History & Concepts in Mental Health

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Questions and Answers

During the Renaissance period (1300-1600), how were people with mental illness regarded in England?

  • They were distinguished from criminals, though still considered evil and punished. (correct)
  • They were believed to possess special spiritual abilities and were often consulted.
  • They were integrated back into society with supportive care.
  • They were honoured for their unique perspectives and insights.

What was Dorthea Dix's primary contribution to the treatment of mental illness in the United States between 1802-1887?

  • Pioneered the use of psychoanalysis in treating mental disorders.
  • Introduced the concept of community-based mental health services.
  • Crusaded to reform the treatment of mental illness, leading to the opening of 32 state hospitals. (correct)
  • Developed the first standardized diagnostic criteria for mental illnesses.

In the context of the evolution of mental health treatment, what characterized the period 'Pre 1960'?

  • Widespread use of community-based treatment facilities.
  • Integration of mental health services into general hospitals.
  • Mental health treatment was mainly provided in large, isolated mental hospitals. (correct)
  • Focus on short-term inpatient stays and rapid discharge.

What defines 'Mental Health' according to the World Health Organization (WHO)?

<p>A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. (D)</p> Signup and view all the answers

Which of the following is included as a component of mental health according to Mohr (2003)?

<p>Autonomy and independence working cooperatively without losing autonomy. (C)</p> Signup and view all the answers

According to the provided material, what is meant by the term 'mental illness or mental disorder'?

<p>A clinically significant behavioral or psychological pattern associated with distress, disability, or risk of suffering. (C)</p> Signup and view all the answers

Which of the following characteristics is indicative of a mentally healthy individual?

<p>Capacity to love and be loved in return. (B)</p> Signup and view all the answers

What distinguishes the 'reacting' level on the mental health continuum?

<p>Common and reversible distress with symptoms like irritability and increased worrying. (B)</p> Signup and view all the answers

What behavior is most indicative of the 'injured' level on the mental health continuum?

<p>Lingering sadness, hopelessness, and worthlessness. (D)</p> Signup and view all the answers

What is a key indicator of the 'ill' level on the mental health continuum?

<p>Significant difficulty with emotions and thinking. (A)</p> Signup and view all the answers

Which factor is described in the text as a general criteria for mental disorders?

<p>Ineffective or unsatisfying relationships. (D)</p> Signup and view all the answers

Which of the following is recognized as a key early sign or symptom of mental illness?

<p>Persistent disturbance in sleep and appetite. (A)</p> Signup and view all the answers

What primary action does the mental health nurse provide when working with clients who have emotional, mental, and behavioral problems?

<p>Providing treatment, care, and support. (C)</p> Signup and view all the answers

Which of the following is characterized as a personal quality of a psychiatric nurse?

<p>Self-awareness. (B)</p> Signup and view all the answers

What is considered part of the responsive dimension for a psychiatric nurse?

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

What is required of an ideal mental health nurse, regarding patient behavior?

<p>Be non-judgmental toward the patients behavior. (A)</p> Signup and view all the answers

How does the text define personality?

<p>Enduring patterns of perceiving, relating to, and thinking about the environment and oneself. (A)</p> Signup and view all the answers

In psychiatric nursing, what should the nurse recognize regarding behaviors associated with the id, ego, and superego?

<p>They assist in assessing the clients developmental level. (B)</p> Signup and view all the answers

What is the primary focus of Behavioral Theories in understanding human behavior?

<p>They consider actions as acquired through conditioning processes. (C)</p> Signup and view all the answers

According to social learning theories of personality, what drives human behavior?

<p>The human behavior in a particular situation. (B)</p> Signup and view all the answers

According to Rogers' Self Concept Theory, what primarily influences behavior?

<p>How we perceive the world. (B)</p> Signup and view all the answers

In Humanistic Theory, what is the most important aspect of the person that humanists focus on?

<p>The present. (C)</p> Signup and view all the answers

In the context of the 'eclectic theory' of personality, what aspect can be derived?

<p>Individuality and flexibility. (D)</p> Signup and view all the answers

According to the provided material, what characterized psychiatric treatment in the Middle Ages (A.D. 500 – 1500)?

<p>Witchcraft and supernatural causes. (B)</p> Signup and view all the answers

What did Benjamin Rush, known as the father of American Psychiatry, initiate in the 18th century?

<p>The provision of humanistic treatments for mental illness. (A)</p> Signup and view all the answers

To be diagnosable, what must a patient have?

<p>Symptoms that affect their everyday ability to function. (A)</p> Signup and view all the answers

What is the definition of Anxiety?

<p>A diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness. (C)</p> Signup and view all the answers

According to the provided text, what can extended periods of repressed severe anxiety cause?

<p>Psychoneurotic patterns of behaving. (D)</p> Signup and view all the answers

A client comes to you reporting physical symptoms, and is worried about having or developing a serious medical illness. What anxiety disorder is characterized by this behavior?

<p>Illness anxiety disorder. (C)</p> Signup and view all the answers

Which of the following actions characterizes “Denial” as a defense mechanism?

<p>Refusing to acknowledge the existence of a real situation. (A)</p> Signup and view all the answers

How is the defense mechanism of 'Displacement' best characterized?

<p>Transferring feelings from one target to a less threatening target. (A)</p> Signup and view all the answers

How is the defense mechanism “undoing” best characterized?

<p>Symbolically negating or cancelling out an intolerable experience. (C)</p> Signup and view all the answers

According to the information provided, what is the definition of Rationalization (as a defense mechanism)?

<p>Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors. (C)</p> Signup and view all the answers

What is the defense mechanism of Regression?

<p>Returning to an earlier level of development. (C)</p> Signup and view all the answers

According to the material, what does the acronym DABDA represent in the context of grief?

<p>Denial, Anger, Bargaining, Depression, Acceptance. (D)</p> Signup and view all the answers

According to the provided information, what characterizes anticipatory grief?

<p>The individual has begun the process of grieving a future loss. (C)</p> Signup and view all the answers

What is the process of self awareness?

<p>The development of one's self. (A)</p> Signup and view all the answers

Flashcards

What is an asylum?

The concept of creating a safe place for the mentally ill. Phillipe Pinel & William Tukes (1790)

Who is Dorthea Dix?

She reformed the treatment of mental illness and was instrumental in opening 32 state hospitals that offered asylum to the suffering.

Who is Harriet Baily?

She wrote the first psychiatric nursing text book, Nursing in Mental Diseases (1920)

What is Mental Health?

A state of emotional, psychological and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, a positive self-concept and emotional stability; dynamic state.

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Autonomy and Independence

Work interdependently or cooperatively with others without losing autonomy.

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What is Mental Illness?

A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and is associated with present distress or disability.

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Healthy

Normal mood fluctuations, taking things in stride and consistent performance.

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Reacting

Common and reversible distress.

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Injured

Significant functional impairment.

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Ill

Clinical disorder, severe and persistent functional impairment

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Mental Health Nurse

Provide treatment, care and support for people with emotional, mental and behavioral problems.

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Personal qualities of a psychiatric nurse

Self-awareness, clarification of values, feeling exploration and role modeling.

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Qualities of an ideal mental health nurse

Be sympathetic, understanding, patient.

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Personality

A personality influenced and determined by temperamant (inborn characteristics) and the environment.

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Psychoanalytic Approach

The study of significance of unconscious and dreams

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Psychoanalytic Theory

Irrational forces, unconscious motivations, biologic and instinctual drives.

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What is the Id?

A form of energy and motivation.

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What is the Ego?

Deals with the real world.

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What is SuperEgo?

Conscience. Internalized social norm.

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Development Phases Freud

Oral, anal, phallic, latency, genital stages.

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Erik Erikson

Based on the influence of social processes

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What are Erikson's first 3 stages?

Trust vs. Mistrust, Autonomy vs. Shame, Initiative vs. Guilt.

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Jean Piaget

Cognitive models, Stages; sensorimotor, preoperational, concrete operations, formal operations

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Harry Stack Sullivan

Stages; infancy, childhood, juvenile, preadolescence

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What are the Nurse-Patient relationship phases (Hildegard Peplau)

Pre-orientation, orientation, identification, exploitation, terminal/resolution.

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Behaviorism

Acquired through conditioning.

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Rogers Self-Concept Theory

Personality is described as phenomenological

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Self-actualization

Is the basic motivating force representing the inherent tendency of the organism to develop all its capabilities in ways which serve to maintain or enhance the person.

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Humanistic Theory

Belief in the basic goodness of humankind and rebellion against the negative views of human nature.

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What is Eclectic Theory?

Drawing from all theories.

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Historical Overview Of Psychiatric Care

Middle ages; witchcraft & supernatural. 18th Century; 1st hospital to admit clients with mental illness was in Philadelphia

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Anxiety

A diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness

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What are the common somatic disorders?

Somatic Symptom Disorder and Illness Anxiety Disorder.

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Conversion Disorder

It is a psychiatric disorder characterized by signs and symptoms affecting sensory motor function

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What are Kobler-Ross 5 stages of Grief?

There are 5 of these: Denial, Anger, Bargaining, Depression and Acceptance

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Prolonged response of grief

It is characterized by an intense preoccupation with memories of the lost entity for many years after the loss has occurred.

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Compensation

Defense mechanism. Covering up a real or perceived weakness by emphasizing a trait one considers more desirable.

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Can't Admit Reality

Denial as a defense mechanism.

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Defence Mechanism Displacement

The transfer of feeling from one target to another that is considered less threatening.

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Identification of a Defense Mechanism

An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires

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