N129 Mental Health Nursing - EXAM I
question with answers
Examples of Serious Mental Illness
- Major depressive disorder
- Bipolar disorder
- Schizophrenia
- Schizoaffective disorder
- Panic disorder
- Posttraumatic stress disorder (PTSD)
- Borderline and antisocial personality disorder
- Obsessive-compulsive disorder (OCD)
Comorbidities in the Seriously Mentally Ill
Physical disorders:
Mental health professional work together with medical to undercover real medical conditions.
COMORBIDITIES Ex: HTN, obesity, cardiovascular disease & diabetes, etc.
uRisk for premature death (3 times greater) due to:
uFailing to provide healthcare needs.
uForgetting to take medications.
uInability to access healthcare.
uHigher rates of smoking.
uPoor diet.
uCriminal victimization.
uStigma.
uMisdiagnosis of illness- Bizarre description of symptoms.
Depression and Suicide in the Seriously Mentally Ill
,Experience a profound sense of loss of their pre-illness life & potential.
uRisk of suicide is 12 times more frequent.
Substance Use in Seriously Mentally Ill
Occurs in 60% patients with serious mental illness.
- Self-medicating.
- Maladaptive response to boredom.
- Smoking rate is higher.
uHealth problems.
uDecreased quality of life.
uIncarceration.
uRelapse.
uDecreased effectivities of medications.
Social Problems in the Seriously Mentally Ill
Stigma:
uAbility to access healthcare & related services.
uFear & avoidance.
uDiscrimination.
uIsolation.
uIsolation and loneliness:
uPoor self-image.
uPassivity.
uImpaired hygiene & grooming.
uVictimization:
uMore likely to be involved in violence (victim)
uSexual assault as victims (more than as predators).
Housing Instability
Limited funds with limited options.
Unsafe neighborhoods.
Living with family/friends can cause conflict related to their behavior.
, History of arrests.
Long waiting lists for housing.
Tx issues with the seriously mentally ill
Anosognosia:
Inability to recognize one's own illness. Patient can not accept it.
- leads to the patient being resistant to tx
(Denial is not understanding that they are mentally ill.)
Nonadherence:
50% are
Medication Side Effects:
Treatment Inadequacy:
Residual Symptoms:
Relapse, chronicity & Loss
Assertive Community Treatment (ACT)
Consumer works with multidisciplinary team to receive range of services as opposed to going to
multiple agencies
Cognitive Behavioral Therapy (CBT)
uFocus on identifying distorted thinking and "self-talk"
Chapter 1: Mental Health & Mental Illness (4)
Role of the Mental Health Nurse
Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems
An example of assessment findings seen with a person experiencing a mental illness could be
reported as...
being consistently sad, discouraged & hopeless mood which is seen in depression - outpatient
question with answers
Examples of Serious Mental Illness
- Major depressive disorder
- Bipolar disorder
- Schizophrenia
- Schizoaffective disorder
- Panic disorder
- Posttraumatic stress disorder (PTSD)
- Borderline and antisocial personality disorder
- Obsessive-compulsive disorder (OCD)
Comorbidities in the Seriously Mentally Ill
Physical disorders:
Mental health professional work together with medical to undercover real medical conditions.
COMORBIDITIES Ex: HTN, obesity, cardiovascular disease & diabetes, etc.
uRisk for premature death (3 times greater) due to:
uFailing to provide healthcare needs.
uForgetting to take medications.
uInability to access healthcare.
uHigher rates of smoking.
uPoor diet.
uCriminal victimization.
uStigma.
uMisdiagnosis of illness- Bizarre description of symptoms.
Depression and Suicide in the Seriously Mentally Ill
,Experience a profound sense of loss of their pre-illness life & potential.
uRisk of suicide is 12 times more frequent.
Substance Use in Seriously Mentally Ill
Occurs in 60% patients with serious mental illness.
- Self-medicating.
- Maladaptive response to boredom.
- Smoking rate is higher.
uHealth problems.
uDecreased quality of life.
uIncarceration.
uRelapse.
uDecreased effectivities of medications.
Social Problems in the Seriously Mentally Ill
Stigma:
uAbility to access healthcare & related services.
uFear & avoidance.
uDiscrimination.
uIsolation.
uIsolation and loneliness:
uPoor self-image.
uPassivity.
uImpaired hygiene & grooming.
uVictimization:
uMore likely to be involved in violence (victim)
uSexual assault as victims (more than as predators).
Housing Instability
Limited funds with limited options.
Unsafe neighborhoods.
Living with family/friends can cause conflict related to their behavior.
, History of arrests.
Long waiting lists for housing.
Tx issues with the seriously mentally ill
Anosognosia:
Inability to recognize one's own illness. Patient can not accept it.
- leads to the patient being resistant to tx
(Denial is not understanding that they are mentally ill.)
Nonadherence:
50% are
Medication Side Effects:
Treatment Inadequacy:
Residual Symptoms:
Relapse, chronicity & Loss
Assertive Community Treatment (ACT)
Consumer works with multidisciplinary team to receive range of services as opposed to going to
multiple agencies
Cognitive Behavioral Therapy (CBT)
uFocus on identifying distorted thinking and "self-talk"
Chapter 1: Mental Health & Mental Illness (4)
Role of the Mental Health Nurse
Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems
An example of assessment findings seen with a person experiencing a mental illness could be
reported as...
being consistently sad, discouraged & hopeless mood which is seen in depression - outpatient
