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Moderate to severe mental illnesses
- Anxiety disorders
- Somatoform/Dissociative Disorders
- Personality Disorders
- Eating Disorders
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Severe to Psychotic Mental Illnesses
- Depression
- Bipolar disorder
- Schizophrenia
- Dementia
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Evidenced Based Practice
- Treatment approaches for which there is emperical scientific evidence:
- The art: caring, empathy, attending, patient advocate
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Tool used for Diagnosing Mental Disorders
- Diagnostic and Stastical Manual of Mental Disorders, 4th ed., Text Revision (DSM IV, TR)
- *divides mental disorders into types, based on sx
- *Classifies diagnoses, not persons
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DSM-IV-TR is used to...
Diagnose psychiatric disorder
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DSM-IV-TR: Axis I
- Mental disorder that is the focus of tx
- -Tends to be more acute than chronic
- -Resolvable
- -Short-term treatment
- -Responds to meds
- -Clear onset and remission
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DSM-IV-TR:
Axis II
- Personality disorders and mental retardation
- -more chronic
- -generally begins in childhood
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DSM-IV-TR:
Axis III
General medical disorder relevant to the mental disorder in Axis I
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DSM-IV-TR:
Axis IV
Psychosocial and environemntal problems
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DSM-IV-TR:
Axis V
- Global assessment of functionig (GAF)
- 100: Excellent
- 50: needs hospitalization
- Helps assess pt baseline (some subejctivity)
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DSM-IV-TR: Example
Axis I
Panic disorder with agoraphobia
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DSM-IV-TR: Example
Axis II
Obcessive compulsive personality disorder
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DSM-IV-TR: Example
Axis III
Diabetes Mellitus
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DSM-IV-TR: Example
Axis IV
Occupational problems: frequent absences from work
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DSM-IV-TR: Example
Axis V
GAF: 55
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7 signs of mental health
- 1. happness
- 2. control over behavior
- 3. appraisal of reality
- 4. effectiveness in work
- 5. healthy self-concept
- 6. satisfying relationships
- 7. effective coping strategies
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Traits of mental health: Ability to...
- -deal w/ conflicting emotions
- -live without undue fear, gulity, or anxiety
- -take responsibility for one's actions
- -think clearly
- -negotiate each developmental task
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Factors affecting mental health and nursing assessment
- -support systems
- -family influences
- -developmental events
- -cultural beliefs and values
- -health practices
- -negative influences
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