NURS 3481 Mental Health and Illness Chapter 1 (latest 2020) – University of Texas | NURS3481 Mental Health and Illness Chapter 1 (latest 2020)

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NURS 3481 Mental Health and Illness Chapter 1 (latest 2020) – University of Texas Ch. 1 Mental Health and Mental Illness CONTINUUM OF MENTAL HEALTH AND MENTAL ILLNESS • WHO defines mental... health as a “state of well-being in which each individual is able to realize his or her own potential, cope with the normal stress of life, work productivity and fruitfully, and make a contribution to the community” • mental health provides people with the capacity for rational thinking, communication skills, learning, emotional growth, resilience, and self-esteem • psychiatry’s definition of mental health is shaped by the prevailing culture and societal values and it reflects changes in cultural norms, society’s expectations, political climates, and even reimbursement criteria • mental illness is a clinically significant behavioral or psychological syndrome marked by the patient’s distress, disability, of the risk of suffering disability or loss of freedom – refers to all mental disorders w/ definable diagnoses Attributes of Mental Health • Relate to others: form relationships; have close, loving, adaptive relationships; experience empathy toward others; manage interpersonal conflict constructively • Attain self-defined spirituality • Negotiate each developmental task • Ability to work and be productive • Maintain a healthy self-concept and self-value • Ability to play and laugh • Accurate appraisal of reality • Ability to love and experience joy • Capacity to deal with conflicting emotions • Ability to live without (undue) fear, guilt, or anxiety - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Levels of Psychiatric Mental Health Clinical Nursing Practice BASIC LEVEL AND ADVANCED LEVEL PRACTICE PHYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS Basic Level Intervention Description Coordination of Care Coordinates implementation of the nursing care plan and documents coordination of care Health teaching and maintenance Individualized anticipatory guidance to prevent or reduce mental illness or enhance mental health (e.g. community screenings, parenting classes, stress management) Milieu therapy Provides, structures, and maintains a safe and therapeutic environment In collaboration with patients, families, and other health care clinicians Pharmacological, biological, and integrative therapies Applies current knowledge to assessing patient’s response to medication provides current knowledge teaching, and communicates observations to other members of the health care team Advances Practice Intervention Description all of the above plus: Medication prescription and treatment Prescription of psychotropic medications, with appropriate use of diagnostic tests; hospital admitting privileges Psychotherapy Individual, couple, group, or family therapy, using evidence-based therapeutic frameworks and the nurse-patient relationship Consultation Sharing of clinical expertise with nurses or those in other disciplines to enhance their treatment of patients or address systems issues • three significant trends that will affect the future of psychiatric nursing in the U.S. include the aging population, increasing cultural diversity, and expanding technology [Show More]

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