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AD230

GRCC psychiatric nursing

QuestionAnswer
what is a counselor? One who listens as the client reviews feelings related to difficulties he or she is experiencing in any aspect of life; one of the nursing roles identified by Hildegard Peplau.
what is ego? One of the three elements of the personality identified by Freud as the rational self or "reality principle." The ego seeks to maintain harmony between the external world, the id, and the superego.
what is id? One of the three components of the personality identified by Freud as the "pleasure principle." The id is the locus of instinctual drives, is present at birth, and compels the infant to satisfy needs and satisfy immediate gratification.
what is libido? Freud's term for the psychic energy used to fulfill basic physiological needs or instinctual drives such as hunger, thirst, and sexuality.
what is psychodynamic nursing? Being able to understand one's own behavior, to help others identify felt difficulties, and to apply principles of human relations to the problems that arise at all levels of experience.
what is superego? One of the three elements of the personality identified by Freud that represents the conscience and the culturally determined restrictions that are placed on an individual.
what is a surrogate? One who serves as a substitute figure for another.
what is a symbiosis? Symbiosis is a type of "psychic fusion" of mother and child that occurs between 1 and 5 months of age. The child views the self as an extension of the mother but with a developing awareness that it is she who fulfills the child's every need.
what is a technical expert? Peplau's term for one who understands various professional devices and possesses the clinical skills necessary to perform the interventions that are in the best interest of the client.
what is temperament? A set of inborn personality characteristics that influence an individual's manner of reacting to the environment and ultimately influences his or her developmental progression.
what is personality? The combination of character, behavioral, temperamental, emotional, and mental traits that is unique to each specific individual.
what is cognitive therapy? A type of therapy in which the individual is taught to control thought distortions that are considered to be a factor in the development and maintenance of emotional disorders.
what is dysthymic disorder? A depressive neurosis. The symptoms are similar to, if somewhat milder than, those ascribed to major depression. There is no loss of contact with reality.
what is melancholia? A severe form of major depressive episode. Symptoms are exaggerated, and interest or pleasure in virtually all activities is lost.
what is postpartum depression? Depression that occurs during the postpartum period. It may be related to hormonal changes, tryptophan metabolism, or alterations in membrane transport during the early postpartum period. Other predisposing factors may also be influential.
what is premenstrual dysphoric disorder? A disorder that is characterized by depressed mood, anxiety, mood swings, and decreased activities during the week prior to menses and subsiding shortly after the onset of menstruation.
what is psychomotor retardation? Extreme slowdown of physical movements. Posture slumps; speech is slowed; digestion becomes sluggish. Common in severe depression.
what is tyramine? An amino acid found in aged cheeses or other aged foods.broad beans;pickled herring;beef or chicken liver;preserved meats;beer and wine;yeast products;chocolate; caffeinated drinks;canned figs;sour cream;yogurt;soy sauce, some OTC cold meds and diet pills
what happens when foods containing high amounts of tyramine are consumed while an individual is taking a MAOI? A potentially life threatening situation called hypertensive crisis can occur.
define the core concept of mood. Also called affect, this is a pervasive and sustained emotion that may have a major influence on a person's perception of the world. Examples include depression, joy, elation, anger, and anxiety.The emotional reaction associated with an experience.
define the core concept of depression. An alteration in mood that is expressed by feelings of sadness, despair, and pessimism. There is a loss of interest in usual activities, and somatic symptoms may be evident. Changes in appetite and sleep patterns are common.
what is bipolar disorder? Characterized by mood swings from profound depression to extreme euphoria (mania) with intervening periods of normalcy. Psychotic symptoms may or may not be present.
what is the primary diagnostic criteria for cyclothymic disorder? For at least 2 years, the presence of numerous periods of hypomanic symptoms and numerous periods with depressive symptoms that do not meet the criteria for major depressive disorder. (In children and adolescents the duration must be at least 1 year).
what are other diagnostic criteria for cyclothymic disorder? During the 2 (or 1, in kids) year period the person has not been without symptoms for >2 months at a time, No major depressive episode, manic episode, or mixed episode has been present during the first 2 years of the disturbance.
what things need to be ruled out when making a diagnosis of cyclothymic disorder? Schizoaffective disorder and are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder or other psychotic disorder. Also drug abuse, medication SE, or medical condition (hyperthyroidism).
what is delirious mania? Stage III of bipolar disorder. Its a grave form of the disorder characterized by severe clouding of consciousness and an intensification of the symptoms associated with acute mania. Relatively rare since availability of antipsychotics
what is hypomania? A mild form of mania. Symptoms are excessive hyperactivity, but not severe enough to cause marked impairment in social or occupational functioning to require hospitalization.
what is mania? A type of bipolar disorder in which the predominant mood is elevated, expansive, or irritable. Motor activity is frenzied and excessive. Psychotic features may or may not be present.
describe the core concept of mania. An alteration in mood expressed by feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, and accelerated thinking and speaking. Can occur as a biological or physiological disorder, substance use or general medical condition.
define histrionic personality disorder? A disorder characterized by colorful, dramatic, and extroverted behavior in excitable, emotional people. More common in women. Have difficulty with long-lasting relationships, but require constant affirmation of approval and acceptance from others.
define narcissistic personality disorder? These people have an exaggerated sense of self-worth. They lack empathy and are hypersensitive to the evaluation of others. Think they have the right to receive special consideration and that their desire is justification for possessing whatever they seek
what is object constancy? The phase in the separation/ individualization process when the child learns to relate to objects in an effective manner. Sense of separateness is established, the child is able to internalize a sustained image of the loved object/person when out of sight
what is passive-aggressive? Behavior that defends a person's own basic rights by expressing resistance to social and occupational demands. Also called indirect aggression. Takes the form of sly/devious,and undermining actions that express the opposite of what they are really feeling
describe schizoid personality disorder. A profound defect in the ability to form personal relationships or to respond to others in any meaningful, emotional way.
describe schizotypal personality disorder. A disorder characterized by odd and eccentric behavior, not decompensating to the level of schizophrenia.
what is splitting? Primitive ego defense mechanism in which the person is unable to integrate/accept both positive/negative feelings. In their view, people - including themselves and life situations are either all good or all bad. Common in borderline personality disorder.
describe the core concept of personality. The totality of emotional and behavioral characteristics that are particular to a specific person and that remain somewhat stable and predictable over time.
what are advance directives? Legal documents that a competent individual may sign to convey wishes regarding future health-care decisions intended for a time when the individual is no longer capable of informed consent.
what might advance directives include? (1) a living will, where the person identifies the type of care that they do/don't wish to have performed and (2) DPOA for health care, where someone names a person who is given the right to make health care decisions if they cannot do so for themselves
what is anticipatory grief? A subjective state of emotional, physical, and social responses to an anticipated loss of a valued entity. The grief response is repeated once the loss actually occurs, but it may not be as intense as it might have been if this has not occurred
what is bereavement overload? An accumulation of grief that occurs when an individual experiences many losses over a short period of time and is unable to resolve one before another is experienced. Common among the elderly
what is delayed grief? No evidence of grief when it ordinarily is expected. Sometimes caused by cultural influences.May be pathological. Person remains fixed in denial stage of grief process. May take place years later, May be manifested as overreaction to another person's loss
what is hospice? A program that provides palliative/ supportive care to meet the special needs arising out of the physical, spiritual, social, and economic stresses that are experienced during the final stages of illness and during bereavement
what is luto? In the Mexican-American culture, the period of mourning following the death of a loved one, which is symbolized by wearing black, black and white, or dark clothing and by subdued behavior
what is mourning? The psychological process (or stages) through which the individual passes on the way to successful adaptation to the loss of a valued entity.
what is shiva? In Jewish-American culture, following the death of a loved one, it is the 7-day period beginning with the burial. During this time, mourners do not work, and no activity is permitted that diverts attention from thinking about the deceased
what is velerio? In Mexican-American culture, following the death of a loved one, it is a festive watch by family and friends over the body of the deceased person before burial
describe the core concept of grief. Deep emotional and mental anguish that is a response to the subjective experience of loss of something significant
describe the core concept of loss. The experience of separation from something of personal importance.
Created by: 794731896