Evolution of Psychiatric-Mental Health Care

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Questions and Answers

Which theory focuses primarily on observable actions of an individual rather than internal mental states?

  • Psychoanalytic Theory
  • Cognitive Theory
  • Behavioral Theory (correct)
  • Cognitive-Behavioral Theory

A nursing framework that considers both actions and information processing would be most related to which theory?

  • Psychosocial Assessment
  • Cognitive-Behavioral Model (correct)
  • Behavioral Theory
  • General Assessment

What does the term 'psychosocial assessment' primarily involve?

  • Collecting data, organization, and analysis of client information (correct)
  • Evaluating only the past behavior of the client
  • Analyzing observable physical responses only
  • Focusing solely on cognitive processing

Which aspect is NOT a component in a General Assessment?

<p>Formulating treatment plans (C)</p> Signup and view all the answers

What is a key focus of cognitive theory?

<p>Mental processes involved in knowing (B)</p> Signup and view all the answers

Which factor is NOT categorized as a biological influence on mental health?

<p>Family values (D)</p> Signup and view all the answers

A nurse exploring a client's behavior is primarily looking for:

<p>The underlying need the behavior serves. (B)</p> Signup and view all the answers

Which of these is a central idea related to achieving mental health peace?

<p>Being at peace with oneself, others, nature, and a higher power. (D)</p> Signup and view all the answers

When a nurse views a client's behavior nonjudgmentally, their main goal is to:

<p>Help the client learn more effective adaptations. (D)</p> Signup and view all the answers

Which of these is an example of a psychological factor affecting mental health?

<p>Family trauma (D)</p> Signup and view all the answers

During the 15th-13th centuries, what was a common belief regarding individuals with mental illness?

<p>They lacked feelings and understanding, akin to animals. (C)</p> Signup and view all the answers

Which of the following was a common treatment practiced during the 15th-13th centuries for those with mental illness?

<p>Administering ice baths which could cause hypothermia. (B)</p> Signup and view all the answers

What was the primary focus advocated by Philippe Pinel in the late 18th century regarding the care of mentally ill people?

<p>Implementing kind and moral approach. (D)</p> Signup and view all the answers

What is Benjamin Rush's contribution to the field of mental health?

<p>Championing the need for humane care and a comfortable environment. (B)</p> Signup and view all the answers

Which of the following best describes William Tuke’s approach to treating mental illness?

<p>Advocating for humane treatment and respecting human dignity. (C)</p> Signup and view all the answers

What was the general attitude towards mental illness during the 15th-13th centuries?

<p>Skepticism about the curability of mental illness. (A)</p> Signup and view all the answers

What event in the 15th-13th centuries contributed significantly to the negative perceptions of mental illness?

<p>Witch hunts and executions. (C)</p> Signup and view all the answers

What is the significance of Linda Richards in psychiatric care?

<p>She is noted as the first Psychiatric Nurse. (B)</p> Signup and view all the answers

What was the prevalent method of care administration in the 15th-13th centuries?

<p>Attendants were in-charge of care administration. (A)</p> Signup and view all the answers

What was a significant outcome of releasing the insane from chains in the late 18th century?

<p>It contributed to a reformation of societal attitudes towards individuals with mental illness. (B)</p> Signup and view all the answers

Which of these actions is NOT generally recommended when interacting with patients experiencing hallucinations or delusions?

<p>Arguing with the patient about their hallucinations (D)</p> Signup and view all the answers

When interacting with patients, which approach is most helpful for managing emotional reactions?

<p>Allowing and encouraging verbalization of feelings (C)</p> Signup and view all the answers

Which of the following is considered a key characteristic of anxiety?

<p>It is often provoked by the unknown. (B)</p> Signup and view all the answers

When working with withdrawn patients, what is recommended as an initial interaction strategy?

<p>Starting with one-to-one interactions (B)</p> Signup and view all the answers

Of the following, which is NOT one of the domains used to differentiate fear and anxiety?

<p>Level of physical sensation (A)</p> Signup and view all the answers

What is the best approach to take regarding patient behaviors?

<p>Accept patients as they are, but not all behaviors. (B)</p> Signup and view all the answers

Which action should be avoided when interacting with patients, especially in settings where they may be unable to hear conversations?

<p>Whispering or laughing when they can’t fully hear (D)</p> Signup and view all the answers

How should competitive activities be handled with some patients?

<p>They should be avoided with certain patients. (B)</p> Signup and view all the answers

Which of the following is NOT typically associated with a sharpened sense as it relates to anxiety?

<p>Irritability (B)</p> Signup and view all the answers

According to the provided content, what is the relationship between self-esteem and anxiety?

<p>Low self-esteem is linked to a predisposition to anxiety (D)</p> Signup and view all the answers

According to the learning theory of anxiety, what is the most significant way that a parent influences a child's response to anxiety?

<p>By having an appropriate emotional response to the child's anxiety. (C)</p> Signup and view all the answers

Which of these is a physiological response that can be associated with anxiety?

<p>Fidgeting (A)</p> Signup and view all the answers

Which of the following is NOT identified as a coping mechanism to relieve anxiety in stressful conditions?

<p>Hyperventilation (C)</p> Signup and view all the answers

Which of the following best reflects a nursing intervention to help a patient with anxiety?

<p>Recognize the anxiety and explore its causes with the patient (D)</p> Signup and view all the answers

Which of the following is an example of a physical manifestation of anxiety?

<p>GI 'butterflies' (B)</p> Signup and view all the answers

What is the first step a nurse should follow while assisting an anxious patient?

<p>Recognize that the patient is experiencing anxiety. (A)</p> Signup and view all the answers

Which mental health professional is primarily responsible for administering and interpreting psychological tests?

<p>Clinical Psychologist (C)</p> Signup and view all the answers

Which of the following best describes the role of a psychiatric social worker on a mental health team?

<p>Identifying and addressing social issues affecting clients and families (A)</p> Signup and view all the answers

Which professional is focused on the use of activities to help clients gain skills to perform ADLs and create therapeutic relationships?

<p>Occupational Therapist (A)</p> Signup and view all the answers

Who is primarily responsible for providing direct care to clients under the supervision of a psychiatric nurse?

<p>Mental Health Worker (B)</p> Signup and view all the answers

Which of these is NOT considered a complementary health therapy?

<p>Psychotherapy (C)</p> Signup and view all the answers

Which of these professionals presents educational programs for the nursing staff?

<p>Psychiatric clinical nurse specialist (C)</p> Signup and view all the answers

What was a notable trend with psychiatric facilities in the 1980s, as mentioned in the text?

<p>A large growth in freestanding facilities leading to abuse (C)</p> Signup and view all the answers

What is described as the driving force behind treatment approaches in psychiatric-mental health nursing?

<p>Evidence-based health care (C)</p> Signup and view all the answers

A key component of the psychiatric nurse's role is the:

<p>development of one-to-one relationships with clients (C)</p> Signup and view all the answers

Karen Horney is known for her theory on neuroses, which she believed stems from:

<p>cultural factors and impaired interpersonal relationships (B)</p> Signup and view all the answers

What is the focus of Harry Stack Sullivan´s theory?

<p>Interpersonal relationships (C)</p> Signup and view all the answers

Who is responsible for making diagnoses and prescribing treatment for clients?

<p>Psychiatrist (D)</p> Signup and view all the answers

What is the primary focus of a chaplain on the mental health team?

<p>Attending to the spiritual needs of clients and their families (A)</p> Signup and view all the answers

What does the text mean by mental health?

<p>The ability to respond adaptively to internal and external stressors (C)</p> Signup and view all the answers

What does the text suggest is a future trend in psychiatric-mental health nursing?

<p>Demands of Advanced Technology (D)</p> Signup and view all the answers

Flashcards

Biological Factors

Factors related to a person's physical body that can influence their mental health.

Prenatal & Postnatal Factors

Factors that occur during pregnancy and after childbirth that can impact a mother's mental health.

Sociocultural Factors

Factors related to a person's society, culture, and environment that can influence their mental health.

Psychological Factors

Factors related to a person's thoughts, feelings, and behaviors that can influence their mental health.

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What is peace?

The ability to live in harmony with oneself, others, nature, and a higher power. It's essential for well-being.

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Behavioral Theory

Focuses on understanding a person's actions by observing their behavior in different situations.

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Cognitive Theory

Explains human behavior by focusing on their mental processes, like thinking, learning, and problem-solving.

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Cognitive-Behavioral Model

Combines aspects of behavioral and cognitive theories, highlighting the link between thinking and actions.

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General Assessment

A systematic process of collecting, organizing, and analyzing data about a client, including their mental health.

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Psychiatric Nursing

A comprehensive approach to nursing that focuses on the individual's emotional, mental, and social well-being.

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Incurable Mental Illness (15th-13th Century)

A widely held belief in the 15th to 13th centuries that mental illness was incurable and individuals with mental illness lacked understanding and feelings.

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Forms of Treatment (15th-13th Century)

Practices used in the 15th to 13th centuries to treat mental illness, often harmful and based on superstition rather than medical knowledge. Examples include ice baths and bloodletting.

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The 18th Century: A Turning Point

A period marked by significant shifts in understanding and treatment of mental illness. Key figures like Benjamin Rush, Philippe Pinel, and William Tuke championed humane care and challenged prevailing views.

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Benjamin Rush

American physician considered the Father of American Psychiatry. He emphasized the importance of a pleasant environment and diversionary activities in treating mental illness. He introduced the Tranquilizer Chair and the Gyrator, though their effectiveness is debatable.

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Philippe Pinel

French physician who advocated for kindness and moral treatment of the mentally ill. He famously released patients from chains and promoted humane practices in hospitals like La Bicêtre and Salpêtrière.

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William Tuke

A British Quaker who advocated for humane treatment of the mentally ill. He established the York Retreat, a model for future institutions emphasizing dignity and respectful care.

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Pre-Psychiatric Nursing

The period before the establishment of psychiatric nursing. Mental health conditions were often neglected and treatment inadequate.

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The Urgent Need for Reform

The urgent need for improvements in mental health care during the period before the establishment of psychiatric nursing. This need was driven by the deplorable conditions that patients faced.

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Linda Richards: The First Psychiatric Nurse

Linda Richards, the first recognized psychiatric nurse who played a pivotal role in shaping the profession. Her contributions laid the foundation for modern psychiatric nursing practice.

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The Rise of Psychiatric Nursing

The development of a new role within the healthcare system - psychiatric nursing. Its purpose is to provide specialized care and support for individuals with mental health conditions.

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Holistic Therapy

A type of treatment focuses on the connection between physical and mental health. It uses various therapies to promote well-being, such as aromatherapy, acupuncture, massage, biofeedback, herbs, and nutritional approaches.

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Horney's Interpersonal Theory

Neuroses, according to Horney, arise from a person's upbringing and their relationships. These experiences shape our personalities.

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Sullivan's Interpersonal Theory

Sullivan believed that our interactions with others, particularly in childhood, play a significant role in shaping our mental health.

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Mental Health Team

A team comprised of specialists working together to provide comprehensive mental health care.

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Psychiatrist

The leader of the mental health team, responsible for making diagnoses and prescribing treatment.

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Clinical Psychologist

A psychologist specialized in clinical work. They assess and interpret psychological tests, offer therapy, and focus on behavioral modification.

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Dietician

A specialist in nutrition who plans healthy meals for those receiving mental health treatment.

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Chaplain

A religious leader who provides spiritual care to patients and their families.

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Psychiatric Social Worker

A social worker focusing on identifying and handling the social aspects of mental health problems in clients and families.

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Psychiatric Clinical Nurse Specialist

A nurse with advanced training in mental health who offers education, consultation, and care planning for patients.

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Psychiatric Nurse

A mental health professional involved in the direct care of patients. Their responsibilities include assessments, medication administration, and therapeutic activities.

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Occupational Therapist

A professional involved in providing activities to help patients improve their daily living skills and engage in creative activities.

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Mental Health Worker

A mental health worker who assists psychiatric nurses in providing basic care to patients.

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Internist

A medical doctor focused on general health and co-occurring conditions that can affect mental health.

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Mental Health

The ability of individuals, families, and communities to adapt and cope with stress and challenges.

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What is anxiety?

A complex emotional state characterized by fear, apprehension, and worry, often accompanied by physical sensations like palpitations, nausea, chest pain, and shortness of breath.

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How is fear anxiety categorized?

Fear anxiety is categorized by four key domains: how long the emotion lasts, its focus in time, the specific threat involved, and the direction of motivation.

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What is the 'duration of emotional experience' in fear anxiety?

Focuses on the duration of the emotional experience, ranging from momentary to long-lasting.

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What is the 'temporal focus' in fear anxiety?

Focuses on the temporal focus of fear anxiety, whether it's about the present, past, or future.

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What is 'specificity of the threat' in fear anxiety?

Focuses on the degree of specificity in the fear-inducing threat, ranging from vague to distinct.

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What is 'motivated direction' in fear anxiety?

Focuses on the direction of motivation in fear anxiety, whether it's avoidance, approach, or a mix.

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What triggers anxiety?

Anxiety is often triggered by the unknown, making it a key characteristic.

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What are the basic principles of care for patients with anxiety disorders?

A set of principles aimed at providing supportive care for people experiencing anxiety and other mental health challenges.

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Anxiety

A state of nervousness or unease, often accompanied by physiological changes, such as increased heart rate and sweating.

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Wide Perceptual Field

A broader range of sensory perception, allowing for a wider awareness of surroundings. It's commonly experienced during anxiety.

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Sharpened Senses

Heightened senses, leading to a heightened awareness of stimuli. Common in anxiety.

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Increased Irritability

The tendency to react more easily to stimuli, often with increased irritability or anger. It's a common symptom of anxiety.

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Physical Coping Mechanisms

A coping mechanism for anxiety, where individuals engage in physical activities to relieve tension. Examples include exercise, cleaning, or fidgeting.

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Mental Coping Mechanisms

A coping mechanism for anxiety, where individuals use mental distractions to divert attention from their worries. Examples include daydreaming, fantasizing, or zoning out.

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Coping Mechanisms

Behaviors that help individuals manage anxiety in daily life. These can be healthy or unhealthy depending on frequency and impact on well-being.

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Anxiety Management

The ability to identify and manage anxiety, understand its triggers, and implement coping strategies. It's crucial for effective anxiety management.

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Study Notes

Evolution of Psychiatric-Mental Health Care

  • Early History: Associated with sin, demonic possession, perceived as incurable, and inhumane treatment.

  • Middle Ages: Not cared for by families, often imprisoned or living on the streets, hospitals like St. Mary of Bethlehem housed the destitute and afflicted.

  • 15th-18th Century: Skepticism about curability, belief that the mentally ill lacked feelings, treated like animals, witch hunts, and executions.

  • 18th Century: French and American revolutions, campaigns for abolition of slavery and equal rights for women, care for the impoverished. Benjamin Rush emphasized pleasant surroundings and moral treatment. Phillipe Pinel advocated kindness and moral treatment, releasing the insane from chains.

Benchmarks in Psychiatric History

  • Rosenblatt's ABC of community response: Assistance (least restrictive), Banishment, Confinement (most restrictive).

The 19th Century

  • William Tuke: Advocated humane treatment, human dignity, and established the asylum movement.

  • Franz Anton Mesmer: Renewed the art of suggestive healing (a form of hypnotism).

  • Philippe Pinel and William Tuke: Institutions treating the insane as human beings, maintaining their dignity, established humane treatment practices.

The 20th Century- The Era of Psychiatry

  • Adolph Meyer: Focused on physical and emotional development, emphasized the need to study the whole environment.

  • Dorothea Lynde Dix: Led a crusade for humane treatment, leading to proliferation of state hospitals.

  • Clifford Beers: Advocated preventive care.

  • Emil Kraepelin: Developed a classification of mental disorders.

Periods of Scientific Study

  • Freud: Emphasized the importance of early life experiences.
  • Kraepelin: Developed classification of mental illness.
  • Bleuler: Optimistic about mental illness treatment.
  • Jung: Introduced concepts of introverted and extroverted personalities.
  • Horney: Neuroses stem from cultural factors and impaired interpersonal relationships.
  • Sullivan: Interpersonal theory.

Mental Health Team (Interdisciplinary Team)

  • Psychiatrist: Leader of the team, diagnoses, and prescribes treatments.
  • Clinical Psychologist: Administer and interpret psychological testing, provides psychotherapy and behavioral modifications.
  • Other professionals: Dieticians, chaplains, social workers, psychiatric nurses, and occupational therapists.

Variables Affecting Mental Health

  • Biological: Prenatal and postnatal factors, physical health.
  • Sociocultural: Family, religious influences, values.
  • Psychological: Family trauma.

Role of Psychiatric Nurse

  • Ward manager: Monitors operations.
  • Socializing agent: Helps recognize and cope with stress.
  • Counselor: Emphatic listener.
  • Patient advocate: Represents the patient's best interests.
  • Teacher: Focused on acquiring skills.
  • Therapist: Using Psychotherapy principles,
  • Reality base: Helps clients make decisions.
  • Health role model,

Levels of Practice

  • Guiding principles: Nurse views client as holistic, focuses on client's strengths, accepts clients as unique, potential for relationship building.
  • Nursing diagnosis: Examples include altered nutrition, anxiety.

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