Chapter 1 Flashcards

1
Q

The concepts of mental health and mental illness are _______ _______

A

culturally defined

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2
Q

what is at the top of Maslow’s Hierarchy

A

self actualization

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3
Q

this is the succesful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are age appropriate and congruent with local and cultural norms

A

mental health

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4
Q

what are Maslow’s hierarchy of needs

A

1) physiological needs 2) safety and security 3) love and belonging 4) self esteem 5) self actualization

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5
Q

maladaptive responses to stressors from the internal or external environment, evidenced by thoughts, feelings and hegabiors that are incongruent with the local and cultural norms that interfere with the individual’s functioning

A

mental illness

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6
Q

who published stages of the physical reponse to stress

A

Seleye

General Adaption Syndrome

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7
Q

what are the stages of the general adaption syndrome

A

1) alarm reaction stage
2) stage of resistance
3) stage of exhaustion

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8
Q

without intervention, what follows the stage of exhaustion

A

death

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9
Q

what are the biological responses associated with the fight or flight syndrome

A

immediate and sustained responses

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10
Q

what occurs during the immediate response

A

the hypothalmaus stimulates the sympathetic nervous system which causes:
epiniephrine secretion, pupil dilation, lacrimal gland secretion, bronchodilation, RR increased, and increase of cardiac output, heart rate and BP

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11
Q

what occurs during the sustained response

A

occurs when the stress respnose is not relieved immediately and causes:
glucocorticoids, retention of sodium/water, ADH, increased serum glucose, increased basal metabolic rate, decreased sex hormones

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12
Q

who identified certain elements associated with individual’s perceptions of mental illness

A

Horwitz

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13
Q

Horwitz describes cultural influences that affect how individuals view mental illness, which include

A

Incomprehensibility and Cultural relativity

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14
Q

The “normality” of behavior is determined by the culture.

A

Cultural relativity

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15
Q

The inability of the general population to understand the motivation behind the behavior

A

incomprehensibility

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16
Q

the state manifested by a specific syndrome which consists of all the nonspecifically induced changes within a biologic system

A

stress (fight or flight syndrome)

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17
Q

primary psychological response patterns to stress

A

anxiety and grief

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18
Q

is determined by the extent to which the thoughts, feelings, and behaviors interfere with an individual’s functioning

A

adaption

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19
Q

A diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness
Extremely common in our society

A

anxiety

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20
Q

is adaptive and can provide motivation for survival.

A

mild anxiety

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21
Q

Peplau’s four levels of anxiety

A

mild, moderate, severe, panic

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22
Q

describe the levels of anxiety

A

Mild: Seldom a problem
Moderate: Perceptual field begins to diminish
Severe: Perceptual field diminishes greatly
Panic: The most intense state

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23
Q

not all defense mechanisms are ______

A

negative

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24
Q

individuals employ various coping mechanisms to deal with stress

A

at the mild level (ie/ eating, drinking, and sleeping)

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25
Q

the strength of the ego is tested, occurs under stressful situations and anxiety

A

at the mild to moderate level

26
Q

why are ego defense mechanisms employed

A

for protection

27
Q

covering up a real or perceived weakness by emphasizing a trait one considers more desirable

A

compensation

28
Q

refusing to acknoledge the existence of a real situation or the feelings associated with it

A

denial

29
Q

the transfer of feelings from one target to another that is considered less threatening or that is neutral

A

displacement

30
Q

attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors

A

rationalization

31
Q

preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors

A

reaction formation

32
Q

responding to stress by retreating to an earlier level of development and the comfort measures associated with that level of functioning

A

regression

33
Q

an attept to increase self worth by acquiring certain attributes and characteristics of an individual one admires

A

identification

34
Q

involuntary blocking unpleasant feelings an experiences from one’s awareness

A

repression

35
Q

an attempt to avoid expressing actual emotions associated with a stressful situation by using intellectual processes of logic, reasoning, and analysis

A

intellectualization

36
Q

rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive

A

sublimation

37
Q

integrating the beliefs and values of antoher indiviudal into one’s own ego structure

A

introjection

38
Q

the voluntary blocking of unpleasant feelings and experiences from one’s awareness

A

suppression

39
Q

separating a thought or memory from the feeling, tone, or emotion associated with it

A

isolation

40
Q

symbolically negating or canceling out an experience that one finds intolerable

A

undoing

41
Q

attributing feelings or impulses unacceptable to one’s self to antoher person

A

projection

42
Q

anxiety at what level can lead to physiologicla disorders

A

moderate to severe level

43
Q

what can result in phychoneurotic patterns of behaving

A

repressed severe anxiety

44
Q

anxiety at what level can result in psychosis

A

Extended periods of functioning at the panic level of anxiety

45
Q

Examples of psychotic disorders

A

schizophrenia, schizoaffective, and delusional disorders

46
Q

significant thought disturbance in which reality testing is impaired, resulting in delusions, hallucinations, disorganized speech or catatonic behavior

A

psychosis

47
Q

individual is unaware of any psychological problem

A

anosognosia

48
Q

The subjective state of emotional, physical, and social responses to the loss of a valued entity

A

grief

49
Q

the loss associate with grief..

A

may be real or perceived

50
Q

what are the 5 stages of grief

A

1) Denial
2) Anger
3) Bargaining
4) Depression
5) Acceptance

51
Q

who identified the 5 stages of grief

A

Kubler-Ross

52
Q

The experiencing of the grief process before the actual loss occurs

A

Anticipatory grief

53
Q

Length of the grief process is entirely individual; it can last from a few weeks to years; it is influenced by a number of factors

A

resolution

54
Q

what does anticipatory grief do

A

shorten the grief response when the loss actually occurs

55
Q

often lengthens the grieving process

A

guilt

56
Q

Resolution of the grief response occurs when

A

when an individual can look back on the relationship with the lost entity and accept both the pleasures and the disappointments of the association

57
Q

Maladaptive grief responses

A

Prolonged response
Delayed/inhibited response
Distorted response

58
Q

intense preoccupation with memories of the lost entitiy for many years after the loss has occurred

A

prolonged response

59
Q

indiviudal becomes fixed in the denial stage of the grieving process

A

delayed response

60
Q

individual is fixed in the anger stage of grieving

A

distorted response