Slides 34 Flashcards
Mental illness determined
by behavior exhibited and context in which the behavior is observed
on the illness end
the person is rarely in touch with reality
on the healthy/wellness side
the person demonstrates a high level of wellness
on the illness end it results from?
an inability to cope with an overwhelming situation or crisis
Mental health is
one’s ability to cope with and adjust to the recurrent stresses of everyday living
Mental illness is evidenced by
a pattern of behaviors that is conspicuous, threatening, and disruptive of relationships or deviates from socially acceptable behaviors
50 % of people in the United States will develop a mental disorder in their lifetime
During early history, a physically or mentally ill person was thought to be
possessed by evil spirits
Early Christians believed mental illness was
punishment for sins committed, possession by the devil, or caused by witchcraft
Erik Erikson
personality is developed as the result of mastering tasks.
Sigmund Freud
personality is developed by having 3 parts: id, ego and superego
superego
incorporates the values and morals of society, which are learned from one’s parents and others. Moralistic force like doing the right thing, having a conscience, having values etc.
id
primitive level experiencing pleasure and avoiding pain, a part of the unconscious that contains all the urges and impulses, including what is called the libido
ego
functions to integrate and mediate between the self and the rest of the environment. A strong ego can enable good sense, part of the id which has been modified by the direct influence of the external world
After a life event like a wreck, if a person’s self-concept has changed for example, they become paralyzed they may feel
helpless and hopeless and become suicidal
Factors Contributing to Mental Illness
Anxiety
Motivation
Frustration
Conflict
Any event that requires change can stimulate
stress
Healthy coping mechanisms can demonstrate effective ways to cope with stress Provide an example
An example of this would be when a nurse is overwhelmed with her tasks at work, she can delegate certain tasks to UAP’s like ADLs, VS, etc.
behavior
The manner in which a person performs.
Roles are ascribed
no choice like your sex
assumed roles
like your job
Role integration
when an individual fills many overlapping roles
ex; school,work,mothering
Sick role
assumed by some to avoid responsibilities
An example of a person with a poor self-concept
would be the woman who keeps telling people she is sorry over and over again.
People sometimes play the “sick role” when
admitted to the hospital in order to avoid everyday responsibilities.
Anxiety
Vague feeling of apprehension that results from a perceived threat to the self, although the source is often unknown
mild anxiety
Slight increase in VS. Heightened awareness, ready for action, increased motivation
moderate anxiety
Tension, decreased perception, physical signs like HA, diarrhea, N/V etc.
severe
Feeling of impending danger, fatigue, VS changes like hypertension, tachycardia, tachypnea, difficulty communicating
panic
Extreme terror, distortion of reality, may cause harm to self and others.
denial
Disregard for reality. Tell yourself it’s not happening.
nursing assesment
Observe patient behavior and first access their emotional status when developing a care plan
A nursing intervention that encourages the patient to have faith in the care being received and meets psychosocial needs is
providing patient education
long term care may
have patients feeling depressed.
crisis
the breakup of a relationship, a car accident, or the death of a loved one can trigger a crisis response in an individual or a family
Phases of crisis
Confusion, disbelief, and high anxiety
Denial
Reality; anger and remorse
Sadness and crying
Reconciliation and adaptation
