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N10: MENTAL HEALTH NURSING TEST BLUEPRINT EXAM #1 Chapter Identify def ing characteristics of mental illness and mental health — Mental Health- the successful adaption to stressors from the internal or external environment, evidenced by thoughts, feelings and behaviors that are age appropriate and congruent with local and cultural norms. An appropriate perception of reality, accept oneself, manifest spontaneity, capacity for focusing concentration on problem-solving, need for detachment and desire for privacy, independence, emotional reaction, frequency of peak experiences that validate worthwhileness, identification with humankind, creativity, degree of nonconformance, ability to achieve interpersonal relationships Mental Illness- maladaptive responses to stressors from the internal or external environment, evidenced by thoughts feelings, and behaviors that are incongruent with local and cultural norms and interfere with the individual's social, occupational and or/ physical functioning. Incomprehensibility-relating to of the general population to understand the motivation behind the behavior and cultural relativity depending on their cultural norms. *Think about it as opposite ends of the spectrum Explain ego defense mechanisms and associated behaviors Denial — refusing to acknowledge the existence of a real situation Projection- Attributing feeling or impulses unacceptable to one’s self to another person Repression(Involuntary}-blocking of feelings and experiences from ones awareness Suppression(Voluntary)- blocking of unpleasant feelings and experience from anes awareness Sublimation- rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive *Be able to apply these Differentiate between the different levels of anxiety (mild, moderate, severe, and panic) and appropriate nursing interventions Nursing intervention- Do not panic it can be contagious, least restrictive, start with verbal de- escalation, then deep breathing , walk around the unit , if these are not working then we may switch to meds. Never leave clients alone or minimize their feelings while dealing with panic attack. Mild to Moderate — Ego defense mechanisms are used (survival motivations) can be adaptive Severe — can be debilitating, unable to meet ADLS, Neuroses, aware that they are experiencing distress and their behaviors are maladaptive, unaware of any possible psychological causes of the distress, feel helpless to change their situation, experience no loss of contact with reality Panic- can be debilitating , unable to meet ADLS, Psychosis, exhibit minimal distress tone is flat, bland or inappropriate, behavior is maladaptive, unaware of any psychological problems ,exhibit flight from reality *Know the difference between mild and panic Describe the stages of grief - Do not always happen in order Denial, Anger, Bargaining, Depression, Acceptance Identify the nurse’s role (and legal obligation) when administering a chemical restraint with psychotropic medications Ethical dilemmas arise when there are 2 unequally unfavorable alternatives The right to treat - All patients The right to refuse treatment/medications- Unless in need of emergency intervention: @ danger to self or others (IM B-52 cocktail is Haldol, Benadryl, Ativan) or unless the client is med— paneled The right to least restrictive treatment- Treatment settings, interventions etc, USED AS A LAST RESORT! When documenting document very objectively. Treat the underlying cause of agitation- be proactive instead of reactive Objectives Items 
