version 2 exam 1 Flashcards
mental health is
PEES
positive self concept
effective coping
emotional stability
sastifaction
mental illness is
Disatisfaction
Ineffective coping
Inflated self
Lack of growth
Ineffective relations
Disatisfation
3 roles of a counselor
stress management, behavior mod, crisis intervention
4 aspects of milieu therapy
promote growth through role modeling
teach skills
maintain therapeutic enviornment
encourage communication btwn people
self awareness is
the process in which a nurse gains recognition of their feelings, beliefs, and attitudes
eriksons stages of devleopment
o Trust v mistrust (infant). Task: view world as safe and reliable. Relationships are nurturing, stable, dependable.
o Autonomy v shame/doubt (toddler). Task: achieve sense of control and free will
o Initiative v guilt (preschool): Beginning to dvt conscience; learning to manage conflict/anxiety
o Industry v inferiority (school-age). Task: emerging confidence in own abilities
o Identity v role confusion (adolescence). Task: formulating sense of self & belonging
o Intimacy v isolation (young adult). Task: forming adult, loving relationships & meaningful attachments
o Generativity v stagnation (middle adult): being creative & productive & establish next generation
o Ego integrity v despair (maturity): accepting responsibility for oneself/life
sullivan and peplau
quality of relationships
rogers
people have positive qualities and the capacity to change; promotion of self-esteem – humans deserve Unconditional positive regard, genuineness, empathetic understanding
positive reinforcement vs negative
- Positive reinforcement: a reward, such as a privilege or token, is given for desirable behavior
- Negative reinforcement: a negative/unpleasant factor is removed so acceptable behavior is encouraged
how one perceives and thinks about a situation determines feelings and behavior
beck
factors that serve as a guide for effective intervention
- Adequate perception
- Adequate support
- Adequate coping
- Directive interventions vs. supportive interventions
o Directive: designed to assess person’s health status & promote problem solving (ie offering person new info, knowledge, or meaning, and raising self-awareness by providing feedback
o Supportive: aimed at dealing w person’s needs for empathetic understanding (encouraging person to identify & discuss feelings, etc)
psych rehab
- provision of services to help people with severe and persistent mental illness living the community
- Goal is recovery of mental health;
collaborative partnership - Focuses on a person’s strength, skill-building, empowerment; give them the skills they need to function at their highest level
The Nurse and 4 Psychosocial Interventions
- Enhance the client’s social and psychological functioning
- Improve social skills
- Improve interpersonal relationships & Communication
- Improve communication
goal of partial hospitalization
symptom relief
goal of day treatment
recovery
4 aspects of the clubhouse model
· A place to come to
· Meaningful work
· Meaningful relationships
· A place to return to
3 roles nurse has on interdisciplinary team
Milieu management and counseling
* Health promotion, illness prevention, and rehabilitation → holistic care
* Evaluate the effectiveness of treatment and refer to resources
values v belief v attitudes
- Values-abstract standards that give a person a sense of right and wrong and establish a code of conduct for living.
- Beliefs–ideas that one holds to be true
- Attitudes–general feelings or a frame of reference around which a person organizes knowledge about the world.
7 self disclosure guidelines
Must respect the nurse’s (physical) and client’s (psychological) safety
Very selective, and brief
Common day-to-day experience related to the client’s concern
From the past
Do not involve value-laden topics
Short; keeps focus on client’s concerns
Self-Awareness Issues
3 aspects of hardiness
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1. Commitment (active involvement in activities
2. Control (ability to make decisions in life activities
3. Challenge: ability to perceive change as beneficial rather than just stressful
healthy response to stressful circumstances
resilliance
MOA of antipsychotics
blocks dopamine
AE of antispychotics 3
acute dystonia
pseudoparkinsonism
akathesia
