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ATI Mental Health > 4 Stress and Defense Mechanisms > Flashcards

4 Stress and Defense Mechanisms Flashcards

1
Q

defense mechanisms that have no adaptive uses

A
  • conversion
  • splitting
  • projection
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2
Q

defense mechanisms that are always healthy

A
  • altruism

- sublimination

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3
Q

suppression

A

voluntary denying unpleasant thoughts + feelings

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4
Q

suppression

adaptive vs maladaptive examples

A

A: student puts off thinking about a recent fight to focus on studying
M: person who lost a job states they will worry about paying bills next week

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5
Q

repression

A

unconsciously putting unacceptable ideas, thoughts, + emo out of awareness

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6
Q

adaptive vs maladaptive examples

A

A: unsconsciously forgetting about the time he got BOOd onstage bc hes about to give a speech
M: fear of dentist makes him forget about his dental appt

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7
Q

regression

A

sudden childlike behavior that that doesnt match pt’s developmental level

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8
Q

regression

adaptive vs maladaptive examples

A

A: kid temp wets the bed when his pet died
M: person got in a disagreement w coworker + starts thrashing

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9
Q

displacement

A

sharing feelings r/t object, person, or situation to ANOTHER LESS THREATENING object, person, or situation

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10
Q

displacement

adaptive vs maladaptive examples

A

A: pt angrily punches a punching bad
M: pt got fired + destroy’s their son’s fav toy

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11
Q

reaction formation

A

unacceptable feelings or behaviors are controlled or kept out of awareness by overcompensating/demonstrating the opposite behaviors of what is felt

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12
Q

reaction formation

adaptive vs maladaptive examples

A

A: person whois quitting smoking talks to kids about dangers of nicotine
M: person who resents caring for aging parent becomes overprotective + restricts their freedom

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13
Q

undoing

A

performing an act to make up for prior behaviors

-more common in kids

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14
Q

undoing

adaptive vs maladaptive examples

A

A: adolescent completed their chores wo being prompted after a recent fight w parents
M: buying flowers/gifts after partner abuse

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15
Q

rationalization

A

creating reasonable + acceptable explanations for unacceptable behavior

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16
Q

rationalization

adaptive vs maladaptive examples

A

A: adolescent says “they must have a bf” after rejection
M: “i had to drive home to feed the dog” after drinking + driving

17
Q

dissociation

A

disruption in consciousness, memory, identity, or perception of environment

18
Q

dissociation

adaptive vs maladaptive examples

A

A: parent blocks out distracting noise of kids yelling to focus on driving
M: person forgets who they are following sex assault

19
Q

denial

A

pretending the truth is not reality

20
Q

denial

adaptive vs maladaptive examples

A

A: “this cant be true” after told they have cancer
M: “hes coming home for the holiday” even tho their he has been dead

21
Q

compensation

A

emphasizing strength to make up for weakness

22
Q

compensation

adaptive vs maladaptive examples

A

A: kid who cant play contact sport excells academically
M: person who is shy learns computer skills to avoid socialization

23
Q

identification

A

conscious/unconscious assumption of characteristics of another individual/group

24
Q

identification

adaptive vs maladaptive examples

A

A: kid w chronic illness plays nurse w dolls
M: kid observes parent being abusive + becomes bully

25
Q

intellectualization

A

separation of emotions + logical facts when analyzing or coping w situation or events

26
Q

intellectualization

adaptive vs maladaptive examples

A

A: police blocks out emo aspect of crime to focus on investigation
M: focusing on creating a will + financial matters instead of grieving their terminal illness

27
Q

conversion

A

responding to stress thru the unconscious development of physical manifestations not caused by a physical illness

28
Q

conversion

maladaptive examples

A

person experiences deafness after divorce

29
Q

splitting

A

demonstrating an inability to reconcile neg + pos attributes of others
-v black or white

30
Q

normal anxiety

A

healthy life force that is necessary for survival

  • motivates ppl to take action
    ex) violent situation in hospital, nurse has to take action
31
Q

acute anxiety

A

precipitated by imminenet loss or change that threaten’s one’s sense of security
ex) sudden death of a loved one

32
Q

chronic anxiety

A

develops over time

-might display anxiety in physical manifestations (fatigue, frequent headaches)

33
Q

levels of anxiety

A

MILD
MODERATE
SEVERE
PANIC

34
Q

mild anxiety

A
  • normal experience in everyday living
  • incr ability to perceive reality
  • identifiable cause of anciety
  • vague discomfort, restless, irritability, impatience
35
Q

moderate anxiety

A
  • occurs when mild anxt escalates
  • slight reduce perception + processing of info
  • concentration difficulty, pacing, shakey, incr HR + resp rate
  • somatic manifesations (headache, urinary urge/freqnt)
  • might need direction fr others
36
Q

severe anxiety

A
  • greatly reduced perceptual field
  • no learning/prblm solvng
  • behavior is automatic
  • confusion, impending doom, hyper-vent, tachycard, loud rapid speech, aimless activity
  • unable to follow directions
37
Q

panic-level

A
  • markedly disturbed behavior
  • not able to process whats happening
  • loss of touch w reality
  • extreme fright/horror
  • dilated pupils, severe skakiness, delusion, hallucination
38
Q

MILD-MOD ANXIETY nursing care

A
  • active listening
  • provide calm presence
  • recognize pt distress
  • evaluate past coping mech
  • explore alternatives to problem
  • encourage activities/exercise
39
Q

SEVERE-PANIC LEVEL nursing care

A
  • provide safe environment
  • remain w client + remain calm
  • quiet environment w minimal stimulation
  • medication/restraint only after less restrictive measures have failed
  • gross motor activities like walking
  • set limits w firm, short, simple statements
  • —-repetition might be needed, speak slowly in low pitch
  • acknowledge reality + focus on present environment

ATI Mental Health (22 decks)

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