Basic Concept In Psychiatric Nursing Flashcards by JaeBhaybee BesstIsa

What are the characteristics of mentally healthy person ?

Attitude towards individual self
Growth, development and self actualization
integrative capacity
autonomous behavior
perception of reality
environmental mastery

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A state of well being in which a person is able to cope with the normal stresses of daily life and his ability to realize his potential.

Mental Health

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A state of imbalance characterized by a disturbance in a persons thought, feelings, and behavior

Mental ill health

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Major factor that increase mental illness at home

Abuse and poverty

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Interpersonal process whereby the professional nurse practitioner through the therapeutic use of self, assist an individual family group of community to promote mental health

Psychiatric nursing

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What is the core of psychiatric nursing?

Human to human relationship

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Who are the clients of the nurse in psychiatric setting?

Individual family and community

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It is the science that deals with measures to promote mental health, prevent mental illness, and suffering and facilitate rehabilitation.

Mental hygiene

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What is the main tool of a nurse ?

Therapeutic use of self

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What is the core concept of the therapeutic use of self?

Self -awareness

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Understanding of ones personality, emotions and sensitivity, motivation, ethics, philosophy of life, physical ans social image and capacity.

Self-awareness

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What is the basis of the therapeutic use of self?

Joharis window

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Joharis window quadrants.?

Quadrant 1 social/public self
Quadrant 2 semi public self (blind quadrant)
Quadrant 3 private self (hidden quadrant)
Quadrant 4 area of the unknown (inner self)

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One can increase knowledge by

Listening to one self

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What are the levels of intervention on psychiatric nursing?

Primary
Secondary
Tertiary

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Interventions aimed at the promotion of mental health and lowering the rate of cases by altering the stressors

Primary

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Intervention that limits the severity of a disorder

What are the two components ?

Secondary

case finding
prompt treatment

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Interventions aimed at reducing the disability after a disorder

What are the two components ?

Tertiary

prevention of complication
active program of rehabilitation

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What are the characteristic of psychiatric nursing ?

Empathy
Genuineness/congruence
Unconditional positive regard

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What are the roles of the nurse in the psychiatric settings?

Ward manager 
Counselor
Parent surrogate
Patient advocate
Teacher
Technician 
Therapist 
Reality base
Heathy role model

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General assessment

Facial expression 
Grooming 
Body language 
Behavior 
Communication

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Therapeutic communication basic elements

Sender
Message
Receiver
Feedback

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Nonverbal aspect of therapeutic communication

Kinetics 
Proxemics
Touch
Silence
Paralanguage

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An overt response to stimuli of a suggestive nature where a body posture is imposed by another because of fear or hallucinations

Waxy flexibility

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The introjection of a high level of anxiety and other emotions perceived in response to a threatening situation

Pathological limb rigidity

Ritualistic displacement of anxiety through repetitive actions carried out against the pt's conscious wishes which have symbolic relationship to underlying conflict.

Compulsion

A compulsive displacement of anxiety of automatic duplication of the immediately observed movements and gesture by another individual in the patients presence.

Echopraxia

Sudden, unpredictable outburst of activity without first thinking about the rationality and affects of the behavior

Impulsiveness

Involuntary jerking and twitching of some part of the body, usually localized in the neck face and head,

Tics and spasm

Repeating the speech of another, like resounding echo, as if experiencing a compulsion to respond

Echolalia

The injection of witty or clever remarks into a conversation, or the humorous use of a word in such a way as to suggest a different meaning,

Punning

Phrases or whole sentences with similarly ending lines as in a lyrical poetic manner during conversation or writing

Rhyming

A linkage of words with similar sounds

Clang association

Coinging pf new words that have symbolic meaning

Neologism

Sudden stop of speech Which occurs when the trend of thought has been lost

Blocking

Verbal responses which are not pertinent to or related to the immediate communication content, giving the impression of distractibility or a defect in comprehension and thought process

Irrelevance

The inclusion in conversation by a highly anxious individual of many unnecessary details, scattered thought and explanations,

Circumstantiality

With one slight relevance to the subject matter being discussed

Tangentiality

A continuous stream of conversation with rapid shifts in topics owing to pressure of thoughts, topic jumping

Flight of ideas

A disconnected flaw of communication made up of a mixture of words, phrases and sentences which sounds meaning less

Word salad

The state of silent or voiceless

Mutism

Repetition of words or phrases

Verbigeration

An abnormal exaggerated feeling of well being which is out of proportion to the environmental and interpersonal stimuli

Euphoria

An effective reaction extending beyond a state of euphoria.

Elation

A reduction or dulling of emotional response to stimuli so that one reacts with less interest, attention, and feeling than normally.

Apathy

A flattening of the effect or loss of the capacity to experience and express emotion at normal intensity.

Blunting

A belief that one is under the stronger influence of another person or force

Alien control

Expressing the delusion that one has the abilities which may be linked to the powers of a supreme being.

Comic identification

Ones perception of the world being unreal

Depersonalization

The pt believes he is some one and acts like that person

Transfer of personality

Memory defect vary in degree and type and may be organic

Memory impairments

A reduction in mental alertness and awareness which may vary in degree and depth from drowsiness to comatose

Stupor

Falsification of facts or distortion of memory is bit deliberate but the result if mental deterioration which produces gaps in memory that motivate defensive compensatory actions (memory gaps)

Confabulation

False logic of a fabtastic nature that is motivated be low self esteem and weak superego

Pseudologica fantastica

The coexistence of twi opposing drives desires feeling or emotions

Ambivalence

Feeling emotionally out of harmony with a situation

Irritability

Characterized as emotional instability, a quick shift in his emotional response.

Lability

Lack of trust in others

Suspicion

Being able ti recognize and accept the fact that one is ill even though the dynamics of the illness are not understood

Insight

Being unaware of the correct date, time, place etc,

Disorientation

Having an ability to understand communication as well as what is taking place in ones environment

Comprehension

The interference of anxiety and environmental stimuli with ones ability to focus attention upon communication and occurrences

Distractibility

An inability to adequately comprehend a situation or recognize the logic of explanation owing to intellectual impairments caused by organic changes or psychic conflict

Impairment of judgement

Being able to focus ones special senses and intellectual response upon communication and environmental situation for a period of time,

Attention

Being readily responsive to stimuli of a suggestive nature

Suggestibility

Persistent introspection and inward reflection, thus internalizing instead of externalizing intellectual activity and affect

Preoccupational

Impairment of the special senses by which the pt perceive in the response to his own inner stimulation

Hallucination

A misinterpretation of an external stimulus by an of the special senses

Illusion

A false belief to which the pt. Clings that is motivated by the affective aspect of the personality

Delusions

A belief that is held by the pt that something in the environment has a meaning intended for him

Ideas of reference

A nurse client interaction is directed toward enhancing the clients well being

Therapeutic relationship

Elements of therapeutic relationship

- contract - boundaries - confidentiality - therapeutic nurse behavior

Unconcious specific intrapsychic adaptive effort which are employed by the person ti resolve emotional conflict and to cope with anxiety

Defense mechanism

Basic Concept In Psychiatric Nursing Flashcards

(73 cards)