Exam 1 Flashcards

(102 cards)

1
Q

Mental health continuum

A

Shows how functioning may change over time

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2
Q

Diathesis-stress model

A

Diathesis represents biological predisposition and stress represents environmental stress/trauma

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3
Q

Mental health parity

A

Equality of funding from insurance companies for mental health

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4
Q

Epidemiology

A

Helps identify high risk groups and behaviors and causes of some behaviors

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5
Q

Prevalance rates

A

Identify proportion of population experiencing a specific mental disorder at a given time

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6
Q

DSM-5

A

Criteria for psychiatric disorders and appropriate interventions

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7
Q

Standardized nursing classification system

A

Used to form and communicate patient problems

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8
Q

Institute of medicine (IOM) & quality and safety education of medicine (QSEN)

A

Made mandates to prepare future nurses with knowledge, skills, and attitudes necessary for quality and safety - includes the 6 competencies of nursing

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9
Q

6 competencies of nursing

A

Patient centered care
Teamwork and collaboration
Evidence based practice
Quality improvement
Safety
Informatics

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10
Q

Therapeutic use of self

A

Using personal personality traits to promote healing in others

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11
Q

Values

A

An ideal, positive or negative, of what is important in life
Ex. Self resilience, honesty, cleanliness, organization, justice, respect, healthy lifestyle

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12
Q

Opinion/conviction

A

Something you hold to be true, confidence, trust, or faith, religious tenets or creed

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13
Q

Transference

A

Pt views nurse as being similar to someone they know

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14
Q

Countertramsference

A

Pt reminds the nurse of someone they know

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15
Q

Paplaus Preorientation phase

A

Obtain info about pt, examine one’s own feelings

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16
Q

Paplaus Orientation phase

A

Introduction, establish rapport, specifying a contract, explaining confidentiality

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17
Q

Paplaus working phase

A

Increased levels of anxiety and recognize dysfunctional responses
Identify and explore areas that are causing problems in pts life and evaluate coping mechanisms

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18
Q

Paplaus termination phase

A

Summarizes goals and objectives that have been achieved
Exchange memories to validate experience and facilitate closure

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19
Q

Psychotherapy

A

Group of theoretically based therapies used by ARNPs

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20
Q

Empathy

A

Understanding the feelings of others

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21
Q

Sympathy

A

Felling pity for others BAD

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22
Q

Content level of communication

A

Verbal speech

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23
Q

Process level of communication

A

Nonverbal behavior

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24
Q

Personal factors that can affect communication

A

Psychiatric disorder

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25
Environmental factors of communication
Noise lack of privacy
26
Relationship factors of communication
Equality Difference in power
27
Beliefs
Opinions Religions Trust Faith
28
Nontherapeutic communication
Excessive questioning Giving approval/disapproval Giving advice Asking why questions
29
Kinesic communication
Nonverbal communication made by body movements, facial expressions, body posture and gestures
30
Vocal quality/paralanguage
Volume pitch, rate and fluency Improves rapport and demonstrates empathy
31
Proxemics
Significance of physical distance between individuals
32
Intimate distance
18 in Who we trust the most/ feel safe
33
Personal distance
18in-4ft Friends/colleagues
34
Social distance
4-12 ft Strangers/acquaintances Public spaces/ social gatherings
35
Public distance
12ft or more Public speaking Party may move while speaking
36
Resilience
Effective on not focusing on negative thoughts
37
Stigma
Belief that overall person is flawed Social shunning, disgrace, shame
38
Comorbidity
Presence of 2 or more disorders
39
Channel
Method where communication takes place (in person, telephone)
40
Encode
Develops messages
41
Decode
Determine meaning of message
42
Psychological noise
Mind is preoccupied with other thoughts
43
Physiological noise
Illness, HA, or fatigue that can impact communication
44
Double bind messages
Saying one thing but body language is saying another thing No-win situation
45
Paraphrasing technique
Restating what a pt says to confirm or interpret the message
46
Restating technique
Restating something the pt said to potentially gain more info Ex. Pt- “I feel empty” Nurse- “you feel empty?”
47
Reflecting technique
Pt states how they think another person views them and the nurse counters with another question and makes pt aware of their inner feelings
48
Exploring technique
Asking questions to get more info about something
49
Projective questions
Usually start with “what if…”
50
Freuds Id
Instincts, reflexes, and needs Lacks ability to problem solve and illogical
51
Freuds Ego
Problem solver and reality tester Differentiates subjective experiences, memory images, and objective reality
52
Freuds superego
Develops between 3-5 yrs old Moral component of personality Aware of the should and should nots Pride and guilt
53
Oral stage of development
0-1yrs Mouth sucking, biting, chewing
54
Anal stage of development
1-3yrs old Toilet training
55
Phallic stage of development
3-6yrs old Genitals/masturbation Sexual identity with parent of same sex
56
Latency stage of development
6-12yrs old Development of skills to cope with environment Develops feelings and able to care for others
57
Genital stage of development
12yrs and older Sexual intercourse, satisfaction of sexual and emotional relationships
58
Free association
Freely share whatever thoughts and words that come to mind
59
Dream analysis
Analyze dreams for symbolism
60
Defense mechanisms
Denial, projection, rationalization
61
Interpersonal therapy
Short term For grief/loss, interpersonal (relationship) disputes and role transition
62
Operant conditioning
Rewards and punishes voluntary behavior with reinforcement Ex. Ignoring a child when they’re acting out
63
Modeling therapy
Therapist provides model for pt to learn from - watching someone do the very thing they have a phobia of Role playing to have pt practice saying something to another person
64
Imaginable exposure
Imagining the phobia/trauma and describing thoughts/feelings
65
In vivo exposure
Confront fears in a real world setting
66
Aversion therapy
Providing negative feedback when undesirable thoughts/feelings occur Ex. Bitter spray on nails for nail biters
67
Biofeedback
Devices that monitor VS and coach pt through breathing exercises when needed
68
All or nothing thinking
Thinking in black or white Ex. If you aren’t first, you’re last
69
Overgeneralization
Using a bad outcome as evidence that nothing will ever go right again
70
Labeling
A characteristic/event defines and labels a person Ex. I failed my exam, I’m a failure
71
Mental filter
Focusing only on the negative details when there were more positive ones
72
Disqualifying the positive
Maintaining negative view on something even when info supports a positive view Ex. I got the job but they probably didn’t have any other applicants
73
Jumping to conclusions
Jumping to a negative conclusion with no evidence
74
Mind reading
Inferring negative thoughts of others Ex. Somebody yawns in a speech and you think she thinks you’re boring
75
Fortune telling error
Anticipating that things will turn out badly
76
Magnifying/minimization
Exaggerating or minimizing importance of something Ex. I’m alone on Saturday because no one likes me
77
Emotional reasoning
Drawing a conclusion based on emotional state Ex. If I’m nervous about the exam, I must not be prepared
78
Personalization
Assuming responsibility that was out of personal control Ex. Your party wasn’t fun because I was there
79
Schemata
Mental representation of the world
80
Piagets sensorimotor stage
0-2yrs Basic reflexes, spatial abilities, hand eye coordination
81
Piagets preoperational stage
2-7yrs old Think in concrete fashion Expects others to view world as they do Unable to conserve mass, volume or #
82
Piagets concrete operational stage
7-11 yrs Logical thought and abstract problem solving
83
Piagets Formal operational stage
11yrs old to an adult Basic abilities to think abstractly and problem solve mirroring an adult
84
Eriksons infancy stage
0-1.5yrs old Trust vs mistrust Forming attachment to mother
85
Eriksons early childhood stage
1.5-3yrs old Autonomy vs shame and doubt Gaining control of self, toilet training, exploring
86
Eriksons preschool stage
3-6 yrs old Initiative vs guilt Becoming purposeful and directive
87
Eriksons school age stage
6-12yrs old Industry vs inferiority Develops social, physical and school skills
88
Eriksons adolescence stage
12-20 yrs old Identity vs role confusion Developing sense of identity
89
Eriksons Early adulthood stage
20-35yrs Intimacy vs isolation Establishing intimate bonds of love and friendship
90
Eriksons middle adulthood stage
35-65 yrs old Generativity vs self absorption Fulfilling life goals and concerns about the future generations
91
Eriksons later years stage
65-death Integrity vs despair Looking back on life and accepting its meaning
92
Ethics
Study of beliefs of what is right and wrong
93
Bioethics
Specific ethical issues in healthcare
94
Beneficence
Act that benefits good of others
95
Autonomy
Pts right to making their own decisions
96
Justice
Distribute resources equally
97
Fidelity
Maintain loyal, do no wrong
98
Veracity
Truthful
99
Tort
Act that violates another persons rights/property
100
Negligence
Failure to use ordinary care in a situation when you have the duty to do so
101
Malpractice
Professional negligence
102
Malpractice
Professional negligence