Exam 8

Question 0

Characteristic of mental health ?

Answer 0

Ability to trust others
Correct view of reality
Maintain self esteem
Able to adapt and solve problems

Question 1

Mental health continuum .

Answer 1

A SCALE ! Mental health - adaptive (constructive ) high level of wellness
Mental illness - maladaptive (destructive ) rarely in touch with reality

Question 2

Characteristic of mental illness ?

Answer 2

Inability to trust
Inaccurate view of reality
Poor self esteem
Maladaptive behavior
-A pattern of behavior , disturbing to individuals & community
-interfere with daily activities impair judgement or alter reality
- desturbance of a person ability to cope

Question 3

Where are mental health concepts used ?

Answer 3

USED IN ALL SETTINGS

Eg : psychiatric facility or unit

Question 4

Types of abnormal speech ?

Answer 4

ECHOLILIA-a person repeating a word or phrase they here eg: common in autistic children
WORD SALAD -mixture of words
FLIGHT OF IDEAS - changing the subject a lot eg: from one topic to the next
NEOLOGISM - making up new words

Question 5

What are delusions ?

Answer 5

Fixed false beliefs

Maybe and idea of percussion or grandeur

Question 6

What are hallucinations ?

Answer 6

Experiencing sensory stimuli That is not their …. Eg : No one is eyeing feeling or hearing but you !
- most common VISUAL - seeing
AUDITORY - hearing
TACTILE -feeling

Question 7

How do you respond to delusions/ hallucinations ?

Answer 7

Acknowledge the patient concern
Re orient to reality
Do not encourage false belief or experience

Question 8

What is conflict ?

Answer 8

Presences of opposing or incompatible thoughts , ideas , goals , implies or drive

Eg: when a person is I’ll and needs to see a physician , but does not for fear of getting bad news

Question 9

What is personality & how is it developed ?

Answer 9

Relatively consistent attitudes & behaviors particular of an individual

–development comes from hereditary ( nature ) and enviorment ( nurture )

Question 10

Freud’s theory of personality , superego , ego , ID, ?

Answer 10

• ID ( child ) - seeks pleasure , gratification , primitive drives …. basic , innate , psychic energy
• EGO-(adult )- stands for good reason , spence ….. reasonable … Mediates between persons perception & objective reality , always rational
• SUPEREGO(parent ) -Part of the personality that acts like a conscience eg : what’s right or wrong …….. Incorporates societal values judgemental & critical

Question 11

What is motivation ?

Answer 11

personal resources or inner drive to complete a task , to reach a goal , may be EXTRINSIC or INTRISIC

Question 12

What is frustration ?

Answer 12

Anything that interferes with goal - directed activity

Question 13

What is the most important factor in therapuetic relationship ?

Answer 13

Building trust

Question 14

What is behavior ?

Answer 14

Behavior is learned
All behavior has meaning
Human behave to meet need and communicate

Question 15

What does homeostatic imbalance mean ?

Answer 15

Illness

Question 16

What are the defense mechanism ? Know specific types eg : Displacement

Answer 16

 conversion – being blind because you saw someone being murder
 rationalization – to justify oneself … child being told to clean his room and don’t do it gives a long explanation
 regression –reverting back to doing thing you used to do ….like wetting the bed again
 displacement – not taking your anger out on your boss , but on your husband
 denial – reality is denied , …..being told you have a hip fracture and still doing push ups
 identification –individual incorporates a characteristic …..dressing up like your favorite actress
 introjection – an attribute of another is internalized ….child following direction while parents are not around
 projection attributing characteristics that the person does not want to admit to…..blaming the teacher cause you did poor on your test

Question 17

What are the defense mechanism ? Know specific types eg : Displacement

Answer 17

 conversion – being blind because you saw someone being murder
 rationalization – to justify oneself … child being told to clean his room and don’t do it gives a long explanation
 regression –reverting back to doing thing you used to do ….like wetting the bed again
 displacement – not taking your anger out on your boss , but on your husband
 denial – reality is denied , …..being told you have a hip fracture and still doing push ups
 identification –individual incorporates a characteristic …..dressing up like your favorite actress
 introjection – an attribute of another is internalized ….child following direction while parents are not around
 projection attributing characteristics that the person does not want to admit to…..blaming the teacher cause you did poor on your test
dissociation - separation and detachment of emotional …..a victimized person tells their story with a smile
reaction formation _the conscious is opposite of the unconscious ……being polite to a person that is dislike
compensation -a indiviua make up for diefiency ….so instead of playing sport because of this height he does more academic work

Question 18

What is stress ?

Answer 18

Wear and tear on the body
A response of the body to demand made upon it
Normal aspects of life that must be managed in healthy ways
May stimulate a fight or flight response

Question 19

What is anxiety ? What nursing intervention will help the anxious patient ?

Answer 19

A vague feeling if apprehension to a treat

• stay with the client
  -provide calm reassurance
  -encourage deep breathing
  Excersize ( brisk walk )