PSYCHIATRIC NURSING

~The major component of the communication process are---message,sender,channel receiver and

feedback

~Biological medical approach to patient care utilizes which of the following---somatic therapy

~Which of the following question by the nurse would be best fit the phisophy of the nursing mutual
participation model of care (nmpmc)---“have you brushed your teeth today?

~The patient verbalizes, masama ang pakiramdam ko. Hindi ko nakatulog kagabi. A therapeutic response
of the nurse would be----- maari mo bang sabihin sa akin ang mga naiisip at nararamdaman
mo?

~The psychodynamic of depressions is----internalize hostility

~The defense mechanism utilized by the manic patient to cover up depression is---reaction formation

~In this level of anxiety cognitive capacity diminishes. Focus become limited and the client experiences
tunnel vision. Physical signs of anxiety become more pronounced-----severe anxiety

~The nurse most unique tool in working with the emotionally ill client is his her ----communication
skills

~Which of the following must be considered while planning activities for the depressed patient-----
challenge activities to get out of his depression

~One way to increase objectivity in dealing with one’s fears and anxiety is through the process of----
validation

~The pedophilias choice of the sex object is primary based on---feeling of tenderness toward
children

~Which of this nursing action belong to the secondary level of preventive intervention---providing
emergency psychiatric services.

~Alma talks about her joy in having responsible and accomplished children and recalls challenging career
as a lawyer. She is demonstrating a sense of----ego integrity

~The mentally ill person responds positively to the nurse who is warm caring. This is demonstration of
the nurse role as—mother surrogate

~All of the following except one comprise the concepts of behavior therapy program-- placebo as form
treatment

~The most cost effective way. To meet the mental health needs the public is through programs with a
priority goal of---prevention

~In a residential treatment home for adolescent girls, the clients where becoming increasingly, tense and
upset because of shortening of their recreation time. To de-escalate possible anger and aggression among
the client it is best to play------relaxation music
~The role of the nurse in the psychiatric ward which gives health teachings about the side effects of
psychotrophic meications is--- teacher

~The age of onset of schizophrenia is almost always--- late adolescent

~Smoked ham--- rich in tyramine

~Drug used for alcohol withdrawal is- short acting neuroleptics

~Autism is excessive- serotonin

 Type of hallucination do schizophrenic clients experience? – auditory

 Primary care in crisis intervention involves – teaching g specific coping skills to handle
stressful situations in life
 What is the function of the ego? – distinguishes things within the mind and things in the
external world
 How can maturational crisis be prevented? – anticipatory guidance
 A distinct feature of catatonic schizophrenia? – waxy flexibility
 To anticipate and ;limit the severity of client’s withdrawal symptoms, the nurse
assessment should include – information on what,when and how much was his last drink
 A basic difference between psychosomatic and somatoform disorder – In psychosomatic
illness, there is an actual structural cause
 During assessment, a client tries to respond the nurse’s question but ends up with
fantastic and “near miss” answers. This behavior exhibited by the client is a manifestation
of- confabulation
 Assertiveness training – secondary level of preventing depression and mania
 Underlying theory about acupuncture – restores the balance of energy
 A logical approach used by the nurse in providing community health and communicable
disease nursing is- nursing process
 The frequency of home visit to a sick individual is- as often as necessary
National Mental Health Program

Program/Project

The National Mental Health Program (NMHP) now, under the Degenerative Disease
Office of the National Center for Disease Prevention and Control (NCDPC),
Department of Health. It aims at integrating mental health within the total health system,
initially within the DOH system, and the local health system. Within the DOH, it has initiated
and sustained the integration process within the hospital and public health systems, both at the
central and regional level. Furthermore, it aims at ensuring equity in the availability,
accessibility, appropriateness and affordability of mental health and psychiatric services in the
country.

Brief Situationer
Mental health is an integral component of total health. Issues on mental health includes not only
the traditional mental disorders but as important are the concerns of target populations
vulnerable to psychosocial risks brought about by extreme life experiences (e.g. disasters, near
death experiences, heinous and violent crimes, internal displacement brought about by religious
and civil unrest) as well as the psychosocial concerns of daily living (e.g. maintaining a sense of
well being in these difficult times).
Services for mental health must be available within the public health as well as the hospital
system of the country. Such services must have promotive, preventive, curative and
rehabilitative component.

Vision
Full integration of Mental Health in the national system

Mission
To make available, accessible, affordable and equitable quality mental health care/services to
the Filipinos especially the poor, the underserved and high risk populations.

Mandate
To provide the Department of Health with necessary services related to planning,
programmming and project development in mental health.

Functions
1. Advisory body to the Secretary of Health regarding mental health concerns.
2. Acts as a policy making body regarding mental health concerns
3. Involves itself in training, research, supervision and, monitoring of mental health
resources/programs services.
4. Mobilizes mental health resources for advocacy, planning, implementation and service
delivery.

Guiding Principles
 Mental health is not only limited to traditional mental illnesses but also includes the
psychosocial concomitants of daily living.
 Mental health programs must recognize the importance of community efforts with
multisectoral and multidisciplinary involvement.
 Mental health programs must address the promotive,preventive, curative and
rehabilitative aspects of care.
 Psychiatric patient care extends beyond the mental hospitals, and must be made
available in general hospitals, health centers and homes.
 Mental health activities and interventions must be done closest to where the need or the
patient is.

Strategies
 National diffusion and democratization of capabilities of mental health facilities.
 Intensification and strengthening the training in psychiatry and mental health.
 Peripheral development
 Development of clinical policies
 Institution building
 Focus on research
 Advocacy
 Networking

Priority Areas of Concern

 Substance abuse
 Disaster and crisis management
 Women and children and other vulnerable groups
 Traditional mental illnesses (schizophrenia, depression and anxiety)
 Epilepsy and other neurological disorders
 Overseas Filipino workers
 SOMATOFORM DISORDERS:
 SOMATIZATION DISORDER – RECURRENT AND MULTIPLE SOMATIC COMPLAINS OF SEVERAL
YEARS DURATION AND SEEMINGLY WITHOUT PHYSIOLOGIC CAUSES, USUALLY BEGINS BEFORE
30 YEARS OF AGE, CHRONIC ACCOMP[ANIED BY ANXIETY AND DEPRESSED MOOD
 CONVERSION DISORDER – LOSS OR ALTERATION OF PHYSICAL FUNCTION THAT SUGGEST A
PHYSICAL DISORDER RELATED TO EXPRESSION OF A PSYCHOLOGICAL CONFLICT
 PRIMARY GAIN- KEEP CONFLICT OUT OF AWARENESS
 SECONDARY GAIN- AVOID DISTRESSING AND UNCOMFORTABLE ACTIVITY WHILE RECEIVING
SUPPORT FROM OTHERS
 CONVERSION HYSTERIA- PHYSICAL SYMPTOMS WITH NO ORGANIC BASIS (BLINDNESS,
PARALYSIS, CONVULSIONS WITHOUT LOSS OF CONSCIOUSNESS)
 HYPOCHONDRIASIS – PREOCCUPATION WITH FEAR OR BELIEF THAT THEY WILL HAVE A
SERIOUS DISEASE WHICH IS NEGATIVE ON PHYSICAL EDUCATION
 BODY DYSMORPHIC DISORDER – IMAGINED DEFECT ON APPEARANCE WHICH IS OUT OF
PROPORTION TO ANY ORGANIC PROBLEM
 INTERVENTIONS: DISCUSS FEELINGS RATHER THAN SYMPTOMS.
 AVOID SECONDARY GAIN; MINIMIZE SICK-ROLE BEHAVIOR; ACCEPT SYMPTOMS BUT DO NOT
EMPHASIZE OR CALL ATTENTION TO THEM.
 HAVE DIAGNOSTIC EVALUATION TO RULE OUT ORGANIC PATHOLOGY AND ESTABLISH THEIR
RELATIONSHIPS