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N212: Health Differences Across the life span 2. Chapter 1 & 2. Chapter 1: Theoretical Concepts: Objectives. Differentiate between mental health and mental illness. Understand and describe psychobiological disorders. Gain knowledge of the DSM-IV-TR.
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N212: Health Differences Across the life span 2 Chapter 1 & 2
Chapter 1: Theoretical Concepts: Objectives • Differentiate between mental health and mental illness. • Understand and describe psychobiological disorders. • Gain knowledge of the DSM-IV-TR. • Understand major personality theories and the people who developed them. • Acquire knowledge about the biological basis for understanding psychotropic drugs. • Describe the main therapeutic modalities and the specific drugs used: psychotropic drugs, antipsychotic, mood stabilizers, antianxiety/ anxiolytic drugs, ADHD treatments, and Alzheimer’s treatments. • Gain understanding of mental health nursing in community settings. • Develop a mental health assessment plan. • Learn how to develop a therapeutic relationship. • Acquire information about clinical interviews and communication skills. • Understand key terminology and concepts.
Theoretical Concepts • Mental Health • Mental Illness • Psychobiological Disorders • Behavioral Response • Affective Response • Anxiety Response • Mood Disorders • Altered Thought Processes • Aggressive Responses
Theoretical Concepts • DSM-IV-TR • Axes • Culture
Theories of Personality • Sigmund Freud • Erik Erikson • Harry Stack Sullivan • Hildegard Peplau • Jean Piaget • Abraham Maslow • Lawrence Kohlberg • Gerald Caplan
Biological Basis for Understanding Psychotropic Drugs • Functions of the brain • Neurons • Neurotransmitters • Organization of the nervous system • Causes of mental dysfunction
Therapeutic Medications • Psychotropic drugs • Antipsychotic drugs • Mood stabilizing drugs • Antianxiety/Anxiolytic drugs • Treatment of ADHD • Treatment of Alzheimer’s disease
Mental Health Nursing in Acute Care Settings • Goals of inpatient psychiatric treatment • The health care team • Components of inpatient care
Mental Health Nursing in Community Settings • Foundations of community psychiatric nursing • Biopsychosocial nursing assessment • Inpatient versus community-based settings • Community-based resources: goals and services • Ethical issues
Assessment • Mental status exam & psychosocial status assessment • Assessment of the elderly • Outcome criteria • Implementation • Evaluation • Documentation
Developing therapeutic relationships • Goals • Types of relationships • Characteristics that promote growth and change in others • Boundaries • Values clarification • Phases of the nurse-client relationship • Factors that help or hinder the nurse-client relationship
Clinical Interviews and Communications Skills • Clinical supervision • Berlo’s communication model • Verbal and nonverbal communication • Cultural communication barriers • Effective communication skills • Blocks to communication
Chapter 2: Legal and Ethical Issues: Objectives • Become familiar with the ANA Code of Ethics. • Gain knowledge about Patients’ Bill of Rights. • Understand admission, commitment, and discharge procedures. • Acquire knowledge about the Community Health Centers Act of 1963. • Learn about intentional torts and their consequences. • Be able to list and describe the Standards of Care as enumerated by the ANA Code of Ethics. • Understand documentation of care in the psychiatric setting. • Gain knowledge about the ethical and legal implications regarding confidentiality in psychiatric nursing. • Be able to list and describe the procedures and rationale for reporting child and elder abuse. • Understand key terms and concepts.
Ethical Concepts • Considerations and dilemmas • Ethics terminology • ANA Code of Ethics • Patients’ Bill of Rights • Admission, commitment, and discharge • Community Health Centers Act (CMHC) of 1963 • Client Rights • Intentional tort • Legal terms in psychiatric nursing
Ethical Concepts • Standards of care • Documentation of care • Confidentiality • Reporting child and elder abuse