PMH Exam 1
Psych-MH Nurses
· Promote mental health through assessment, diagnosis, and treatment of behavioral and
mental disorders
· Use nursing, psychosocial, neurobiological theories and research
· Work with people throughout the life span
· Work in a variety of settings and among varied populations
· We focus on "the patient's response to their condition"
A psych RN's primary concern is
patient safety (if this is an option on an exam this is the answer)
Therapeutic Relationships + Communication
· Critical to our ability to connect with people
· Each person bring their own experiences + worldwide
· Real and perceived ideas about people influence our interactions
PMH-RN Description
o 2 years full-time work, 2000 clinical hours, 30 hours CEU followed by certification exam to
add "BC" to the RN title (RN-BC)
-not everyone goes after this because not many things change
PMH-RN Role
- Care Coordination
- Health Teaching
- Health Maint.
- Milieu Therapy
- Assess and report response to medication and other treatments
PMH-APRN Description
o Psychiatric mental health advanced practice registered nurse Master of Science or Clinical
Doctorate (DNP)
PMH-APRN Role
- All of those listed under PMH-RN plus
- Medication Rx and Treatment
- Psychotherapy
, - Consultation
Diagnostic and Statistical Manual (DSM-5)
Categorizing + diagnosing mental illness based on symptoms, "medical" diagnosis
NANDA Nursing Diagnosis Book
Psych "nursing" diagnosis
Nursing Outcomes Classification (NOC)
determine desired outcomes based on medical & nursing diagnoses
Mental Health - Mental Illness Continuum
· Variations and fluctuations based on multiple factors
· Ex. many people are farther to the right than usual given the global pandemic
Different Aspects of Mental Health
Doing well: Grow emotionally, control over behaviors, healthy self-esteem, realistic goals,
high functioning individual
Factors that Contribute to Mental Health
· Diathesis-stress model
· "refrigerator mother"
Diathesis-stress model
Most psychiatric disorders result from a combination of genetic vulnerability and negative
environmental stressors
o Diathesis = biological
o Stress = environmental/exposure
"refrigerator mother"
the (outdated) idea that cold and distant mothers caused schizophrenia and autism
Resilience
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