N212: H EALTH D IFFERENCES A CROSS THE LIFE SPAN 2 Chapter 1 & 2

C HAPTER 1: T HEORETICAL C ONCEPTS : O BJECTIVES 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.

T HEORETICAL C ONCEPTS Mental Health Mental Illness Psychobiological Disorders Behavioral Response Affective Response Anxiety Response Mood Disorders Altered Thought Processes Aggressive Responses

T HEORETICAL C ONCEPTS DSM-IV-TR Axes Culture

T HEORIES OF P ERSONALITY Sigmund Freud Erik Erikson Harry Stack Sullivan Hildegard Peplau Jean Piaget Abraham Maslow Lawrence Kohlberg Gerald Caplan

B IOLOGICAL B ASIS FOR U NDERSTANDING P SYCHOTROPIC D RUGS Functions of the brain Neurons Neurotransmitters Organization of the nervous system Causes of mental dysfunction

T HERAPEUTIC M EDICATIONS Psychotropic drugs Antipsychotic drugs Mood stabilizing drugs Antianxiety/Anxiolytic drugs Treatment of ADHD Treatment of Alzheimer’s disease

M ENTAL H EALTH N URSING IN A CUTE C ARE S ETTINGS Goals of inpatient psychiatric treatment The health care team Components of inpatient care

M ENTAL H EALTH N URSING IN C OMMUNITY S ETTINGS Foundations of community psychiatric nursing Biopsychosocial nursing assessment Inpatient versus community-based settings Community-based resources: goals and services Ethical issues

A SSESSMENT Mental status exam & psychosocial status assessment Assessment of the elderly Outcome criteria Implementation Evaluation Documentation

D EVELOPING 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

C LINICAL I NTERVIEWS AND C OMMUNICATIONS S KILLS Clinical supervision Berlo’s communication model Verbal and nonverbal communication Cultural communication barriers Effective communication skills Blocks to communication

C HAPTER 2: L EGAL AND E THICAL I SSUES : O BJECTIVES 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 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.

E THICAL C ONCEPTS 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

E THICAL C ONCEPTS Standards of care Documentation of care Confidentiality Reporting child and elder abuse