Podcast
Questions and Answers
What is mental health defined as?
What is mental health defined as?
Mental health is a static concept that does not change.
Mental health is a static concept that does not change.
False
What are some factors that affect mental health?
What are some factors that affect mental health?
Inherited characteristics, childhood nurturing, and life's circumstances
Mental health can be defined as a person's ability to _______________ with and adjust to the recurrent stresses of everyday living.
Mental health can be defined as a person's ability to _______________ with and adjust to the recurrent stresses of everyday living.
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Which of the following is NOT a possible positive influence on mental health?
Which of the following is NOT a possible positive influence on mental health?
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Match the following factors with their influence on mental health:
Match the following factors with their influence on mental health:
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All individuals respond similarly to changes in daily activities.
All individuals respond similarly to changes in daily activities.
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What is behavior in the context of mental health?
What is behavior in the context of mental health?
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What was the goal of the community treatment in the 1960s and 1970s?
What was the goal of the community treatment in the 1960s and 1970s?
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President Jimmy Carter established the President's Commission on Mental Health in 1975.
President Jimmy Carter established the President's Commission on Mental Health in 1975.
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What was the significance of Martha Mitchell's appointment to the President's Commission on Mental Health?
What was the significance of Martha Mitchell's appointment to the President's Commission on Mental Health?
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Match the following concepts with their descriptions:
Match the following concepts with their descriptions:
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The Omnibus Budget Reconciliation Act (OBRA) of 1981 led to a drastic reduction in funding for the ______________ system.
The Omnibus Budget Reconciliation Act (OBRA) of 1981 led to a drastic reduction in funding for the ______________ system.
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What is the holistic health movement focused on?
What is the holistic health movement focused on?
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Nursing is a person-oriented profession.
Nursing is a person-oriented profession.
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What is the role of a nurse in supporting a patient's emotional needs?
What is the role of a nurse in supporting a patient's emotional needs?
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The Mental Health Care Systems Act was passed in ______________.
The Mental Health Care Systems Act was passed in ______________.
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What was the result of the severe fiscal cuts in the 1980s?
What was the result of the severe fiscal cuts in the 1980s?
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What was the primary goal of mental health care in the 1950s?
What was the primary goal of mental health care in the 1950s?
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Dr. Philippe Pinel was a Quaker who built an asylum in England.
Dr. Philippe Pinel was a Quaker who built an asylum in England.
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Who is known as the father of American psychiatry?
Who is known as the father of American psychiatry?
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Dorothea Dix surveyed jails, almshouses, and asylums throughout the United States, Canada, and ______________.
Dorothea Dix surveyed jails, almshouses, and asylums throughout the United States, Canada, and ______________.
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Match the following individuals with their contributions to mental health care:
Match the following individuals with their contributions to mental health care:
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The 20th century saw a decline in mental health care.
The 20th century saw a decline in mental health care.
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What was the purpose of the Committee for Mental Hygiene formed in 1909?
What was the purpose of the Committee for Mental Hygiene formed in 1909?
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Who introduced elaborate theories and treatment for mental illnesses?
Who introduced elaborate theories and treatment for mental illnesses?
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The National Institute of Mental Health was established in the ______________.
The National Institute of Mental Health was established in the ______________.
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What was the result of Dorothea Dix's efforts?
What was the result of Dorothea Dix's efforts?
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What is frustration in the context of goal-directed activity?
What is frustration in the context of goal-directed activity?
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What is conflict in the context of mental health?
What is conflict in the context of mental health?
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Adaptation always leads to positive growth.
Adaptation always leads to positive growth.
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Defense mechanisms are used to block conscious awareness of ____________________ feelings.
Defense mechanisms are used to block conscious awareness of ____________________ feelings.
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How does illness affect an individual's mental state and level of functioning?
How does illness affect an individual's mental state and level of functioning?
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What is a common coping response to stress?
What is a common coping response to stress?
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Nurses only address the mental health needs of their patients in a mental health care facility.
Nurses only address the mental health needs of their patients in a mental health care facility.
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Match the following concepts with their descriptions:
Match the following concepts with their descriptions:
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Illness can alter dramatically a person's ____________________, body image, lifestyle, and role performance in family life, recreation, and work.
Illness can alter dramatically a person's ____________________, body image, lifestyle, and role performance in family life, recreation, and work.
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Why is it important for nurses to consider a patient's emotional state?
Why is it important for nurses to consider a patient's emotional state?
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What percentage of adults in the United States received treatment for a mental health problem in 2018, according to the National Institute of Mental Health (2021)?
What percentage of adults in the United States received treatment for a mental health problem in 2018, according to the National Institute of Mental Health (2021)?
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In ancient times, people believed that mental illness was a result of evil spirits.
In ancient times, people believed that mental illness was a result of evil spirits.
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What is the term used to describe the idea that mental illness can be explained by an imbalance of humors based on the fundamental elements of the world?
What is the term used to describe the idea that mental illness can be explained by an imbalance of humors based on the fundamental elements of the world?
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The first English institution for the mentally ill was _______________________, founded in the 16th century under Henry VI.
The first English institution for the mentally ill was _______________________, founded in the 16th century under Henry VI.
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Match the following ancient civilizations with their approach to mental illness:
Match the following ancient civilizations with their approach to mental illness:
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What is the estimated percentage of people in the United States who will develop a mental health disorder in their lifetime?
What is the estimated percentage of people in the United States who will develop a mental health disorder in their lifetime?
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During the Renaissance and the Reformation, there was a significant improvement in the treatment of mental illness.
During the Renaissance and the Reformation, there was a significant improvement in the treatment of mental illness.
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What is the term used to describe the practice of displaying mentally ill residents in a hospital for a price to people who were curious to see them?
What is the term used to describe the practice of displaying mentally ill residents in a hospital for a price to people who were curious to see them?
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The English word _______________________ originated from the nickname of Bethlehem Royal Hospital.
The English word _______________________ originated from the nickname of Bethlehem Royal Hospital.
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What was the main reason for the treatment of mental illness during medieval times?
What was the main reason for the treatment of mental illness during medieval times?
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Which part of the self is the organizing principle of the self?
Which part of the self is the organizing principle of the self?
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Stress is an objective phenomenon that affects everyone in the same way.
Stress is an objective phenomenon that affects everyone in the same way.
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What is the primary function of the ego?
What is the primary function of the ego?
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The superego is the ______________________ force that develops from the ego in response to reward or punishment from others.
The superego is the ______________________ force that develops from the ego in response to reward or punishment from others.
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Match the following levels of awareness with their descriptions:
Match the following levels of awareness with their descriptions:
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What is the primary determinant of whether an individual feels distress in response to a stressor?
What is the primary determinant of whether an individual feels distress in response to a stressor?
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The id functions to integrate and mediate between the self and the environment.
The id functions to integrate and mediate between the self and the environment.
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What is the outcome when all three substructures (id, ego, and superego) function in harmony?
What is the outcome when all three substructures (id, ego, and superego) function in harmony?
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Self-concept is more than the total of the four parts of self, including ______________________, body image, role, and self-esteem.
Self-concept is more than the total of the four parts of self, including ______________________, body image, role, and self-esteem.
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Role performance is always an ascribed role.
Role performance is always an ascribed role.
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What is the primary focus of mental health nursing?
What is the primary focus of mental health nursing?
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Stress is always a negative experience.
Stress is always a negative experience.
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What is anxiety in the context of mental health?
What is anxiety in the context of mental health?
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Anxiety is relieved through various coping and mental _______________.
Anxiety is relieved through various coping and mental _______________.
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Match the following events with their potential to precipitate feelings of anxiety:
Match the following events with their potential to precipitate feelings of anxiety:
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What is the primary goal of motivation in treating emotional problems?
What is the primary goal of motivation in treating emotional problems?
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Anxiety is a rare emotional experience.
Anxiety is a rare emotional experience.
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What is the role of the nurse in helping a patient develop adaptive patterns of behavior?
What is the role of the nurse in helping a patient develop adaptive patterns of behavior?
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The degree of anxiety experienced is influenced by the individual's _______________ of the stressor.
The degree of anxiety experienced is influenced by the individual's _______________ of the stressor.
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What is the result of ineffective coping with stress?
What is the result of ineffective coping with stress?
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What is the final phase of reconciliation?
What is the final phase of reconciliation?
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A crisis often tends to resolve over a 6-to 8-week period.
A crisis often tends to resolve over a 6-to 8-week period.
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What is the role of the LPN/LVN in the nursing process?
What is the role of the LPN/LVN in the nursing process?
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The nurse provides ____________________ support to the individual or family in crisis by focusing on problem-solving.
The nurse provides ____________________ support to the individual or family in crisis by focusing on problem-solving.
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Match the following with their roles in the nursing process:
Match the following with their roles in the nursing process:
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Why is it important for nurses to provide empathic gestures to individuals or families in crisis?
Why is it important for nurses to provide empathic gestures to individuals or families in crisis?
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Identifying family supports and adequate coping mechanisms helps the nurse recognize family ____________________ patterns.
Identifying family supports and adequate coping mechanisms helps the nurse recognize family ____________________ patterns.
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Nurses only address the mental health needs of their patients in a mental health care facility.
Nurses only address the mental health needs of their patients in a mental health care facility.
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What are the characteristics of a mentally healthy individual?
What are the characteristics of a mentally healthy individual?
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Mental illness results from an ability to cope with a situation that an individual finds overwhelming.
Mental illness results from an ability to cope with a situation that an individual finds overwhelming.
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What is personality development influenced by?
What is personality development influenced by?
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Erik Erikson provided a framework for understanding personality development in terms of _______________.
Erik Erikson provided a framework for understanding personality development in terms of _______________.
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Match the following psychological concepts with their definitions:
Match the following psychological concepts with their definitions:
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According to Erikson’s framework, if a person masters a given task, then it is possible to predict a certain set of behaviors.
According to Erikson’s framework, if a person masters a given task, then it is possible to predict a certain set of behaviors.
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What is the midpoint on the continuum of mental health characterized by?
What is the midpoint on the continuum of mental health characterized by?
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What is the superego characterized by?
What is the superego characterized by?
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Sigmund Freud described personality development as having three parts: _______________, ego, and superego.
Sigmund Freud described personality development as having three parts: _______________, ego, and superego.
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Mental health is determined by a single component.
Mental health is determined by a single component.
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What is one way to build trust with patients and encourage them to have faith in the care given?
What is one way to build trust with patients and encourage them to have faith in the care given?
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Older adults experiencing significant sensory changes in hearing or vision sometimes display behavioral changes that are easy to mistake for disorientation.
Older adults experiencing significant sensory changes in hearing or vision sometimes display behavioral changes that are easy to mistake for disorientation.
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What are some common feelings experienced by older adults?
What are some common feelings experienced by older adults?
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Illness is a state of ______________ imbalance.
Illness is a state of ______________ imbalance.
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What is the primary goal of the sick role in the illness experience?
What is the primary goal of the sick role in the illness experience?
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A crisis can be defined as a stable period in a person's life.
A crisis can be defined as a stable period in a person's life.
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What is the purpose of reminiscence and life review in older adults?
What is the purpose of reminiscence and life review in older adults?
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The experience of being ill involves stages that are subjective and very ______________.
The experience of being ill involves stages that are subjective and very ______________.
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Match the following stages of the illness experience with their descriptions:
Match the following stages of the illness experience with their descriptions:
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Alcoholism is frequently recognized among older adults.
Alcoholism is frequently recognized among older adults.
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What is a common manifestation of an inability to navigate a crisis situation?
What is a common manifestation of an inability to navigate a crisis situation?
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The sick role can never become a way of life.
The sick role can never become a way of life.
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What is the result of an identity crisis?
What is the result of an identity crisis?
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The United States is teeming with ______________ diversity, which affects the patient's and family's behavior during illness.
The United States is teeming with ______________ diversity, which affects the patient's and family's behavior during illness.
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Match the following behaviors with their descriptions:
Match the following behaviors with their descriptions:
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Cultural and ethnic backgrounds do not affect the patient's and family's behavior during illness.
Cultural and ethnic backgrounds do not affect the patient's and family's behavior during illness.
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What is the nurse's responsibility in dealing with a patient's behavior?
What is the nurse's responsibility in dealing with a patient's behavior?
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What is a possible outcome of an identity crisis?
What is a possible outcome of an identity crisis?
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The sick role can produce secondary gains as well as ______________ attention.
The sick role can produce secondary gains as well as ______________ attention.
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Behavior is learned through innate abilities.
Behavior is learned through innate abilities.
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What is the primary goal of crisis intervention?
What is the primary goal of crisis intervention?
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How can a nurse help an individual or family in crisis?
How can a nurse help an individual or family in crisis?
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What is the importance of identifying family supports and adequate coping mechanisms?
What is the importance of identifying family supports and adequate coping mechanisms?
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What is the result of a crisis, if managed effectively?
What is the result of a crisis, if managed effectively?
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What is the role of the LPN/LVN in the nursing process?
What is the role of the LPN/LVN in the nursing process?
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Why is it essential to include other psychosocial professionals in the care of the individual or family in crisis?
Why is it essential to include other psychosocial professionals in the care of the individual or family in crisis?
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What is the importance of offering flexibility in visiting hours?
What is the importance of offering flexibility in visiting hours?
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What is the typical duration of a crisis?
What is the typical duration of a crisis?
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What is the primary focus of the nurse's active support in crisis intervention?
What is the primary focus of the nurse's active support in crisis intervention?
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What is the ultimate goal of crisis intervention?
What is the ultimate goal of crisis intervention?
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How do individuals respond to changes in daily activities?
How do individuals respond to changes in daily activities?
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What is the primary characteristic of mentally healthy individuals?
What is the primary characteristic of mentally healthy individuals?
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What influences an individual's response to daily stressors in life?
What influences an individual's response to daily stressors in life?
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What is the dynamic nature of mental health?
What is the dynamic nature of mental health?
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What is the primary role of a licensed practical/vocational nurse (LPN/LVN) in relation to mental health?
What is the primary role of a licensed practical/vocational nurse (LPN/LVN) in relation to mental health?
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What is the significance of an individual's personality and resources in relation to mental health?
What is the significance of an individual's personality and resources in relation to mental health?
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What is the relationship between an individual's mental health and their ability to cope with stress?
What is the relationship between an individual's mental health and their ability to cope with stress?
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What is the primary goal of understanding a patient's behavioral responses to disease and dysfunction?
What is the primary goal of understanding a patient's behavioral responses to disease and dysfunction?
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What was the main purpose of Dorothea Dix's efforts?
What was the main purpose of Dorothea Dix's efforts?
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What was the significance of Clifford Beers' work?
What was the significance of Clifford Beers' work?
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What was the focus of the Committee for Mental Hygiene formed in 1909?
What was the focus of the Committee for Mental Hygiene formed in 1909?
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What was the purpose of William Tukes' asylum in England?
What was the purpose of William Tukes' asylum in England?
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What was Dr. Philippe Pinel known for?
What was Dr. Philippe Pinel known for?
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What was the significance of the National Institute of Mental Health established in the 1940s?
What was the significance of the National Institute of Mental Health established in the 1940s?
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What was the main reason for the harsh treatment of the mentally ill during the 17th and 18th centuries?
What was the main reason for the harsh treatment of the mentally ill during the 17th and 18th centuries?
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What was the significance of the McLean Hospital in Waverly, Massachusetts?
What was the significance of the McLean Hospital in Waverly, Massachusetts?
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What was the main goal of Dr. Benjamin Rush's practice?
What was the main goal of Dr. Benjamin Rush's practice?
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What was the significance of Sigmund Freud's work?
What was the significance of Sigmund Freud's work?
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What is the primary characteristic of an individual at the midpoint of the mental health continuum?
What is the primary characteristic of an individual at the midpoint of the mental health continuum?
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Which of the following is a characteristic of an individual with a poor self-concept?
Which of the following is a characteristic of an individual with a poor self-concept?
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What is the term used to describe an individual's relatively consistent set of attitudes and behaviors?
What is the term used to describe an individual's relatively consistent set of attitudes and behaviors?
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According to Erikson, what is the focus of personality development?
According to Erikson, what is the focus of personality development?
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What is the result of an individual's inability to cope with a situation that they find overwhelming?
What is the result of an individual's inability to cope with a situation that they find overwhelming?
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Which of the following is a component of mental health?
Which of the following is a component of mental health?
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What is the term used to describe the inability to recognize one's own talents and limitations?
What is the term used to describe the inability to recognize one's own talents and limitations?
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What is the result of continued stressor exposure on an individual's mental health?
What is the result of continued stressor exposure on an individual's mental health?
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What is the primary reason why people with mental illness were abandoned by their community in ancient times?
What is the primary reason why people with mental illness were abandoned by their community in ancient times?
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Which of the following is a characteristic of an individual at the healthy end of the mental health continuum?
Which of the following is a characteristic of an individual at the healthy end of the mental health continuum?
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What is the term used to describe the opposite ends of a mental health continuum?
What is the term used to describe the opposite ends of a mental health continuum?
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What is the significance of the term 'bedlam' in the context of mental health?
What is the significance of the term 'bedlam' in the context of mental health?
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What is the estimated percentage of people in the United States who will develop a mental health disorder in their lifetime?
What is the estimated percentage of people in the United States who will develop a mental health disorder in their lifetime?
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What was the primary goal of the treatment of mental illness during medieval times?
What was the primary goal of the treatment of mental illness during medieval times?
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What is the term used to describe the idea that mental illness can be explained by an imbalance of humors based on the fundamental elements of the world?
What is the term used to describe the idea that mental illness can be explained by an imbalance of humors based on the fundamental elements of the world?
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What is the primary reason why nurses encounter patients who have mental health concerns?
What is the primary reason why nurses encounter patients who have mental health concerns?
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What is the significance of the National Institute of Mental Health (2021) statistic that 18.1% of adults in the United States received treatment for a mental health problem in 2018?
What is the significance of the National Institute of Mental Health (2021) statistic that 18.1% of adults in the United States received treatment for a mental health problem in 2018?
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What is the primary focus of Roman physicians in their treatment of mental illness?
What is the primary focus of Roman physicians in their treatment of mental illness?
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What is the significance of the concept of mental health care in the Greco-Roman era?
What is the significance of the concept of mental health care in the Greco-Roman era?
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Which part of the psyche is responsible for reasoning and good sense?
Which part of the psyche is responsible for reasoning and good sense?
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What is the primary function of the superego?
What is the primary function of the superego?
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What is the primary reason why nurses need to consider a patient's emotional state?
What is the primary reason why nurses need to consider a patient's emotional state?
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Which level of awareness holds memories, feelings, and thoughts that are not available to the conscious mind?
Which level of awareness holds memories, feelings, and thoughts that are not available to the conscious mind?
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What is the term used to describe the assessment one makes about personal worth?
What is the term used to describe the assessment one makes about personal worth?
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What is the frame of reference used for all that a person knows and experiences?
What is the frame of reference used for all that a person knows and experiences?
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According to Erikson's framework, what happens if a person does not master a given task?
According to Erikson's framework, what happens if a person does not master a given task?
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What is the primary function of the ego?
What is the primary function of the ego?
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What is the term used to describe the thoughts, feelings, drives, and ideas that are outside of awareness but can be recalled easily to consciousness?
What is the term used to describe the thoughts, feelings, drives, and ideas that are outside of awareness but can be recalled easily to consciousness?
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What is the organizing principle of the self?
What is the organizing principle of the self?
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What is the result of disturbances in self-concept?
What is the result of disturbances in self-concept?
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What was the primary goal of deinstitutionalization during the 1960s and 1970s?
What was the primary goal of deinstitutionalization during the 1960s and 1970s?
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What was the significance of the Mental Health Care Systems Act of 1980?
What was the significance of the Mental Health Care Systems Act of 1980?
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What was the result of the Omnibus Budget Reconciliation Act (OBRA) of 1981?
What was the result of the Omnibus Budget Reconciliation Act (OBRA) of 1981?
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What is the focus of the holistic health movement?
What is the focus of the holistic health movement?
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What is the role of a nurse in supporting a patient's emotional needs?
What is the role of a nurse in supporting a patient's emotional needs?
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What is the significance of Martha Mitchell's appointment to the President's Commission on Mental Health?
What is the significance of Martha Mitchell's appointment to the President's Commission on Mental Health?
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What was the result of the severe fiscal cuts in the 1980s?
What was the result of the severe fiscal cuts in the 1980s?
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What is the goal of community treatment in mental health care?
What is the goal of community treatment in mental health care?
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What is the significance of the President's Commission on Mental Health established in 1978?
What is the significance of the President's Commission on Mental Health established in 1978?
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What is the primary goal of mental health care?
What is the primary goal of mental health care?
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What is the primary function of coping mechanisms in the context of stress and anxiety?
What is the primary function of coping mechanisms in the context of stress and anxiety?
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Which level of anxiety is characterized by a feeling of impending danger and a significant narrowing of perceptual field?
Which level of anxiety is characterized by a feeling of impending danger and a significant narrowing of perceptual field?
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What is the primary purpose of motivation in treating emotional problems?
What is the primary purpose of motivation in treating emotional problems?
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Which of the following is an example of a conflict in the context of mental health?
Which of the following is an example of a conflict in the context of mental health?
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What is the outcome of an individual's inability to meet basic needs or role expectations?
What is the outcome of an individual's inability to meet basic needs or role expectations?
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Which of the following is a negative consequence of severe frustration?
Which of the following is a negative consequence of severe frustration?
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What is the primary goal of adaptation in the context of mental health?
What is the primary goal of adaptation in the context of mental health?
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Which of the following is an example of a defense mechanism?
Which of the following is an example of a defense mechanism?
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What is the outcome of a person's inability to adapt to changing life situations?
What is the outcome of a person's inability to adapt to changing life situations?
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Which of the following is a common coping response to stress?
Which of the following is a common coping response to stress?
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What is the primary reason that illness can alter a person's self-concept, body image, lifestyle, and role performance in various aspects of life?
What is the primary reason that illness can alter a person's self-concept, body image, lifestyle, and role performance in various aspects of life?
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What is the main reason that older adults experience social isolation?
What is the main reason that older adults experience social isolation?
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What is the purpose of reminiscence and life review in older adults?
What is the purpose of reminiscence and life review in older adults?
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What is the primary goal of patient education in a healthcare setting?
What is the primary goal of patient education in a healthcare setting?
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What is the significance of considering a patient's emotional state in a healthcare setting?
What is the significance of considering a patient's emotional state in a healthcare setting?
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What is the primary determinant of whether an individual experiences distress in response to a stressor?
What is the primary determinant of whether an individual experiences distress in response to a stressor?
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What is the term used to describe the state of being ill or sick?
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What is the primary reason that behavioral changes occur in older adults?
What is the primary reason that behavioral changes occur in older adults?
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Which of the following is NOT a factor that influences the degree of anxiety experienced by an individual?
Which of the following is NOT a factor that influences the degree of anxiety experienced by an individual?
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What is the result of an individual's response to a stressful situation or event?
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What is the significance of patient support groups in a healthcare setting?
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What is the primary role of the healthcare team in a healthcare setting?
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What is the primary difference between stress and anxiety?
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Which of the following is a characteristic of anxiety?
Which of the following is a characteristic of anxiety?
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What is the primary reason that illness can affect a person's mental state and level of functioning?
What is the primary reason that illness can affect a person's mental state and level of functioning?
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What is the result of an individual's inability to cope with stress?
What is the result of an individual's inability to cope with stress?
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What is the role of the nurse in supporting a patient's emotional needs?
What is the role of the nurse in supporting a patient's emotional needs?
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What is the primary focus of mental health nursing?
What is the primary focus of mental health nursing?
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What is the relationship between stress and anxiety?
What is the relationship between stress and anxiety?
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What is the primary goal of mental health care?
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What is the primary role of a nurse during the recovery and rehabilitation stages of an illness event?
What is the primary role of a nurse during the recovery and rehabilitation stages of an illness event?
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What is a common response to feeling mistreated, injured, or insulted?
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What is the term used to describe a condition of instability that arises from an emotional or situational upheaval?
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What is the result of successful management of a crisis period?
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What is the focus of professional care during an illness event?
What is the focus of professional care during an illness event?
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What can trigger a crisis response in an individual or family?
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What is the result of long-term denial in an individual?
What is the result of long-term denial in an individual?
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What is the term used to describe the removal of self from interaction with others and the environment?
What is the term used to describe the removal of self from interaction with others and the environment?
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What is the primary goal of a nurse when dealing with a patient in crisis?
What is the primary goal of a nurse when dealing with a patient in crisis?
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What is the term used to describe an overwhelming emotion that paralyzes the individual's ability to process information?
What is the term used to describe an overwhelming emotion that paralyzes the individual's ability to process information?
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What is the primary goal of crisis intervention?
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Which of the following is a characteristic of the final phase of grief?
Which of the following is a characteristic of the final phase of grief?
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What is the role of the LPN/LVN in the nursing process?
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What is the purpose of the assessment of emotional status?
What is the purpose of the assessment of emotional status?
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What is the goal of active listening in crisis intervention?
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What is the outcome of crisis intervention?
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What is the purpose of offering flexibility in visiting hours during crisis intervention?
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What is the role of the nurse in supporting a patient's emotional needs?
What is the role of the nurse in supporting a patient's emotional needs?
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What is the purpose of the steps in crisis intervention?
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What is the result of the nursing process in crisis intervention?
What is the result of the nursing process in crisis intervention?
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Which of the following defense mechanisms is characterized by the expression of emotions towards someone or something other than the actual source of the emotion?
Which of the following defense mechanisms is characterized by the expression of emotions towards someone or something other than the actual source of the emotion?
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What is the term used to describe the process of constructing plausible reasons to explain and justify one's behavior?
What is the term used to describe the process of constructing plausible reasons to explain and justify one's behavior?
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Which of the following defense mechanisms involves the separation and detachment of emotional significance and affect from an idea or situation?
Which of the following defense mechanisms involves the separation and detachment of emotional significance and affect from an idea or situation?
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What is the term used to describe the attribution of problems to other characteristics that the person does not want to admit possessing?
What is the term used to describe the attribution of problems to other characteristics that the person does not want to admit possessing?
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Which of the following defense mechanisms involves the exhibition of behavior, thoughts, or feelings used at an earlier stage of development?
Which of the following defense mechanisms involves the exhibition of behavior, thoughts, or feelings used at an earlier stage of development?
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What is the term used to describe the incorporation of a characteristic of another individual or group into one's own behavior?
What is the term used to describe the incorporation of a characteristic of another individual or group into one's own behavior?
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Which of the following defense mechanisms involves the unconscious process of barring from conscious thought of painful, disagreeable thoughts, experiences, and/or impulses?
Which of the following defense mechanisms involves the unconscious process of barring from conscious thought of painful, disagreeable thoughts, experiences, and/or impulses?
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What is the term used to describe the discharge of sexual or aggressive energy and impulses in a socially acceptable way?
What is the term used to describe the discharge of sexual or aggressive energy and impulses in a socially acceptable way?
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Which of the following defense mechanisms involves the intentional exclusion of painful thoughts, experiences, or impulses from conscious awareness?
Which of the following defense mechanisms involves the intentional exclusion of painful thoughts, experiences, or impulses from conscious awareness?
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What is the term used to describe the conscious behavior that reflects an emotion opposite to the emotion actually felt?
What is the term used to describe the conscious behavior that reflects an emotion opposite to the emotion actually felt?
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Study Notes
Mental Health Concepts
- Behavior is the manner in which a person performs daily life activities, influenced by unique personality and resources.
- Mental health is the ability to cope with and adjust to daily life's stresses, and is dynamic and fluctuating.
- Factors affecting mental health include:
- Inherited characteristics
- Childhood nurturing
- Life's circumstances
- Positive influences: inherent coping ability, mother-child bonding, success in school, good physical health, financial security
- Negative influences: cognitive impairment, schizophrenia, extreme sibling rivalry, parental rejection, deprivation of maternal love, poor physical health, poverty, dysfunctional relationships
History of Mental Health Care
- Ancient times: people believed mentally ill individuals were possessed by evil spirits, and treatments included magical and physical rituals.
- Greco-Roman era: introduction of the idea that mental illness can be explained by observing behavior, and the concept of the humoral theory.
- Medieval times: mental illness was seen as punishment for sins, and treatments included exorcisms, physical punishment, and imprisonment.
- 16th century: establishment of the first English institution for the mentally ill, Bethlehem Royal Hospital.
- 17th and 18th centuries: little change in treatment, with common practices including bleeding, starving, beating, and confinement.
- Late 18th century: establishment of psychiatry as a separate branch of medicine, and introduction of humane care and case history records.
- 19th century: establishment of asylums and mental hospitals, with harsh treatments and overcrowding.
- Late 19th and early 20th centuries: introduction of newer, more humane therapies, and establishment of psychiatric training schools for nurses.
- 20th century: reform of mental health care, with a focus on prevention and removal of stigma, and introduction of psychotherapeutic drugs and deinstitutionalization.
Mental Health Care in the 20th and 21st Centuries
- 1940s: establishment of the National Institute of Mental Health, with a focus on research and treatment of mental illnesses.
- 1950s: introduction of psychotherapeutic drugs, and deinstitutionalization movement.
- 1960s and 1970s: legislation and community-based mental health care, with a focus on returning individuals to their home environment.
- 1980s: establishment of the Mental Health Care Systems Act, with a focus on comprehensive mental health care.
- 21st century: increased funding for mental health care, with a focus on research, services, and community-based care.
Mental Health Continuum
- Mental health and mental illness are opposite ends of a continuum, with normal functioning at the healthy end.
- Influences of daily stressors can result in a deterioration of mental health, with continued exposure leading to dysfunctional behaviors.
- Midpoint of the continuum represents normal mental health, with adequate coping skills and problem-solving ability.
Characteristics of Mental Illness
- Poor self-concept and feelings of inadequacy
- Dependent behavior resulting from feelings of inadequacy
- Constant pessimism and poor judgment
- Inability to cope with daily events and irresponsibility
- Avoidance of problems and inability to recognize own talents and limitations
- Maladaptive behavior and demanding or seeking immediate gratification
- Inability to establish a meaningful relationship### Self-Concept and Self-Esteem
- Self-concept is the frame of reference used for all that a person knows and experiences, including perceptions, values, behaviors, and interactions.
- Self-esteem is the thoughts and feelings an individual holds about themselves, influencing their behavior and interactions with others.
- Disturbances in self-concept commonly arise in people with mental illness or emotional problems.
Stress
- Stress is the nonspecific response of the body to any demand made on it, and is highly subjective and uniquely perceived by the individual.
- Stressors can be physical, social, economic, chemical, spiritual, or developmental, or a combination of these.
- The meaning of the stress to an individual determines whether they feel distress.
- Stress can have positive effects, facilitating individual growth and development, or negative effects, leading to ineffective coping.
Anxiety
- Anxiety is a vague feeling of apprehension that results from a perceived threat to the self, often unknown.
- Anxiety is a response to a stressful event, and is a major component of all mental health disturbances.
- Anxiety is described in terms of levels, with higher levels immobilizing coping skills and resulting in emotional chaos.
- Signs of higher levels of anxiety include vocal changes, rapid speech, increased pulse, respirations, and blood pressure, as well as other physical symptoms.
Motivation
- Motivation is the gathering of personal resources or inner drive to complete a task or reach a goal.
- Motivation is generated by anticipation of reward or punishment, and is an important aspect in treating emotional problems.
Frustration
- Frustration is the emotional response to anything that interferes with goal-directed activity.
- Frustration can increase anxiety when adaptive behavior fails.
Conflict
- Conflict is a struggle, usually mental, resulting from opposing or incompatible thoughts, ideas, goals, or emotional forces.
- Conflict can be resolved easily or lead to serious levels of anxiety.
Adaptation and Coping
- Adaptation refers to the ability to adjust to changing life situations by using various strategies.
- Coping responses are used to reduce anxiety brought on by stress, and can be conscious or unconscious.
- Defense mechanisms are unconscious, intrapsychic reactions that offer protection to the self from a stressful situation.
Illness and Mental Health
- The stress of being ill greatly influences an individual's mental state and level of functioning.
- Illness can alter an individual's self-concept, body image, lifestyle, and role performance in family life, recreation, and work.
- The nurse is able to provide effective nursing interventions only if the patient's emotional state is considered.
Crisis
- A crisis is an unstable period in a person's life, characterized by the inability to adapt to a change from a precipitating event.
- Crisis can result from accumulating stressors, illness, or a turning point in life.
- Successful management of a crisis period is needed to prevent disorganization within the individual or the family unit.
Illness Behaviors
- Illness behaviors are responses to feeling unwell, including denial, anxiety, shock, anger, withdrawal, and depression.
- The nurse's responsibility is to note and respond therapeutically to all behavior.
Application of the Nursing Process
- The nursing process is used to meet the many needs of patients in every setting.
- The LPN/LVN participates in the nursing process by observing patient behavior and assisting in establishing patient problem statements, and working with the RN on outlining appropriate nursing interventions.
Mental Health Concepts
- Mental health refers to a person's ability to cope with and adjust to the recurrent stresses of everyday living.
- Mental health is dynamic and fluctuates along a continuum.
- Mentally healthy individuals are able to:
- Enjoy life's activities
- Adapt successfully to changes
- Set realistic goals
- Solve problems
- Have satisfying working relationships
- Maintain interpersonal relationships with family and friends
Factors Affecting Mental Health
- Inherited characteristics
- Childhood nurturing
- Life's circumstances
- Positive influences:
- Inherent adequate coping ability
- Mother-child bonding at birth
- Success in school
- Good physical health
- Financial security
- Negative influences:
- Cognitive impairment
- Schizophrenia
- Extreme sibling rivalry
- Parental rejection
- Deprivation of maternal love
- Poor physical health
- Poverty
- Dysfunctional relationships
Mental Illness
- A pattern of behaviors that are:
- Conspicuous
- Threatening
- Disruptive of relationships
- Deviate significantly from socially and culturally acceptable behaviors
- A manifestation of dysfunction (behavioral, psychological, and biological)
- 18.1% of adults in the United States received treatment for a mental health problem in 2018 (National Institute of Mental Health, 2021)
- 60% of people in the United States will develop a mental health disorder in their lifetime
History of Mental Health Care
- Ancient times: believed that mentally ill individuals were possessed by evil spirits
- Greco-Roman era: introduced the idea of explaining mental illness through observation of behavior
- Middle Ages: lost understanding of mental illness, believed it was punishment for sins or evidence of possession
- 16th century: first English institution for the mentally ill, Bethlehem Royal Hospital
- 17th and 18th centuries: further growth of the sciences, but conditions for the mentally ill were worse than ever
- 18th century: psychiatry became a separate branch of medicine
- 19th century: Dr. Philippe Pinel advocated for humane care and maintenance of case history and conversation records
- 20th century: reform of mental health care, introduction of psychotherapeutic drugs, and deinstitutionalization
Mental Health Care in the United States
- 1882: McLean Hospital provided the first psychiatric training school for nurses
- 1909: Committee for Mental Hygiene formed
- 1930s: developed electroconvulsive therapy and insulin shock therapy
- 1940s: passage of the National Health Act and establishment of the National Institute of Mental Health
- 1950s: introduction of psychotherapeutic drugs
- 1960s and 1970s: community-based mental health movement and holistic health movement
- 1978: President's Commission on Mental Health
- 1980: Mental Health Care Systems Act
- 1981: Omnibus Budget Reconciliation Act (OBRA)
- 2018: increased national funding for mental health research and services
Mental Health Continuum
- Mental health and mental illness are the opposite ends of a continuum
- Functioning is normal on the healthy end of the continuum
- Influences of daily stressors can result in a deterioration of mental health and alterations in behaviors
- Midpoint on the continuum represents normal mental health
- Loss of contact with reality can result when an individual is at the illness end of the continuum
Components of Mental Health
- Positive self-concept
- Awareness of responsibility for one's own behavior and its consequences
- Maintenance of satisfying interpersonal relationships
- Adaptability to change
- Effective communication
- Awareness and acceptance of emotions and their expression
- Effective problem solving
- Recognition and use of supportive systems
Personality Development
- Erik Erikson's framework: task mastery
- Sigmund Freud's framework: id, ego, and superego
- Id: functions on a primitive level, aims for pleasure and avoiding pain
- Ego: integrates and mediates between the self and the environment
- Superego: moralistic censoring force, develops from the ego
- Emotional stability results from harmony between the three substructures
Self-Concept
-
Comprises four distinct parts:
- Personal identity
- Body image
- Role
- Self-esteem
-
Personal identity: the organizing principle of the self
-
Body image: mental picture of and feelings toward one's body
-
Role: expected behavior of an individual in a social position
-
Self-esteem: assessment of personal worth### Self-Concept and Self-Esteem
-
Self-esteem comprises thoughts and feelings about oneself.
-
Self-concept is more than the total of its four parts, and it is the frame of reference used for all that a person knows and experiences.
Stress
- Stress is the nonspecific response of the body to any demand made on it.
- Stressors can be physical, social, economic, chemical, spiritual, or developmental, or a combination of all.
- The meaning of the stress to an individual determines whether that individual feels distress.
- Stress is highly subjective and uniquely perceived by the person experiencing it.
Anxiety
- Anxiety is a vague feeling of apprehension that results from a perceived threat to the self, although the source is often unknown.
- Anxiety is a universal emotion and is a response to a stressful event.
- Anxiety is an internal process that a person experiences when there is a real or perceived threat to the physical body or self-concept.
Motivation
- Motivation is the gathering of personal resources or inner drive to complete a task or reach a goal.
- Motivation is an important aspect in treating emotional problems.
Frustration
- Frustration is the emotional response to anything that interferes with goal-directed activity.
Conflict
- Conflict is a struggle, usually a mental one, either conscious or unconscious.
- Conflict results from the simultaneous presence of opposing or incompatible thoughts, ideas, goals, or emotional forces.
Adaptation and Coping
- Adaptation refers to the ability to adjust to changing life situations by using various strategies.
- Coping responses are the responses used to reduce anxiety brought on by stress.
- Defense mechanisms are behavioral patterns that protect individuals against a real or perceived threat.
How Illness Affects Mental Health
- The stress of being ill greatly influences an individual’s mental state and level of functioning.
- Illness reduces control and sometimes creates instability of circumstances, causing anxiety.
Illness Behaviors
- Illness is a state of homeostatic imbalance.
- When an individual is ill or sick, they do not feel good, and this is the body’s way of saying, “Pay attention to my needs.”
Crisis
- A crisis can be defined as an unstable period in a person’s life, characterized by the inability to adapt to a change from a precipitating event.
- Successful management of a crisis period is needed to prevent disorganization within the individual or the family unit.
Application of the Nursing Process
- Nurses use the nursing process to meet the many needs of patients.
- LPN/LVN participates in the nursing process by observing patient behavior and assisting in establishing patient problem statements, as well as working with the registered nurse (RN) on outlining appropriate nursing interventions.
Mental Health Concepts
- Mental health is dynamic and fluctuates along a continuum, and mentally healthy individuals are able to enjoy life's activities, adapt to changes, set realistic goals, and maintain interpersonal relationships.
- Factors affecting mental health include inherited characteristics, childhood nurturing, and life's circumstances, which can have positive or negative influences on an individual's response to daily stressors.
- Mental illness or disorder is a manifestation of dysfunction (behavioral, psychological, and biological), and changes in society and the economy have altered the status and situation of many individuals.
History of Mental Health Care
- In ancient times, people believed that mental illness was caused by evil spirits, and shamans or medicine men used magical treatments to remove these spirits.
- In the Greco-Roman era, the Greeks introduced the idea of explaining mental illness through observation of behavior, and Hippocrates viewed mental illness as an imbalance of humors.
- During medieval times, the church believed that mental illness was punishment for sins, and treatments included exorcisms, physical punishment, and imprisonment.
- In the 16th century, the first English institution for the mentally ill was founded, and the term "bedlam" originated from the hospital's nickname.
- During the Renaissance and the Reformation, little changed in the treatment of mental illness, but in the 17th and 18th centuries, psychiatry became a separate branch of medicine, and Dr. Philippe Pinel and Dr. William Tukes introduced humane care and classification of illnesses.
- In the United States, Dr. Benjamin Rush established the Pennsylvania Hospital for the treatment of the mentally ill, and Dorothea Dix advocated for the care of the mentally ill and led to the establishment of mental hospitals.
Development of Mental Health Care
- In the 20th century, the reform of mental health care began, and the Committee for Mental Hygiene was formed to focus on prevention and removal of the stigma of mental illness.
- Sigmund Freud introduced his theories and treatment for mental illnesses, and psychotherapeutic drugs were introduced in the 1950s.
- The government started the movement of deinstitutionalization, and community treatment became a goal, with the aim of returning individuals to their home environment and providing a support system.
- In the 1970s and 1980s, legislatures brought about further changes in mental health treatment, and the President's Commission on Mental Health was established to assess mental health care needs.
Basic Concepts Related to Mental Health
- Nursing is a person-oriented profession, and every interaction with a patient affords an opportunity for assessment of the patient's emotional state.
- The nurse has the power and responsibility to create an environment that allows the patient to have a positive experience.
- Most people have an innate ability to heal themselves, and the nurse can help the patient use this inner healing capacity through nursing interventions.
Mental Health Continuum
- Mental health and mental illness are the opposite ends of a mental health continuum, and functioning is normal on the healthy end of the continuum.
- The midpoint on the continuum represents normal mental health, and the influences of daily stressors, although affecting the mentally healthy individual, do not normally disrupt mental health.
- Loss of contact with reality can result when an individual is at the illness end of the continuum.
Personality and Self-Concept
- Personality refers to the relatively consistent set of attitudes and behaviors particular to an individual, and it consists of unique patterns of mental, emotional, and behavioral traits.
- Personality development comes under the influence of genetics and interactions with the environment, and it may be viewed as the total of internal and external patterns of adjustment to life.
- Erik Erikson provided a framework for understanding personality development in terms of task mastery, and Sigmund Freud described personality development as having three parts: id, ego, and superego.### Self-Esteem and Self-Concept
- Self-esteem is an individual's assessment of their personal worth, comprising thoughts and feelings about themselves.
- Self-concept is a broader term, encompassing all perceptions, values, behaviors, and interactions, and serving as a frame of reference for all experiences.
Stress
- Stress is a nonspecific response to any demand made on the body, which can be pleasant or unpleasant.
- Stressors can be physical, social, economic, chemical, spiritual, or developmental, and can be combinations of these.
- An individual's response to stress is often a learned or conditioned behavior.
- Stress is highly subjective and can have both positive and negative effects.
Anxiety
- Anxiety is a vague feeling of apprehension that results from a perceived threat to the self.
- Anxiety is a universal emotion and a response to stressful events.
- Anxiety can be described in terms of levels, with higher levels immobilizing coping skills and resulting in emotional chaos.
- Signs of higher levels of anxiety include vocal changes, rapid speech, increased pulse, respirations, and blood pressure, tremors, restlessness, and others.
Motivation
- Motivation is the inner drive to complete a task or reach a goal, generated by anticipation of reward or punishment.
- Motivation is an important aspect in treating emotional problems, and can help patients through the stages of recovery.
Frustration
- Frustration is the emotional response to anything that interferes with goal-directed activity.
- Frustration can lead to anxiety when adaptive behavior fails.
Conflict
- Conflict is a struggle, usually mental, resulting from the simultaneous presence of opposing or incompatible thoughts, ideas, goals, or emotional forces.
- Conflict can lead to anxiety and can be resolved easily or lead to serious levels of anxiety.
Adaptation and Coping
- Adaptation refers to the ability to adjust to changing life situations using various strategies.
- Coping responses are used to reduce anxiety brought on by stress, and can include conscious and unconscious behaviors.
- Defense mechanisms are unconscious, intrapsychic reactions that offer protection to the self from stressful situations.
Illness and Mental Health
- Illness can affect mental health by reducing control and creating instability, leading to anxiety.
- Hospitalization can exchange familiarity with unfamiliarity, leading to anxiety and emotional upheaval.
- Nurses play a crucial role in addressing the mental health needs of patients, including providing effective patient education and support.
Crisis
-
A crisis is an unstable period in a person's life, characterized by an inability to adapt to change from a precipitating event.
-
Successful management of a crisis period is needed to prevent disorganization within the individual or family unit.
-
Cultural and ethnic backgrounds affect the patient's and family's behavior during illness.### Crisis and Illness
-
Family members may withdraw from an ill person or the ill person may isolate themselves from the family, presenting an opportunity for personal growth and strength.
-
Phases of crisis are similar to stages in grief and dying, including:
- Initial phase: confusion, disbelief, and high anxiety
- Denial phase: grasping of the conviction that everything will be all right
- Reality phase: expression of anger and remorse
- Sadness and crying phase: acknowledgment and expression of loss
- Reconciliation phase: acceptance of the new reality and adaptation
Nursing Intervention in Crisis
- Help individuals or families get through a crisis by providing accurate information and empathic gestures.
- Identify family supports and adequate coping mechanisms to recognize family communication patterns.
- Active listening, restating facts, and using therapeutic communication techniques can help address problems constructively.
- Offer flexibility in visiting hours to reduce frustration of separation.
- Crisis often resolves over a 4-6 week period, resulting in the development of coping mechanisms and redefinition of goals and roles in life.
Crisis Intervention
- Goals:
- Decrease emotional stress and protect the victim
- Assist the victim in organizing and mobilizing resources
- Return to pre-crisis status or a higher functional level
- Steps:
- Assess the situation and individual involved in the crisis
- Determine possible interventions with input from relevant parties
- Implement the intervention plan
Assessment of Emotional Status
- General appearance: dress, makeup, and hygiene
- General behavior: activity level, posture, gait, and response to examination
- Speech pattern: rate, tone, loudness, and quantity content
- Content of thought: reality-oriented, delusional, hallucinations, or non-reality-based thinking
- Mood and affect: overall feeling state and affect
- Sensorial function: orientation, memory, attention, and abstract thinking ability
- Insight and judgment: understanding of the situation and willingness to take action
- Potential for danger: potential for violence or self-harm, degree of impulse control, and history of violence or aggression
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Description
Learn about basic mental health concepts and how they are applied in various healthcare settings by Licensed Practical/Vocational Nurses. Understand how patients respond to changes in daily activities due to illness and hospitalization.