Ashley Mh

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MENTAL HEALTH

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AN IMBALANCE OF NEUROTRANSMITTORS.THE UNABILITIY TO CARRY ON DAILY ACTIVIES.

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PSYCHIATRY

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DEVELOPS OVER TIME WITH VARIABLES

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MENTAL ILLNESS USED TO BE THOUGHT OF AS WHAT?

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STRANGE BEHAVIORS.

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WELL BEING

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DEFINED AS HIGH LEVEL FUNCTIONING IN RESPONSE TO STRESS,RESULTING IN ANXIETY OR DISTRESS

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ALL______IS RULED OUT FIRST PRIOR TO DIAGNOSING SOMEONE W/ A MENTAL HEALTH DISEASE

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MEDICAL PROBLEMS

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WHAT MANUAL IS USED TO HELP DOCTORS TREAT AND DX MENTAL CONDITIONS?

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DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, 4TH EDITION REVISION, (DSMIV-TR)

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THIS FACTOR IS IMPORTANT IN ADAPTING TO STRESS

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RESILLIENCE

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THIS IS A FACTOR WHEN IT COMES TO DIANOSING B/C IT CAN BE DEFINED AS VARIANCE FROM THE NORMS..EX-SPEAKING IN TONGUES

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CULTURE

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WHY IS MENTAL ILLNESS HARD FOR PEOPLE TO UNDERSTAND?

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ITS NOT SEEN. WILL NOT SHOW UP ON MRI OR CT. IT AFFECTS THE BRAIN WHICH IS INTERCONNECTED TO THE REST OF THE BODY.

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GERM THEORY

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A THEORY IN THE 1800'S WHICH PEOPLE BELIEVED GERMS CAUSED MENTAL ILLNESS.

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FREUD THOUGHT

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IT WAS THE MOTEHRS FAULT AND DUE TO POOR UPBRINGING

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WHAT MED CHALLENGED THE COURSE OF MENTAL HEALTH/ILLNESS IN 1952? AND HOW?

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CHLORPROMAZINE/THORAZINE. BECAUSE SYMPTOMS STARTED TO CHANGE FOR THE BETTER

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WHAT IS NAMI? WHO ARE THEY FOR?

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NATIONAL ALLIANCE ON MENTAL ILLNESS. THEY ARE FOR THE PT, FAMILIES AND FRIENDS.

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ACCORDING TO THE US DEPT. OF HEALTH AND HUMAN SERVICES MENTALLY ILL PEOPLE SHOULDE BE ALLOWED WHAT?

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TO RECOVER., BE ABLE TO LIVE, WORK, LEARN AND PARTICIPATE FULLY IN THEIR COMMUNITIES.

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10 COMPONENTS OF RECOVERY BY SAMSHA. (SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

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SELF DIRECTION, INDIVIDUALIZED AND PERSON CENTERED, EMPOWERMENT, HOLISTIC, NON-LINEAR, STRENGHTS-BASED, PEER SUPPORT, RESPECT, RESPONSIBILITY, HOPE.

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THE NUMBER ONE COMPONENT

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PATIENT IS ALWAYS RESPONSIBLE NO ON ELSE.

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TOP ISSUES WHY PEOPLE ARE NON COMPLIANT?

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R/T SEXUAL DISFUNCTION AND WEIGHT GAIN FROM MEDS

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DSM IV-TY AXIS STAGE 1

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MAJOR ILLNESS: CLINICAL DISORDERS

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DSM IV-TY AXIS STAGE 2

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PERSONALITY DISORDERS AND MENTAL RETARDATION

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DSM IV-TY AXIS STAGE 3

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GENERAL MEDICAL CONDITIONS THAT CAUSE MENTAL ISSUES

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DSM IV-TR STAGE 4

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PSYCHOSOCIAL AND ENVIRONMENTAL ISSUES

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DSM IV-TR STAGE 5

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GLOBAL ASSESSMENT OF FUNCITIONING.

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WHAT PERCENT DO MOST PEOPLE FUNCTION AT ON THE DRM IV-TR? WHAT IS CONSIDERED PSYCHOTIC?

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80'S AND >35 OR BELOW.

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PSYCHIATRI NURSING

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PROMOTING HEALTH THROUGH THE ASSESSMENT, DIAGNOSIS, AND TX OF HUMAN RESPONSES TO MENTAL HEALTH PROBLEMS AND PSYCHAITRIC DISORDERS

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ID

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PEOPLE BORN WITH THIS. "I WANT IT AND I WANT IT NOW"

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EGO

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DEVELOPS IN THE 4-5 MONTH, "I WANT IT BUT CAN WAIT"

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SUPEREGO

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LAST PORTION OF DEVELOPMENT-MORAL CONSCIOUS

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WHATS DEFENSE MECHANISM?

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DEVELOPED TO FEND OFF ANXIETY BY PUTTING THESE TENSIONS IN THE UNCONSCIOUS. DENIES OR FALSIFIES REALITY AND DECREASE ANXIETY LEVELS.

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PERSON IS UNAWARE OF ALL DEFENSE MECHANISMS EXCEPT WHICH ONE?

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SUPRESSION

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PSYCHOSEXUAL THERAPY'S PHYSICAL FOCUS

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THE GROIN/PENIS

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PSYCHOANALYSIS

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THE UNCONSCIOUS BEING BROUGHT FORWARD. NOT USED MUCH TODAY R/T TIME AND MONEY,

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TRANSFERENCE

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PATIENT TRANSFERS FEELING TO YOU THE NURSE

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COUNTERTRANSFERENCE

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NURSE TRANSFERS FEELING/EMOTIONS TO PATIENT. THIS IS MORE PERSONAL AND WHERE CONFLICTS CAN ARISE IN ETHICS.

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PSYCHODYNAMIC THEORY

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FOLLOWS PSYCHANALYSIS. THERAPIST INTERATCS WITH OT. FOCUSES ON THE HERE AND NOW. COMPLETED IN 20 SESSIONS. "WORRIED WELL"

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ERIC ERIKSONS EGO THEORY

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BEILEVED FREUD WAS LIMITED AND NEGATIVE ON HIS APPROACH.CONTRIBUTING FACTORS OTHER THEN PARENTS.

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HENRY STACK SULLIVANS INTERPERSONAL THEORY

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PERSONLAITY IS BEHAVIOR OBSERVED W/IN INTERPERSONAL RELATIONSHIPS. ANXIETY IS PAINFUL, EMOTION ARISE FROM SOCIAL INSECURIY. BECAME FRUSTRATED R/T BRAIN UNSEEN AND PRIVATE THOUGHTS IN BRAIN

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INTERPERSONAL PSYCHOTHERAPY

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DISORDERS ARE A RESULT OF INTERPERSONAL RELATIONS AND SOCIAL CONTEXTS. REDUCE SYMPTOMS THRU IMPROVING FUNCTIONING SATISFING RELATIONSHIPS.

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FOUR TYPES OF PROBLEM AREAS IN INTERPERSONAL PSYCHOTHERAPY

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GRIEF, ROLE DISPUTES. ROLE TRANSITIONS, INTERPERSONAL DEFICIT

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ROLE DISPUTES

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CONFLICTS OTHER PEOPLE IN LIFE

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ROLE TRANSTIONS

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DEVELOPMENTAL PROCESS NOT MAKING IT

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INTERPERSONAL DEFICIT

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INABLITY TO SUSTAIN AND MAINTAIN ANY RELATIONSHIP

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HILDEGARD PEPLAU'S THEORY OF INTERPERSONAL RELATIONSHIPD IN NURSING

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HAD A HOLISITC APPROACH. NURSING EDUCATIVE DESIGNED T HELP INDIVIDUALS AND COMMUNIITIUES USE THEIR CPAACITIES TO INCREASE PRODUCTIVITY

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SKILLS OF THE PSYCHIATRIC NURSE

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OBSERVATION (#1). INTERPRETATION, INTERVENTION

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IVAN PAVLO CLASSICAL CONDITIONING

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WORK CAME FROM DOGS. CONDITIONING. IS AN UNSCIOUS LEVEL.

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JOHN B. WATSON BEHAVIORISM

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PERSONALITY TRAITS AND REPONSES WERE SOCIALLY LEARNED THROUGH CLASSICAL CONDITIONING

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B.F. SKINNER OPERANT CONDITIONING

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NEGATIVE REINFORCEMENT. CAN USES PUNISHMENT OR EXTINCTION. THIS IS ON A CONSCIOUS LEVEL W/ THE pT. CHILDREN NEED POSITIVE REINFORCEORS.

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BEHAVIORAL THERAPY

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CHANGES CAN BE MADE TO BEHAVIORS W/OUT KNOWING THE UNDERLYING CAUSE. WORKS WELL W/ CHILDREN , ADOLESCENTS, ALCOHOLISM AND SCHIZOPHRNEIA

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FOUR TYPES OF BEHAVIORAL THERPAY

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MODELING, OPERANT CONDITIONING, SYSTEMATIC DESENSITIZATION, AVERSION THERAPY.

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COGNITIVE BEHAVIORAL THERPAY
AARON BECK

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CHANGES THOUGHT PATTERNS AND BEHAVIOR. EFFECTIVE AND WELL RESEARCHED. ACTIVE TIME LIMITED AND STRUCTURED. GOAL IS TO CHANGE THE DISTORTED THOUGHT PATTERN.

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HUMANISTIC THEORIES
ABRAHAM MASLOWS

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FOCUS ON HUMAN POTENTIAL AND FREE WILL TO CHOOSE LIFE PATTERNS THAT ARE SUPPORTIVE OF PERSONAL GROWTH. FOCUSED ON A PERSON W. HIGH PRODUCIVITY AND ENJOYMENT OF L;IFE

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BIOLOGICAL MODEL

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FOCUSED ON NEUROLOGICAL, CHEMICAL BIOLOGICAL, AND GENETIC INFULENCES.

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MENTAL ILLNESS IS THOUGHT TO BE WHAT?

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PART OF A DISEASE PROCESS

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MILIEU THERAPY (BRUNO BETTLEHEIM)

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PATIENT CENTERED. RECOGNIZES PEOPLE, SETTING STRUCTURE AND EMTIONAL CLIMATE AS IMPORTANT TO HEALING

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WHAT GOES HAND AND HAND WITH PHYCOSIS

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SLEEP AND CIRCADIAN RHYTHMS.SLEEP RESETS THE BRAIN.

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ACETYLCHOLINE

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INVOLVED IN VOLUNTARY MOVEMENT. TO MUCH=DEPRSSION TO LITTLE=DEMENTIA

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DOPAMINE

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CORRELATED W/ MOVEMENT, ATTENTION, AND LEARNING. TO MUCH=SCHIZOPHRENIA TO LTTLE=DEPRESSION

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NOREPINEPHRINE

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ASSOCIATED W/ EATING, ALERTNESS. TO MUCH=SCHIZO TO LITTLE=DEPRESSION

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EPINEPHRINE

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INVOLVED IN ENERGY AND GLUCOSE METABOLISM. TO LITTLE= DEPRESSION

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SEROTONIN

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PLAYS A ROLE IN MOOD, SLEEP, APPETITE, AND INMPULSIVE AND AGGRESSIVE BEHAVIOR. TO LITTLE= DEPRESSION AND OCD.

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NEUROTRANSMITTOR TRANSFER WHAT?

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CHEMICAL MESSAGES.