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Psychosocial - Wk 1

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Question
Answer
Mental Health   ability to adjust and cope to everyday stresses  
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Mental Illness   clinically significant behavioral or psychological syndrome or pattern that occurs in an individual outside of socially acceptable behavior  
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Nature vs Nurture   environment vs genetics; Genetic markers that make people pre-disposed to mental illness; Divorce=enviroment/depression=genetic predisposition  
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”Empty Bucket” syndrome   Not filling up your bucket w/ good things, but depleting your bucket  
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Physiological Needs   Needs having to do with physical processes in the human body  
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Psychosocial Needs   Needs having to do with relationships within oneself and others.  
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Psychotherapeutic Management   Model for Nursing care that balances the three primary intervention models used by psychiatric nurses; psychotropic drugs, Milieu management, Therapeutic communication  
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Psychotropic Drugs   SSRIs and Antipsychotic  
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Milieu Management   pts feel safe and secure (in the unit)  
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Therapeutic Communication    
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Psychoanalytic Model   Developed by Sigmund Freud; Personality formed during first 6 yrs. of life; Emphasizes unconscious processes or psychodynamic factors as the basis for motivation and behavior; Defense mechanisms protect against anxiety; Change is a process of insight  
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Freud: Psychoanalytic Model Key Concepts   Personality consists of three processes that function together as a whole to bring about behavior Harmony = Stability Disharmony = Conflict  
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Id   Operates on pleasure principle  
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Ego   focuses on “reality principle”  
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Superego   concerned with right and wrong (conscience)  
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Freud 3 parts of the Mind   Conscious; Unconscious; Preconscious  
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Freud Goal of Therapy   bring unconscious into consciousness allowing insight into causes for current behaviors  
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Psychoanalysis   Free Association & Dream Analysis  
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Eric Erikson: Psychosocial - Developmental Model   Biopsychosocial-environmental emphasis Personality development occurs in stages Spans total life cycle Growth reflects mastery of critical tasks Lack of mastery at each stage results in developmental deficits  
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Erikson's Eight Stages of Development: Life Tasks & Virtues   Learning Basic Trust vs.. Basic Mistrust (Hope); Learning Autonomy vs. Shame (Will); Learning Initiative vs. Guilt (Purpose); Industry vs. Inferiority (Competence); Learning Identity vs. Identity Diffusion (Fidelity); Learning Intimacy vs. Isolation (Love  
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Developmental method Relevance to Nursing Practice   Assessment – behavioral manifestations Therapeutic Interventions  
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Jean Piaget’s Cognitive Development Theory   Believed that human intelligence progresses through a series of stages based on age Believed that biologic changes and maturation were responsible for cognitive development  
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Piaget's 4 Phases   Sensorimotor Phase – birth to 2 years Preoperational Phase – 2 to 7 years Concrete Operations Phase – 7 to 11 years Formal Operations Phase – 11 to 15 years  
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Abraham Maslow’s Hierarchy of Basic Human Needs   American psychologist – needs and motivations of individuals Focus on total person, emphasized health instead of illness/problems Assumed basic needs would dominate behavior until met Changes during life crises  
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Maslow's 5 stages   1. Physiological 2. Safety 3. Social 4. Esteem 5. Self-Actualization  
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