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Mary is a 40-year-old woman who has been diagnosed with schizophrenia.

Mental Health Key Terms:


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1) Type the definition of each of the KEY TERM from the 1st page of each of the 39 chapters from the  Psychiatric—Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices by Wanda K. Mohr.

2) Cite the page in the textbook each key term is found.

3) Submit all the Key Terms in one document.

Discussion Topics Learning Objective
1. After learning about mental illnesses in class, a classmate expresses her fear of developing a mental illness. She says to you, “I see a little bit of myself in every mental illness diagnosis we talk about. I am so afraid I may develop one of these diseases one day.”

a. What are the elements of mental health? In what way do you meet these elements?

b. What are the influences on mental health? Which mental health influences can be controlled and which ones cannot?

2. Jane, a 43-year-old mother of two, was admitted to a mental health facility after a suicide attempt and was diagnosed with severe depression. After several weeks of antidepressant therapy, Jane’s mood greatly improved. Jane’s friend, who was unaware of her suicide attempt and diagnosis, noticed the difference in Jane. When asked about what caused the difference in her mood, Jane said she was just feeling a little down but she was feeling better now. Jane was ashamed to tell her friend about her suicide attempt and her mental health diagnosis.

a. What are the similarities and differences associated with the stigma of a physical illness and that of mental illness?

b. What stigmas about those with mental health conditions exist in society?

3. Sarah has been working the past 5 years on a telemetry unit. After several experiences with patients suffering from mental health conditions, Sarah becomes interested in mental health nursing and is considering looking for a job as a psychiatric nurse.

a. Describe the levels of practice for the psychiatric–mental health nurse.

b. Discuss the guiding principles or beliefs on which psychiatric–mental health nursing is built.

4. Your instructor mentions Mental Health: A Report of the Surgeon General in class.  You are curious and decide to read the report at: http://profiles.nlm.nih.gov/ps/access/NNBBHS.pdf  The instructor asks you to share your findings with the class.

a. How does stigma affect individuals with mental illness?  How can nurses seek to combat stigma in mental health care?

b. What are the risk factors in children, adults, and older adults that increase the development of a mental illness?

c. What issues associated with confidentiality does the report reveal? What do you believe could be done about these issues?

Discussion Topics, Mohr

Chapter 2, Neuroscience: Biology and Behavior


Discussion Topics Learning Objective
1. Mary is a 40-year-old woman who has been diagnosed with schizophrenia. Mary’s 20-year-old daughter, Maria, expresses concern that her mother’s mental health disorder is genetic.

a. What is the relationship between genetics and environment in the development of psychiatric disorders?

b. What deficiencies are associated with Mendel’s theory?

2. James and Susan have just had their first child. James tells the nurse that he and his wife want to ensure that their new baby’s brain develops to its fullest potential.

a. What determines brain development in infancy and childhood?

b. What would you include in a teaching plan for these parents to promote their child’s brain development?

3. You and a friend are discussing mental health disorders at lunch one day. Your friend says, “I think people should be able to control any type of mental problems; they just need to have the will to feel better.”

a. How would you respond to someone who believes that mental illness is related to a lack of willpower?

b. How are neurotransmitters involved in mental illness?

4.  Your friend Marcia has been suffering from symptoms such as staring spells, confusion, and uncontrollable jerking of the arms and legs.  Her general physician wants to perform an electroencephalogram (EEG).

a. Describe to Marcia the use and purpose of an EEG.

b. What are the advantages and disadvantages of this neuroimaging technique?


Discussion Topics, Mohr

Chapter 3, Conceptual Frameworks and Theories


Discussion Topics Learning Objective
1. You and a fellow nursing student are discussing the different psychological theories. You find that you have differing opinions on which theories are the most accurate.

a. Select a theory that seems to be the most compatible with your personal beliefs. What were your reasons for selecting this theory?

b. Select a theory that seems least compatible with your personal beliefs. What were you reasons for selecting this theory?

2. You are receiving report from a psychiatric–mental health nurse. The nurse tells you that the patient you will be working with today is using defense mechanisms.

a. List and define one of the defense mechanisms that people use, and provide an example that would demonstrate use of that defense mechanism.

3. An individual is seeking assistance from a mental health professional due to issues he is having with problem solving. The mental health professional follows the cognitive-behavioral theory.

a. Describe a problem that someone may encounter in life. If a person was following rational problem solving, explain how the problem you identified would be evaluated in the five stages.

4.  You are a nursing student working on the psychiatric unit.  One of the new graduate nurses verbalizes not ever grasping the concepts of theory while she was in nursing school.

a. Explain to the new graduate nurse why theory is important in nursing practice.

Discussion Topics, Mohr

Chapter 4, Evidence-Based Practice


Discussion Topics Learning Objective
1. When talking to a friend, she reveals to you that she has been taking an over-the-counter herb to help treat depression, and she feels as if it is working for her.

a. What are your personal beliefs about unproved treatments?

b. Would you use a treatment or therapy that was not scientifically proven?

5, 6
2. Two nurses are having a debate as to whether evidence-based care or pseudoscience should primarily be used in mental health care.

a. Compare and contrast evidence-based care and pseudoscience.

3, 5
3. Health information based on pseudoscience, myths, and quackery is often advertised in the media.

a. Describe an example of a product seen on the television or heard about on the radio that suggests the possibility of quackery or fraud.

4.  You have been chosen to do a presentation for the mental health nursing class on evidence-based practice.

a. Explain the importance of the psychiatric nurse using evidence-based practice in caring for the mental health client.

b. What is the difference between evidence-based practice (EBP) and empirically supported treatments (ESTs)?



Discussion Topics, Mohr

Chapter 5, Legal and Ethical Aspects


Discussion Topics Learning Objective
1. You are conducting an interview with a client and he reveals to you that he abuses his wife. He asks you not to tell anyone.

a. Would you be required to keep this client’s confidentiality or to share the information with someone?

b. How would you respond to the client?

c. How would you feel about a client sharing this information with you and what would you do with the information?

1, 4
2. While giving report on a mental health client to another nurse, the nurse asks you, “What is the patient’s admission status?”

a. What is the difference between voluntary admission, emergency admission, and involuntary commitment?

3. An ethical dilemma is a situation in which moral and ethical principles conflict with one another.

a. Provide an example of an ethical dilemma that you might be faced with as a nurse.

4.  Your nursing instructor has been teaching the class about the Nurse Practice Act, Standards of Care, and the ANA Code of Ethics.

a. How will the Nurse Practice Act and the ANA Code of Ethics influence your nursing practice?

b. How do standards of care protect the mental health client?

2, 6, & 8
5.  Your nursing instructor has paired you with a peer group and asked you to analyze ethical principles of autonomy, beneficence, paternalism, veracity, fidelity, and justice in relation to the care of the mental health client.

a. Discuss each of these ethical principles.

b. How would your group incorporate each ethical principle into the care of the mental health client?



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