Question | Answer |
Mental Health | ability to adjust and cope to everyday stresses |
Mental Illness | clinically significant behavioral or psychological syndrome or pattern that occurs in an individual outside of socially acceptable behavior |
Nature vs Nurture | environment vs genetics; Genetic markers that make people pre-disposed to mental illness; Divorce=enviroment/depression=genetic predisposition |
”Empty Bucket” syndrome | Not filling up your bucket w/ good things, but depleting your bucket |
Physiological Needs | Needs having to do with physical processes in the human body |
Psychosocial Needs | Needs having to do with relationships within oneself and others. |
Psychotherapeutic Management | Model for Nursing care that balances the three primary intervention models used by psychiatric nurses; psychotropic drugs, Milieu management, Therapeutic communication |
Psychotropic Drugs | SSRIs and Antipsychotic |
Milieu Management | pts feel safe and secure (in the unit) |
Therapeutic Communication | |
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 |
Freud: Psychoanalytic Model Key Concepts | Personality consists of three processes that function together as a whole to bring about behavior Harmony = Stability Disharmony = Conflict |
Id | Operates on pleasure principle |
Ego | focuses on “reality principle” |
Superego | concerned with right and wrong (conscience) |
Freud 3 parts of the Mind | Conscious; Unconscious; Preconscious |
Freud Goal of Therapy | bring unconscious into consciousness allowing insight into causes for current behaviors |
Psychoanalysis | Free Association & Dream Analysis |
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 |
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 |
Developmental method Relevance to Nursing Practice | Assessment – behavioral manifestations Therapeutic Interventions |
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 |
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 |
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 |
Maslow's 5 stages | 1. Physiological 2. Safety 3. Social 4. Esteem 5. Self-Actualization |