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2013 Fall with Heaton

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Question
Answer
What drug changed the way of mental health?   thorazine  
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Who traveled the country trying to treat mental patients and gaining fame?   Walter Freeman  
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What procedure did Walter Freeman perform?   transorbital lobotmy  
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The NMA definition of mental health   how a person thinks, feels, and acts when faced life's situations  
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Criterion of mental health (7)   happiness, control over behavior, appraisal of reality, effectiveness in work, a healthy self-concept, satisfying relationships, effective coping strategies  
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mental illness is   clinically significant behavioral or psychological syndrome or pattern that occurs in a person that can be distress or disability or decreased functioning  
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mental illness is not   an expected and culturally sanctioned response to a specific event  
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resilience   factors that can affect the mental health of a person as well as the severity of problems and progression of mental illness  
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diathesis-stress model   biological predisposition of stress nature & nuture  
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levels of investigation   descriptive, analytical, experimental  
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case reports   descriptive epidemiology  
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cross sectional studies   descriptive epidemiology  
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case control studies   analytical epidemiology  
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cohort studies   epidemiology  
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test assumption & manipulates data   epidemiology  
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broad field that addresses what happens to people with illnesses who are seen by health care providers   clinical epidemiology  
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treatment strategies   clinical epidemiology  
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concerned with the distribution and determinants of health and diseases, morbidity, injuries, disabilities, and mortality in the population   epidemiology  
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the existing number of cases present in a population at a given time. total number   prevalence  
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new cases during a certain period of time in a population   incidence  
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DSM used for   diagnosing a disorder  
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levels of awareness   conscious, preconscious, unconscious  
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personality structure   id, ego, superego  
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intellectual logic   conscious  
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not immediate awareness but can recall   preconscious  
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not available and not logical and operates on pleasure principle. but effects other levels.   subconscious  
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purpose of all behavior is to get needs met through interpersonal interactions and decrease or avoid anxiety   Sullivan's Theory  
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measures used to decrease things to defend against anxiety   security operations  
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conditioning   How a person thinks, feels, & acts when faced with life’s situations  
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Generalization   process of learning to be afraid of familiar objects  
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interpersonal theory   Sullivan  
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Ego theory   Erickson  
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Humanistic Theory   Maslow's  
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Psychoanalytical Theory   Freud  
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primary process   Id  
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problem solver & reality tester   Ego  
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moral component   superego  
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classic conditioning   Pavlov  
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Behaviorism theory   Watson  
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operant conditioning theory   Skinner  
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levels of anxiety, interpersonal relations, & self-awareness   Hildegard Peplau  
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classical psychoanalysis   to guide to independence by assuming responsibility for their behavior. Tries to assign correct meaning in presents  
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Transference   pt displaces onto the nurse feelings toward someone else  
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Countertransference   nurse displaces onto the patient feelings toward someone else  
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Psychodynamic therapy   uses tools psychoanalysis. Therapist is more active in the process & the duration of therapy is usually longer  
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Interpersonal psychotherapy   focus on reassurance & improvement in the community  
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Cognitive Therapy   therapists helps to correct distorted ideas  
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types of behavioral therapy   modeling, operant conditioning, systematic desensitization, aversion therapy  
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Aversion therapy   punishment if act is done. a last resort.  
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Used for: Alcoholism, shoplifting, sexual deviation   Aversion therapy  
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Milieu Therapy   safe supportive environment group therapy  
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Mental Health Team meets when?   within 72 hrs of admission  
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Case Manager Role    Coordinates care  Establishes nurse-client relationship  Communicates daily/weekly with insurer  Provides treatment team with guidance of resource availability  
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Goal of Case Manager    Recovery from acute symptoms  Reduce recidivism  Enhance quality of life  
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Management #1 Responsibility   safety  
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Ethical dilemma   conflict between actions with favorable & unfavorable consequences  
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Ethics   study of philosophical beliefs of right & wrong  
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Bioethics   used in ethical dilemmas for healthcare  
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Beneficence   duty to promote good  
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Autonomy   respecting right to make own decisions  
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Justice   distributing resources equally  
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Fidelity   maintain loyalty & commitment & do good  
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Veracity   duty to communicate truthfully  
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Conditional release   outpt. & must follow up for certain time  
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Forensic nursing   applying nursing to court of law for accurate decisions, collects evidence, etc.  
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5 Principles of Bioethics   -Beneficence -Autonomy -Justice -Fidelity -Veracity  
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Voluntary   16 years & older, durable power of attorney, mental health treatment  
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Involuntary admission   emergency, evaluated in community, risk for serious harm  
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pt rights   treatment, refuse treatment, informed consent  
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Mood   what pt. tells you about how they feel  
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Affect   emotional tone looks to you  
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Neologisms   made up unintelligible words  
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Thought Blocking   stops abruptly thought is pulled out  
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Circumstantialities   pattern of wandering with excessive details  
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Hallucinations   hearing or seeing what no one else can  
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Illusions   something reality is misinterpreted like lamppost is a man  
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recall   few mins  
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recent   a few days  
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remote   long time ago  
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Social Relationships   communication gives advice or asks for help, content is superficial, mutually met needs, & little evaluation  
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Intimate Relationships   mutual goals that are agreed upon, mutual needs are met, emotional commitment to each other, personal info & intimate desires are shared  
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Genuineness   ability to communicate one’s feelings & listening without distorting the message. Key in building trust  
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Self-awareness   ability to examine personal feelings, understand & accept self, increase self-knowledge, increases capacity to experience new things with self-disclosure  
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Empathy   feelings & ideas of client accurately perceived & understood. Feeling with the person  
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Positive Regard   respect communicated indirectly by actions, works with client to develop personal resources, & is nonjudgmental focus  
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Blurred Boundaries   relationship shifts from therapeutic to social  
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Transference   person unconsciously displace onto individual current life emotions & behaviors from childhood that originated in relationships with significant others. Intensified with authority figure.  
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Countertransference   nurse displaces onto client feelings related to people in nurses past. Often result of transference  
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Personal Characteristics of Nurse to Promote & Grow Relationship   Genuiness, Empathy, & Positive Regard  
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Orientation   supports & encourage articulation of problems & begins termination  
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Working phase   o maintains relationship o gathers data o promotes self-esteem o guide & supports through problem solving  
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Termination   o Verbally deal with intense feelings regarding experiences o Summarizes goals & objectives o Finalizes phase  
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Communication   an interactive process between 2 or more persons  
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Convey   interests & understanding or insult & judgment, messages clearly or conflicting or implied messages, clear, honest feeling or disguised distorted feeling  
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attending behaviors   eye contact, body language, & touch that are culturally & individually appropriate  
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paraphrasing   restating  
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reflecting   form of a question  
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exploring   to find out more info  
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process recording   increases interview & communications skills by recording a segment of nurse-pt. session  
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communication process   sender->msg->receiver->media  
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Symmetrical   factors equal ie. 2 friends  
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complementary   factors equal ie. 2 friends  
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intimate distance   0-18"  
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personal distance   40"  
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social distance   4-12'  
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clarifying techniques   paraphrasing, reflecting, exploring  
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7 characteristics of a group   size, defined purpose, degree of similarity, rules, boundaries, content, & process  
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group   2 or more people that come together for the purpose of pursuing common goals &/or interests  
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4 advantages of group work   saving costs, benefit understanding from peers, safe setting, promote feeling of belonging  
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3 disadvantages of group work   time constraints, confidentiality concern, & disruptive behaviors  
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group content   info shared in group  
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group process   how people talk to one another in the group  
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group norms   expected behavior in a group giving it structure  
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group themes   common emotion or problem shared by many of the group members  
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feedback   letting people know how they affect each other  
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conflict   a disagreement in the group  
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heterogeneous groups   group full of differences  
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homogenous   share a common trait like specific gender or disorder  
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closed group   only people with membership is allowed no new members are added  
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open group   new members are welcome & are added when others leave  
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subgroup   a smaller group withing a larger group that functions separetly  
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identified factors that make group therapeutic   Irvin Yalom  
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instillation of hope   leader shares optimism about group treatment & members share their improvements  
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universality   members realize they are not alone in their problems, feelings, or thoughts  
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imparting of info   participants receive formal teaching by by the leader or advice from peers  
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altruism   members feel a reward from giving support to others  
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imitative behavior   members may copy behaviors from the leader or peers & can adopt healthier habits  
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interpersonal learning   members gain insight into themselves based on the feedback from others. this is a complex process that occurs later in the group after trust is established  
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group cohesiveness   arises in mature groups when each member feels connected to the other members, leader, & group as a whole. member can accept + feedback & constructive criticism. powerful factor  
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catharsis   intense feelings are shared  
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group leadership responsibilities   initiating, maintaining, and terminating group  
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autocratic leadership   exerts control over the group & does not encourage much interaction among members  
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democratic leadership   supports extensive group interaction in the process of problem solving  
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laissez-faire leadership   allows the group members to behave in any way chosen & doesn't attempt to control  
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psychoeducational groups   increases knowledge or skills about a specific somatic or psychological subject. members communicate emotional concerns  
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medication education group   teaches about medications, answers questions, & preps for self-management  
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health education   teaches them about a topic ie. sex education  
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dual diagnosis group   incorporate learning about co-existing mental illnesses & substance abuse  
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symptom management groups   common symptom resulting from a disorder the group focuses on sharing +/- experiences in coping to learn from another  
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stress management group   teach about various relaxation techniques like deep breathing, exercise, music, & spirituality  
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self-help groups   provide pts with opportunity to maintain or enhance personal & social functioning through cooperation & shared understandings  
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group psychotherapy   treatment intervention where trained leader establishes purpose of treating pts  
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psychodrama group   members are encouraged to act out life experiences of situations for purpose of learning & insights  
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dialectical behavior treatment   pt seen each wk with goal of improving skills & reduce self-destructive behaviors. discouraged from making observations  
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group therapy is about what?   working through problem & behaviors  
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monopolizing member   talkative inhibits chance to be heard  
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fix for monopolizing member   remind equal chance to talk, request someone who haven't heard speak, speak to that member in private  
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complaining member   rejects help but continually brings environmental or somatic problems & takes pride in it  
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fix for complaining member   acknowledge pessimism but maintain neutral affect  
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demoralizing member   - behavior & refuses to take any responsibilities. challenges the group leader  
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fix for demoralizing member   talk to them in private, focus on + members, empathize in a matter-of-fact manner  
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silent member   observing for safety 1st. can't benefit from feedback & insights if uncomfortable or mistrust  
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fix for silent member   give more time to think & come back to them, assign a topic for all to respond, break up groups into pairs  
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expected outcomes   vary between group types  
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education outcome   demonstration of knowledge  
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therapy outcome   focus on insights, behavior changes, & reduction of symptoms  
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