Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Nursing 4 Exam 1

foundations for mental health nursing

QuestionAnswer
what is mental health successful adaptation/harmony & balace in the individual, family & friends and community evidenced by thoughts, feelings & behaviors
to be sane (legal definition) take responsibility for self and behavior
"normality" of behavior determined by... the culture
what is mental illness? a sense of disharmony w/aspects of living that are distressing t the individual, family, friends and community. evident in thoughts, feelings and behaviors
mental illness interferes with functioning of social, occupational and physical
how can a person be committed to a hospital if there a dangerous to themselves or others
DSM-IV-TR multiaxial evaluation system
Axis I all mental health disorders except those on Axis II (peronality disorders & mental retardation)
Axis II personality disorders and mental retardation
Axis III general medical conditions (after surgery)
Axis IV psychosocial and environmental problems (divorce,flooding, 9-11)
Axis V Individual's psychological, social, & occupational functioning on th global assessment of functioning (GAF) scale--level of functioning before then now ex-50/100,30/100,70/100
anxiety primary psychological response patterns to stress
affect of anxiety thoughts, feelings, and behaviors-can interfere with functioning
psychological responses to anxiety diffuse apprehension--vague feelings of uncertainty & hopelessness
4 levels of anxiety was created by Hildegard Pepleu (mother of anxiety)
4 levels of anxiety mild (seldom a problem), moderate-perceptual field diminishes, severe-perceptul field-so diminished, panic-the most intense state
psychological responses behaviorly for mild level of anxiety use coping mechanisms to deal with stress (eating, drinking, sleeping, physical exercise, smoking, crying, laughing, talking to persons w/whom they feel comfortable)
denial #1 defense mechanism
displacement when your angry/upset w/someone you take it out on someone else
introjection take quality of someone else and take that as your own
projection feeling something but using someone else as they feel that way when they don really feel that way
reaction formation act oppostie of how you feel
1990 was the year of the brain
moderate to severe level of anxiety has a number of physiological disorders
neurobiological theory principles brain dysfunction & behavior, genetic influences on behavior, social and developmental factors & gene expression, learning and neuron function
the neurobiological theory includes genomics(genes-susceptibility), diathesis(stress model), gender, neurotransmission(concern with levels), biological rhythms
older theories of mental disorders were based on intrapersonal, gender bias, crisis, behavioral, cognitive
Id no inhibition, immediate gratification
intrapersonal theories according to Sigmund-Freud psychoanalytic approach, organized the structure of personality into 3 components, psychosexual development(oral,anal,phallic,latency,and genital)
3 components that Sigmund-Freud organized the structure of personality id, ego, superego
ego rational self
superego perfection, OCD
Theory of psychosocial developemt according to Erikson is based on the influence of social processes on the development of the personality
Erikson had how may stages of development 8 and the major development tests
Eriksons stages of development trust vs mistrust, autonomy vs shame and doubt, initiative vs guilt, industry vs inferiority, identity vs role confusion, intimacy vs isolation, gerativity vs stagnation, ego integrity
trust vs mistrust birth-18 months
autonomy vs shame and doubt 18 months-3 yrs
initiative vs guilt 3-6 yrs
Theory of psychosocial developemt according to Erikson is based on the influence of social processes on the development of the personality
Erikson had how may stages of development 8 and the major development tests
Eriksons stages of development trust vs mistrust, autonomy vs shame and doubt, initiative vs guilt, industry vs inferiority, identity vs role confusion, intimacy vs isolation, gerativity vs stagnation, ego integrity
Intimacy vs isolation 20-30 yrs
trust vs mistrust birth-18 months
autonomy vs shame and doubt 18 months-3 yrs
initiative vs guilt 3-6 yrs
ego integrity 65 yrs-death
idustry vs inferiority 6-12 yrs
identity vs isolation 12-20 yrs
harry stack sullivan focus:relationship
Intimacy vs isolation 20-30 yrs
hildegard peplau mother of psych
a nursing model by peplau applies interpersonal theory to nurse-client relationship development
gernerativity vs stagnation 30-65 yrs
ego integrity 65 yrs-death
abraham maslow physiologic or growth related needs--to be met vefore h/she can fulfill full potential
peplau sees interpersonal experiences as learning experiences for nurses to facilitate forward movement/improvement of pt's personality
harry stack sullivan focus:relationship
hildegard peplau mother of psych
a nursing model by peplau applies interpersonal theory to nurse-client relationship development
peplau sees interpersonal experiences as learning experiences for nurses to facilitate forward movement/improvement of pt's personality
crisis theory usual resources and coping skills are ineffective
four stages of personality development by peplau? stape 1-learning to count on others, stage 2-learning to delay satisfaction, stage 3-identifiying oneself, stage 4-developing skills in participation
crisis theory usual resources and coping skills are ineffective
balancing factors of crisis theory perceptions, coping skills, support systems
behavioral theory was by B.F. Skinner
behavioral theory focus' on a person's actions
behavioral theory believes that behaviors are learned & can be modified
behavioral theory operant reinforcement (system of reward and punishment)
cognitive theory was developed by Aaron Beck
cognitive theory according to Aaron Beck believes that emotional and behavioral dysfunction is r/t cognitive distortion-can be changes
standards of psychiatric-mental health nursing practice standard I-assessment, standard II-diagnosis, standard III-outcome identification, standard IV-planning, standard V-implementation, standard VI-evaluation
assessment interview, observation, psychosocial assessment, neuropsychiatric assessment, physical assessment
Outcome Identification & planning NANDA nursing diagnosis, Nursing Outcome Classification (NOC), planning nursing priorities
Implementation Roles of the Psychiatric Nurse(acc. to Peplau)
Roles of the Psychiatric Nurse(acc. to Peplau) socializing agent, teacher, model, advocate, counselor, role player, milieu manager
Evaluation eval and document client progress toward outcome (formative & summative), self evaluation
conditions essential for developing therapeutic relationship rapport, trust, respect, genuine, empathy
Pre interaction phase of nurse client relationship obtain information, self assessment of feeling, fears, anxieties, etc.
Introductory/Orientation Phase of nurse client relationship introductions, roles & purpose; establish contract for intervention, confidentiality, gather assessment, set mutually acceptable goals, diagnosis & outcomes
working phase of nursse client relationship ongoing use of nursing process, therapeutic alliance/maintain trust & rapport, implementation focus-promote insight, work towards established goals, transference, coutnertransference
termination phase of nurse client relationship reminiscence, eval of progress, plans for future, coping w/feelings
Created by: jbittner