Exam 1

Front 1

Standard lab

Back 1

Metabolicprofile, urinalysis, complete blood count, thyroid function, pregnancy test forany patient of childbearing years

Front 2

Electrolyte testing

Back 2

Potassium and sodium levels can cause mental changes

Front 3

Toxicology

Back 3

Drug screening on admission for legal and illegal drugs (serum)

Front 4

Brain imaging

Back 4

MRI, PET scan, etc.

Front 5

Type of memory mental health most commonly effects

Back 5

Short-term memory

Front 6

Thought blocking

Front 7

Echolalia

Back 7

Repeating of the last words spoken by another; mimicry or imitation of the speech of another person

Front 8

Echopraxia

Back 8

Mimicry or imitation of the movements of another person

Front 9

Perseveration

Back 9

Involuntary repetition of the same thought, phrase, or motor response; associated with brain damage

Front 10

Verbigeration

Front 11

Pressured speech

Back 11

Putting a lot of emphasis on their speech

Front 12

Neologisms

Back 12

Words a person makes up that have meaning only for the person; often part of a delusional system

Front 13

Flight of ideas

Back 13

Continuous flow of speech in which the person jumps rapidly from one topic to another

Front 14

Looseness of association

Back 14

Focus is on a topic but the ideas don't fit together in a logical way

Front 15

Circumstantiality

Front 16

Circumferential

Front 17

Mutism

Back 17

May only provide one or two word statements even though there is nothing wrong with the speech apparatus

Front 18

Word salad

Back 18

A mixture of words meaningless to the listener and the speaker as well

Front 19

Tangenital

Front 20

Delusions

Back 20

A false belief held to be true even with evidence to the contrary

Front 21

Illusions

Back 21

Errors in the perception of a sensory stimulus

Front 22

Hallucinations

Back 22

A sense perception for which no external stimulus exists (seeing, hearing, tasting, feeling or smelling)

Front 23

Thought broadcasting

Front 24

Thought insertion

Front 25

Depersonalization

Back 25

A phenomenon whereby a person experiences a sense of unreality of or estrangement from the self (seeing self in the distance)

Front 26

Derealization

Back 26

The false perception by a person that his or her environment has changed (bigger, smaller, etc.

Front 27

Ideas of reference

Back 27

The false impression that outside events have special meaning for oneself

Front 28

Magical thinking

Front 29

Nihilism

Front 30

Phobia

Back 30

Fear associated with fairly common situations

Front 31

Obsessions

Back 31

Preoccupation with certain thoughts

Front 32

Compulsions

Back 32

Ritualistic behavior

Front 33

Self-destructive thoughts and behavior

Back 33

Suicidal or homicidal thoughts

Front 34

Affect

Back 34

The external manifestation of a feeling or emotion that is manifested in facial expression, tone of voice, and body language

Front 35

Suicide assessment

Back 35

1. Have you ever thought about killing yourself? (Ideation)

2. Do you have a plan? (Plan)

3. Does the person have the means or resources to carry out their plan? (Resources)

4. How likely is the plan to end in death? (hanging, gun, overdose)

Front 36

Objective tests

Back 36

MMPI

California Personality Inventory

Front 37

Intelligence tests

Back 37

Wechsler adult intelligence scale (WAIS)

Wechslet intelligence scale of children (WISC)

Front 38

Depression scale

Back 38

Beck depression inventory

Front 39

Projective tests

Back 39

Sentence completion Test (SCT)

Draw a person

Thematic Apperception Test (TAT)

Rorschach Test

Front 40

Mental health

Back 40

A state of well-being in which each individual id able to realize his or her own potential, cope with the normal stresses of life, work productively and make a contribution to the community

Front 41

Mental illness

Back 41

A clinically significant behavioral or psychological syndrome marked by the patient's distress or disability or the risk of suffering disability or loss of freedome

Front 42

Resilience

Back 42

The ability to adapt and cope that helps people to face tragedies, loss, trauma, and severe stress

Front 43

Mental health continuum

Back 43

A conceptual line used to represent levels of mental health and mental illness that vary from person to person and vary for a particular person over time

Front 44

Four major areas of mental health/illness

Back 44

Happiness, control of behavior, self-concept, and reality testing

Front 45

Happiness positive

Back 45

1. Life is enjoyable

2. Sees objects, people, and activities as possibilities for meeting one's needs

Front 46

Happiness negative

Back 46

1. Mood is depressed

2. Major depressive disorder

3. Loss of interest in usual activities

Front 47

Control of behavior positive

Back 47

1. Recognizes and acts upon cues to existing limits

Front 48

Control of behavior negative

Back 48

1. Adjustment disorders

2. Repetitive, persistent, aggressive behavior violating the rights of others

Front 49

Self-concept positive

Back 49

1. Sees self as approaching one's ideals, capable of meeting demands

2. Reasonable degree of self-confidence, helpful, resourceful under stress

Front 50

Self-concept negative

Back 50

1. Dependent personality

2. Passively allows other to assume responsibility for major areas of life because of inability to function independently

3. Lacks self-confidence, helpless and stupid (learned)

Front 51

Reality testing

Back 51

1. Accurate picture of what's happening around them

2. Sense of consequences of one's behavior

3. Sees the difference between "as if" and "for real" situations

Front 52

Recovery process

Back 52

1. Self-directed

2. Person-centered

3. Empowering

4. Holistic

5. Nonlinear

6. Strength based

7. Peer-supported

8. Respect

9. Responsibility

10. Hope

Front 53

Self-directed

Back 53

Patient is involved in their own care but patient's involvement is dependent upon their mental illness

Front 54

Surgeon General's Report on Mental Illness

Back 54

1. Mental health is fundamental to overall health

2. There are effective treatments for mental illness

Front 55

Human Genome project

Back 55

Strengthened biological and genetic explanation for psychiatric conditions

Front 56

President's New Freedom Commission on Mental Health goals

Back 56

1. Streamlined care delivery

2. Early diagnosis and Rx

3. New expectations for recovery principals

3. Increased assistance

Front 57

Institute of Medicine

Back 57

Highlights effective treatment methods, addresses the gap between best and worst care, problems of coerced treatment, treats mental health issues separate from physical,

Front 58

Institute of Medicine recommendations

Back 58

Mental health care be safe, effective, patient-centered, timely, efficient, and equitable

Front 59

Mental Health Parity Act

Back 59

Does not require mental health coverage from any insurance but any company that provides mental health care must do so in the same manner as med/surg coverage

Front 60

Incidence

Back 60

Number of new cases

Front 61

Prevalence

Back 61

Total number of cases, new and existing

Front 62

Co-morbid conditions

Back 62

More than one mental illness

Front 63

Elements of a diagnosis

Back 63

Diagnostic criteria and descriptors

Sub-types

Specifiers

Front 64

Nursing process goal

Back 64

Identifying appropriate, safe, culturally competent, developmentally relevant, quality care for individuals, families, groups and communities

Front 65

Nursing process theoretical foundations

Back 65

Developmental

Psychodynamic

Systems

Holistic

Cognitive

Biological

Front 66

Basic care

Back 66

1. Coordination of care

2. Health teaching

3. Milieu therapy

4. Pharmacological, biological and integrative therapies

Front 67

Advanced care

Back 67

1. Prescriptive authority

2. Psychotherapy

3. Consultation

Front 68

Id

Back 68

One's instinct

Front 69

Ego

Back 69

Problem solving, reality

Front 70

Super-ego

Back 70

Moral component

Front 71

Conscious

Back 71

Person is aware of

Front 72

Unconscious

Back 72

Repressed memories, feelings, thoughts, wishes

Front 73

Preconscious

Back 73

Unconscious thoughts/memories that are available for retrieval to the conscious at any time

Front 74

Psychoanalytical theory

Back 74

Human behavior is to seek pleasure and avoid pain

Front 75

Psychoanalytical theory defense mechanisms

Back 75

All unconscious except supression, mental defense for anxiety-serve to deny, falsify, or distort reality to make it less treatening

Front 76

Psychoanalytical theory symptoms

Back 76

Internal conflict arising from early childhood trauma and failure of developmental tasks, which lead to vulnerability in adults to situation stressors

Front 77

Psychoanalytical theory treatment

Back 77

Clarify meaning of events - uncover past conflicts - transference

Front 78

Freud's Stages: oral stage

Back 78

0-12 months

Oral gratification, sucking

Front 79

Freud's Stages: rectal stage

Back 79

1-3 years

Rectal gratification, control of bowel movement

Front 80

Freud's Stages: phallic stage

Back 80

3-6 years

Genital fixation and concentration

Front 81

Freud's Stages: latency stage

Back 81

6-11 years

Repression of sexual feelings and memories

Front 82

Freud's Stages: puberty

Back 82

11-18 years

Rise in sexual energy, independence from parents

Front 83

Erickon's Stages: 0-18 months

Back 83

Trust vs. Mistrust

Front 84

Erickson's Stages: 18 months - 3 years

Back 84

Autonomy vs. Shame and doubt

Front 85

Erickson's Stages: 3-8 years

Back 85

Initiative vs. Guilt

Front 86

Erickson's Stages: 6-11 years

Back 86

Industry vs. Inferiority

Front 87

Erickson's Stages: 11-20 years

Back 87

Identity vs. Role Confusion

Front 88

Erickson's Stages: 18-25 years

Back 88

Intimacy vs. Isolation

Front 89

Erickson's Stages: 45 years - death

Back 89

Ego integrity vs. Dispair

Front 90

Piaget's Theory: 0-2 years

Back 90

Sensorimotor intelligence

Front 91

Piaget's Theory: 2-7 years

Back 91

Preoperational thought

Front 92

Piaget's Theory: 7-11 years

Back 92

Concrete operations

Front 93

Piaget's Theory: 11 years - adulthood

Back 93

Formal operations

Front 94

Relevance of Piaget's Theory

Back 94

1. Connection between sensory motor development andcognition
2. Concrete thinkers until age 12 when ability toconceptualize is developed in many mental illness patients are concretethinkers
3. Applies to children

Front 95

Psychiatric nurse theorist

Back 95

Hildeguard Peplau

Front 96

Interpersonal relationships in nursing concept

Back 96

Human means interacting with others-anxiety is interpersonallycause - growth is possible - Families can contribute to comfort, be a supportsystem, can do both

Front 97

Interpersonal relationships in nursing symptoms

Back 97

Are a response to anxiety arising frominterpersonal relationships-family perspective, system is disturbed, individualmerely reflects family problem

Front 98

Interpersonal relationships in nursing treatment

Back 98

Help individual cope within socialsystem-improve communication and relationships-use of family therapy (Yalom)useof group therapy

Front 99

Therapeutic nurse-patient relationship

Back 99

Mutual learning experience and a corrective emotional experience for the patient

Front 100

Therapeutic goals/outcomes

Back 100

1. Developself realization, self acceptance, and general self-respect

2. Developclear sense of personal identity and improved personal integration

3. Developability to initiate and form interdependent interpersonal relationships

4. Improvefunctioning and ability to meet, satisfy personal needs and achieve realisticpersonal goals

Front 101

Roles of psychiatric nursing

Back 101

1. Resource person

2. Teacher

3. Counselor

4. Leader

Front 102

Domains of psychiatric nursing practice

Back 102

1. Direct care

2. Communication

3. Management

4. Teaching

5. Coordination

6. Delegation

7. Collaboration

Front 103

Humanistic theory

Back 103

Doctrineor attitude or way of life centered on human intent, values, philosophy thatasserts that the dignity and worth of man and his capacity for self realizationthrough reason.

Oftenrejects super-naturalization of “GOD” and rejects the “spiritual” aspects of man

Front 104

Maslow's Theory of Basic Needs

Back 104

1. Physiological needs

2. Safety and security

3. Loving and belonging

4. Esteem and self-esteem

5. Self-actualization

Front 105

Existentialist Theory

Back 105

Humanbeings are seen to be motivated primarily to satisfy basic needs and to fullfill certain aspirations. The payoff forsuch satisfaction and full-fillment is a sense of personal wholeness andwell being

Twogroups, one a spiritual approach and another atheistic (non spiritualapproach)

Front 106

Existentialist perspective

Back 106

Freedom and responsibility
Death and human limitation
Isolation and Connectedness
Meaning vs. Meaninglessness
Emotions and Experience

Front 107

Learning theory

Back 107

Piaget

Wolpe

Skinner

Front 108

Pavlov Classical

Back 108

Conditioning-arenot under conscious personal control , not personal choices

Front 109

Watson

Back 109

Personalitytraits and responses are adaptive/maladaptive, were socially learned throughclassical conditioning, anyone can be trained to be anything.

Front 110

Skinner Operant conditioning

Back 110

Voluntarybehavior is learned through consequences. Behaviorresponses elicited through reinforcement-causes behavior to occur morefrequently.

Front 111

Behavioral Theory Symptoms

Back 111

Learned behavior that is maintained because it is reinforced

Front 112

Behavioral Theory Treatment

Back 112

Modify behaviorby manipulating environment-treat overt behavior only-set up schedule ofre-enforcers

Front 113

Behavioral Theory Strategies

Back 113

Use of systemic desensitization, aversiontherapy (antibuse RX), modelingnurse, other helpers, role modelidentified behavior biofeedback

Front 114

Cognitive Theory

Back 114

Focus on dispelling patient's irrational beliefs and distorted attitudes

Front 115

Rational emotive therapy

Back 115

Eradicateemotional beliefs by helping people recognize thoughts that are not accurate,sensible, or useful

Front 116

Biopsychosocial Theory

Back 116

Mentalillness isdue to dysfunction of physiological process of the brain

Front 117

Milieu Therapy

Back 117

Health of each individual is realized andencouraged to grow
Every interaction is an opportunity fortherapeutic intervention
Patient owns his or her ownenvironment-makes decisions and solve problems
Patient owns his or her behavior-takeresponsibility for his/her behavior

Front 118

Interpersonal relationships theory

Back 118

Hildeguard Peplau

Front 119

Interpersonal and interactive skills theory

Back 119

Erickson

Front 120

Science of caring

Back 120

Watson

Front 121

Self-Care deficit theory

Back 121

Orem

Self-carerequisites, self-care agency, self-care demand, self-care deficit, nursingagency

Front 122

Adaptation Model

Back 122

Roy

System,environment, health, & nursing elements

Adaptivemodes: physiological, self-concept, role function, interdependence

Front 123

Neuman's System Model

Back 123

Neuman

Person,lines of resistance, stressor, prevention Intrapersonal,interpersonal, extra-personal stressors

Front 124

Science of Unitary Human Beings

Back 124

Rogers

Human/environment interplay

Integrality, resonance, helices

Front 125

Theory of Human Becoming

Back 125

Parse

Paradoxes: revealing-concealing, enabling-limiting,connecting-separating

Front 126

Expanding Human Consciousness

Back 126

Newman

Choice point, patterns, health,body-dynamic energy

Front 127

Cultural Care Diversity

Back 127

Leninger

Culture care, folk systems, preservation,accommodation, re-pattering, and restructuring