Q: What are three factors contributing to mental illness?
A:
Individual: biological makeup, intolerable or unrealistic worries or
fears
Interpersonal: ineffective communication, inadequate social support
Social/cultural: unwarranted negative view of the world,
discrimination
Q: What is the DSM-5?
A: The Diagnostic and Statistical Manual of Mental Disorders,
published by the APA, used to:
Define characteristics/symptoms of disorders
Identify underlying causes
,Q: What is the "revolving door" concept in psychiatric care?
A: Short hospital stays → decompensation → rehospitalization, often
seen with dual diagnosis of mental illness and substance use
Q: What percentage of the homeless population is affected by mental
illness?
A: 33%
Q: What are the five axes of the DSM-IV-TR (note: not used in DSM-5,
but still tested)?
A:
Axis I: Clinical syndromes (e.g., mood, anxiety disorders)
Axis II: Personality disorders, mental retardation
Axis III: General medical conditions (e.g., diabetes)
Axis IV: Psychosocial/environmental problems (e.g., divorce,
homelessness)
Axis V: Global Assessment of Functioning (GAF score)
,Q: What is the leading cause of disability in the U.S.?
A: Mental illness
Q: What are basic-level psychiatric nursing practices?
A: Counseling, milieu therapy, self-care, psychobiologic interventions,
health teaching, case management, health promotion
Q: What are advanced-level psychiatric nursing practices?
A: Psychotherapy, prescriptive authority, consultation, evaluation,
program development, clinical supervision
Q: True or False: The DSM is based on clinical research and outlines
specific diagnostic criteria.
A: True
Q: __________ drugs alter brain function to change mood, perception,
or consciousness.
A: Psychotropic
Q: What is case management in mental health?
A: Coordinating and managing all client care through one individual
Q: Name four excitatory neurotransmitters.
, A:
Dopamine: motivation, movement, cognition
Norepinephrine: learning, memory, mood
Epinephrine: fight/flight response
Glutamate: can be neurotoxic at high levels
Q: Name two inhibitory neurotransmitters.
A:
Serotonin: mood, sleep, appetite
GABA: major inhibitor, calms brain
Q: Give one neurotransmitter that is both excitatory and inhibitory.
A: Acetylcholine
Q: Give five examples of conventional (first-generation) antipsychotics.
A: Chlorpromazine, fluphenazine, thioridazine, haloperidol, loxapine