A.

Characteristics of mental health. The person:

1. 2. 3. 4. 5. 6. 7.
8.

Takes responsibility for actions Able to think clearly, use good judgment, solve problems Aware of emotional and physical states Copes effectively with daily tension and stress Functions well in groups, family, society Accepted in groups, family, culture Satisfied with and enjoys life Fulfills capacity for love and work

 B.
1. 2. 3.

Factors influencing mental health

Inherited characteristics Nurturing during childhood Life circumstances

C.

Maslows Hierarchy of Needs D. Ways to maintain mental health

II. Mental illness

A.

Mental disorder: Definition of mental disorder: clinically significant behavior and/or psychological syndromes or patterns that are associated with distress or disability. Distress refers to any symptom that causes psychic or physical pain; disability refers to impairment in one or more areas of functioning. (APA, 2000).

B. Characteristics of mental illness. Person is unable to: 1. Fulfill functions of daily living 2. View self clearly or has distorted view of self 3. Maintain satisfying relationships 4. Adapt to environment

C. Causes of mental illness (as accepted by Western medicine)

Chemical imbalances Organic changes Inherited characteristics Childhood experiences Life circumstances

D. Influenced by:

 A.

Definition of culture: set of shared beliefs, values, behavioral norms and practices that are common to a group of people [with] a common identity and language (Shives & Isaacs, 2002, p. 44).

B. Cultural perceptions about mental illness

Mental illness as spiritual concern 2. Mental illness as spell or hex 3. Mental illness as imbalance or disharmony in nature
1.

C. Seeking mental health care

Traditional healers 2. Interpreters 3. Stigma of mental illness 4. Family support
1.

A.

Types of psychiatric disorders:

Mood disorders Depression Bipolar disorder 2. Suicide 3. Anxiety disorders General anxiety disorder Obsessive-compulsive disorder (OCD) Post-traumatic stress disorder (PTSD)
1.

4. 5. 6. 7.

Thought disorders Substance dependency disorder Eating disorders Personality disorders

B.
1.

Treatment of psychiatric disorders in the U.S.

Talk Therapy 2. Psychotropic medications 3. Seclusion and restraints 4. Electroconvulsive Therapy (ECT)

A. Continuum of care 1. Hospitalization 2. Subacute facility 3. Community mental health

B. Roles of the Psychiatric Nurse 1. Provider of direct nursing care 2. Manager of the environment (therapeutic
3. 4. 5. 6. 7. 8.

milieu) Teacher Coordinator of care Advocate Champion of preventive care Collaborator Researche

C. What do psychiatric nurses do?

1. 2. 3. 4. 5.

Build therapeutic relationships Conduct physical and psychiatric assessments Have 1-to-1 interactions Perform group therapy Administer medications/monitor for side-effects

D. Legal issues
1.
2. 3.

72-hour holds Court commitment Mentally ill persons and the police