intro (halter ch 1, 2, 7) Flashcards

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1
Q

state of well-being in which individuals reach their own potential, cope with the normal stresses of life, work productively, and contribute to the community

A

mental health

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2
Q

all psychiatric disorders that have definable diagnoses

A

mental illness

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3
Q

ability and capacity for people to secure the resources they need to support their well-being

A

resilience

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4
Q

what is considered high, medium, and low resilience scores on the resilience scale (1-20)

A

low: 4-13
medium: 14-16
high: 17-20

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5
Q

belief that the overall person is flawed

A

stigma

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6
Q

4 categories in mental health continuum

A

healthy
mild disruption
moderate disruption
severe disruption

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7
Q

model which is most accepted explanation for mental illness

A

diathesis-stress

nature v nurture

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8
Q

most common mental illness

A

anxiety

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9
Q

leading mental illness cause of disability worldwide

A

depression

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10
Q

quantitative study of the distribution of mental disorders in human populations

A

epidemiology

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11
Q

theory developed by sigmund freud based on developmental stages, focuses on the unconscious

A

psychoanalytic theory

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12
Q

goal of psychoanalytic theory

A

insight into the unconscious (id, ego, superego)

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13
Q

presence of two or more disorders

A

comorbidity

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14
Q

intrinsic needs portion of psychoanalytic theory

A

Id

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15
Q

developed around 5/6 yo, restraint portion of psychoanalytic theory

A

superego

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16
Q

the total number of cases, new and existing, in a given population during a specific period of time, regardless of when they became ill (ex: number of 8 year olds from 11 states with autism)

A

prevalence

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17
Q

number of new cases of mental disorders in a healthy population within a given period of time. (ex: opioid use during pregnancy)

A

incidence

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18
Q

theory that says all behavior is focused on getting needs met through interactions

A

interpersonal theory

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19
Q

(interpersonal theory) who we are in relationship to others; needs get met through interpersonal interactions

A

self-system

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20
Q

theory that states behaviors are based on conditioning

A

behavioral therapy

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21
Q

3 different types within behavioral therapy

A
  • classical conditioning
  • operant conditioning (punishment and reinforcement)
  • modeling
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22
Q

(psychoanalysis) unconscious feelings that the patient has toward a healthcare worker that were originally felt in childhood for a significant other

A

transference

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23
Q

(psychoanalysis) unconscious feelings that the healthcare worker has toward the patient

A

countertransference

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24
Q

maslows hierarchy of needs (lowest to highest) (8)

A
  • biological and physiological needs
  • safety
  • love and belonging
  • self esteem
  • cognitive
  • aesthetic
  • self actualization
  • transcendence/spirituality
25
Q

erikson stage: infancy 0-1.5 yo, forming attachment to mother

A

trust v mistrust

26
Q

erikson stage: early childhood 1.5-3 yo, basic control of self and environment

A

autonomy v shame and doubt

27
Q

erikson stage: preschool 3-6 yo, becoming purposeful and directive

A

initiative v guilt

28
Q

erikson stage: school age 6-12 yo, developing social, physical, and school skills

A

industry v inferiority

29
Q

erikson stage: adolescence 12-20 yo, transition from childhood to authority, sense of identity

A

identity v role confusion

30
Q

erikson stage: early adulthood 20-35 yo, establishing intimate bonds of love and friendship

A

intimacy v isolation

31
Q

erikson stage: middle adulthood 35-65 yo, fulfilling life goals that involve family, career, and society; developing concerns that embrace future generations

A

generativity v self-absorption

32
Q

erikson stage: late years 65 yo-death, looking back over ones life and accepting meaning

A

integrity v despair

33
Q

main point of cognitive theory

A

if you change the thought, you can change the emotion and behavior

34
Q

theory that focuses on neurological, chemical, biological, and genetic factors; states mental illness is a disease/illness

A

biological theory

35
Q

approach: thinking of the total environment and how it can affect somebody

A

milieu

36
Q

automatic coping styles that protect people from anxiety and enable them to maintain their self-image by blocking feelings, conflicts, and memories

A

defense mechanisms

37
Q

what principles are included in recovery model for mental illness and substance abuse (9)

A
  • self-directed and empowering
  • individual and person-centered
  • holistic
  • nonlinear
  • strengths-based
  • peer-supported
  • respect
  • responsibility
  • hope
38
Q

4 stages of treatment

A
  1. crisis
  2. acute
  3. maintenance
  4. health promotion
39
Q

what should you prioritize in crisis stage of treatment

A
  • stabilize
  • focus on life threatening risk factors
  • safety
40
Q

what should you prioritize in acute stage of treatment

A

(remission)

  • focus on symptoms and maladaptive coping
  • symptom reduction
41
Q

what should you prioritize in maintenance stage of treatment

A

(recovery)

  • reinforce positive coping
  • patient functioning
42
Q

what is health promotion stage of treatment

A

optimal level of wellness and quality of life

43
Q

stages of change theory/motivational readiness (6)

A
  1. pre-contemplation
  2. contemplation
  3. preparation
  4. action
  5. maintenance
  6. termination
44
Q

a clinically significant behavior or psychological syndrome that is associated with
distress or disability or with a significantly increased risk of suffering death, pain,
disability or an important loss of freedom

A

mental disorder

45
Q

purpose of DSM 5

A

describes each disorder and lists the criteria (symptoms) that must be present in order to diagnose each disorder

46
Q

type of stressor: risk & protective; May be biological, psychological, sociocultural, spiritual

A

predisposing factors

47
Q

type of stressor: stressful life events or life strains and hassles

A

precipitating stressors

48
Q

how a stressor affects a person

A

appraisal of stressors

49
Q

rare inherited disorder that causes

copper to accumulate in your liver, brain and other vital organs.

A

wilsons disease

50
Q

S+S wilsons disease (8)

A
  • personality changes
  • depression
  • bipolar disorder
  • psychosis
  • tremors
  • involuntary muscle movements
  • clumsy gait
  • speech difficulties
51
Q

peplau’s interpersonal nursing roles

A
  • stranger
  • resource
  • teacher
  • leader
  • surrogate
  • counselor
52
Q

differences between counseling (3) and psychotherapy (4)

A

COUNSELING

  • focused on behavior
  • problem solving
  • providing direction

PSYCHOTHERAPY

  • longer term
  • additional training
  • focus on underlying issues
  • more intense emotional reactions
53
Q

average length of stay for inpatient psych care

A

5-10 days

54
Q

5 types hallucinations

A
  • auditory
  • visual
  • tactile
  • gustatory
  • olfactory
55
Q

what is included in mental status exam (7)

A
  • appearance
  • behavior
  • speech
  • mood
  • thought
  • perception
  • cognition
56
Q

what setting is largest provider of mental health services in US

A

prison

57
Q

what is a labile affect

A

frequently changing

58
Q

what is comfabulation

A

pt can’t remember information, but they fill in the information with what they think is true

59
Q

CAGE screening for alcoholism

A

C: cut down
A: annoyed
G: guilty
E: eye opener