NCM 117, LEC Flashcards
state of well-being where a person can realize his/her own abilities to cope with the normal stresses of life & work productively. (WHO)
MENTAL HEALTH
Key determinants of mental health:
a. Psychosocial
b. Cultural
c. Neurobiological influences
ability of people, couples, families, & communities to respond adaptively to internal & external stressors
MENTAL HEALTH
attitude of individual toward self
POSITIVE MENTAL HEALTH
what a person does with his abilities and potentials
PRESENCE OF GROWTH & DEVELOPMENT
ability to make one’s own decision & react accordingly
AUTONOMY & INDEPENDENCE
ability to tolerate anxiety, frustration in stressful situation
PERSONALITY INTEGRATION
ability to adapt, adjust & behave appropriately in situation
ENVIRONMENTAL MASTERY
how a person perceive his environment & other people
PERCEPTION OF REALITY
Mentally healthy person accepts?
SELF, SELF RELIANT, SELF CONFIDENT
judgement, intellect, memory
FRONTAL LOBE
state in which an individual shows deficit in functioning
MENTAL ILLNESS
AKA psychiatric disorder/psychopathology
MENTAL ILLNESS
CNII & CNIII
OCCIPITAL LOBE
pain stimulus
PARIETAL LOBE
wernicke’s aphasia
TEMPORAL LOBE
elevated dopamine
SCHIZOPHRENIA
decrease dopamine
PARKINSON’S
decreased serotonin & nor-epinephrine
MAJOR DEPRESSION
elevated serotonin & nor-epinephrine
PANIC DISORDERS
conditioning strengthening responses by reinforcement
BEHAVIORAL PERSPECTIVE
decreased GABA
ANXIETY DISORDER/INSOMNIA
decreased ACH
ALZHEIMER’S
all behaviors including mental illness is learned
BEHAVIORAL PERSPECTIVE
power of choice/freewill
HUMANISTIC & EXISTENTIAL PERPECTIVE
lower need must be met in order to advance to the next level
MASLOW’S hierarchy of need
high ID & low SUPER EGO
CONDUCT DISORDER
low ID & high SUPER EGO
OBSESSIVE COMPULSIVE, UNDOING
Phases of Therapeutic Relationship
a. ORIENTATION PHASE
b. WORKING PHASE
c. TERMINATION PHASE
initiating phase
ORIENTATION PHASE
concerned with the promotion of mental health prevention of mental disorders, & nursing care of patients during mental illness & rehabilitation
PSYCHIATRIC NURSING
the nurse terminates the relationship when the mutually agreed on goals are reached
TERMINATION PHASE
explore client’s perception of reality
WORKING PHASE
8 conditions essential for a therapeutic relationship
- EMPATHY
- RESPECT
- GENUINENESS
- SELF-DISCLOSURE
- CONFRONTATION
- CONCRETENESS & SPECIFICITY
- IMMEDIACY OF RELATIONSHIP
- SELF-EXPLORATION
ability of the nurse to understand a condition of being aware & sensitive of another thoughts and feelings
EMPATHY
an act of giving/showing honor to client
RESPECT
an act of sincere, honest
GENUINENESS
act of appropriate attitude, feelings& belief
SELF-DISCLOSURE
act of accepting
CONFRONTATION
occurs as the nurse identifies the clients feeling
CONCRETENESS & SPECIFICITY
refers to sharing of spontaneous feeling
IMMEDIACY OF RELATIONSHIP
examination & analysis of one’s emotional capacities
SELF-EXPLORATION
Sub-role of the psychiatric-mental nurse:
As a teacher, mother surrogate, counselor, manager, socializing agent, technical nurse
feeling of being overwhelmed
STRESS
ABC model
ADVERSITY, BELIEFS, CONSEQUENCES
REBT
Rational Emotive Behavior Therapy
under constant pressure to perform
TYPE A
relaxed
TYPE B
Sources of Stress:
- Physiological
- Psychological
- Cultural factor
- Ecological factor
- Genetic factor
- Occupational factor
immediate response
COPING
final response
ADAPTATION
identified GAS as a physiologic aspect of stress
HANS SELYE
GAS
General Adaptation Syndrome
common reaction to stress
ANXIETY
mobilization of the body’s defense forces
ALARM REACTION STAGE
individuals strive to adapt stress
RESISTANCE STAGE
loss of ability to resist stress
STAGE OF EXHAUSTION
personal evaluation of stressor
COGNITIVE APPRAISAL
3 cognitive appraisal
- PRIMARY APPRAISAL
- SECONDARY APPRAISAL
- REAPPRAISAL
Psychologic defense
EGO DEFENSE MECHANISM
appear irrational/ insane to others
LEVEL 1 PATHOLOGIC
present in adults & more commonly among adolescents
LEVEL 2 IMMATURE
common among adults
LEVEL 3 NEUROTIC
is a state of apprehension
ANXIETY
4 levels of anxiety:
- MILD
- MODERATE
- SEVERE
- PANIC
motivates someone positively
MILD
narrowing of perceptual field
MODERATE
the level reaches is of terror
PANIC
inability to attend his/her surrounding
SEVERE
subjective emotions & affect that are a normal response to the experience of loss
GRIEF
feeling of dread
PANIC
Weeks to years
GRIEF RESPONSE
anything that is perceived as such by individuals
LOSS
group of conditions marked by extreme/pathologic anxiety/dread
ANXIETY DISORDERS
describes how peoples’s thoughts and perspective influence their lives
COGNITIVE MODEL
Cognitive Theory
AERON BECK
thought patterns that may lead to emotional issues
REBT
being in a challenging situation
ADVERSITY
a type of therapy introduced by Albert Ellis in the 1950s
REBT
interpreting the situation
BELIEFS
result of the situation
CONSEQUENCES
Factors Influencing the Manifestation of Stress
- Nature of stressor
- Peception of the stressor
- Number of stressor
- Duration of the exposure to the stressor
- Previous experience with a comparable stressor
- Age
- Available support system
- Personality type
Manifestation of Stress
Physiological manifestation, psychological manifestation, anxiety, anger, cognitive behavior
3 stages of General Adaptation Syndrome
- Alarm reaction stage
- Resistance stage
- Stage of exhaustion
appraisal of threat
LAZARUS INTERACTIONAL THEORY