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NUR5003 - Mental Health Exam Latest Update
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NUR5003 - Mental Health ExamLatest Update
Mental Health - Answer the state of mental well-being in which one can cope with the
demands of daily life
Mental health problem - Answer A mental health concern that interferes with functioning
but is mild and temporary
For example, sadness or worry, which by itself does not constitute a mental disorder
mental health literacy - Answer knowledge and beliefs about mental disorders which aid
their recognition, management or prevention
Predisposing factors of mental disorders - Answer - Inherited characteristics, genetic
factors
- Nurturing - learned environment influences coping strategies and outlook on life
- Life circumstances - choices we make and experiences we have. People react
differently to different experiences
- Cultural influence, trauma, work/lifestyle/family, drugs and alcohol
Protective factors of mental disorders - Answer - Individual factors such as coping style,
intelligence, temperament
- Family factors - good supports, relationships
- School context -positive school climate/experience
- Life events/situations - good physical health, economic stability
- Sense of connectedness/support/identity
Key Roles of a Mental Health Nurse - Answer Challenge stigma at work and in the
community
Administer and monitor medications
Mental health promotion
Conducting assessments
Ongoing monitoring of mental state, wellbeing, treatment/treatment needs
,What is the DSM-5? - Answer Diagnostic and Statistical Manual of Mental Disorders - No.
5 (current edition)
A systematic description of disorders used for making diagnosis which specifies each
disorder and its associated features
Principles of recovery oriented practice. - Answer 1. Uniqueness of the individual
2. Real choices
3. Attitudes and rights
4. Dignity and respect
5. Partnership and communication
6. Evaluating recovery
How to reduce stigma - Answer - Don't reduce people to a diagnosis
- Correct people who use hurtful language
- Challenge media stereotypes
- Share your story if you/your family have a history with mental illness
What are the 3 mental health states? - Answer 1. Well-being - good mental and emotional
health. No impairment to daily functioning
2. Emotional problems or concerns - discomfort arises, coping becomes progressively
more difficult
3. Mental illness - problems progress to illness. Changes in thinking mood, behaviour,
chronic or long term. Impairs daily functioning
Components of a comprehensive psychiatric assessment - Answer 1. Identifying
information/data
2. reason for referral/chief complaint
3. Presenting problem/precipitating factors
4. Previous mental and physical health history, including substance abuse
5. Personal history - education, friendships/bullying, developmental delays,
occupational, children and parenting, forensic history, personality
6. Family history - including substance abuse and mental illness
, 7. MSE
8. Risk assessments
Components of a mental state exam (MSE) - Answer 1. General appearance
2. Behaviour and motor activity
3. Mood and affect
4. Speech and language
5. Perception
6. Thought process and content
7. Cognition/orientation
8. Insight
9. Judgement
10. Risk
Barriers to an MSE - Answer - Physical environment
- Age
- Cognitive state
- Culture/language
- Mood altering substances
- Comorbid physical conditions
phases of therapeutic relationship - Answer 1. Orientation phase - nurse and client
mutually identify issues/problems
2. Identification phase - client identifies with nurse, accepts their help
3. Exploration phase - Client makes use of nurses help. Nurse assists them to develop
coping skills, positive self concept, independence to change behaviour to adaptive and
appropriate
4. Resolution phase - person accepts new goals and frees themselves from the
relationship
Communicating with a delusional client - Answer Don't talk clients out of delusional
beliefs
Don't laugh at the content
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