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54 Cards in this Set

  • Front
  • Back
Axis I
Clinical Disorders-this includes mental disorders
Axis II
Personality Disorders and Mental Retardation-these disorders usually begin in childhood and pesist into adult life
Axis III
General Medical Disorders-these medical conditions are relevant to the mental disorder
Axis IV
Psychosocial and Environmental-these are factors like housing, occupation, health care, education
Axis V
Global Assessment of Funtioning-allows the clinician to rate the client with the GAF
Global Assessment of Functioning (GAF)
a scale that results in a single number that measures the client's psychological, social, and occupational func.
Define anxiety
apprehension that is vague and is associated with feelings of uncertainty and helplessness
What are the 4 levels of anxiety described by Peplau?
Mild Anxiety
Moderate Anxiety
Severe Anxiety
Panic Anxiety
Describe Mild Anxiety
tension related to everyday life, prepares you for action, increases the perceptual field, learning is enhanced and you operate at optimal level
Describe Moderate Anxiety
perceptual field diminishes, less alert, a decrease in attention and concentration, increase in muscle tension and restlessness
Describe Severe Anxiety
concentration is on one detail or on many extraneous ones, attention span is very limited, physical symptoms are evident
Describe Panic Anxiety
loss of contact with reality, may experience hallucinations, wild behavior or withdrawal, prolonged panic leads to exhaustion or death
Describe Anticipatory Grief
grieving in anticipation of a loss, can facilitate process and make it shorter, if this happens to fast grief may end before loss occurs
Decribe Resolution
occurs when you can look back at the pleasures and disappointments in the relationship
What are the 3 Maladaptive Grief Responses?
Prolonged
Delayed or Inhibited
Distorted
Describe compensation
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
Describe denial
refusing to acknowledge the existence of a real situation or the feelings associated with it
Describe displacement
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
Describe identification
an attempt to increase self worth by acquiring certain attributes of someone you admire

you want to be a fireman after one saves you
Describe intellectualization
in an attempt to expressing emotion associated with a stressful event, logic, reasoning, and analysis are used
Describe introjection
integrating someone else's beliefs and values into your own ego system
Describe isolation
separating a thought or memory from the feeling or emotion associated with it
Describe projection
attributing your unacceptable feelings or impulses to another person
Describe rationalization
making excuses or logical reasons to justify unacceptable feelings or behaviors
Describe reaction formation
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
Describe regression
responding to stress by reverting to an earlier level of development and the comforts associated with that level
Describe repression
involuntarily blocking unpleasant feeling ans experiences from one's awareness
Describe sublimation
rechanneling impulses into activities that are constructive
Describe suppression
the voluntary blocking of unpleasant feelings and experiences from one's awareness
Describe undoing
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
What is Maladaptive grief?
responses to a loss that cause an individual to not progress through the stages of grief, usually staying at the anger or denial stage
Describe the prolonged response in maladaptive grief.
an intense preoccupation with memories for many years, intense emotional pain, poor functioning, behaviors associated with the anger and denial stages occur
Describe the delayed/inhibited response in maladaptive grief.
fixation in the denial stage, the emotional pain is not experienced, insomnia, anorexia, or anxiety may occur
Describe the distorted response in maladaptive grief.
fixation in the anger stage, normal behaviors associated with grieving are exaggerated, inability to function in daily activities,
What are the 5 stages of grief?
Denial
Anger
Bargaining
Depression
Acceptance
Describe the denial stage in grieving.
"No it can't be true"
the reality of the loss is not acknowledged, this is protective mechanism
Describe the anger stage in grieving.
"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
Describe the bargaining stage of grieving.
"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
Describe the depression stage of grieving.
the full impact of the loss is now felt, there are feelings of sadness, a disengagement from the lost entity
Describe the acceptance stage of grieving.
brings feelings of peace and resignation, there is sense of reality to the loss and its meaning
Define grief
a subjective state of emotional, physical, and social response to a loss either real of perceived
What are the 3 stages in Selye's General Adaptation Syndrome?
Alarm Reaction
Stage of Resistance
Stage of Exhaustion
Describe the alarm reaction stage in GAS?
fight-or-flight is initiated
Describe the resistence stage in GAS.
the physiological responses from stage 1 attempt to help the individual to adapt to the stressor, if successful the 3rd stage is prevented
Describe the exhausion stage in GAS.
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
Describe what biologic responses happen during fight-or-flight.
pupil dilation
increase in HR, BP, resp
release on norepinephrine
sweating
GI slows
Maslow's Heirarchy of Needs-5
physiological needs
safety and security
love and belonging
self esteem
self actualization
What occurs in the sustained biologic response to stress?
Hypothalamus stimulate pituitary gland to release:
ACTH-increased gluconeogenesis
vasopressin increases fluid retention
thyroid gland increases metabolic rate
decrease in sex hormones
What are the characteristics of a person with neuroses?
-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
What are the characteristics of a person with psychosis?
-they show no distress
-they do not know their behavior is maladaptive
-they escape reality
-they are unaware of any psychological problems
What are the 3 disorders associated with neuroses?
Anxiety Disorder
Somatoform Disorder
Dissociative Disorder
List coping mechanisms used in the Mild Anxiety level.
-smoking/drinking
-eating
-crying
-nail biting
-foot swinging
-exercise
-laughing
What does DSM-IV stand for?
Diagnostic and Statistical Mannual of Mental Disorders-4th Edition
What are characteristics of a person who has achieved self-actualization?
-spontaneous
-creative
-desire for privacy
-able to focus on solving a problem
-have relationships with others
-strong sense of ethics