PMH Exam 1
Psych-MH Nurses
· Promote mental health through assessment, diagnosis, and treatment of behavioral and
mental disorders
· Use nursing, psychosocial, neurobiological theories and research
· Work with people throughout the life span
· Work in a variety of settings and among varied populations
· We focus on "the patient's response to their condition"
A psych RN's primary concern is
patient safety (if this is an option on an exam this is the answer)
Therapeutic Relationships + Communication
· Critical to our ability to connect with people
· Each person bring their own experiences + worldwide
· Real and perceived ideas about people influence our interactions
PMH-RN Description
o 2 years full-time work, 2000 clinical hours, 30 hours CEU followed by certification exam to
add "BC" to the RN title (RN-BC)
-not everyone goes after this because not many things change
PMH-RN Role
- Care Coordination
- Health Teaching
- Health Maint.
- Milieu Therapy
- Assess and report response to medication and other treatments
PMH-APRN Description
o Psychiatric mental health advanced practice registered nurse Master of Science or Clinical
Doctorate (DNP)
PMH-APRN Role
- All of those listed under PMH-RN plus
- Medication Rx and Treatment
- Psychotherapy
, - Consultation
Diagnostic and Statistical Manual (DSM-5)
Categorizing + diagnosing mental illness based on symptoms, "medical" diagnosis
NANDA Nursing Diagnosis Book
Psych "nursing" diagnosis
Nursing Intervention Classification (NIC)
determine appropriate interventions
Nursing Outcomes Classification (NOC)
determine desired outcomes based on medical & nursing diagnoses
Mental Health - Mental Illness Continuum
· Variations and fluctuations based on multiple factors
· Ex. many people are farther to the right than usual given the global pandemic
Different Aspects of Mental Health
Doing well: Grow emotionally, control over behaviors, healthy self-esteem, realistic goals,
high functioning individual
Factors that Contribute to Mental Health
· Diathesis-stress model
· "refrigerator mother"
Diathesis-stress model
Most psychiatric disorders result from a combination of genetic vulnerability and negative
environmental stressors
o Diathesis = biological
o Stress = environmental/exposure
"refrigerator mother"
the (outdated) idea that cold and distant mothers caused schizophrenia and autism
Resilience
Psych-MH Nurses
· Promote mental health through assessment, diagnosis, and treatment of behavioral and
mental disorders
· Use nursing, psychosocial, neurobiological theories and research
· Work with people throughout the life span
· Work in a variety of settings and among varied populations
· We focus on "the patient's response to their condition"
A psych RN's primary concern is
patient safety (if this is an option on an exam this is the answer)
Therapeutic Relationships + Communication
· Critical to our ability to connect with people
· Each person bring their own experiences + worldwide
· Real and perceived ideas about people influence our interactions
PMH-RN Description
o 2 years full-time work, 2000 clinical hours, 30 hours CEU followed by certification exam to
add "BC" to the RN title (RN-BC)
-not everyone goes after this because not many things change
PMH-RN Role
- Care Coordination
- Health Teaching
- Health Maint.
- Milieu Therapy
- Assess and report response to medication and other treatments
PMH-APRN Description
o Psychiatric mental health advanced practice registered nurse Master of Science or Clinical
Doctorate (DNP)
PMH-APRN Role
- All of those listed under PMH-RN plus
- Medication Rx and Treatment
- Psychotherapy
, - Consultation
Diagnostic and Statistical Manual (DSM-5)
Categorizing + diagnosing mental illness based on symptoms, "medical" diagnosis
NANDA Nursing Diagnosis Book
Psych "nursing" diagnosis
Nursing Intervention Classification (NIC)
determine appropriate interventions
Nursing Outcomes Classification (NOC)
determine desired outcomes based on medical & nursing diagnoses
Mental Health - Mental Illness Continuum
· Variations and fluctuations based on multiple factors
· Ex. many people are farther to the right than usual given the global pandemic
Different Aspects of Mental Health
Doing well: Grow emotionally, control over behaviors, healthy self-esteem, realistic goals,
high functioning individual
Factors that Contribute to Mental Health
· Diathesis-stress model
· "refrigerator mother"
Diathesis-stress model
Most psychiatric disorders result from a combination of genetic vulnerability and negative
environmental stressors
o Diathesis = biological
o Stress = environmental/exposure
"refrigerator mother"
the (outdated) idea that cold and distant mothers caused schizophrenia and autism
Resilience
