Basic Concept In Psychiatric Nursing Flashcards

0
Q

What are the characteristics of mentally healthy person ?

A
  • Attitude towards individual self
  • Growth, development and self actualization
  • integrative capacity
  • autonomous behavior
  • perception of reality
  • environmental mastery
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1
Q

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.

A

Mental Health

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2
Q

A state of imbalance characterized by a disturbance in a persons thought, feelings, and behavior

A

Mental ill health

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3
Q

Major factor that increase mental illness at home

A

Abuse and poverty

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4
Q

Interpersonal process whereby the professional nurse practitioner through the therapeutic use of self, assist an individual family group of community to promote mental health

A

Psychiatric nursing

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5
Q

What is the core of psychiatric nursing?

A

Human to human relationship

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6
Q

Who are the clients of the nurse in psychiatric setting?

A

Individual family and community

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7
Q

It is the science that deals with measures to promote mental health, prevent mental illness, and suffering and facilitate rehabilitation.

A

Mental hygiene

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8
Q

What is the main tool of a nurse ?

A

Therapeutic use of self

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9
Q

What is the core concept of the therapeutic use of self?

A

Self -awareness

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10
Q

Understanding of ones personality, emotions and sensitivity, motivation, ethics, philosophy of life, physical ans social image and capacity.

A

Self-awareness

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11
Q

What is the basis of the therapeutic use of self?

A

Joharis window

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12
Q

Joharis window quadrants.?

A

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)

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13
Q

One can increase knowledge by

A

Listening to one self

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14
Q

What are the levels of intervention on psychiatric nursing?

A

Primary
Secondary
Tertiary

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15
Q

Interventions aimed at the promotion of mental health and lowering the rate of cases by altering the stressors

A

Primary

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16
Q

Intervention that limits the severity of a disorder

What are the two components ?

A

Secondary

  • case finding
  • prompt treatment
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17
Q

Interventions aimed at reducing the disability after a disorder

What are the two components ?

A

Tertiary

  • prevention of complication
  • active program of rehabilitation
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18
Q

What are the characteristic of psychiatric nursing ?

A

Empathy
Genuineness/congruence
Unconditional positive regard

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19
Q

What are the roles of the nurse in the psychiatric settings?

A
Ward manager 
Counselor
Parent surrogate
Patient advocate
Teacher
Technician 
Therapist 
Reality base
Heathy role model
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20
Q

General assessment

A
Facial expression 
Grooming 
Body language 
Behavior 
Communication
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21
Q

Therapeutic communication basic elements

A

Sender
Message
Receiver
Feedback

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22
Q

Nonverbal aspect of therapeutic communication

A
Kinetics 
Proxemics
Touch
Silence
Paralanguage
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23
Q

An overt response to stimuli of a suggestive nature where a body posture is imposed by another because of fear or hallucinations

A

Waxy flexibility

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24
Q

The introjection of a high level of anxiety and other emotions perceived in response to a threatening situation

A

Pathological limb rigidity

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25
Q

Ritualistic displacement of anxiety through repetitive actions carried out against the pt’s conscious wishes which have symbolic relationship to underlying conflict.

A

Compulsion

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26
Q

A compulsive displacement of anxiety of automatic duplication of the immediately observed movements and gesture by another individual in the patients presence.

A

Echopraxia

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27
Q

Sudden, unpredictable outburst of activity without first thinking about the rationality and affects of the behavior

A

Impulsiveness

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28
Q

Involuntary jerking and twitching of some part of the body, usually localized in the neck face and head,

A

Tics and spasm

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29
Q

Repeating the speech of another, like resounding echo, as if experiencing a compulsion to respond

A

Echolalia

30
Q

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,

A

Punning

31
Q

Phrases or whole sentences with similarly ending lines as in a lyrical poetic manner during conversation or writing

A

Rhyming

32
Q

A linkage of words with similar sounds

A

Clang association

33
Q

Coinging pf new words that have symbolic meaning

A

Neologism

34
Q

Sudden stop of speech Which occurs when the trend of thought has been lost

A

Blocking

35
Q

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

A

Irrelevance

36
Q

The inclusion in conversation by a highly anxious individual of many unnecessary details, scattered thought and explanations,

A

Circumstantiality

37
Q

With one slight relevance to the subject matter being discussed

A

Tangentiality

38
Q

A continuous stream of conversation with rapid shifts in topics owing to pressure of thoughts, topic jumping

A

Flight of ideas

39
Q

A disconnected flaw of communication made up of a mixture of words, phrases and sentences which sounds meaning less

A

Word salad

40
Q

The state of silent or voiceless

A

Mutism

41
Q

Repetition of words or phrases

A

Verbigeration

42
Q

An abnormal exaggerated feeling of well being which is out of proportion to the environmental and interpersonal stimuli

A

Euphoria

43
Q

An effective reaction extending beyond a state of euphoria.

A

Elation

44
Q

A reduction or dulling of emotional response to stimuli so that one reacts with less interest, attention, and feeling than normally.

A

Apathy

45
Q

A flattening of the effect or loss of the capacity to experience and express emotion at normal intensity.

A

Blunting

46
Q

A belief that one is under the stronger influence of another person or force

A

Alien control

47
Q

Expressing the delusion that one has the abilities which may be linked to the powers of a supreme being.

A

Comic identification

48
Q

Ones perception of the world being unreal

A

Depersonalization

49
Q

The pt believes he is some one and acts like that person

A

Transfer of personality

50
Q

Memory defect vary in degree and type and may be organic

A

Memory impairments

51
Q

A reduction in mental alertness and awareness which may vary in degree and depth from drowsiness to comatose

A

Stupor

52
Q

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)

A

Confabulation

53
Q

False logic of a fabtastic nature that is motivated be low self esteem and weak superego

A

Pseudologica fantastica

54
Q

The coexistence of twi opposing drives desires feeling or emotions

A

Ambivalence

55
Q

Feeling emotionally out of harmony with a situation

A

Irritability

56
Q

Characterized as emotional instability, a quick shift in his emotional response.

A

Lability

57
Q

Lack of trust in others

A

Suspicion

58
Q

Being able ti recognize and accept the fact that one is ill even though the dynamics of the illness are not understood

A

Insight

59
Q

Being unaware of the correct date, time, place etc,

A

Disorientation

60
Q

Having an ability to understand communication as well as what is taking place in ones environment

A

Comprehension

61
Q

The interference of anxiety and environmental stimuli with ones ability to focus attention upon communication and occurrences

A

Distractibility

62
Q

An inability to adequately comprehend a situation or recognize the logic of explanation owing to intellectual impairments caused by organic changes or psychic conflict

A

Impairment of judgement

63
Q

Being able to focus ones special senses and intellectual response upon communication and environmental situation for a period of time,

A

Attention

64
Q

Being readily responsive to stimuli of a suggestive nature

A

Suggestibility

65
Q

Persistent introspection and inward reflection, thus internalizing instead of externalizing intellectual activity and affect

A

Preoccupational

66
Q

Impairment of the special senses by which the pt perceive in the response to his own inner stimulation

A

Hallucination

67
Q

A misinterpretation of an external stimulus by an of the special senses

A

Illusion

68
Q

A false belief to which the pt. Clings that is motivated by the affective aspect of the personality

A

Delusions

69
Q

A belief that is held by the pt that something in the environment has a meaning intended for him

A

Ideas of reference

70
Q

A nurse client interaction is directed toward enhancing the clients well being

A

Therapeutic relationship

71
Q

Elements of therapeutic relationship

A
  • contract
  • boundaries
  • confidentiality
  • therapeutic nurse behavior
74
Q

Unconcious specific intrapsychic adaptive effort which are employed by the person ti resolve emotional conflict and to cope with anxiety

A

Defense mechanism