Mental Health - Final Blueprint Flashcards

1
Q

What is classified under each Axis of the DSM IV

A

Axis I - Clinical Ds (Primary Dx, ex: mood ds)
Axis II - Personality Ds & Mental retardation
Axis III - Medical Conditions (HTN, DM)
Axis IV - Psychological & environmental stressors
Axis V - GAF correspondent to pt level of funct.

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2
Q

Non-Therapeutic

A

.

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3
Q

Therapeutic Techniques

A

Using Silence
Active listening [active listening, listen w/empathy]
Clarifying [paraphrasing, reflecting, restating, exploring]

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4
Q

Therapeutic Communication

A

Goal-directed professional communication, directed towards the needs of the patient

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5
Q

Therapeutic use of self

A

Most important part of N/Pt relationship

The conscious use of self to establish rapport, a relationship and to formulate interventions.

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6
Q

Common Countertransference Reactions

A
Boredom (indifference)
Rescue
Overinvolvement
Overidentificaiton
Misuse of Honesty
Anger
Helplessness or Hopelessness
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7
Q

Peplau’s model of the Nurse-Patient relationship

A

Pre-orientation Phase
Orientation Phase
Working Phase
Termination Phase

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8
Q

Pre-orientation Phase

A

“Planning Phase”

Establish goals for encounter

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9
Q

Orientation Phase

A
Primary to build Trust
Rapport
confidentiality
termination
pt needs & goals
est. contract
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10
Q

Working Phase

A

maintain relationship
promote pt prob-solve skills
overcome resistent behaviors
Promote practice

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11
Q

Termination Phase

A

Saying goodbye
Summarize pt achievements
Pt share feelings

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12
Q

Factors that promote growth in patients

A

Genuineness
Empathy
Positive regard (attending actions, suspending value jugements, help develop resources)

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13
Q

Empathy

A

Understand pt’s feelings

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14
Q

Sympathy

A

objectivity is lost and ability to help pt in solving personal problems ceases.
“feeling sorry for pt”

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15
Q

Social Relationship

A

Purpose is friendship, socialization, enjoyment.

-Mutual needs are met

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16
Q

Therapeutic Relationship

A
  • the nurse maximizes her communicaitons skills, understanding of human behaviors, and personal strengths to enhance the patients growth.
  • focus is on pt’s ideas, experiences & feelings
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17
Q

Id

A
  • At Birth/newborns
  • source of instinct reflexes, needs, genetic inheritance
  • CANNOT problem solve
  • NOT logical
  • Operates on pleasure principle

Ex: hungry crying infant

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18
Q

Ego

A
  • Emerges at 4-5 months old
  • Problem solver
  • REALITY TESTING
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19
Q

Superego

A
  • Last to develop

- Moral component of personality

20
Q

Sigmund Freud

A

“Father of Psychiatry”

  • Believed mental disorders are unresolved childhood conflicts
  • Personality Structure (id, ego, superego)
  • 3 levels of awareness
  • Psychosocial development
  • Defense Mechanisms
  • Psychoanalytic therapy
21
Q

Psychoanalysis

A

Freud
Patient talks freely
ONLY for emotionally healthy pt (strong ego)

22
Q

Psychodynamic Therapy

Freud

A

follows psychoanalytic model though is more interactive and oriented to present
ONLY for emotionally healthy pt (strong ego)

23
Q

Erik Erikson

A

Personality develops over lifespan

24
Q

Harry Stack Sullivan

A

“Relationships”

  • interpersonal psychotherapy
  • Security Operation
  • Participant observer
25
Hidegard Peplau
- Nurse/Patient relationship - 1st theorhetical framework - Implemented IPRs - 4 levels of anxiety
26
Pavlov
Classic Conditioning | Dog & Bell
27
Skinner
Operant Conditioning
28
Behavior Therapy
1. Modeling 2. Operant Conditioning 3. Systematic Desensitization 4. Aversion Therapy 5. Biofeedback
29
Rational Emotive Behavior Therapy
Albert Ellis Eradicate irrational beliefs "stinkin thinkin", be an optimist`
30
Cognitive Behavioral Therapy
-Aaron Beck
31
Dilectcal Behavioral Therapy
.
32
Milieu Therapy
.
33
Inpatient Admission Criteria
1. Danger to self 2. Danger to others 3. Unable to meet basic (survival) needs
34
RN Roles
- Admission - Assess Safety - identify education needs - Est. therapeutic relationship - Assess physical and emotional health status - Milieu - Medication Admin. - Crisis prevention & management - Facilitate groups (not psychotherapy) - Discharge planning - Collaborate w/TX team - Documentation
35
Neurotransmitter(s) associated with Schizophrenia
Dopamine & Glutamate
36
Neurotransmitter(s) associated with Mood disorders
Norepinephrine
37
Neurotransmitter(s) associated with Depression
Serotonin
38
Neurotransmitter(s) associated with Anxiety
GABA | CRH (corticotropin-releasing hormone)
39
Neurotransmitter(s) associated with Alzheimers
Acetylcholine
40
Neurotransmitter(s) associated with Bipolar
Norepinephrine, serotonin and dopamine
41
Neurotransmitter(s) associated with ADHD
Norepinephrine & Dopamine
42
Pervasive Developmental DS (PDD)
Autism Aspergers Retts Childhood disintegration
43
Autism
Behavior syndrome May exhibit Savant syndrome (exceptional talent in one area) Emerges before 3yrs old IQ may be affected
44
Asperger's
Later onset than autism Cognitive and language development are not affected Idiosyncratic behavior
45
Retts
ONLY in females Profound mental retardation Onset prior to 4yr old associated with seizures