nur326 - mental health exam 1
what are some subcategories of antidepressants? (4 subcategories)
MAOIs (monoamine oxidase inhibitors) TCAs (TriCyclic Antidepressants) SSRIs (Selective Serotonin Reuptake Inhibitors) SSNRIs (Selective Serotonin-Norepinephrine Reuptake Inhibitors)
Do we still have insane asylums?
Nope, we now just have mental health facilities. Dorothea Dix lobbied on behalf of the mentally ill Funding was cut; private practices had to emerge
What is ethnic conditioning
Not everyone from the same ethnic background will have the same beliefs
what is a neurotransmitter?
a chemical messenger a chemical substance that is released at the end of a nerve fiber by the arrival of a nerve impulse and, by diffusing across the synapse or junction, causes the transfer of the impulse to another nerve fiber, a muscle fiber, or some other structure.
what are the types of psychotropic medications (5 main categories)
antidepressants antipsychotics antianxiolytics mood-stabilizers sedative-hypnotics
State institutions: Why arent they prevalent?
deinstitutionalization gov't cuts in funding psychiatric hospitals increasing population with mental illness
Why is there an increasing number of homeless with mental illness?
deinstitutionalization of mentally ill patients lack of community health clinics; specifically gov't cuts and lack of appropriate treatment for addiction THE MEDIA HAD NOTHING TO DO WITH THE HOMELESS
what is the pharmacologic action of antidepressants
increase the concentration of norepinephrine, serotonin, or dopamine works by blocking their reuptake at the synapse (so that more happy drugs can bind to the post-synaptic cleft) inhibits the release of monoamine oxidase
How do psychotropic medications work?
it changes your brain chemistry most affect the neuronal synapse, producing changes in neurotransmitter release and the receptors to which they bind
indications for antidepressants
major depressive disorders dysthymic disorders (milder forms of depression that tend to last longer) other disorders through the use of atypicals
What is the role of the mental health nurse?
understanding legal and ethical implications understanding how to conduct a thorough baseline assessment monitors for side effects and adverse effects educates the patients (the patients need to know what to expect)
