NSG 5130 MENTAL HEALTH EXAM
(ANSWERED) CORRECTLY TO SCORE A+
Mental health is "a state of well-being in which: Answer - the individual
realizes their own potential Can cope with the normal stresses of life Can work productively and fruitfully And are able to make a contribution to their community" (MHCC, 2013, p.3)
Mental health and wellbeing are Influenced by: Answer - Individual factors
(personal) Interpersonal factors (relationship) Social/cultural factors (environmental) What we can observe when a person is mentally healthy Answer - Relationships Maintains relationships, resolves conflicts Communicates directly with others Respects others Effective behavior and coping Participates in ADLs Takes responsibility for behaviour Uses coping techniques to address life stressors/events Positive self-concept 1 / 4
Able to identify positive and challenging self attributes Able to care for/accept self Emotional Stability Communicates feelings/needs Able to regulate emotions
Mental Illness: Emotional, psychological, and social challenges evidenced by
impairments in: Answer - Dissatisfying / ineffective Interpersonal relationships Ineffective behaviours and coping
Negative/dissatisfaction with self-concept re: characteristics, abilities,
accomplishment Emotional instability Lack of personal growth Influencing factors Answer - Individual, interpersonal, social/cultural Ie. Determinants of health Mental disorder Answer - Medical term of a diagnosis of a mental illness
Clinically significant alteration in:
Mood and affect Behaviour Thinking Cognition Reflected in impaired functioning Who publishes the DSM? Answer - American Psychiatric Association (APA) What it is? 2 / 4
Standardized classification system for diagnosing mental disorders (Box. 2.1, p.21) Presents defining characteristics of disorders May assists in identifying the underlying causes How nurses utilize it?Provides a common language for HCP Aids in understanding the reason of admission, nature of the illness
Cautions:
Diagnoses Can pathologize, stigmatize (labelling) Ex. 2+LGBTQ community, people with DD Culturally contextual norms Doesn't inform about individual responses to the disorder or individual needs Keyes' Flourishing vs Languishing Model Answer - Mental health is not the ABSENCE of mental illness/disorder (Keyes).Mental health is the presence of something positive (WHO, 2021).
Flourishing: the presence of mental health including high levels of social and
psychological wellbeing Languishing: the absence of mental health or few signs of it including low levels of psychological and social wellbeing Goals of psychiatric and mental nursing Answer - To promote mental health and the prevention or diminution of mental disorder The developmental of a therapeutic relationship is "essential to the positive working nurse-client relationship" (RNAO, 2002, p. 29)... "and may be the primary intervention to promote awareness and growth and work through difficulties" (RNAO, 2006, p.11) 3 / 4
Psychiatric-Mental Health Nurses Beliefs and Values Answer - therapeutic nurse-client relationships, based on trust and mutual respect alleviation of stigma and discrimination; promote recovery and well-being for people of all ages living with mental health problems and illnesses; collaborative relationships with individual, family, community, and social agencies; holistic approach to understand the individual equitable access to culturally competent care; reflective ethical practice and a commitment to continuous learning; protection of human rights Recovery: "living a satisfying, hopeful, and contributing life, even when mental health problems and mental illnesses cause ongoing limitations" (RNAO, 2017) Answer - Ongoing process Possible for everyone Individualized and client led
Recovery orientation for nurses Includes:
Making social connections Focusing on strengths, resources, rights Accepting challenges
Requires:
Therapeutic nurse-client relationships Guidelines to Recovery-Oriented Practice Answer - Promoting a culture and language of hope and optimism Recovery is personal and involves self-determination, collaborative relationships, reflective practice
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