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Psychiatric Nursing

Test Review for Psychiatric Nursing

QuestionAnswer
What are the 6 need in Maslow's hierarchy? Body, Security, Social, Ego, Self Actualization, Spiritual
What are Jahoda's 6 indicators of mental health? (1)Positive attitude toward self, (2) Growth, delopment and the ability of achieve self actualization (3)Integration (4)Autonomy (5)Perception of reality (6)Environmental mastery
Compensation Covering up real or perceived weakness by emphasizing a trait one considers more desirable.
Denial Refusing to acknowledge the existence of a real situation or the feelings associated with it.
Displacement The transfer of feelings from one target to another that is considered less threatening or that is neutral
Identification An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires.
Intellectualization An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis
Introjection Integrating the beliefs and values of another individual into one’s own ego structure
Isolation Separating a thought or memory from the feeling, tone or emotion associated with it.
Projection Attributing feelings or impulses unacceptable to one’s self to another person.
Rationalization Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors
Reaction formation Preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors.
Regression Retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning.
Repression Involuntarily blocking unpleasant feelings and experiences from one’s awareness
Sublimation Rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive.
Suppression The voluntary blocking of unpleasant feelings and experienced from one’s awareness.
Undoing Symbolically negating or canceling out an experience that one finds intolerable.
Criteria for diagnosis of MI Dissatisfaction, Ineffective relationships, Ineffective Coping, Lack of personal growth
Psychoanalytic Theory behavior is caused & can be explained (repression - Freud)
Developmental Theory essential to complete life tasks / stages (Erikson)
Interpersonal Theory inadequate or non –satisfying relationships produce anxiety
4 phases of nurse - client relationship in Interpersonal Therapy Orientation, Identification, Exploitation, Resolution
Roles of a nurse in Psychodynamic Nursing Counseling, Leadership, Surrogate, Stranger, Resource, Teaching
Concept behind Cognitive Theory Individuals’ affect and behaviors are determined by Cognitions & Schemata
Define Cognition Process of knowing including both awareness and judgment
Define Schemata Attitudes or assumptions developed from previous experience
Behavioral Theory Behavioral responses are learned and can be modified through system of rewards & punishment
List DSM IV Axis (I) All but MR & Personality disorders (II) MR & Personality disorders (III) Other medical issues (IV) Environmental Considerations
What is the most important aspect of the psychodynamic nursing process Assessment b/c it allows the establishment of a trusting relationship
Circumstantial Thinking Excessive, unnecessary details, eventually providing answer
Flight of ideas Fragments, unrelated words with excessive speed. Never answer.
Ideas of Reference Inaccurate interpretations that general events are directed at them
Created by: ncindasun
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