Mental Health Concepts and Ethics Quiz

Mental Health Continuum

• Ranges from optimal mental health (high functioning) to severe mental illness (altered thinking/behavior, debilitating).
• Mild/moderate mental illness involves mild discomfort and/or impairment.

Confidentiality Breaches

• Duty to warn a third party at risk.
• Reporting child and elder abuse.
• Failure to protect a patient from harm.

Admission Criteria

• Inability to care for oneself or others.

Ethical Principles

• Autonomy: Respecting patient's right to make decisions.
• Beneficence: Promoting well-being.
• Justice: Fair distribution of resources and care.
• Fidelity: Maintaining loyalty and commitment.
• Empathy: Understanding and sharing another's feelings.
• Nonmaleficence: Avoiding harm.
• Veracity: Truthful communication.

Pharmacogenetics

• Study of how genes affect drug response.

Stigma

• Belief that a person is flawed due to mental illness.

Resilience

• Capacity to withstand and recover from difficulties.

Psychoanalytic Theory

• Id: Unconscious, impulsive part of the mind.
• Ego: Problem-solving, reality-testing part of the mind.
• Superego: Moral component, creates guilt.

Nurse-Patient Relationship Stages

• Pre-orientation: Reviewing patient chart.
• Orientation: Establishing initial contact.
• Identification: Outlining purpose of encounter.
• Investigation/Working: Assessing coping mechanisms.
• Resolution/Terminating: Summarizing conversation.

Therapeutic Communication Concepts

• Transference: Patient projects past feelings onto therapist.
• Countertransference: Therapist reacts emotionally to patient's projections.
• Expected Outcomes: Satisfaction with care, healthy decision making.

Cultural Considerations

• Cultural Awareness: Recognizing, understanding, and appreciating cultural differences.
• Cultural Knowledge: Seeking knowledge through events, friendships, and study.
• Cultural Encounter: Interacting with patients from diverse backgrounds.
• Cultural Skill: Conducting culturally sensitive assessments.
• Cultural Desire: Genuine concern and empathy for patients.

Treatment Settings

• Primary Care Medical Home: Primary care provider.
• Intensive Outpatient Programs (IOP): Intermediate step between inpatient and outpatient, 3-4 times per week.
• Partial Hospitalization Programs (PHP): Day treatment with overnight at home.
• Assertive Community Treatment (ACT): Intensive case management team home visits.

Biological Treatments

• Brain stimulation.
• Pharmacotherapy (drug therapy).

Maslow's Hierarchy of Needs

• Physiological: Food, water, air.
• Safety: Security, protection.
• Love/Belonging: Connection, intimacy.
• Esteem: Self-respect, accomplishment.
• Self-Actualization: Achieving full potential.

Types of Psychotherapies

• Interpersonal Therapy: Focuses on improving relationships.
• Operant Conditioning: Learning through rewards and punishments.
• Behavioral Therapy: Changing specific behaviors.
• Cognitive-Behavioral Therapy (CBT): Addressing negative thought patterns.

Behavioral Therapies

• Modeling: Learning by observing and imitating.
• Aversion Therapy: Associating undesirable behaviors with unpleasant stimuli.
• Exposure Therapy: Gradually facing fears in a safe environment.
• Biofeedback: Monitoring body signals to control responses.

Cultural Differences: Western vs. Eastern

• Western: Individual identity, separate mind and body, linear time, future-oriented success.
• Eastern: Family-based identity, circular time, predetermined fate.

Cultural Differences: Indigenous

• Holistic view (mind, body, spirit).
• Harmony with others, interconnectedness.