Foundations of Mental Health & Psychiatric Nursing - Concept Map
Mental Health & Psychiatric Nursing Practice
Related concepts
Mental Health & Mental Illness
Sub concepts
- Definition of mental health (WHO)
- Mental illness as disturbance in cognition/emotion/behaviour
- Continuum model
- Factors influencing mental health (biological, psychological, sociocultural)
- Philippine context - stigma and extended family support
Relationship to central
Foundation - defines the continuum and characteristics of mental well-being
Personality & Development Theories
Sub concepts
- Freud's Psychoanalytic Theory
- Erikson's Psychosocial Theory
- Sullivan's Interpersonal Theory
- Peplau's Nursing Application
- Maslow's Hierarchy of Needs
Relationship to central
Theoretical foundation - explains how personality and behaviour develop
Defense Mechanisms
Sub concepts
- Repression (cornerstone)
- Suppression (only conscious mechanism)
- Denial, Projection, Displacement
- Rationalization, Reaction formation
- Regression, Sublimation (most mature)
- Undoing, Compensation, Identification, Conversion
Relationship to central
Psychological concepts - ego's unconscious strategies to manage anxiety
Mental Status Examination (MSE)
Sub concepts
- Appearance and behaviour
- Speech characteristics
- Mood and affect
- Thought process and content
- Perception and hallucinations
- Cognition and sensorium
- Insight and judgment
Relationship to central
Assessment tool - systematic evaluation of mental functioning
Philippine Legal & Regulatory Framework
Sub concepts
- RA 11036 - Philippine Mental Health Act (2018)
- Rights-based approach
- Integration into primary care
- Philippine Council for Mental Health
- NCMH and crisis hotline
- RA 11223 - Universal Health Care Act
Relationship to central
Governance - laws guiding mental health nursing practice
Nursing Management & Priorities
Sub concepts
- Safety assessment (risk of harm)
- Establishing therapeutic trust
- Setting clear limits
- Maintaining therapeutic milieu
- Self-awareness of nurse
- Patient and family teaching
Relationship to central
Clinical application - foundational nursing interventions
Concept connections
- Mental Health & Mental Illness ContinuumInfluencing Factors (Biological, Psychological, Sociocultural)Factors determine where an individual sits on the mental health spectrum
- Freud's Psychoanalytic TheoryDefense MechanismsDefense mechanisms are ego-based strategies for managing anxiety and conflict
- Erikson's Psychosocial TheoryNursing Assessment & InterventionIdentifies developmental tasks guiding age-appropriate nursing care
- Mental Status ExaminationPsychiatric Assessment ProcessMSE is the systematic structured assessment tool for evaluating mental functioning
- Defense MechanismsMental Status Examination - Thought ContentMSE assessment reveals the defense mechanisms client is employing
- RA 11036 Philippine Mental Health ActNursing Management & PrioritiesLegal framework mandates rights-based nursing care with specific protections
- Safety AssessmentSuicidal Ideation EvaluationSuicidal/homicidal risk is always assessed directly and prioritized above all other concerns
- Therapeutic RelationshipEstablishing TrustTrust is the foundation of all therapeutic psychiatric nursing interventions
- Maslow's Hierarchy of NeedsNursing PrioritizationGuides priority setting from physiologic safety through self-actualization in psychiatric care
- Philippine Sociocultural ContextMental Health Assessment & EducationExtended family support and spiritual beliefs influence mental health expression and treatment seeking
- Stigma & MisconceptionsPatient and Family TeachingNurses must counter beliefs that mental illness is weakness, moral failing, or spiritual curse
- NCMH Crisis HotlineCommunity-Based Mental Health ServicesPart of Philippines integrated mental health delivery system under RA 11036
- Nursing Self-AwarenessTherapeutic Use of SelfNurse's understanding of own feelings, values, and biases prevents interference in patient care
- Thought Process vs Thought ContentMSE Assessment DocumentationCritical distinction: form of thinking (process) versus what is being thought (content)
- Mood AssessmentAffect ObservationMood is client-reported subjective feeling; affect is nurse-observed objective expression
Diagrams
Foundations of Mental Health & Psychiatric Nursing - Complete Concept Map
Comprehensive mind map showing all major concepts in Foundations of Mental Health & Psychiatric Nursing, organized hierarchically from the central concept through six major knowledge domains: Mental Health/Illness, Personality Theories, Defense Mechanisms, MSE Assessment, Philippine Legal Framework, and Nursing Management. This visual represents the complete knowledge structure needed for NLE preparation.
Mental Health-Illness Continuum Model
Flowchart depicting the dynamic continuum model of mental health and mental illness. Shows how biological, psychological, and sociocultural factors influence a person's position on the mental health spectrum, ranging from optimal functioning to crisis requiring hospitalization. Demonstrates the bidirectional movement along the continuum with appropriate interventions.
Freud's Psychoanalytic Personality Structure
Structural diagram of Freud's psychoanalytic model showing the three components of personality (Id, Ego, Superego), their characteristics, developmental timing, operating principles, and primary functions. Highlights that the Ego is the seat of defense mechanisms and emphasizes the components most frequently tested on the NLE.
Erikson's Psychosocial Development Stages
Sequential flowchart of Erikson's eight psychosocial stages across the entire lifespan. Each stage shows the age range, central developmental conflict, and the virtue/strength that emerges with successful resolution. Demonstrates the progression from infancy through older adulthood, highlighting how each stage builds on resolution of the previous conflict. Essential for NLE questions on developmental assessment and age-appropriate interventions.
Mental Status Examination Assessment Components
Comprehensive flowchart of the Mental Status Examination, showing nine assessment components and what is evaluated in each category. Key distinction highlighted between mood (client-reported, subjective) and affect (nurse-observed, objective). Critical point emphasized: suicidal ideation is always assessed directly. This is the psychiatric equivalent of the physical examination and is heavily tested on NLE.
Defense Mechanisms Classification & Examples
Comprehensive classification of defense mechanisms showing the distinction between unconscious mechanisms (repression, denial, projection, displacement, rationalization, reaction formation, regression, sublimation, and others) and the sole conscious mechanism (suppression). Highlights that repression is the cornerstone mechanism and sublimation is the most mature/adaptive. Includes clinical examples for each mechanism. Critical for NLE: defense mechanisms are maladaptive only when overused or when they replace healthy problem-solving.
RA 11036 Philippine Mental Health Act - Implementation Framework
Flowchart showing the key components and implementation framework of RA 11036, the Philippine Mental Health Act signed in 2018. Demonstrates the rights-based approach, integration of mental health into primary and community care, creation of governance structures (Philippine Council for Mental Health under DOH), and specific service provisions including mental health in schools and workplaces, suicide prevention, and stigma reduction. Links to complementary legislation (RA 11223) and nursing responsibilities under RA 9173.
Psychiatric Nursing Priorities - Safety to Therapeutic Relationship
Flowchart outlining the five foundational nursing priorities in psychiatric care, organized hierarchically with safety as the absolute first priority. Shows specific assessments and interventions for each priority level. Emphasizes that a client expressing suicidal ideation with a plan supersedes all other nursing concerns. Highlights the therapeutic use of self as foundational to psychiatric nursing practice. Critical for NLE: safety assessment and intervention is always prioritized above all other considerations.
Erikson's Psychosocial Stages Distribution Across Lifespan
Pie chart showing the relative proportion of lifespan years allocated to each of Erikson's psychosocial development stages. Visualizes that school age and adolescence occupy larger portions of the developmental timeline, while infancy and toddler years, though critical, represent shorter time periods. Useful for understanding the distribution of developmental challenges across the lifespan.