Test #1 - Defense Mechanisms/Higher Needs Flashcards Preview

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Flashcards in Test #1 - Defense Mechanisms/Higher Needs Deck (25):
1

What is the primitive, pleasure-seeking part (particularly sexual pleasure) of our personalities that lurks in the unconscious mind? (FREUD THEORY)

ID

2

What is our sense of self and acts as an intermediary between the id and the world by using defense mechanisms, such as repression, denial, and rationalization? (FREUD THEORY)

EGO

3

What is our conscience and is greatly influenced by our parents’ or caregivers’ moral and ethical stances?

SUPER EGO

4

In healthy individuals, the ___ is able to realistically evaluate situations, limit the ___'s primitive impulses, and keep the _______from becoming too rigid and obsessive

In healthy individuals, the EGO is able to realistically evaluate situations, limit the ID's primitive impulses, and keep the SUPER EGO from becoming too rigid and obsessive.

5

What are responses to stress and anxiety are affected by factors such as age, gender, culture, life experiences, and lifestyle?

DEFENSE MECHANISMS

6

___________ ______________ protect people from painful awareness of feelings and memories that can provoke overwhelming anxiety. Adaptive use of ___________ _____________ helps people lower anxiety to achieve goals in acceptable ways.

DEFENSE MECHANISMS protect people from painful awareness of feelings and memories that can provoke overwhelming anxiety. Adaptive use of DEFENSE MECHANISMS  helps people lower anxiety to achieve goals in acceptable ways.

7

What theory focuses on what occurs between people, and not the mind?

INTERPERSONAL THEORY

8

Who was considered the mother of psychiatric nursing, had a passion for clarifying and developing the art and science of professional nursing practice and believed that a scientific approach was essential to the practice of psychiatric nursing?

HILDEGARD PEPLAU

9

What are the 4 stages to Peplau's Phases of Interactions?

Pre-Orientation

Orientation

Working

Termination

10

What is the phase of Interactions where concerns focus on being afraid of people with psychiatric problems, saying “the wrong thing,” and being unaware of the proper responses to certain patient behaviors?

Pre-Orientation Phase

11

What phase of Interactions can last for a few meetings or can extend over a longer period. It is the first time the nurse and the patient meet, and they are strangers to each other. When strangers meet, they interact according to their own backgrounds, standards, values, and experiences. This fact—that each person has a unique frame of reference—underlies the need for self-awareness on the part of the nurse?

ORIENTATION PHASE

12

What phase of Interaction begins in the orientation phase. It also may be mentioned when appropriate during the working phase if the nature of the relationship is time limited (e.g., six or nine sessions). The date of the this phase should be clear from the beginning. In some situations the nurse-patient contract may be renegotiated when the date has been reached. In other situations, when the therapeutic nurse-patient relationship is an open-ended one, the date is not known?

TERMINATION PHASE

13

What phase of Interaction does the development of a strong relationship can allow the patient to experience increased levels of anxiety and demonstrate dysfunctional behaviors in a safe setting while trying out new and more adaptive coping behaviors?

WORKING PHASE

14

What are some specific tasks of the working phase of the nurse-patient relationship that remain relevant today in current clinical practice?

• Maintain the relationship.

• Gather further data.

• Promote the patient's problem-solving skills, self-esteem, and use of language.

• Facilitate behavioral change.

• Overcome resistance behaviors.

• Evaluate problems and goals, and redefine them as necessary.

• Promote practice and expression of alternative adaptive behaviors.

15

What are 4 items that occur during the termination phase?

• Summarizing the goals and objectives achieved in the relationship

• Discussing ways for the patient to incorporate into daily life any new coping strategies learned during the time spent with the nurse

• Reviewing situations that occurred during the time spent together

• Exchanging memories, which can help validate the experience for both nurse and patient and facilitate closure of that relationship 

16

What are 4 reasons that going through the termination phase is so important?

• Feelings are aroused in both the patient and the nurse with regard to the experience they have shared; when these feelings are recognized and shared, patients learn that it is acceptable to feel sadness and loss when someone they care about leaves.

• Termination can be a learning experience; patients can learn that they are important to at least one person.

• By sharing the termination experience with the patient, the nurse demonstrates caring for the patient.

• This may be the first successful termination experience for the patient. 

17

What is a healthy environment, combined with a healthy social structure within an inpatient setting or structured outpatient clinic is essential to supporting and treating those with mental illness?

THERAPEUTIC MILIEU

18

Therapeutic Milieu refers to the _________ in which holistic treatment occurs and includes all members of the treatment team, a positive physical setting, interactions between those who are hospitalized, and activities that promote recovery. 

Therapeutic Milieu refers to the ENVIRONMENT in which holistic treatment occurs and includes all members of the treatment team, a positive physical setting, interactions between those who are hospitalized, and activities that promote recovery. 

19

Most Therapeutic Milieu's goals are to .....

(4 of them)

Help increase patients’ self-esteem

Decrease social isolation

Encourage appropriate social behaviors

Educate patients in basic living skills

20

What is the goal of group therapy?

Assumes that interaction among participants can provide support or bring about desired change among individual participants. 

21

What is the Nurse's Role in Group Therapy?

To provide a structure to understand the group interaction

22

What is ECT (Electroconvulsive Therapy)?

A procedure that uses electrical current to induce a seizure, and is thought to work by affecting neurotransmitters and neuroreceptors

23

What happens during Psychosurgery?

A small piece of brain is destroyed or removed

24

What happens during phototherapy?

Exposure to daylight or to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, dichroic lamps or very bright, full-spectrum light, usually controlled with various devices. The light is administered for a prescribed amount of time and, in some cases, at a specific time of day

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