.. Flashcards
Refers to the ability to recognize the nature of one’s own behavior, attitude, and emotions.
Self Awareness
It can be an effective tool when interacting with clients who are exhibiting anxiety, depression, confusion, or psychosis.
Self Awareness
Outgoing person who relates more easily to people and things in the environment.
Extrovert
Likes to take charge of situations.
Extrovert
Has little difficulty in socializing.
Extrovert
Quiet individual who relates better to the inner world of ideas, thoughts, and feelings.
Introvert
Prefer to be a follower, and usually lets others initiate and direct interaction.
Introvert
Open-minded Attitude
Do not make decisions until they are aware of all facts pertaining to a certain situation.
Are often inflexible.
Judgemental Attitude
Run the risk of neglecting the perception of others.
Judgemental Attitude
Arriving at an opinion based on their own values without enough facts or enough regards for what other people may feel or think.
Judgemental Attitude
Encounter patients with mental and emotional problems.
Psychiatric Nursing
To provide effective care for any patient, you must consider both ______ and _____ aspects of health.
psychological and physiological
Pioneer in stress research
Hans Selye
Found a link between the environment and biological response
Hans Selye
Noted that emotional and physical stress because a pattern of response that unless treated, leads to infection, illness, disease and eventually death.
Hans Selye
This set of response is called?
General adaptation syndrome
What are the three stages?
- Alarm reaction
- Resistance
- Exhaustion
During this stage, any type of physical or mental trauma triggers immediate biological responses designed to counteract stress.
Alarm stage
Begins when the body starts to adapt to prolonged stress.
Resistance
With chronic stress, adoptive mechanisms eventually wear down, and the body can no longer meet the demands of stress.
Exhaustion
Some researchers attribute today’s seemingly increased incidence of mental and emotional disorders to social changes that have altered the traditional family structure and contributed to loss of the extended family.
Social Factor
APADSMMDFETR
American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, Fourth Education, Text Revision
Give at least one of the following criteria of American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, Fourth Education, Text Revision
Current distress ( a painful symptom)
Disability ( an impairment in one or more important areas of functioning)
A significantly greater risk of suffering, death pain, and disability.
An important loss of freedom.
What are the 5 axes?
Axis I – Clinical Disorders
Axis II – Personality Disorders and Mental Retardation
Axis III – General Medical Condition
Axis IV – Psychosocial and Environmental Problems
Axis V – Global Assessment of Functioning (GAF)
Personality disorders and traits as well as mental retardation.
Axis II – Personality Disorders and Mental Retardation
Example: Obsessive Compulsive Personality
Mental disorders comparable to general medical illness
Axis I – Clinical Disorders
Example: adjustment disorder with anxious mood
General medical illness or injury.
Axis III – General Medical Condition
Example: Crohn’s disease, acute bleeding episodes
Life events or problems that may affect diagnosis of mental disorder.
Axis IV – Psychosocial and Environmental Problems
Example: recent remarriage, death of father
Level of functioning reported as a number from 0-100 base on the patient’s over all psychological, social, and occupational function.
Axis V – Global Assessment of Functioning (GAF)
Example: GAF – 83
Roles of a psychiatric nurse?
- Clinical competence
- Patient- family advocacy
- Legal ethical parameter
- Social accountability
- Interdisciplinary collaboration
- Fiscal responsibility
Continuum of Care
- Inpatient
- Partial
- Residential
- Home
- Outpatient
The Versatile Nurse Roles
Staff Nurse
Primary Care provider
Administrator
Consultant
In-service educator
Clinical fractioned
Researcher
Program evaluator
Liaison between the patient and other health care team member
The nurse collects patient health data.
Standard I: Assessment
The nurse analyzes assessment data to determine applicable diagnosis.
Standard II: Diagnosis
The nurse identifies expected outcomes individualized for the patient.
Standard III: Outcome Identification
The nurse develops a care plan that’s negotiated among the patient, nurse, family and significant others, and health care team – the plan prescribes evidence – based interventions to attain expected outcomes.
Standard IV: Planning
The nurse implements the interventions identified in the care plan.
Standard V: Implementation
Uses counselling interventions to assist patients in improving or regaining their previous coping abilities, fostering mental health, and preventing mental illness and disability.
Standard V a: Counselling
The nurse provides, structures, and maintains a therapeutic environment in collaboration with the patient and other health care provider.
Standard V b: Milien therapy
The nurse structures interventions around the patient’s activities of daily living to faster self-care and mental and physical well-being.
Standard V c: Promotion of self–care abilities
Applies skills to restore the patient’s health and prevent further injury.
Standard V d: Psychobiological Intervention
Through health teaching, the nurse assists patients in achieving satisfying, productive and healthy patterns of living.
Standard V e: Health Teaching
The nurse provides case management to coordinate comprehensive health services and ensure continuity of care.
Standard V f: Case Management
The nurse uses strategies and interventions to promote and maintain mental health and prevent mental illness.
Standard V g: Health promotion and health maintenance
The nurse evaluates the patient’s progress in obtaining expected outcomes.
Standard VI: Evaluation
Who performed Advance Practice Intervention?
Advanced Practice Registered Nurse in psychiatric and Mental Health (APRN-PMH) specialist.
The ARRN-PMH uses individual, group, and family psychotherapy and other treatment to assist patients in preventing mental illness and disability, treating mental health status and functional abilities.
Standard V h: Psychotherapy
The APRN-PMH uses prescriptive authority procedure, and treatment in accordance with state and federal laws and regulations to treat symptoms of psychiatric illness and improve functional health status.
Standard V i: Prescriptive authority and treatment
The APRN-PMH provides consultation to enhance the abilities of other clinicians, provides service for patients, and affect change in the system.
Standard V j: Consultation
Freud’s addresses the relationship among inner experiences, behaviour, social roles, and functioning.
Psychoanalytical Theory
Proposes that conflicts among unconscious motivating forces affect behaviour.
Psychoanalytical Theory
Defense mechanism is called?
Repression
Freud, viewed humankind as stimulus driven
Drives
The two Primary Drives
Eros & Thanatos
Represents psychological energy or “libido”
The id
Is primarily a sexual and aggressive drive.
The id
Is the first structure to develop in the personality
The id
It operates on the pleasure principle to reduce tension.
The id
Characterized by primary process thinking-imaginary
The id
It is irrational and not based on reality
The id
Under the unconscious control.
The id
The chief executive officer of the mind.
The ego
Mediates between the id and the super ego.
The ego
