
Mental Health – Able to recognize own potential, Cope with normal stress, Work productively
and Make contribution to community.
Mental Illness – Disorders with definable diagnosis.
Significant dysfunction in mental functioning related to development, biological and
physiological disturbance.
Resilience – Ability and capacity to secure resources to support wellbeing.
Characterized by Optimism, Mastery and Competence (essential to recovery)
Culture:
No standard measure for mental health
Based on interpretations of effective functioning according to societal norms
What a particular culture deems acceptable and unacceptable
Mentally Ill – those who violate social norms and threaten (make anxious) those observing them
QSEN – Quality and Safety Education for Nurses
Patient Centered Care – Care should be given with respect and responsiveness, and the patient’s
values (instead of our own), preferences and needs should guide care.
Teamwork and collaboration – Nurses and interprofessionals teams maintain open
communication, respect and shared decision making.
Evidence-based practice – integrating the best current evidence while considering patient/family
values and preferences.
Quality Improvement – Monitoring the outcome of care. Be care designers and test changes that
result in quality care.
Safety – Do not add further injury or infection. Minimize harm to patients and providers through
effectiveness and individual performance.
Informatics – Information and technology is used to communicate, manage knowledge, mitigate
error and support decision making.
Classification of Mental Illness:
Axis I – Psychiatric Diagnosis
Axis II – Personality
Disorders
Axis III – Identified General Medical Disorders
, Test #1 Mental 2
Health
Classification of Nursing Outcomes and Intervention
The Nursing Diagnosis: Definitions and Classification of the North American Nursing Diagnosis
Association (NANDA-1)
DSM 5 and NANDA-1 Approved Nursing Diagnosis
Nursing Outcome Classification – source of standardized outcomes, definitions of the outcomes
and measuring scales that help determine of nursing intervention
Nursing Intervention Classification – Tool used to standardize care, define and measure nursing
care or any treatment based on clinical judgement and knowledge performed to enhance outcome.
Future Challenges:
Educational – Nurses need to be more skilled and prepared to discharge patients
Aging Population – Alzheimer’s disease and dementia are prevalent
Cultural Diversity – 50% of children under 1 year are minorities, Hispanics have doubled, Nurses
must increase cultural competence.
Science, Technology and Electronic Healthcare – Genetic markers implicating a variety of
psychiatric illnesses (Who is at risk)
Eight Stages of Development for Erikson
Infancy (0 – 1.5) Attachment Trust vs Mistrust (Difficulty relating
to people or fear)
Early Childhood (1.5 – 3) Control of Self Autonomy vs Shame/Doubt (Self-
doubt)
Preschool (3 – 6) Purposeful/Direct Initiative vs Guilt (Aggression, fear
and inadequacy)
School Age (6 – 12) Social/Physical/School Industry vs Inferiority (Inferiority,
difficult learning and working)
Adolescence (12 – 20) Adulthood/Identity Identity vs Role Confusion
(Confusion on who you are)
Early Adulthood (20 -35) Bonds/Love/Friendship Intimacy vs Isolation (Emotional
Isolation)
Middle Adulthood (35 – 65) Goals/Future Generative vs Self-absorption
(Inability to grow as a person)
Later Years (65 – death) Looking Back Integrity vs Despair (Dissatisfaction with life)
Hildegard Peplau
Health
Mental Health vs Mental Illness
Mental Health – Able to recognize own potential, Cope with normal stress, Work productively
and Make contribution to community.
Mental Illness – Disorders with definable diagnosis.
Significant dysfunction in mental functioning related to development, biological and
physiological disturbance.
Resilience – Ability and capacity to secure resources to support wellbeing.
Characterized by Optimism, Mastery and Competence (essential to recovery)
Culture:
No standard measure for mental health
Based on interpretations of effective functioning according to societal norms
What a particular culture deems acceptable and unacceptable
Mentally Ill – those who violate social norms and threaten (make anxious) those observing them
QSEN – Quality and Safety Education for Nurses
Patient Centered Care – Care should be given with respect and responsiveness, and the patient’s
values (instead of our own), preferences and needs should guide care.
Teamwork and collaboration – Nurses and interprofessionals teams maintain open
communication, respect and shared decision making.
Evidence-based practice – integrating the best current evidence while considering patient/family
values and preferences.
Quality Improvement – Monitoring the outcome of care. Be care designers and test changes that
result in quality care.
Safety – Do not add further injury or infection. Minimize harm to patients and providers through
effectiveness and individual performance.
Informatics – Information and technology is used to communicate, manage knowledge, mitigate
error and support decision making.
Classification of Mental Illness:
Axis I – Psychiatric Diagnosis
Axis II – Personality
Disorders
Axis III – Identified General Medical Disorders
, Test #1 Mental 2
Health
Classification of Nursing Outcomes and Intervention
The Nursing Diagnosis: Definitions and Classification of the North American Nursing Diagnosis
Association (NANDA-1)
DSM 5 and NANDA-1 Approved Nursing Diagnosis
Nursing Outcome Classification – source of standardized outcomes, definitions of the outcomes
and measuring scales that help determine of nursing intervention
Nursing Intervention Classification – Tool used to standardize care, define and measure nursing
care or any treatment based on clinical judgement and knowledge performed to enhance outcome.
Future Challenges:
Educational – Nurses need to be more skilled and prepared to discharge patients
Aging Population – Alzheimer’s disease and dementia are prevalent
Cultural Diversity – 50% of children under 1 year are minorities, Hispanics have doubled, Nurses
must increase cultural competence.
Science, Technology and Electronic Healthcare – Genetic markers implicating a variety of
psychiatric illnesses (Who is at risk)
Eight Stages of Development for Erikson
Infancy (0 – 1.5) Attachment Trust vs Mistrust (Difficulty relating
to people or fear)
Early Childhood (1.5 – 3) Control of Self Autonomy vs Shame/Doubt (Self-
doubt)
Preschool (3 – 6) Purposeful/Direct Initiative vs Guilt (Aggression, fear
and inadequacy)
School Age (6 – 12) Social/Physical/School Industry vs Inferiority (Inferiority,
difficult learning and working)
Adolescence (12 – 20) Adulthood/Identity Identity vs Role Confusion
(Confusion on who you are)
Early Adulthood (20 -35) Bonds/Love/Friendship Intimacy vs Isolation (Emotional
Isolation)
Middle Adulthood (35 – 65) Goals/Future Generative vs Self-absorption
(Inability to grow as a person)
Later Years (65 – death) Looking Back Integrity vs Despair (Dissatisfaction with life)
Hildegard Peplau
