Chap. 2 - theoretical basis of care Flashcards
4 core concepts of the PMHNP role
Mental health
Mental illness
Therapeutic relationship
Growth and development
Mental health, defined
The totality of the individual’s ability to function in and to interact with the world
Factors that compose mental health
Humor Productivity Relationships Flexibility Coping Responsibility Insight
Mental illness, defined
A clinically significant behavioral/psychological syndrome or pattern that occurs in an individual and that is associated with persistent distress, disability, or risk of death, pain, or important loss of freedom
Therapeutic relationship, defined
The mutual experience that forms the context for care
Growth and development, defined
The principle of normal adaptive changes that allow an individual to exhibit dynamic changes on both the cellular and social levels
PC names for “mental illness”
Psychiatric disorders
Behavioral health disorders
Do mental illnesses have biological basis?
Yes they do.
DSM multiaxial system
I - clinical disorders II - personality disorders and MR III - general medical conditions relevant to Axis I or II IV - Psychosocial/environmental problems V - GAF
Erikson’s Stages of Development (8)
Infancy (0-1) Early childhood (1-3) Late childhood (3-6) School age (6-12) Adolescence (12-20) Early adulthood (20-35) Middle adulthood (35-65) Late adulthood (>65)
Erikson’s developmental tasks (8)
Infancy = Trust vs Mistrust Early childhood = Autonomy vs Shame and Doubt Late childhood = Initiative vs Guilt School age = Industry vs Inferiority Adolescence = Identity vs Role Confusion Early adulthood = Intimacy vs Isolation Middle adulthood = Generatively vs Self-absorption or stagnation Late adulthood = Integrity vs Despair
Trust vs mistrust
Infancy, age 0-1. Ability to form meaningful relationships, trust in others.
Autonomy vs shame and doubt
Early childhood, age 1-3. Self-control, self-esteem, willpower.
Initiative vs guilt
Late childhood, age 3-6. Self-directed behavior, goal formation, sense of purpose.
Industry vs inferiority
School age, age 6-12. Ability to work; sense of competency and achievement.
Identity vs role confusion
Adolescence, age 12-20. Personal sense of identity.
Intimacy vs isolation
Early adulthood, age 20-35. Committed relationships, capacity to love.
Generativity vs self-absorption or stagnation
Middle adulthood, age 35-65. Ability to give time and talents to others, ability to care for others.
Integrity vs despair
Late adulthood, age >65. Fulfillment and comfort with life, willingness to face death, insight and balanced perspective on life’s events.
MR - typical age of onset
Infancy
ADHD - typical age of onset
4-6 years
SZO - typical age of onset
Men 18-25
Women 25-35
Major depression - typical age of onset
Late adolescence to young adulthood
Dementia - typical age of onset
Most common after age 85
