Mental Health Unit 1 Chapter 1

Front 1

Axis I

Back 1

Clinical Disorders-this includes mental disorders

Front 2

Axis II

Back 2

Personality Disorders and Mental Retardation-these disorders usually begin in childhood and pesist into adult life

Front 3

Axis III

Back 3

General Medical Disorders-these medical conditions are relevant to the mental disorder

Front 4

Axis IV

Back 4

Psychosocial and Environmental-these are factors like housing, occupation, health care, education

Front 5

Axis V

Back 5

Global Assessment of Funtioning-allows the clinician to rate the client with the GAF

Front 6

Global Assessment of Functioning (GAF)

Back 6

a scale that results in a single number that measures the client's psychological, social, and occupational func.

Front 7

Define anxiety

Back 7

apprehension that is vague and is associated with feelings of uncertainty and helplessness

Front 8

What are the 4 levels of anxiety described by Peplau?

Back 8

Mild Anxiety
Moderate Anxiety
Severe Anxiety
Panic Anxiety

Front 9

Describe Mild Anxiety

Back 9

tension related to everyday life, prepares you for action, increases the perceptual field, learning is enhanced and you operate at optimal level

Front 10

Describe Moderate Anxiety

Back 10

perceptual field diminishes, less alert, a decrease in attention and concentration, increase in muscle tension and restlessness

Front 11

Describe Severe Anxiety

Back 11

concentration is on one detail or on many extraneous ones, attention span is very limited, physical symptoms are evident

Front 12

Describe Panic Anxiety

Back 12

loss of contact with reality, may experience hallucinations, wild behavior or withdrawal, prolonged panic leads to exhaustion or death

Front 13

Describe Anticipatory Grief

Back 13

grieving in anticipation of a loss, can facilitate process and make it shorter, if this happens to fast grief may end before loss occurs

Front 14

Decribe Resolution

Back 14

occurs when you can look back at the pleasures and disappointments in the relationship

Front 15

What are the 3 Maladaptive Grief Responses?

Back 15

Prolonged
Delayed or Inhibited
Distorted

Front 16

Describe compensation

Back 16

covering up a real or perceived weakness by emphaszing a trait you consider more desirable

if you can't be an athlete be a scholar

Front 17

Describe denial

Back 17

refusing to acknowledge the existence of a real situation or the feelings associated with it

Front 18

Describe displacement

Back 18

the transfer of feelings from one target to another that is considered less threatening

yelling and the RN instead of the Dr. when you get bad news

Front 19

Describe identification

Back 19

an attempt to increase self worth by acquiring certain attributes of someone you admire

you want to be a fireman after one saves you

Front 20

Describe intellectualization

Back 20

in an attempt to expressing emotion associated with a stressful event, logic, reasoning, and analysis are used

Front 21

Describe introjection

Back 21

integrating someone else's beliefs and values into your own ego system

Front 22

Describe isolation

Back 22

separating a thought or memory from the feeling or emotion associated with it

Front 23

Describe projection

Back 23

attributing your unacceptable feelings or impulses to another person

Front 24

Describe rationalization

Back 24

making excuses or logical reasons to justify unacceptable feelings or behaviors

Front 25

Describe reaction formation

Back 25

preventing unacceptable thoughts of behaviors from being expressed by exaggerating the opposite
thoughts or behaviors

pretending you really like something when you actually hate it

Front 26

Describe regression

Back 26

responding to stress by reverting to an earlier level of development and the comforts associated with that level

Front 27

Describe repression

Back 27

involuntarily blocking unpleasant feeling ans experiences from one's awareness

Front 28

Describe sublimation

Back 28

rechanneling impulses into activities that are constructive

Front 29

Describe suppression

Back 29

the voluntary blocking of unpleasant feelings and experiences from one's awareness

Front 30

Describe undoing

Back 30

symbolically negating or canceling out an expeience that one finds intolerable

buying flowers for your wife after you yelled at her

describing a terrible event without showing emotion

Front 31

What is Maladaptive grief?

Back 31

responses to a loss that cause an individual to not progress through the stages of grief, usually staying at the anger or denial stage

Front 32

Describe the prolonged response in maladaptive grief.

Back 32

an intense preoccupation with memories for many years, intense emotional pain, poor functioning, behaviors associated with the anger and denial stages occur

Front 33

Describe the delayed/inhibited response in maladaptive grief.

Back 33

fixation in the denial stage, the emotional pain is not experienced, insomnia, anorexia, or anxiety may occur

Front 34

Describe the distorted response in maladaptive grief.

Back 34

fixation in the anger stage, normal behaviors associated with grieving are exaggerated, inability to function in daily activities,

Front 35

What are the 5 stages of grief?

Back 35

Denial
Anger
Bargaining
Depression
Acceptance

Front 36

Describe the denial stage in grieving.

Back 36

"No it can't be true"
the reality of the loss is not acknowledged, this is protective mechanism

Front 37

Describe the anger stage in grieving.

Back 37

"Why me" "Its not fair"
envy and resentment towards individuals not affected, anger can be at self, family, or God, a preoccupation with an idealized image of the lost person/thing

Front 38

Describe the bargaining stage of grieving.

Back 38

"If God will help me..."
this stage is not always obvious to others and may be associated with feelings of guilt for not performing correctly

Front 39

Describe the depression stage of grieving.

Back 39

the full impact of the loss is now felt, there are feelings of sadness, a disengagement from the lost entity

Front 40

Describe the acceptance stage of grieving.

Back 40

brings feelings of peace and resignation, there is sense of reality to the loss and its meaning

Front 41

Define grief

Back 41

a subjective state of emotional, physical, and social response to a loss either real of perceived

Front 42

What are the 3 stages in Selye's General Adaptation Syndrome?

Back 42

Alarm Reaction
Stage of Resistance
Stage of Exhaustion

Front 43

Describe the alarm reaction stage in GAS?

Back 43

fight-or-flight is initiated

Front 44

Describe the resistence stage in GAS.

Back 44

the physiological responses from stage 1 attempt to help the individual to adapt to the stressor, if successful the 3rd stage is prevented

Front 45

Describe the exhausion stage in GAS.

Back 45

begins when there has been prolonged exposure and the body has adjusted to the stressor, energy is depleted, may experience H/A, CAD, ulcers, without intervention there may be death

Front 46

Describe what biologic responses happen during fight-or-flight.

Back 46

pupil dilation
increase in HR, BP, resp
release on norepinephrine
sweating
GI slows

Front 47

Maslow's Heirarchy of Needs-5

Back 47

physiological needs
safety and security
love and belonging
self esteem
self actualization

Front 48

What occurs in the sustained biologic response to stress?

Back 48

Hypothalamus stimulate pituitary gland to release:
ACTH-increased gluconeogenesis
vasopressin increases fluid retention
thyroid gland increases metabolic rate
decrease in sex hormones

Front 49

What are the characteristics of a person with neuroses?

Back 49

-they know they are distressed
-they know the behavior is maladaptive
-they feel helpless to change
-there is no loss of reality
-they are unaware of any psychological cause of the distress

Front 50

What are the characteristics of a person with psychosis?

Back 50

-they show no distress
-they do not know their behavior is maladaptive
-they escape reality
-they are unaware of any psychological problems

Front 51

What are the 3 disorders associated with neuroses?

Back 51

Anxiety Disorder
Somatoform Disorder
Dissociative Disorder

Front 52

List coping mechanisms used in the Mild Anxiety level.

Back 52

-smoking/drinking
-eating
-crying
-nail biting
-foot swinging
-exercise
-laughing

Front 53

What does DSM-IV stand for?

Back 53

Diagnostic and Statistical Mannual of Mental Disorders-4th Edition

Front 54

What are characteristics of a person who has achieved self-actualization?

Back 54

-spontaneous
-creative
-desire for privacy
-able to focus on solving a problem
-have relationships with others
-strong sense of ethics