Mental Health Nursing
Chapter 1: Through the Door Your First Day in Psychiatric Nursing
A person is mentally healthy when a person possesses knowledge of oneself; meetsone’s basic needs; assumes responsibility for one’s behavior and for self-growth; haslearned to integrate thoughts, feelings, and actions; and can resolve conflicts successfully.
A mentally healthy person maintains relationships, communicates directly with others,and respects others.
A mentally healthy person adapts to change in one’s environment.
The mentally ill show deficits in functioning; it is usually these deficits that bring themto the facilities where you will encounter them.
Mental illness occurs when an individual is not able to view oneself clearly or has adistorted view of self, is unable to maintain satisfying personal relationships, and isunable to adapt to one’s environment.
The American Psychiatric Association defines mental disorder as “clinically significant behavior or psychological syndrome or pattern that occurs in an individual and isassociated with present distress (i.e., negative response to stimuli that are perceived asthreatening) or disability (i.e., impairment increased risk of suffering, death, pain,disability, or an important loss of freedom).
See p. 5 for possible signs of mental illness
Chapter 2: Psychiatric Nursing Evolution of a SpecialtyCare of the Mentally Ill
The insane were treated through magical rituals, prayer, and exorcism.
The Greek and Roman cultures developed ideas of body “humors” – blood, black bile,yellow bile, and phlegm-which could influence emotional stability.
Hippocrates believed that excesses of black bile caused melancholy and that bloodletting could remove this excess.
Middle Ages and Renaissance
The term “lunatic” emerged to refer to one controlled by the lunar body.
Treatment of the mentally ill was influenced by beliefs that the mentally ill were evil,witches, or heretics.
The mentally ill were excluded from community life or institutionalized.
Care was custodial and were poorly fed and clothed and were restrained.