Ability to adjust to changing life situations by using various strategies.
Vague feeling of apprehension that results from perceieved threat to self.
Manner in which a person performs any of all of the activities of daily life.
Responses we use to reduce anxiety brought on by stress,
Change or turning point in life when we find it necessary to modify our patterns of living to prevent our own disorganization or that of our family.
Behavioral patterns that protect us against a real or perceived threat; we use them to block conscious awareness of threatening feelings.
Release of institutional psychiatric patients to live and receive treatment in the community setting.
Pertaining to body fluids or substances contained in them.
State of homeostatic imbalance.
Practiced in the 1800s, has been credited as the first psychiatric nurse.
Nurse Educator and clinical specialist in psychiatric-mental health nursing, who was among those appointed to the President's Commission on Mental Health in 1978.
Evidenced by behaviors that are conspicuous, threatening, and disruptive of relationships or deviates significantly from behavior that is considered socially and cultually acceptable.
One's ability to cope with and adjust to the recurrent stresses of everyday living.
Mental Health Continuum
Mental Health and Mental Illness occupy opposite ends of the mental health continuum. The midpoint on the continuum represents normal mental health.
Relationdhip of the mind to the body.
Omnibus Budget Reconciliation Act (OBRA)
Act that drastically reduced funding for the mental health system and putting what money remained into block grants for use and disbursement at the community level.
Relatively consitent set of attitudes and behaviors particular to an individual.
Positive response to treatment.
Complex concept compromising four distinct parts that influence behavior: personal identity, body image, role, and self-esteem.
More than the total of the four parts of self. It if the frame of reference we use for all we know and experience. Self-concept includes all perceptions and values each of us holds and our behaviors and interactions.
Nonspecific response of the body to any demand made on it.
Situation, activity, or event that produces stress.
Parts of the Personality
ID, EGO, SUPEREGO
Basic innate drive for survival and pleasure. Demands constant gratification, comprises individual's entire personality at birth, is not changed by experience, its goals are to: reduce tension, increase pleasure, and to keep discomfort to a minimum.
The reality factor, helps individual perceive conditions accurately, decides how to act and when to act, is the portion of the psyche that is in contant with external reality -stands, so to speak, for reason and good sense, whereas the id stands for untamed passion
The parenteral or societal value system, strives for perfection and morality, develops from the ego, serves a a judge or censor over thoughts and activities of the ego. Three functions: conscience, self-obersation, and the formation or ideals.
Levels of Anxiety
Mild, moderate, Severe, Panic
Behaviors common with Illness
Denial, Anxiety, Shock, Anger, Withdrawal
Produced by the sick role. Gains attention.
Example: Mother becomes very ill every time her daughter plans a trip out.
Condition of instability that arises from an emotional or situational upheaval and results in extreme or decisive change.
Defense Mechanism: Compensation
Individual makes up for a deficiency by excelling or emphasizing in another area.
Defense Mechanism: Conversion
Emotional conflicts are turned into a physical symptom.
Defense Mechanism: Denial
Reality is denied; it does not exist.
Defense Mechanism: Displacement
Emotions are expressed towward someone or something other than the actual source of the emotion.
Defense Mechanism: Dissaciation
Seperation and detachment or emotional significance and affect from an idea or situation.
Defense Mechanism: Identification
Inidividual incorporates a characteristic of another individual or group.
Defense Mechanism: Introjection
Quality or attribute of another is internalized and becomes part of the individual.
Defense Mechanism: Projection
Attributing to other characteristics that the person does not want to admit possessing.
Defense Mechanism: Rationalization
Process of contructing plausible reasons to explain and justify one's behavior.
Defense Mechanism: Reaction Formation
Conscious behavior is completely opposite to the unconscious process.
Example: Excessively polite to someone you dislike.
Defense Mechanism: Regression
Behavior, thoughts, or feelings used at an earlier stage of development are exhibited.
Defense Mechanism: Repression
Unconscious process of barring from conscious thought in painful, disagreeable thoughts, experiences, and impulses.
Defense Mechanism: Sublimation
Discharge of sexual or aggressive energy and impulses in a socially acceptable way.
Example: Teen in many competitive sports.
Defense Mechanism: Suppression
An intentional exclusion of painful thoughts, experiences, or impulses.
Gathering of personal resources or inner drive to complete a task or reach a goal.
Anything that interferes with goal-directed activity.
Struggle, usually a mental one, either conscious or unconscious.
In the 18th century, English Quaker who advocated humane care and built an asylum to reflect a household was_?
The nurse who is acredited for being the first psychiatric nurse in the United States_?
In the 20th century, changes in the delivery of mental health care resulting from the development of electroconvulsive therapy and psychotherapeutic drugs brought about the phenomenon of_?
Personality refers to_?
The relatively consistent set of attitudes and behaviors particular to an individual.
A response to any demand made on the individual.
Anxiety is possible to define as_?
Vague feeling of apprehension.
An assembly line manager in a local auto parts factory was told that he would be laid off if his line did not meet the hourly quota. He promptly went to his workers and threatened to fire anyone who was found taking even 1 minute extra on their break. This is an example of_?
Punishment and abandonment were how people treatedthe mentally ill in the Dark Ages. These practices continued until the seventeeth and eighteenth centuries. Dr. Phillippe Pinelof France advocated which practice of care that is still used today_?
Human care with record keeping of behaviors.
Martha Mitchell, RN, worked with President Carter to develop the Mental Health Care Systems Act, which the U.S. Congress passed in the 1980. This act established block grants for mental health care. What occured as a result of this act_?
Approved surgical treatment of schizophrenia.
A 52 year old suffered cardiac arrest from a myocardial infarction. During his acute care stay in the hospital, the patient flirts with all his female nurses. When he is asked to stop, he withdraws and later complains of chest heaviness. What is a possible explanation for the patient's behavior_?
A 14 year old is having a difficult adolescence. Over the summer, she grew 3 inches and developed large breasts. One day, after boys teased her and imitaded her figure, she went to the school nurse crying. What is the first step for the nurse to take_?
Have her tell in detail what happened.
The nurse is instructing a wife to give insulin injections to her husband. The wife is unable to sit still, frequently asks to repeat parts of the instruction for understanding, and sighs often with rapid respirations. What degree of anxiety is the wife experiencing?
Mild Level of Anxiety
Slight increase in vital signs and an awareness of danger
Moderate Level of Anxiety
Feels tension, perception decreased, remains alert but only to specific info, prone to arguing, teasing, complaining, headache, vomiting, low back pain, increased vital signs
Severe Level of Anxiety
Experiences feeling of impending danger, perceptual field narrows significantly, communication possibly distorted and difficult to understand, feels fatigued, changes in vital signs
Panic Level of Anxiety
Feeling of extreme terror, possibly becomes immobolized, reality is distorted, personality will potentially disintegrate further, has potential cause to harm self or others
Defense Mechanisms are_?
Means of managing conflict
Theh highest priority in crisis intervention is_?
Crisis occurs when a person_?
Suffers a stressor and responds with ineffective coping efforts.
Crisis Intervention Goals
1. Decrease emotional stress and PROTECT VICTIM
2. Assist victim to organize and mobilize resources
3. Return to precrisis status or a high functional level
Defense Mechanisms are
Automatic behaviors used to protect the personality in times of stress.