Flashcards in Mental Health 1 Deck (69):
What is the definition of behavior?
The person performs ADLs.
What is the definition of mental health?
The ability to cope and deal with everyday stressors.
What is the number of people that are in need of mental health services?
1 in 8
Dr. Philippe Pinel advocated what type of care for the mentally ill?
The first psychiatric nurse?
Most people who function normally from day to day, but what can decrease their functioning capacity?
Stress or crisis
Using Sigmund Freud's personality theory that identifies the influence of the Super Ego, what action would you observe someone doing to support that theory?
Giving back a $5 bill that a stranger left on the table.
Using Sigmund Freud's personality theory, you would recognize a strong ego if the patient:
Laughed at himself for being foolish.
What would be an example of someone using an effective coping mechanism is they had too much work to complete?
If you perceive that someone or something is threatening you, what emotion will you feel?
Fear and anxiety
What is the ability to positively adjust to a changing life situation?
Reverting to an earlier stage of coping is called:
If a patient if blaming their actions, what mechanism are they using?
If a patient refusing an event occured or doesn't exist, even though it does, what is this called?
What is attributing to other's characteristics that they don't want to acknowledge?
Is behavior learned or is it just there?
What is an intervention you can do as a nurse to help build a trusting relationship with your patient?
Provide information and educate the patient about what, when, and why something is going to happen.
The #1 priority as a nurse when developing a care plan for a mentally ill patient is to assess what?
Their emotional status - see what their needs are.
If someone has a pulse of 120, RR 30, BP 160/90 what degree of anxiety are they experiencing?
A good technique to use with older patients who are despondent about having to leave their homes:
If a patient was out of touch with reality are they going to be on the wellness or illness end of the mental health care continuum?
Based on Sigmund Freud's theory, a newborn's personality is what?
Based on Sigmund Freud's theory, what part of a person's personality is concerned with reality?
What is the difference between Identity and Self-Concept?
Identity - strong concept of who you are as a person and what you aren't.
Self-Concept - values are influenced on everything you know and experience.
Is the response to stress positive or negative?
What level of anxiety will usually produce a positive reaction?
What is a coping response?
How you adjust to a stressful situation, can be positive or negative.
What are conscious/unconscious behaviors that protect us against real or perceived threats?
If you are trying to develop a trusting relationship, what position should you be in when communicating with the patient?
At eye level with the patient; face to face.
When someone suddenly becomes ill, you will begin to see which of the following behaviors?
Characteristics of an assertively communicating nurse:
Skilled in a variety of communication strategies.
Positive attitude about communicating directly and honestly.
Feeling comfortable and in control of anxiety, tenseness, shyness or fear.
Confidence that you can conduct yourself in a respectable manner.
Honoring the fact that you and the other person both have rights.
Characteristics of an assertive nurse:
Maintains eye contact.
Clear concise speech.
Speaks firmly and positively.
Speak genuinely, without sarcasm.
Initiative to guide situations.
Gives the same message verbally and nonverbally.
The signs and symptoms of panic:
Feeling extreme terror.
Reality is distorted.
Potential for harm.
Signs and symptoms of mild anxiety:
Increase in awareness of danger.
Heightened awareness, and quick thinking.
Ready for action.
Signs and symptoms of moderate anxiety:
Alert to only specific information.
Prone to outbursts.
Physical (headache, GI disturbance, back pain, increased v/s)
Signs and symptoms of severe anxiety:
Feels impending danger.
Changes in vital signs.
Define behavior (1122)
The manner in which a person performs any or all of the activities of daily life.
Define concept of mental health (1122)
One's ability to cope with and adjust to the recurrent stresses of everyday living.
What was Dr. Philippe Pinel famous for changing? (1123)
The director of two Paris hospitals. Changed the concept of care for the mentally ill. Advocated humane care and maintenance of case history and conversation records.
Classified illness by behavior.
In order to classify a person as mentally ill they must exhibit this behavior: (1122)
Mental illness often consists of a pattern of behaviors that is conspicuous, threatening, and disruptive of relationships, or that deviates significantly from behavior that is considered socially and culturally acceptable.
Disorders are a manifestation of dysfunction (behavioral, psychological, and biologic).
Freud's Id (1126)
Operates on primitive level, aims at experiencing pleasure and avoiding pain. Constant gratification. Entire personality at birth. Not in contact with the outside world so doesn't change by experience. Untamed passion.
Freud's Ego (1126)
Mediates between self and the environment. Expresses anxiety. Decides how to act and when to act. Reason and good sense.
Freud's Super Ego (1126)
Moralistic censoring force. Develops from the ego in response to reward or punishment from others. Strives for perfection and morality. Conscience, self-observation and formation of ideals.
Vague feeling of apprehension that results from a perceived threat to the self. A universal emotion.
A nonspecific response of the body to any demand made on it. Our response to a stressful situation is often a result of learned or conditioned behavior.
Makes up for deficiency in one are by emphasizing another.
Construct to justify one's behavior.
Discharges sexual or aggressive energy in a socially productive way.
Phases of crisis (1131)
Confusion, disbelief, and high anxiety.
Denial, with grasping that everything will be all right.
Anger and remorse, when reality sinks in.
Sadness and crying.
Reconciliation, acceptance that life will continue but different than before.
Mild Anxiety (1127)
Awareness of danger, ready for action, motivated, heightened awareness, able to think and make decisions.
Moderate Anxiety (1127)
Tension, perception decreased, alert, physical symptoms manifest.
Severe Anxiety (1127)
Feels impending danger, distorted perception, fatigued.
Panic (Anxiety) (1127)
Extreme terror, possible immobilization, reality distorted, personality disintegration, potential for harm.
Freud's infant personality is primarily (1126)
Which one of Freud's personalities deals with reality (1126)
Ego; the reality factor.
The assessment we make about personal worth. Comprises the thoughts and feelings each of us holds about ourselves.
4 parts of Self (1126)
Personal identity (1126)
Organizing principle of the self; it is the "i"
Self concept (1126)
More than the total of the four parts of self. It is the frame of reference we use for all we know and experience. Includes all perceptions and values each of us holds and our behaviors and interactions.
Positive stress (1127)
Facilitates individual growth and development.
Negative stress (1127)
Overwhelming, yielding negative results, characteristics of ineffective coping.
Level of anxiety which facilitates problem solving (1127)
Mild; heightened awareness, ready for action, increased motivation.
Coping response (1128)
Responses we use to reduce anxiety brought on by stress. Often we use coping responses both consciously and unconsciously to adjust to stress without changing our actual goal.
Common coping responses include: overeating, drinking, smoking, withdrawal, talking, yelling, exercising, fighting, pacing, and music.
React to stressful situations and you react to save your life (1130)
Anxiety; fight or flight response.
Anything that interferes with goal directed activity. This concept is important in understanding the individual's response to frustration. Some people are more flexible and adaptable than others. When adaptive behavior fails, anxiety increases.
Behaviors typically seen with illness (1130)
Signs and symptoms of panic (1127)
Feeling extreme terror, possible immobilization, distorted reality, disintegration of personality, potential for causing harm.
Hippocrates view on illness (1123)
An imbalance of humors based on the fundamental elements of the world. Humoral theory pertains to the body fluids.