Psych Intro

Question 1

Neuroplasticity

Answer 1

brain makes new connections and pathways

Question 2

What is transference?

Answer 2

An unconscious response of patients in which they experience feelings and attitudes toward the nurse that were originally associated with significant figures in their lives- may be positive or negative

Question 3

What is counter transference ?

Answer 3

An emotional response of the nurse that is generated by the patient’s qualities that stimulate emotions based on their own personal experience that results in behavior based that is not appropriate to the therapeutic relationship

Question 4

Maslow’s hierarchy of needs ?

Answer 4

1. Physiological Needs
2. Safety Needs
3. Love and Belonging Needs
4. Esteem Needs
5. Self-Actualization

Question 5

Erikson’s Psychosocial stages

Answer 5

Stage 1 - trust vs. mistrust (birth to 2 years old)
Stage 2 - autonomy vs. shame and doubt (2-4 years old)
Stage 3 - initiative vs. guilt (4-5 years old)
Stage 4 - industry vs. inferiority (5-12 years old)
Stage 5 - identity vs. role confusion (13-19 years old)
Stage 6 - intimacy vs. isolation (20-39 years old)
Stage 7 - generativity vs. stagnation (40-64 years old)
Stage 8 - integrity vs. despair (65-death)

Question 6

Defense Mechanisms (Unconscious)

Denial/Minimization

Answer 6

avoidance of difficult realities by ignoring or refusing to recognize them, or minimizing the impact or effect something will have on their life

Question 7

Defense Mechanisms (Unconscious) : Projection

Answer 7

attributing one’s own thoughts or impulses to another person

Question 8

Defense Mechanisms (Unconscious): Acting out

Answer 8

feelings, emotions and conflicts are expressed behaviorally, rather than through language

Question 9

Defense Mechanisms (Unconscious): Intellectualization-

Answer 9

excessive reasoning or logic used to avoid painful emotions

Question 10

Defense Mechanisms (unconscious):

Rationalization

Answer 10

offering a socially acceptable or apparently logical explanation to justify or make acceptable otherwise unacceptable impulses, feelings, behaviors and motives

Question 11

Maryland legal statutes:

Voluntary psychiatric hospitalization

Answer 11

• a person has recognized the need for treatment and signs themselves into the hospital- must give 72 hrs notice of intent to leave the hospital

Question 12

Involuntary psychiatric hospitalization

Answer 12

• 2 physicians determine that a person has met the criteria and can be hospitalized without their consent

Question 13

Emergency Petition for Psychiatric Evaluation (EP)

Answer 13

a person can be taken to the ED for emergency evaluation (see NAMI doc)

Police or paramedics can take a person against their will to a hospital to be evaluated. It does not mean to the individual will stay or be admitted

Question 14

A patient can involuntarily receive medications

Answer 14

if it is determined by 2 psychiatrists that the patient is in danger if not. This would be done by injection