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Qualities of a psych nurse

1.View the client as a holistic being with needs


2.Focusing on clients strength rather than their weaknesses


3.accept client as a unique human being


4.establishes a therapeutic communication with client


5.explore the clients behavior for the needs


6.views the client non-judgementally


7.competent in his/her abilities


1 quality of a psych nurse

View the client as a holistic being with needs

2 quality of a psych nurse

Focusing on clients strength rather than their weaknesses

3 quality of a psych nurse

accept client as a unique human being

4 quality of a psych nurse

establishes a therapeutic communication with client

5 quality of a psych nurse

explore the clients behavior for the needs

6 quality of a psych nurse

views the client non-judgementally

7 quality of a psych nurse

competent in his/her abilities

Helps to be rational, suystematic in approaching clients' well-being

Conceptual framework of psychiatric care

Conceptual framework of psychiatric care

Helps to be rational, systematic in approaching clients' well-being



1. PSYCHODYNAMIC F.- freud, erikson


2. BEHAVIORAL F. - skinners


3. INTERPERSONAL F. - sullivan


4. HUMANISTIC F. -

Framework that focuses on the intrapsychic process

Psychodynamic framework

Psychodynamic framework

Focuses on conflicts, anxiety, defenses, sexual drive, aggressive drives, dream analysis, of person's feelings

The intrapsychic processes

Psychosexual development - freud


8 developmental stages - erikson

Components of personality dynamics

ID


Ego


Superego

The conscious, subconscious

Topography of the mind

This is used if self esteem is low

Defense mechanism

Functions of defense mechanism

Anxiety reduction


Resolve mental conflict


Overuse of this will deny reality

Defense mechanism

Slip of the tongue experience

Unconscious

Tip of the tongue experience

Subconscious

What are personality dynamics?

1. Components of personality


2. Topograpjy of the mind


3. Defense mechanism

What are the conceptual framework of psychiatric care?

Psychodynamic framework


Behavioral framework

behavioral modification/framework focus

Focuses on the behavior of the cx


Focuses on anxiety and maladaptive patterns of behavior

Skinner's theory

Positive and negative reinforcement


(Operant conditioning) (behavioral framework)

Behavioral treatments

1. Systematic desentisization


2. Aversive therapy


3. Biofeedback


4. Relaxation therapy


5. Assertiveness training

BABRA

Define systematic desensitization

Gradually confronting a situation that evokes anxiety (self regulation)

Define aversive therapy

For patients with maladaptive behavior (px with depression that is unresponsive to antidepressants)

Example of aversive therapy

Electroconvulsive therapy ECT

Define relaxation therapy

Used to counteract nervous tension

Differentiate anxiety and fear

Anxiety is subjective


Fear is objective

Define assertiveness training

Training to overcome passivity in your interpersonal relationships

Define interpersonal framework

Results fr the interaction with significant others

2 basic drives accdg to sullivan

1. Satisfaction needs


2. Security needs

Way to reduce anxiety

Verbal sharing

Interpesonal treatments

1. Trusting environment


2. Assist cx to develop a close relationship


3. Encourage cx to share/verbalize feelings or anxiety

Define humanistic framework

-Focuses on client's human experiences (existential framework)



-If a person lacks SELF AWARENESS

The framework that focuses on learned behavior

Behavioral framework

The framework that focuses on intrapsychic processes

Psychodynamic framework

The framework that focuses on clients human experiences and unmet needs

Humanistic framework (existential)

What are the Humanistic treatments?

1. Client centered therapy


2. Gestalt therapy


3. Respect

Humanistic therapy where nurse listens to patient

Client-centered therapy

Humanistic treatment where nx assists px to express feelings

Gestalt therapy

Humanistic treatment where nurse gives a positive regard to patient whether positive or negatie to boost morale

Respect

Framework that focuses oncognitive process

Cognitive framework

Framework that focuses on the disease process

Biomedical framework

Focuses of biomedical framework

Disease process


Psychotherapy


Psychopharmacology

Focuses of cognitive framework

Cognitive process


Expectations of patient


Beliefs of patient


Memories of patient

Define personality

It is unique and dynamic


Constitutes genetic constitution


Concerns psych devt


Culture

Age where personality initially emerges

2 years old

Significant in the devt of one's personality

Parent-child relationship

6 conceptual frameworks of psychiatric care

1. Psychodynamic


2. Behavioral


3. Interpersonal


4. humanistic


5. Cognitive


6. Biomedical

Another term for topography of mind

Iceberg of mind

Define the conscious toporaphy of mind

Thinking being


Corresponds to EGO


past experiences can be easily recalled

Define the subconscious topography of the mind

Past experiences recalled by exerting effort


Ideas reaction stored but partially forgotten


Tip of tongue experience - manifestation

Define the unconscious topograpjy of mind

Largest part of mind


Greatest influence in personality

Unconscious can be expressed by means of:

1. Dreams


2. Slip of tongue exp


3. Unexplained behavior


4. Sense of humor


5. Lapse of memories

Different components of personality

1. ID - pleasure principle


2. EGO - reality principle


3. S. EGO

Define ID

Unconscious part of mind


Person is born with it


Primitive


Based on pleasure principle


Develops during infancy stage


Disorders of ID

1. Mania


2. Antisocial


3. Narcissistic

Define EGO

Corresponds to self


Integrator of personality


Develops during toddlerhood


Based on the reality principle (supercedes pleasure principle)

The only disorder of EGO

Schizophrenia

Define SUPEREGO

Conscience


Based on morality principle


With parental direction - censoring force


Develops dur. PRESCHOOL

2 types of superego

1. Strict superego


2. Weak or defective superego

The superego that has a rigid personality

Strict superego

If superego is dominant person needs

ID

Strict s.ego leads to

Rigid personality


Unhappiness

Weak superego leads to:

Guilt


Anxiety


Hostility

Define schizophrenia

Altered reality perception


Hallucinations


Delusions

Disorders of the superego

Obsessive compulsive disorder


Anorexia nervosa