What is meant by the term revolving door effect in mental health care quizlet?

- Is a taxonomy published by the American Psychiatric Association and revised as needed.
- The DSM-5 describes all mental disorders, outlining specific diagnostic criteria for each based on clinical experience and research.
- All mental health clinicians who diagnose psychiatric disorders use this diagnostic taxonomy.

The DSM-5 has 3 purposes:
•To provide a standardized nomenclature and language for all mental health professionals
•To present defining characteristics or symptoms that differentiate specific diagnoses
•To assist in identifying the underlying causes of disorders

The classification system allows the practitioner to identify all the factors that relate to a person's condition:
•All major psychiatric disorders such as depression, schizophrenia, anxiety, and substance-related disorders
•Medical conditions that are potentially relevant to understanding or managing the person's mental disorder as well as medical conditions that might contribute to understanding the person
•Psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders. Included are problems with the primary support group, the social environment, education, occupation, housing, economics, access to health care, and the legal system.

- Although student nurses do not use the DSM-5 to diagnose clients, they will find it a helpful resource to understand the reason for the admission and to begin building knowledge about the nature of psychiatric illnesses.

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Terms in this set (36)

Ans: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independence, self-esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress management abilities. Interpersonal factors such as intimacy and a balance of separateness and connectedness are both needed for good mental health, and therefore a healthy person would need others for companionship. A family history of mental illness could relate to the biologic makeup of an individual, which may have a negative impact on an individual's mental health, as well as a negative impact on an individual's interpersonal and social-cultural factors of health. Total self-reliance is not possible, and a positive social/cultural factor is access to adequate resources.

Ans: B
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Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case management, and health promotion and maintenance. Advanced-level functions include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program development and management, and clinical supervision.

Ans: B
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Education is a standard of professional performance. Other standards of professional performance include the quality of practice, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, and leadership. Assessment, planning, and implementation are components of the nursing process, not standards of professional performance.

Ans: B
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Standards of practice include assessment, diagnosis, outcomes identification, planning, implementation, coordination of care, health teaching and health promotion, and milieu therapy. The standards of professional performance include quality of practice, education, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, and leadership.

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