Psych Flashcards
What are the five stages of psychosocial development in order according to Freud?
- Oral (infancy)
- Anal (toddlerhood)
- Phallic (pre-school)
- Latency (school-age)
- Genital (adolescence)
sensorium
Part of the brain regarded as the seat of sensation
What are 3 potential risk factors for mental illness?
- Family Hx
- Medical Hx (e.g.,imbalances can cause s/sx resembling mental illness)
- Lack of environmental/social support
What are the 3 parts of the psych Freud defined?
- Id
- Ego
- Superego
- What are the 3 phases of therapeutic relationship?
- What occurs at each phage?
- Initiating (orientation) phase - boundaries of relationship is determined
- Working phase - client develops insights and learns coping
- Terminating phase - work of relationship is summarized
What is the purpose of therapeutic responses (techniques)?
techniques which are the main tools to promote therapeutic exchange between nurse and client
What are 4 examples of therapeutic responses?
- Using silence (non-verbal)
- General or broad openings
- Clarification
- Reflecting
What are the 2 goals/purpose of using silence
- Allows client time to think and reflect; conveys acceptance
- Allows client to take lead in conversation.
What are the 4 goals/purpose of using broad openings?
- Encourages client to talk
- Indicates interest in client
- Allows client to choose subject
- Set tone for depressed client
What are the 4 goals/purpose of using clarification?
- Encourages recall and details of a particular experience
- Encourages description of feelings
- seeks clarification, pinpoints specifics
- Makes sure the nurse understands client.
What are the 2 goals/purpose of using reflecting?
- Paraphrases what client says
- Reflects what client says, especially feelings conveyed.
express meaning using different words to achieve greater clarity.
What are 6 responses to avoid in therapeutic communication?
- Close-ended questions
- Advice-giving
- Aruging or responding in a hostile way
- False reassurance
- “why” responses
- Judgemental responses
Who developed the interpersonal relationship paradigm of nurses and patients?
Hildegard Peplau
Define Transference and Countertransference
- transference, the patient views nurse as being similar to an important person in their life
- Countertransference refers to when patient reminds the nurse of someone in their life.
____ is an uncomfortable feeling of apprehension or dread that occurs in response to internal or external stimuli
Anxiety
Which “ego” defense mechanism is being described?
Failure to acknowledge an intolerable
thought, feeling, experience, reality
used to cope with anxiety and painful feelings
Denial
“Alcoholic says his drinking is not a
problem; terminally ill client makes
long-term plans”
Which “ego” defense mechanism is being described?
Redirection of feelings to subject that
is acceptable or less threatening
used to cope with anxiety and painful feelings
Displacement
“Kicking the dog or yelling at one’s
spouse after a bad day at work”
Which “ego” defense mechanism is being described?
Attribution to others of one’s own unacceptable thoughts, feelings, qualities
used to cope with anxiety and painful feelings
Projection
“Saying someone you are angry with dislikes you; staff nurse complains about the head nurse’s poor skills after receiving an unfavorable evaluation”
Which “ego” defense mechanism is being described?
Attempts to justify, via logical or
acceptable explanations, acts or
feelings that are not logical or
acceptable
used to cope with anxiety and painful feelings
Rationalization
“A student who is sexually attracted to
her teacher tells herself she needs to
stay after class for help with a project”
Which “ego” defense mechanism is being described?
Expressing attitude directly opposite
to unconscious one
used to cope with anxiety and painful feelings
Reaction formation
“Someone with strong dependency
needs chooses a “helping” profession”
Which “ego” defense mechanism is being described?
Unacceptable thoughts kept from
awareness
used to cope with anxiety and painful feelings
Repression
“Forgetting painful experience”
Which “ego” defense mechanism is being described?
Only noticing another’s positive
qualities
used to cope with anxiety and painful feelings
Idealization
Which “ego” defense mechanism is being described?
An attempt to erase an unacceptable
act or thought
used to cope with anxiety and painful feelings
Undoing
“Excessively apologizing; buying
extravagant gifts for one’s spouse
while having an affair”
What are 7 considerations to inquire about during a mental health assessment?
- Appearance
- Speech
- Sensorium (A&O, memory, etc)
- Family relationships and work habits
- Level of growth and development
- Support systems or stressors
- Potential risk factors
What is Maslow’s 5 Hierarchy of Needs in order of importance
- Physical (oxygen, water, food, sleep, sex)
- Safety
- Love and belonging
- Esteem and recognition
- Self-actualization
