Psych MH nursing
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Created by:
tracyrenee on May 23, 2012
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exam 1
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44 terms
Terms | Definitions |
|---|---|
 What are the four axes of the Multiaxial Diagnostic System? | Axis I - clinical disorders; Axis II - personality disorders & mental retardation, Axis III - general medical conditions, Axis IV - psychosocial/environmental problems and Axis V - global assessment of functioning(GAF) |
| What is the primary and secondary burden to mental illness (disease) | primary- suffering the symptoms secondary- carrying the label and facing judgement |
| how can the stigma of mental illness be reduced? | education of Public to increase respect and decrease stereotyping |
| *core mental health profession that employs purposeful use of self as its art and a wide range of nursing, psychosocial, and neurobiological theories and research evidence as its science | psychiatric mental health nursing |
| Who is considered the mother or psychiatric nursing | Hildregard Peplau |
| What are the Models of Treatment | Evidence-based practice Recovery- empowering those with mental illness to find meaning and satisfaction, realize potential and function at maximum level of independence |
| What are the benefits of evidence-based practice | aids in effective decision making helps prevent habitual practice enhances clinical performance |
| Process for integrating EBP | 5A's Ask a question Acquire literature Appraise the literature Apply the evidence Assess the performance |
| Evidence Based Guidelines for Practice | Internet mental health resources- short list of pop.MH sites clinical practice guidelines- identify, appraise, and summarize the best evidence about prevention, diagnosis, prognosis, therapy and other knowledge clinical algorithms- step by step guideline in a flow chart clinical/critical pathways- usually specific to institution |
| The "art" of nursing | caring attending patient advocate |
| seven signs of mental health | happiness control over behavior appraisal of reality effectiveness in work healthy self-concept satisfying relationships effective coping strategies |
| mental health: | is presented through a linear (continuum) paradigm that depicts optimal mental wellness to extreme mental disorder |
| mental disorder: | implies a distinction between mental and physical disorders **there is much "physical" in 'mental' disorders and much 'mental' in 'physical' disorders |
| factors affecting severity and progress of mental illness | support systems, family influence, developmental events, cultural beliefs and values, health practices, negative influences |
| DSM-IV-TR is | definitions and classifications of specific disorders |
| DSM-IV-TR uses: | multiaxial system for diagnosis classifies mental disorders evaluates individuals from numerous cultural/ethnic groups establishes criteria for classification of mental disoders funding/research |
| Axis I | mental disorders -focus of treatment |
| Axis II | personality disorder and mental retardation |
| Axis III | general medical conditions -relevant to Axis I diagnosis |
| Axis IV | psychosocial and enviromental problems |
| Axis V | Global Assessment of Functioning (GAF) |
| Freud's theory is also called ____ theory. | psychoanalytic |
| In Freud's theory, the part of the mind that functions in the irrational and emotional; the primitive mind; pleasure principle | Id |
| In Freud's theory, the part of the mind that functions with the rational part of the mind; reality principle | Ego |
| In Freud's theory, the part of the mind that represents morals and principles; conscience | Superego |
| Id | (oral) birth - 1 1/2 yr pleasure-pain principle mouth primary source of pleasure task- develop a sense of trust that needs will be met |
| Ego | (anal)- 1 1/2- 3 yr reality principle- learning to defer pleasure focus on toilet training- retaining/ letting go; power struggle |
| Superego | (phallic) 3-7 yrs reward and punishment principle task: develop sexual identity through identification with same sex parent |
| Freud's Latency | 7-12yrs De-sexualization Libido diffused task; sexuality is repressed; learn to form close relationships with same sex peers |
| Freud's Genital Phase | Adolescence- 13-20yrs very ambivalant and labile, seeking life goals dependence vs independence task; form close relationships with opposite sex |
| methods of psychoanalytic therapy | free association and dream analysis |
| transference | pt projects feelings onto therapist |
| countertransference | therapist have unconscious emotional response to patient |
| interpersonal theory focuses on | conflicts of adolescence |
| behavioral therapy | systematic desensitization- classical conditioning, first promoting relaxation and then gradually facing a anxiety-provoking stimulus - Agaraphobia (fear of open places) aversion therapy- classical and operant conditioning and used to eradicate unwanted habits by assoc. unpleaseant consequences with them- Antabuse- alcohol become Extremely ill biofeedback control responses like breathin rates, heart rates, blood pressure, brain waves and skin temp |
| cognitive-behavioral therapy | modify neg thoughts, feeling and behaviors |
| cognitive theory Piaget stages | sensorimotor (0-2 yr) reflex acitivity to imagining and solving problems thru senses and movement preoperational (2-7yr) learns to think in terms of past, present and future cognitive operational (7-11yr) able to classify order, and sort facts formal operational (11-16yr) able to think abstractly and logically |
| Psychosocial theory Erikson | Trust vs. mistrust (0-1yr) Autonomy vs. shame/doubt (1-3yr) Initiative vs. guilt (3-6yr) Industry vs inferiority (7-11yr) Identity vs. role confusion (12-18yr) Intimacy vs. isolation (young adulthood) Generativity vs. stagnation (middle adulthood) Integrity vs. despair (late life) |
| Maslows hierarchy of neeeds | self-transcendent needs(cognitive needs) self-actualization needs esteem needs- competency, achievement, & esteem from others love & belonging- relationships and love safety- security, protection, stability, structure,order,& limits physiological- food, water, O2, elimination, rest, and sex |
| Peplau focus was on | interpersonal relationships and stages of nurses-patient relationship |
| stages of nurses-patient relationship | preintoduction-before pt and nurse meet, receive shift assissment orientation- pt and nurse meet and introduction, and contract for time(how long they will meet) working phase- 1st part- pt identify with the nurse, and trust and raport are maintained. pt identify problems but resist working on them 2nd part- growth is evident termination- feelings of loss and anxiety. goals are achieved and pt is stronger and able to stand alone |
| Peplau four levels of anxiety | mild- healthy, day to day, alertness moderate- heightened sense of awareness, like taking exam severe- problem, interferes with clear thinking and perceptual field is deminished, vomiting, diarrhea panic- overwhelming and results in paralysis or dangerous hyperactivity, cannot communicate, function, or follow directions |
| role of nursing in group therapy | basic level RN: teach psychoeducational groups advanced practice RN lead psychotherapeutic groups |
| therapeutic milieu | setting for mental health care combining healthy environment and social structure |
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