Mental Health Nursing Flashcards
the most important underlying concept of mental health
it is a continuum and changes
a classification system of mental health disorders
the DSM
resiliency is the healthy way that..
people adapt to severe stress, loss, or trauma
people with resiliency can quickly recover because they have the ability to
identify healthy coping skills
learn from their experiences
factors effecting progress of mental health
support systems health practices (drug use) family influence cultural beliefs developmental events
grief ends after a period of
6-8 weeks
people who have more friends are less likely to develop a mental illness t or f
true (support systems)
what is a stigma
negative thoughts, attitudes, beliefs influencing ourselves or public in general
processes leading to stigmatizing
social isolation
stereotyping
status loss
what is the recovery model of care
philosophy emphasizing adaptive living and consumer empowerment (self-admin of meds) for people with mental illness
the most accepted explanation for mental illness
diathesis-stress model
what is the diathesis-stress model
diathesis = genetic predisposition
stress- environmental stressor/trauma
freuds theory
everything that happened to you as a child is going to shape your personality
freuds 3 personality structures
ID
Ego
Super Ego
What is the ID in freuds theory
pleasure principle “I want it now”
what is the Ego in freuds theory
problem solver
what is the superego in freuds theory
moral component
defense mechanisms operate on a unconscious level t or f
true
3 levels of awareness in freuds theory
conscious - thinking about right now
pre-conscious - easily remembered
unconscious - influence our behaviors, not aware
how many stages of psychosocial development are in Erikson’s theory
8
according to Erikson’s theory failures at one stage can be rectified at another stage, t or f
true
what is the 1st stage of psychosocial development in Erikson’s theory
trust vs. mistrust
age: 0-1.5 yrs..
what is the 2nd stage of psychosocial development in Erikson’s theory
autonomy vs. shame and doubt
age: 1.5-3 yrs.
what is the 3rd stage of psychosocial development in Erikson’s theory
initiative vs. guilt
age: 3-5 yrs.
what is the 4th stage of psychosocial development in Erikson’s theory
industry vs. inferiority
age: 5-12 yrs.
what is the 5th stage of psychosocial development in Erikson’s theory
identity vs. role confusion
age 12-18 yrs.
what is the 6th stage of psychosocial development in Erikson’s theory
intimacy vs. isolation
age 18-25 yrs.
what is the 7th stage of psychosocial development in Erikson’s theory
generative vs. stagnation
age 25-65 yrs.
what is the 8th stage of psychosocial development in Erikson’s theory
ego integrity vs. despair
age 65+ yrs.
Piaget’s theory focuses on this kind of development
cognitive
Piaget’s stages of cognition
0-2 sensorimotor
2-7 preoperational
7-11 concrete operational
11-adult - formal operational
Sullivan’s interpersonal theory believes that
our needs can be met through interaction with others and the goal of interaction with others is to decrease anxiety
two behaviorist theories what are they
Classical Conditioning - Pavlov’s dog
Operational Conditioning - Skinner - go potty=get treat
cognitive- behavioral theory believes
clients thoughts drive feelings - distorted thinking
who is the father of cognitive behavioral theory
Aaron Beck
in cognitive behavioral theory when you change the way you think you reduce symptoms, t or f
true - seeks to correct
in humanistic theory behavior is motivated by need, t or f
true
in humanistic theory each need is met before moving to the next level, yes or no
yes
what treatments fall under the biological model
ECT -
Medications
father of the humanistic theory
Maslow
Maslow’s Hierarchy of Needs
physiologic needs (food, breath, water)
safety and security (health, property, employment)
love and belonging (friendship, family, connection)
self-esteem (confidence, individuality)
self-actualization (morality, acceptance)
Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community with serious and persistent mental illness? Within 3 months, the patient will:
B. report a sense of well-being.
A 40-year-old adult living with parents states, “I’m happy but I don’t socialize much. My work is routine. When new things come up, my boss explains them a few times to make sure I understand. At home, my parents make decisions for me, and I go along with them.” A nurse should identify interventions to improve this patient’s:
A. self-concept
Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?
D. Some symptoms of mental disorders reflect a person’s cultural patterns.
The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. A nurse supports the use of praise because according to the Freudian theory, these qualities will likely be internalized and become part of the child’s:
C. superego.
