Psychiatric Nursing Prelim (Lecture) Part 1 Flashcards

1
Q

who defines psychiatric nursing as “ an interpersonal
process whereby the professional nurse practitioner assist
an individual, family or community to promote mental
health?

A

Travelbee

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2
Q

include a person’s biologic
make up, autonomy and independence, self-esteem,
capacity for growth, vitality, ability to find meaning in life,

what factor?

A

Individual or personal factors

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3
Q

include effective
communication, ability to help others, intimacy, and a
balance of separateness and connectedness.

A

Interpersonal or relationship factors

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4
Q

include a sense
of community, access to adequate resources, intolerance
of violence, support of diversity among people,

A

Social/cultural or environmental factors

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5
Q

GENERAL CRITERIA TO DIAGNOSE MENTAL
DISORDERS

DIIIL

A

Dissatisfaction with one’s place in the world;
● Ineffective coping with life events;
Include dissatisfaction with one’s characteristics, abilities,
and accomplishments;
● Ineffective or unsatisfying relationships;
Lack of personal growth

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6
Q

Insanity was associated with demonic possession

Mental illness was perceived as incurable, and treatment
of the insane was sometimes inhumane and
brutal.

A

EARLY HISTORY (ANCIENT TIMES)

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7
Q

Often imprisoned or forced to live in streets and beg
for food.

A

THE MIDDLE AGES

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8
Q

Built in London, England during the 14 t h Century.

A

FIRST MENTAL ASYLUM: ST. MARY OF BETHLEHEM

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9
Q

Continued skepticism about the curability of mental
illness.
● Asylums became the repositories for
prolonged enclosure of the mentally ill.

A

THE FIFTEENTH THROUGH SEVENTEENTH CENTURIES

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10
Q

nsane was no longer treated as less than human.
● The concept of asylum developed from the humane
efforts of Pinel and Tuke

A

THE EIGHTEENTH CENTURY PERIOD OF ENLIGHTENMENT

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11
Q

Advocated kindness and moral treatment.

A

PHILIPPE PINEL (1745-1862

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12
Q

Began a 4-yaer dynasty that advocated humane
treatment of the mentally ill

A

WILLIAM TUKE (1732-1822)

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13
Q

Renewed theart of suggestive healing that stemmed from
the ancient use of trances, which became the
basis of hypnosis

A

FRANZ ANTON MESMER (1734-1815)

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14
Q

a form of shock therapy consisting of a rotating,
swinging platform onto which the person was strapped
and moved at high speed;

A

Gyrator-

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15
Q

Emphasized the need for pleasant surroundings ,
diversional and moral treatment of the mentally i11.

A

BENJAMIN RUSH (1745-1813)

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16
Q

THE EVOLUTION OF THE PSYCHIATRIC NURSE

A

THE NINETEENTH CENTURY

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17
Q

First psychiatric hospital in America in
Williamsburg, Virginia. what year?

A

1772

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18
Q

became the first
US institution to provide humane treatment for
the mentally ill.

A

1817- Mclean Asylum in Massachusetts

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19
Q

The first American Psychiatric Nurse
● Graduate of New England Hospital for Women

A

LINDA RICHARDS

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20
Q

Led crusade that brought attention of these conditions to
the public and legislature

A

DOROTHEA LYNDE DIX (1802-1887)

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21
Q

Devised a classification of mental disorders.

A

EMIL KRAEPELIN (1856-1926)

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22
Q

Shifted from an emphasis on research in the
pathobiological laboratory to the observation and
research in conditions known as

A

praecox dementia
and mania.

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23
Q

Developmentof psychoanalysis, psychosexual theories,
and neurosis

A

SIGMUND FREUD (1856-1939)

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24
Q

a method that serves as the basis for
treatment and a theory for personality development.

A

Psychoanalysis-

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25
Coined the term schizophrenia and included its characteristics the four A’s: WHO AND WHAT ARE THE 4As
EUGEN BLEULER (1857-1939) -Apathy, ● -Associative looseness, ● -Autism, and ● -Ambivalence
26
Initiated psychobiological theory and dynamic concept of psychiatric care.
ADOLPH MEYER (1866-1950)
27
Founded analytic psychology.
CARL GUSTAV JUNG (1875-1961)
28
● Had been treated for mental illness. Contributed to preventive care though his classic work, A Mind That Found Itself, published in 1908.
CLIFFORD BEERS (1876-1943)
29
Objected to Freud's notions that neurosis and personality development were based on biological drives.
KAREN HORNEY (1885-1952)
30
Postulated the Hypothesis of interpersonal theory and the development of multidisciplinary approaches to psychiatric and milieu therapy
HARRY STACK SULLIVAN (1892-1949)
31
A deliberate shift from institutional care in state hospitals to community facilities.
HARRY STACK SULLIVAN (1892-1949)
32
number of admissions to those beds correspondingly increased by 90%. Such findings have led to the term
revolving door effect
33
FIRST PSYCHIATRIC NURSING TEXTBOOK
"Nursing Mental Diseases" ● Written by Harriet Bailey in l 920
34
Developed a model for psychiatric nursing practice ● Wrote the book "Interpersonal Relationship in Nursing" (1952),
HILDEGARD PEPLAU
35
THE DIAGNOSTIC ''BIBLE'' OF PSYCHIATRY
Diagnostic and Statistical Manual of Mental Disorders (DSM)
36
Clinical disorders (e.g., schizophrenia, major depression, bipolar disorder)
Axis I:
37
General medical conditions that relate to axis I or II or have bearing on treatment (e.g., neoplasms, endocrine disorders)
Axis Ill
38
Severity of psychosocial stressors (e.g., divorce, housing, educational issues)
Axis IV
39
Personality or developmental disorders (e.g., paranoid and borderline personality disorders, mental retardation)
Axis II:
40
Global assessment of functioning, on a scale of 0 to100 (e.g., score of 30 means that the patient's behavior is highly influenced by delusions and hallucinations)
Axis V:
41
State of well being, where a person can realize his potential
Mental Health=
42
disturbance of thought, feelings and behavior
disturbance of thought, feelings and behavior
43
medically diagnosable illness
Mental Disorder
44
Science which deals with measures employed to promote mental health
Mental Hygiene
45
This theory supports the notion that EVERY human behavior is caused and can be explained
PSYCHOSEXUAL/PSYCHOANALYTICAL
46
Freud believed that the human personality functions at three levels of awareness:
conscious, preconscious, and unconscious
47
part of a person that reflects BASIC or innate DESIRES, INSTINCT and SURVIVAL impulses
ID
48
represents the REALITY aspect
EGO
49
part that reflects MORALITY and ethical concepts, and values
SUPER EGO
50
much of our behavior is motivated by our
SUBCONSCIOUS thoughts or feelings
51
COMPONENTS OF PERSONALITY
ID, EGO, SUPER EGO
52
perceptions, thoughts and emotion that exist in the person’s awareness
Conscious
53
thoughts, drives and emotions totally a person is Unaware
Unconscious-
54
Thoughts and emotions not currently in awareness but can be recalled with effort
Pre-conscious/Subconscious-
55
FIVE STAGES OF PSYCHOSEXUAL DEVELOPMENT
1. Oral 2. Anal 3. Phallic or Oedipal 4. Latency 5. Genital
56
Site of gratification: Mouth 0-18 months
Oral
57
Site of gratification: Genitals 3-5 years
Phallic
58
Site of gratification: Genitals 12 and above
Genitala
59
Site of gratification: Anus 1 ½ - 3 years
Anal
60
Site of gratification: (School Activities) 6-12 years
Latency
61
Major task: Oedipal & Electra complex
Phallic
62
Major task: Sexual intimacy
Genital
63
Major task : School activitie
Latency
64
Major task: Weaning
Oral
65
Major task: Toilet training
Anal
66
These are PSYCHOLOGIC adaptive mechanisms
EGO DEFENSE MECHANISMS
67
Covering up weaknesses by emphasizing a more desirable trait
Compensation
68
A person in denial protects himself from reality – especially the unpleasant aspects of life – by refusing to perceive, acknowledge, or face it.
Denial
69
In displacement, the person redirects his impulses (commonly anger) from the real target (because that
Displacement
70
Imitation of someone feared or respected
Identification
71
Hiding one’s emotional responses or problems under a façade of big words and pretending there’s no problem.
Intellectualization
72
A person introjects when he adopts someone else’s values and standards without exploring whether they fit him
Introjection
73
Expression of an emotional conflict through the development of a physical symptom
Conversion
74
Blame is attached to others or to environment for unacceptable thoughts, mistakes, etc
Projection
75
JUSTIFICATION of certain BEHAVIORS by faulty logic/reasons
Rationalization
76
Acting OPPOSITELY to the way they feel
Reaction Formation
77
Under stress, a person may regress by returning to the behaviors he used in an earlier, more comfortable time in his life
Regression
78
Refers to unconsciously blocking out painful or unacceptable thoughts and feelings, leaving them to operate in the subconscious.
Repression
79
Re-channeling of aggressive energies into socially acceptable activities
Sublimation
80
Conscious exclusion of unacceptable thoughts from awareness
Suppression
81
Making up for a negative behavior
Undoing
82
Dealing with emotional conflict by temporary alteration in consciousness or identity
Dissociation
83
FIXATION:- individual would have issues with dependency or aggression ● - problems in drinking, eating, smoking or nail biting
ORAL STAGE
84
FIXATION- anal expulsive personality - Parents are too lenient - Individual has a messy, wasteful or destructive personality
ANAL STAGE
85
Fixation: Deviancy/ Sexual dysfunction ● 3-6 YEARS ● Most crucial sexual conflict
3. PHALLIC STAGE
86
Physical and psychic energy are channeled into acquisition of knowledge and vigorous play in school
4. LATENT STAGE From 6 to 12 years old
87
Gratifying activities: Masturbation and heterosexual relationships ● Interaction with the environment: Renewed sexual interest and desire, and the pursuit of relationships Fixations: No fixation. Damaged already done
GENITAL STAGE
88
Theory that focuses on developmental task, focuses on EGO as this develops from social interaction
PSYCHOSOCIAL THEORY
89
Consistency in the primary caregiver (parents) ● Talk to the child ● Virtue: HOPE
89
Consistency in the primary caregiver (parents) ● Talk to the child ● Virtue: HOPE
INFANCY: TRUST VS. MISTRUST
90
If developed, results to sphincter control= Toilet Training ● Virtue: WILL ● Temper Tantrums = Ignore
TODDLER: AUTONOMY VS. SHAME & DOUBT
91
Success & Failure have a lasting impact ● Virtue: COMPETENCE ● Inferiority Complex = overwhelming sense of inability
SCHOOL AGE: INDUSTRY VS. INFERIORITY
92
ndependence from parents and dependence to peers ● Virtue: FIDELITY
ADOLESCENCE: IDENTITY VS. ROLE CONFUSION
93
Gaining career stability ● Virtue: LOVE
YOUNG ADULTHOOD: INTIMACY VS. ISOLATION
94
Help growing and grown children to be responsible adults ● Virtue: CARE
MIDDLE ADULTHOOD: GENERATIVITY VS STAGNATION
95
Developing feelings of contentment ● Virtue: WISDOM
LATE ADULTHOOD:EGO INTEGRITY VS DESPAIR
96
Birth to 2 years ● Begins with innate reflexes ● Sees self as separate from environment
STAGE 1: SENSORIMOTOR v
97
● 2-6 years ● Ability to express self with language ● Understands symbolic gestures ● Egocentric
STAGE 2: PREOPERATIONAL
98
● 6-12 years ● Logical thinking ● Understands reversibility
STAGE 3: CONCRETE OPERATIONS
99
12 years and beyond ● Abstract reasoning ● Logical and critical thinking
STAGE 4: FORMAL OPERATIONS
100
This concept focuses on interaction between an individual and his environment ● Personality is shaped through “interaction” with significant others
INTERPERSONAL THEORY
101
believed that the basis for all emotional problems is anxiety from non satisfying relationships
Sullivan
102
develops in response to behaviors receiving approval by parents/SO
“Good Me”
103
” develops in response to behaviors receiving disapproval by parents/SO
“Bad Me”
104
develops in response to behaviors generating extreme anxiety in parents/SO and this is denied as part of oneself
. “Not Me”
105
INTERPERSONAL RELATIONSHIPS: 5 LIFE STAGES ICJPA
Infancy Childhood Juvenile Pre-adolescence Adolescence
106
THERAPEUTIC NURSE-PATIENT RELATIONSHIPS Developed by Hildegard Peplau ● 4 phases: OIER
1. Orientation 2. Identification 3. Exploitation 4. Resolution
107
directed by the nurse and involves engaging the client in treatment, providing explanations and information, and answering questions.
. ORIENTATION PHASE
108
begins when the client works interdependently with the nurse, expresses feelings, and begins to feel stronger
.IDENTIFICATION PHASE
109
Patient makes full use of available services ● Goals such as going home and returning to work emerge ● Patient’s behaviors
3. EXPLOITATION PHASE
110
● the client no longer needs professional services and gives up dependent behavior. ● The relationship ends
4. RESOLUTION PHASE
111
THERAPEUTIC NURSE-PATIENT RELATIONSHIPS ● Roles of the Nurse: SRTLSC
Stranger Resource person Teacher Leader Surrogate Counselor
112
providing specific answers to questions within a larger context
Resource person
113
serving as a substitute for another such as a parent or sibling
Surrogate
114
—promoting experiences leading to health for the client such as expression of feelings.
Counselor