Basic Concept In Psychiatric Nursing Flashcards
What are the characteristics of mentally healthy person ?
- Attitude towards individual self
- Growth, development and self actualization
- integrative capacity
- autonomous behavior
- perception of reality
- environmental mastery
A state of well being in which a person is able to cope with the normal stresses of daily life and his ability to realize his potential.
Mental Health
A state of imbalance characterized by a disturbance in a persons thought, feelings, and behavior
Mental ill health
Major factor that increase mental illness at home
Abuse and poverty
Interpersonal process whereby the professional nurse practitioner through the therapeutic use of self, assist an individual family group of community to promote mental health
Psychiatric nursing
What is the core of psychiatric nursing?
Human to human relationship
Who are the clients of the nurse in psychiatric setting?
Individual family and community
It is the science that deals with measures to promote mental health, prevent mental illness, and suffering and facilitate rehabilitation.
Mental hygiene
What is the main tool of a nurse ?
Therapeutic use of self
What is the core concept of the therapeutic use of self?
Self -awareness
Understanding of ones personality, emotions and sensitivity, motivation, ethics, philosophy of life, physical ans social image and capacity.
Self-awareness
What is the basis of the therapeutic use of self?
Joharis window
Joharis window quadrants.?
Quadrant 1 social/public self
Quadrant 2 semi public self (blind quadrant)
Quadrant 3 private self (hidden quadrant)
Quadrant 4 area of the unknown (inner self)
One can increase knowledge by
Listening to one self
What are the levels of intervention on psychiatric nursing?
Primary
Secondary
Tertiary
Interventions aimed at the promotion of mental health and lowering the rate of cases by altering the stressors
Primary
Intervention that limits the severity of a disorder
What are the two components ?
Secondary
- case finding
- prompt treatment
Interventions aimed at reducing the disability after a disorder
What are the two components ?
Tertiary
- prevention of complication
- active program of rehabilitation
What are the characteristic of psychiatric nursing ?
Empathy
Genuineness/congruence
Unconditional positive regard
What are the roles of the nurse in the psychiatric settings?
Ward manager Counselor Parent surrogate Patient advocate Teacher Technician Therapist Reality base Heathy role model
General assessment
Facial expression Grooming Body language Behavior Communication
Therapeutic communication basic elements
Sender
Message
Receiver
Feedback
Nonverbal aspect of therapeutic communication
Kinetics Proxemics Touch Silence Paralanguage
An overt response to stimuli of a suggestive nature where a body posture is imposed by another because of fear or hallucinations
Waxy flexibility
The introjection of a high level of anxiety and other emotions perceived in response to a threatening situation
Pathological limb rigidity
Ritualistic displacement of anxiety through repetitive actions carried out against the pt’s conscious wishes which have symbolic relationship to underlying conflict.
Compulsion
A compulsive displacement of anxiety of automatic duplication of the immediately observed movements and gesture by another individual in the patients presence.
Echopraxia
Sudden, unpredictable outburst of activity without first thinking about the rationality and affects of the behavior
Impulsiveness
Involuntary jerking and twitching of some part of the body, usually localized in the neck face and head,
Tics and spasm
Repeating the speech of another, like resounding echo, as if experiencing a compulsion to respond
Echolalia
The injection of witty or clever remarks into a conversation, or the humorous use of a word in such a way as to suggest a different meaning,
Punning
Phrases or whole sentences with similarly ending lines as in a lyrical poetic manner during conversation or writing
Rhyming
A linkage of words with similar sounds
Clang association
Coinging pf new words that have symbolic meaning
Neologism
Sudden stop of speech Which occurs when the trend of thought has been lost
Blocking
Verbal responses which are not pertinent to or related to the immediate communication content, giving the impression of distractibility or a defect in comprehension and thought process
Irrelevance
The inclusion in conversation by a highly anxious individual of many unnecessary details, scattered thought and explanations,
Circumstantiality
With one slight relevance to the subject matter being discussed
Tangentiality
A continuous stream of conversation with rapid shifts in topics owing to pressure of thoughts, topic jumping
Flight of ideas
A disconnected flaw of communication made up of a mixture of words, phrases and sentences which sounds meaning less
Word salad
The state of silent or voiceless
Mutism
Repetition of words or phrases
Verbigeration
An abnormal exaggerated feeling of well being which is out of proportion to the environmental and interpersonal stimuli
Euphoria
An effective reaction extending beyond a state of euphoria.
Elation
A reduction or dulling of emotional response to stimuli so that one reacts with less interest, attention, and feeling than normally.
Apathy
A flattening of the effect or loss of the capacity to experience and express emotion at normal intensity.
Blunting
A belief that one is under the stronger influence of another person or force
Alien control
Expressing the delusion that one has the abilities which may be linked to the powers of a supreme being.
Comic identification
Ones perception of the world being unreal
Depersonalization
The pt believes he is some one and acts like that person
Transfer of personality
Memory defect vary in degree and type and may be organic
Memory impairments
A reduction in mental alertness and awareness which may vary in degree and depth from drowsiness to comatose
Stupor
Falsification of facts or distortion of memory is bit deliberate but the result if mental deterioration which produces gaps in memory that motivate defensive compensatory actions (memory gaps)
Confabulation
False logic of a fabtastic nature that is motivated be low self esteem and weak superego
Pseudologica fantastica
The coexistence of twi opposing drives desires feeling or emotions
Ambivalence
Feeling emotionally out of harmony with a situation
Irritability
Characterized as emotional instability, a quick shift in his emotional response.
Lability
Lack of trust in others
Suspicion
Being able ti recognize and accept the fact that one is ill even though the dynamics of the illness are not understood
Insight
Being unaware of the correct date, time, place etc,
Disorientation
Having an ability to understand communication as well as what is taking place in ones environment
Comprehension
The interference of anxiety and environmental stimuli with ones ability to focus attention upon communication and occurrences
Distractibility
An inability to adequately comprehend a situation or recognize the logic of explanation owing to intellectual impairments caused by organic changes or psychic conflict
Impairment of judgement
Being able to focus ones special senses and intellectual response upon communication and environmental situation for a period of time,
Attention
Being readily responsive to stimuli of a suggestive nature
Suggestibility
Persistent introspection and inward reflection, thus internalizing instead of externalizing intellectual activity and affect
Preoccupational
Impairment of the special senses by which the pt perceive in the response to his own inner stimulation
Hallucination
A misinterpretation of an external stimulus by an of the special senses
Illusion
A false belief to which the pt. Clings that is motivated by the affective aspect of the personality
Delusions
A belief that is held by the pt that something in the environment has a meaning intended for him
Ideas of reference
A nurse client interaction is directed toward enhancing the clients well being
Therapeutic relationship
Elements of therapeutic relationship
- contract
- boundaries
- confidentiality
- therapeutic nurse behavior
Unconcious specific intrapsychic adaptive effort which are employed by the person ti resolve emotional conflict and to cope with anxiety
Defense mechanism
