Mental Health Flashcards

1
Q

Compensation

A

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

EX. A physically disabled boy is unable to participate in football, so he compensates by becoming a great scholar.

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2
Q

Rationalization

A

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

EX.A patient tells the rehab nurse, “I drink because it’s the only way I can deal with my bad marriage and my worse job.”

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3
Q

Denial

A

Refusing to acknowledge the existence of a real situation or the feelings associated with it

Ex.A woman drinks alcohol every day and cannot stop, failing to acknowledge that she has a problem.

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4
Q

Reaction Formation

A

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

EX. A student hates nursing and only attended nursing school to please her parents. During career day, she speaks to prospective students about the excellence of nursing as a career.

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5
Q

Displacement

A

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

Ex. A patient is angry with his physician, does not express it, but becomes verbally abusive with the nurse.

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6
Q

Regression

A

Retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning

Ex. When a 2-year-old is hospitalized for tonsillitis, he will drink only from a bottle, even though his mother states he has been drinking from a cup for 6 months.

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7
Q

Identification

A

An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires

Ex. A teenager who required lengthy rehabilitation after an accident decides to become a physical therapist as a result of his experiences.

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8
Q

Repression

A

Involuntarily blocking unpleasant feelings and experiences from one’s awareness

Ex. A trauma victim is unable to remember anything about the traumatic event.

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9
Q

Intellectualization

A

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

Ex. A woman’s husband is being transferred with his job to a city far away from her parents. She hides anxiety by explaining to her parents the advantages associated with the move.

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10
Q

Sublimation

A

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

Ex. A mother whose son was killed by a drunk driver channels her anger and energy into being the president of the local chapter of Mothers Against Drunk Driving.

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11
Q

Introjection

A

Integrating the beliefs and values of another individual into one’s own ego structure

Ex. Children integrate their parents’ value system into the process of conscience formation. A child says to a friend, “Don’t cheat. It’s wrong.”

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12
Q

Suppression

A

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

Ex. “I don’t want to think about that now. I’ll think about that tomorrow.”

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13
Q

Isolation

A

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

Ex. A young woman describes being attacked and raped without showing any emotion.

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14
Q

Undoing

A

Symbolically negating or canceling out an experience that one finds intolerable

Ex. A man is nervous about his new job and yells at his wife. On his way home he stops and buys her some flowers.

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15
Q

Projection

A

Attributing feelings or impulses unacceptable to one’s self to another person

Ex. A man who is addicted to alcohol blames his wife for his excessive drinking.

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16
Q

Norepinephrine

A

(Fight or Flight) Increases HR & BP. Excess can lead to MANIA.

17
Q

Dopamine

A

Regulation of movement, pleasure. Excess can lead to Schizophrenia and hallucinations, difficulty sleeping.

18
Q

Serotonin

A

Regulation of mood. Deficiency can lead to depressed mood.

19
Q

GABA

A

Inhibits/reduces neuronal activity. Deficiency can lead to Huntington’s disease.

20
Q

Acetylcholine

A

Regulates muscle contraction. Deficiency can lead to cognitive decline, memory loss, Alzheimer’s disease.

21
Q

Therapeutic range of Lithium

A

0.4-1.2

22
Q

Patient teaching for clients taking cholinesterase inhibitors.

A

-Alzheimer’s drugs
-Slows rate of memory loss
-Takes WEEKS before it reaches effectiveness

23
Q

Benzodiazepines and nursing considerations

A

-Low and slow vitals & brain
-Take at bedtime
-Don’t skip doses
-Highly addictive
-Stop drinking alcohol
-Antidote: Flumazenil
-Antidote opioids: Naloxone
-Promotes GABA

24
Q

Mild anxiety

A

Restlessness, irritability, fidgeting

25
Q

Moderate anxiety

A

Decreased ability to concentrate, increase perspiration, increased muscular tension

26
Q

Severe anxiety

A

Unable to concentrate or problem solve, effective learning cannot occur, palpitations

27
Q

Panic anxiety

A

Learning CANNOT occur, dilated pupils, hallucinations, delusions, sudden-onset panic, intense fear

28
Q

Clozapine induced agranulocytosis signs and symptoms.

A

-Risk for agranulocytosis (low WBC count)
-Manifestations: Sudden fever, chills, sore throat, and weakness