Intro to Psych Flashcards

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1
Q

Mental health worker should possess what?

A

Resilience
Use adaptive coping skills
Able to function within family and community
Accomplishing developmental tasks

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2
Q

Resilience is the ability to:

A

function with healthy responses even when experiencing significant stress and adversity.

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3
Q

Resilience is influenced by one’s:

A
  • Optimism, or belief that a positive outcome is possible in the situation they
    are currently facing
    • Self efficacy, or belief that they have the ability to complete the tasks needed to take control of situations which influence their life
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4
Q

Ability to function

A

Functions responsibly:

  • Within an occupational or school environment
  • Within a family system
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5
Q

Erickson Stage

Young adult

A

Intimacy vs Isolation

Love

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6
Q

Erickson Stage

Adulthood

A

Generativity vs Stagnation

Care

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7
Q

Erickson Stage

Maturity

A

Integrity Vs Despair

Wisdom

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8
Q

What is mental illness?

A

Loss of the ability to respond to the environment in ways that are in accord with one’s own or society’s expectations

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9
Q

Mental illness is characterized by:

A

thoughts, feelings, or behavior patterns that impair functioning and cause the individual (or others!) distress

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10
Q

Adaptations to Stress

A
  • Feels out of control with self and with the environment

- Has a negative perception of the environment/life in general - Has ineffective coping mechanisms

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11
Q

Personality Characteristics

A
  • Non-accepting of self and dislikes self
  • Unrealistic perception of strengths and weaknesses
  • Thoughts and perceptions may not be reality based
  • Unable to find meaning and purpose in life
  • Lacks direction and productivity in life
  • Has difficulty in meeting own needs
  • (adaptive vs. maladaptive responses/behaviors/coping skills)
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12
Q

Interpersonal Relationships

A
  • Unable to love and care for others (with appropriate and healthy boundaries)
  • Unable to feel loved by others or accept feelings from others
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13
Q

Psychiatric/Mental Health Nursing:

Theoretical Models

A
  • Biological theories
  • Counseling theories
  • Hildegard Peplau’s theory
  • Therapeutic use of self
  • QSEN
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14
Q

Conditions that promote development of a therapeutic relationship:

A
  • Trust
  • Genuineness • Empathy
  • Rapport
  • Respect
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15
Q

Stages of therapeutic relationship

A
  • Preinteraction
  • Orientation
  • Working
  • Termination
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16
Q

What is the DSM 5?

A

• DSM 5 is short for the Diagnostic and statistical Manual of Mental Illness version 5

  • Lists psychiatric diagnoses
  • Lists criteria patients need to meet to be diagnosed with a disorder
17
Q

Role of Nurse is to?

A

Safe Milieu
Therapeutic Milieu
Safe practice
Ethical and Legal Guidelines

18
Q

Milieu Therapy

A
  • All patients have strengths as well as limitations
  • Every interaction is an opportunity for therapeutic intervention
  • Patients participate in making decisions and solving problems on the units
  • Personal responsibility is encouraged
  • Peer pressure used to give feedback
  • Inappropriate behaviors processed
  • No restrictions or punishments: use group discussion first
19
Q

Two categories of admission

A
  • Voluntary status

* Involuntary status

20
Q

Involuntary Admission consists of:

A
  • After initial 72 hours, client may be asked to sign voluntary admission for further treatment/stabilization
  • Judicial process required to extend original Baker Act
21
Q

Who can initiate Baker Act in Florida?

A
  • Any physician
  • Psychiatrist
  • Psychologist
  • Psych ARNP
  • LCSW/LMHC
  • Police Officers
  • Court Order, e.g., Ex-Parte Order
22
Q

Duty to Warn

A

Tarasoff Case

•Failure to warn a potential victim that he/she is in danger

23
Q

Rights of the Mentally Ill

A
  • Clients have all of the civil rights of any citizen, except the right to leave the hospital in the case of involuntary commitment
  • Can refuse treatment (except under life threatening conditions or emergency treatment orders (ETO’s)

*** • Any restrictions on the client’s freedom must be made by MDs or with a court order with a verifiable, documented reason

24
Q

What is Seclusion?

A

The involuntary confinement of a person in a specially constructed, locked room—usually has a window or camera for visual monitoring.

Provides decreased stimulation, protection of others from the client, prevention of property destruction, and privacy for the client.

25
Q

What is the goal of seclusion?

A

to give the client the opportunity to regain physical and emotional self-control

26
Q

Least Restrictive Environment

A

• Clients have the right to treatment in the least restrictive environment that is appropriate to meet their needs while maintaining their safety and that of others