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Mental Health > Mental Health - Final Blueprint > Flashcards

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
Q

Hidegard Peplau

A
  • Nurse/Patient relationship
  • 1st theorhetical framework
  • Implemented IPRs
  • 4 levels of anxiety
26
Q

Pavlov

A

Classic Conditioning

Dog & Bell

27
Q

Skinner

A

Operant Conditioning

28
Q

Behavior Therapy

A
  1. Modeling
  2. Operant Conditioning
  3. Systematic Desensitization
  4. Aversion Therapy
  5. Biofeedback
29
Q

Rational Emotive Behavior Therapy

A

Albert Ellis
Eradicate irrational beliefs
“stinkin thinkin”, be an optimist`

30
Q

Cognitive Behavioral Therapy

A

-Aaron Beck

31
Q

Dilectcal Behavioral Therapy

A

.

32
Q

Milieu Therapy

A

.

33
Q

Inpatient Admission Criteria

A
  1. Danger to self
  2. Danger to others
  3. Unable to meet basic (survival) needs
34
Q

RN Roles

A
  • 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
Q

Neurotransmitter(s) associated with Schizophrenia

A

Dopamine & Glutamate

36
Q

Neurotransmitter(s) associated with Mood disorders

A

Norepinephrine

37
Q

Neurotransmitter(s) associated with Depression

A

Serotonin

38
Q

Neurotransmitter(s) associated with Anxiety

A

GABA

CRH (corticotropin-releasing hormone)

39
Q

Neurotransmitter(s) associated with Alzheimers

A

Acetylcholine

40
Q

Neurotransmitter(s) associated with Bipolar

A

Norepinephrine, serotonin and dopamine

41
Q

Neurotransmitter(s) associated with ADHD

A

Norepinephrine & Dopamine

42
Q

Pervasive Developmental DS (PDD)

A

Autism
Aspergers
Retts
Childhood disintegration

43
Q

Autism

A

Behavior syndrome
May exhibit Savant syndrome (exceptional talent in one area)
Emerges before 3yrs old
IQ may be affected

44
Q

Asperger’s

A

Later onset than autism
Cognitive and language development are not affected
Idiosyncratic behavior

45
Q

Retts

A

ONLY in females
Profound mental retardation
Onset prior to 4yr old
associated with seizures

Mental Health (13 decks)

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