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Psych Exam 1 > Other stuff > Flashcards

Other stuff Flashcards

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1
Q

Who is Han Seyle

A

Defined stress as a syndrome

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2
Q

3 phases of stress

A

Alarm reaction phase: flight or flight response
Stage of resistance: adapts to stress
Stage of exhaustion: adaptive energy depleted

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3
Q

Dorothea Dix

A

First woman to advocate for psych patients

Separated mental health from criminalization

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4
Q

Peplau

A

Mother of MH
First published nursing theorist since Florence Nightingale. She created the middle-range nursing theory of interpersonal relations, which helped to revolutionize the scholarly work of nurses
she led the way towards humane treatment of patients with behavior and personality disorders

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5
Q

6 nursing roles

A

Stranger role: Receives the client the same way one meets a stranger in other life situations; provides an accepting climate that builds trust. (talk to them like any other person)
Resource Role: Answers questions, interprets clinical treatment data, gives information. (ask questions)
Teaching Role: Gives instructions and provides training; involves analysis and synthesis of the learners experiences. (a lot of educating)
Counseling role: Helps client understand and integrate the meaning of current life circumstances; provides guidance and encouragement to make changes. (help them understand)
Surrogate role: Helps the client clarify domains of dependence, interdependence, and independence and acts on clients behalf as an advocate. (Advocate and look for resources)
Leadership role: Helps the client assume maximum responsibility for meeting treatment goals in a mutually satisfying way.

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6
Q

Mental Health Act

A

Deinstitutionalization 1960’s
The Community Mental Health Act of 1963 was an act to provide federal funding for community mental health centers and research facilities in the United States. This legislation was passed as part of John F. Kennedy’s New Frontier. It led to considerable deinstitutionalization

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7
Q

Milieu

A

Means setting or environment

Milieu therapy is using and manipulating the environment in therapeutic manner

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8
Q

Mild Anxiety

A

Not an issue

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9
Q

Anxiety where…Perceptual field begins to diminish

Can become problematic, hard to concentrate

A

Moderate Anxiety

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10
Q

Anxiety where… Perceptual field diminishes greatly

You can only focus on one thing

A

Severe anxiety

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11
Q

Stage where… The most intense state

You cannot focus on anything

A

Panic

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12
Q

Someone is having Heart palpitations, shortness of breath, depersonalization (like watching a movie of yourself), what are they most likely having?

A

Panic attack

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13
Q

What to do if someone has a panic attack?

A

Remove person from stimuli, breathe deeply, sit with them

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14
Q

What is cognitive therapy

A

Treatment (take distorted thought process and trying to change it to a more realistic thought process, good for social anxiety disorders)
Goal: modify cognitive distortions
Techniques: cognitive restructuring, reframing, thought stopping

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15
Q

Mental Status Exam purpose

A

The Mental Status Exam (MSE) is the psychological equivalent of a physical exam that describes the mental state and behaviors of the person being seen. It includes both objective observations of the clinician and subjective descriptions given by the patient.

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16
Q

What does an MSE look at?

A

Initial appearance, Behavior, Judgement, Suicidal thoughts, Memory, Insight, Thought content (delusions or hallucinations), Speech, Orientation

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17
Q

25-30 on mmse

A

Normal for a college graduate

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18
Q

24-30 on mmse

A

Normal for high school grad

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19
Q

23-30 on mmse

A

Normal for 8th grade education

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20
Q

Repression

A

Repression is an unconscious defense mechanism employed by the ego to keep disturbing or threatening thoughts from becoming conscious.

21
Q

Projection

A

Projection: In projection, you take what you think are unacceptable impulses and literally “project” (or attribute) them to others
You hate your cousin but instead you say your cousin hates you

22
Q

Displacement

A

Displacement: Transferring your unacceptable feelings toward someone you’re supposed to love (or perhaps fear) onto a safer target is the hallmark of displacement.

23
Q

Rationalization

A

Rationalization: In this defense mechanism, you use an excuse to justify an experience that reflects negatively on you. Although you know you’re using an excuse, you don’t realize that you’re doing it.

24
Q

Denial

A

Denial: Classic denial means that you deny having negative or harmful impulses; if you did, you’d be overwhelmed with anxiety.

25
Q

Regression

A

Regression: The Freudian view of regression is that when you’re stressed, you revert to an earlier psychosexual stage when you felt happier and more secure (think of a thumb-sucking preschooler).

26
Q

Sublimation

A

Sublimation: sublimation is perhaps the healthiest of all defense mechanisms. You take unacceptable impulses—the classic one being sexual desire directed at an inappropriate target—and turn them into behaviors that will not cause problems, and may even do some good.

27
Q

Suppression

A

Conscious process of forgetting trauma from the past

28
Q

Nursing Process steps

A

Assessment, Nursing Diagnosis, Outcome Identified, Planning, Implementation, Evaluation

29
Q

Countertransference vs Transference

A

Countertransference: refers to the nurses behavioral and emotional response to the client
Transference: occurs when client unconsciously displases to the nurse feelings formed toward a person from the past

30
Q

Yalom

A

Group Therapy, Curative factor that people feel amongst each other as part of one group = universality

31
Q

Autocratic Leadership

A

Focus is on the leader, on whom the members are dependent for problem-solving, decision-making, and permission to perform.
Production is high, but morale is low.

32
Q

Democratic Leadership

A

Focus is on members, who are encouraged to participate fully in problem-solving of group issues, including taking action to effect change.
Production is somewhat lower than with autocratic leadership, but morale is much higher.

33
Q

Laissez Faire Leadership

A

There is no focus in this type of leadership.
Goals are usually defined, and members do as 
they please to meet them.
Productivity and morale is usually low.

34
Q

How do Afferent, Efferent and interneurons work together?

A

Sensory (afferent) neurons send the feeling of sticky wetness up your spinal cord to your brain. The sensory neurons pass the information off to the interneurons. The interneurons hanging out in the brain decide what to do. They then tell the motor (efferent) neurons the plan then efferent neurons act.

35
Q

Utilitarianism

A

the most good for the most people, etc.

36
Q

Kantianism

A

Actions are judged as right or wrong based on ethical principles

37
Q

Christian ethics

A

god centric

38
Q

Natural law theories

A

when we are born we know between right and wrong

39
Q

Ethical egoism

A

person making decisions for themselves

40
Q

Autonomy

A

emphasizes the status of persons as autonomous moral agents whose rights to determine their destinies should be respected

41
Q

Beneficence

A

one’s duty to benefit or promote the good of others

42
Q

Non-maleficence

A

Abstaining from negative acts toward another; includes acting carefully to 
avoid harm.

43
Q

Justice

A

Principle based on the notion of a hypothetical social contract between free, equal, and rational persons. The concept of justice reflects a duty to treat all individuals equally 
and fairly. (treat fairly)

44
Q

Veracity

A

Principle that refers to one’s duty to always be truthful. (tell the truth)

45
Q

A.A:

A

Practice folk medicine, women run house hold, HTN and sickle cell anemia are genetic tendencies,

46
Q

Northern Europeans:

A

Future oriented, punctuality and efficiency is imp. , value healthy lifestyle

47
Q

Hispanics:

A

Touch is a common form of communication, present oriented, Curandero or Curandera is a folk healer, Psychiatric illness has higher incidence in US born than immigrants

48
Q

Asian/Pacific Islander Americans:

A

Not big on touching, past and present oriented, Yin and Yang, Psychiatric illness is seen as out of control and brings shame to family

49
Q

Native Americans:

A

Do not life touch, handshake can be aggressive, silent and reserved, not emotional people, present time oriented, Shaman is a medicine man which works close with conventional medicine, (Diabetes, heart disease, TB, alcoholism and nutritional deficiencies are common)

Psych Exam 1 (2 decks)

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