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35 Cards in this Set

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The successful adaptation to stressors from the internal or external environment, evidenced by appropriate thoughts, feelings, and behaviors that are age appropriate and congruent with local and cultural norms.
Mental Health
Maladaptive responses to stressors from the external or internal environment, evidenced by thoughts, feelings, and behaviors that are incongruent with local and cultural norms, and interfere with the individual's social, occupation, and physical functioning.
Mental Illness
The inability to understand the motivation behind the behavior.
Incomprehensibility
The "normality" of behavior is determined by the culture.
Cultural relativity
He was known as "the father of American Psychiatry" and the physician who initiated first humane treatment for the mentally ill
Benjamin Rush
She was a school teacher who lobbied for the first state mental hospitals in the 19th century.
Dorthea Dix
The first american trained psych nurse. She graduated from New England Hospital for women & children in Boston, 1873. She thought the mentally sick should be cared for as well as the physically sick.
Linda Richards
She was the first to describe roles, activities and skills of the psych nurse and was known as "the mother of Psychiatric Nursing".
Hildegard Peplau
The removal of mentally ill individuals from institutions and the subsequent plan to provide care for these individuals in the community setting
Deinstitutionalization
A therapeutic community or therapeutic environment. This type of therapy consists of a scientific structuring of the environment in order to effect behavior changes and improve the individual's psychological health & functioning
Milieu Therapy
This type of therapy can only be done by an Advanced Psych Nurse
Psychotherapy
Axis I includes -
clinical disorders & other conditions that may be a focus of clinical attention
Axis II includes
Personality disorders & mental retardation
Axis III includes
General medical conditions (diabetes, HTN, asthma)
Axis IV includes
Psychosocial & environmental problems (loss of job, no income, homelessness)
Axis V includes
Level of functioning
GAF scale
Known as the "pleasure principal" * Impulsive, instant gratification * May be irrational or reckless * Aggression * No regard for rules
ID
Brings down the ID * Reality principal * "Parent" * Maintains harmony and balance * Mature, adapitive behavior
EGO
Ideal * "Adult" * Perfection principal
SUPEREGO
Stored int he ID * The drive to fulfill basic physiological needs such as hunger, thirst & sex * Drives us to want
Psychic energy
When ID uses energy to get gratification * helps only momentarily (drinking - you feel good for a while & then feel bad)
Cathexis
Balance between all three dynamics * if unbalanced you have internal conflict = stress / anxiety *
Anthicathexis
Smallest part of the mind * includes all memories that remain within the individuals awareness (b/d, phone #, what one had for lunch today)
Conscious
Memories we forget, but can recall when someone says something to trigger it
Preconscious
The largest part of the mind * includes all memories that one is unable to bring to conscious awareness * consists of unpleasant or nonessential memories that have been repressed & can be retrieved only thru therapy or hypnosis & with certain substances * may emerge in dreams & in seemlying incomprehensible behavior
Unconscious
Getting aquainted & establishing relationship * Implies speical feelings on part of both patient & nurse based on acceptance, warmth, friendliness, common interst & sense of trust and nonjudgemental attitude
Rapport
This is the basis of a therapeutic relationship * One must feel confidence in the person's presence, reliability, integrity, & sincere desire to provide assistance when requested * NI that convey warmth & caring to patient (ex: giving warm blanket, being honest, providing food, ensuring confidentiality)
Trust
To beleive in the dignity & worth of an individual regardless of their unaccpetable behavior * nonjudgmental * respected & accepted even if you don't approve of their lifestyle * Striving to understand the motivation behind their behavior regardless of how unacceptable it may be
Respect
The nurse's ability to be open, honest and "real" when interacting with patient * May call for a degree of self-disclosure on the part of the nurse - revealing a quality of humanness
Genuineness
Considered one of the most important characteristics of a therapeutic relationship * the ability to see beyond outward behavior and to understand the situation from pt's point of view *The nurse perceives & understands what the pt is feeling & encourages the client to explore those feelings *The nurse remains emotionally seperate from the pt, even though you can see their viewpoint
Empathy
Ideas that one holds to be true and it can take several different forms
Beliefs
An idea for which objective evidence exists to substantiate their truth (alcoholism is a disease)
Rational belief
An ideas that an individual holds as true despite the existence of objective contradictory evidence. Delusions can be a form. (once an alcoholic has been thru detox and rehab, they can drink socially if desired)
Irrational belief
An ideas that an individual holds true for which no objective exidence exists (belief in a higher power can help an alcoholic stop drinking)
Faith / blind faith
A socially shared belief that describes a concept in an oversimplied or undifferentiated manner. (all alcoholics are skid-row bums)
Sterotype