Podcast
Questions and Answers
Which of the following is NOT considered a trait of good mental health?
Which of the following is NOT considered a trait of good mental health?
- Thinking rationally
- Communicating appropriately
- Learning new information
- Experiencing occasional anxiety (correct)
What is the role of the ego in Freud's Psychoanalytic Theory?
What is the role of the ego in Freud's Psychoanalytic Theory?
- It mediates between the id and superego, seeking balance. (correct)
- It is responsible for immediate gratification and instinctual drives.
- It represents the moral conscience and internalized values.
- It focuses on the development of the personality through stages.
Which of the following is NOT a component of the diathesis-stress model?
Which of the following is NOT a component of the diathesis-stress model?
- Environmental stressors
- Trauma
- Cognitive distortions (correct)
- Biological vulnerability
In the DSM-V, which axis would a diagnosis of Schizophrenia be categorized under?
In the DSM-V, which axis would a diagnosis of Schizophrenia be categorized under?
According to the definition of resilience, what is its primary function?
According to the definition of resilience, what is its primary function?
What is the primary role of a basic level registered nurse (RN) in a psychiatric setting?
What is the primary role of a basic level registered nurse (RN) in a psychiatric setting?
Which defense mechanism involves justifying inappropriate behavior to oneself and others?
Which defense mechanism involves justifying inappropriate behavior to oneself and others?
What is the meaning of the term 'diathesis' in the diathesis-stress model?
What is the meaning of the term 'diathesis' in the diathesis-stress model?
According to Sullivan's Interpersonal Theory, what is the primary motivator behind human behavior?
According to Sullivan's Interpersonal Theory, what is the primary motivator behind human behavior?
Which of these therapeutic techniques is NOT directly associated with behavioral therapies?
Which of these therapeutic techniques is NOT directly associated with behavioral therapies?
A nurse is working with a patient who experiences intense fear of public speaking. The nurse helps the patient gradually expose themselves to increasingly challenging situations involving public speaking, starting with smaller groups and progressing to larger audiences. This approach aligns with which behavioral therapy technique?
A nurse is working with a patient who experiences intense fear of public speaking. The nurse helps the patient gradually expose themselves to increasingly challenging situations involving public speaking, starting with smaller groups and progressing to larger audiences. This approach aligns with which behavioral therapy technique?
Which of Erikson's stages of psychosocial development is characterized by the challenge of developing a sense of personal identity and understanding one's place in the world?
Which of Erikson's stages of psychosocial development is characterized by the challenge of developing a sense of personal identity and understanding one's place in the world?
A patient expresses anger and frustration towards the nurse, repeatedly accusing her of neglecting their needs. This behavior might be an example of:
A patient expresses anger and frustration towards the nurse, repeatedly accusing her of neglecting their needs. This behavior might be an example of:
Which of these statements best reflects the key principle of Milieu Therapy?
Which of these statements best reflects the key principle of Milieu Therapy?
A nurse observes a patient demonstrating signs of distress and anxiety. Which of Maslow's Hierarchy of Needs would the nurse prioritize addressing first?
A nurse observes a patient demonstrating signs of distress and anxiety. Which of Maslow's Hierarchy of Needs would the nurse prioritize addressing first?
In Peplau's Theory of Interpersonal Relationships, which of these is NOT considered a primary role of the nurse?
In Peplau's Theory of Interpersonal Relationships, which of these is NOT considered a primary role of the nurse?
Flashcards
Transference
Transference
Patient redirects feelings onto the nurse, like treating them as a parent.
Countertransference
Countertransference
Nurse projects their own feelings onto the patient, often due to past experiences.
Trust vs. Mistrust
Trust vs. Mistrust
Erikson's first stage, where infants learn to trust caregivers or develop fear.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT)
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Maslow's Hierarchy of Needs
Maslow's Hierarchy of Needs
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Behavioral Therapies
Behavioral Therapies
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Milieu Therapy
Milieu Therapy
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Sullivan's Interpersonal Theory
Sullivan's Interpersonal Theory
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Mental Health
Mental Health
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Traits of Good Mental Health
Traits of Good Mental Health
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Resilience
Resilience
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Mental Illness
Mental Illness
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Diathesis-Stress Model
Diathesis-Stress Model
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DSM-V
DSM-V
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Multiaxial System
Multiaxial System
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Freud's Id, Ego, Superego
Freud's Id, Ego, Superego
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Study Notes
Mental Health
- Mental health is a spectrum; it fluctuates
- Defined as the ability to recognize one's potential, cope with stress, work productively, and contribute to the community
- Traits of good mental health include rational thinking, effective communication, continuous learning, emotional growth, resilience, and healthy self-esteem
Resilience
- Defined as the ability to adjust to life's challenges and setbacks
- Building resilience is a healthy coping strategy
Mental Illness
- Clinically significant when marked by patient distress, disability, or risk of disability
- Could be culturally defined
- Loss of freedom or control may be a symptom (culturally defined)
Diathesis-Stress Model
- Diathesis refers to a biological predisposition
- Stress encompasses environmental factors like trauma or stress
- Mental illness results from the combination of genetic vulnerability and negative environmental stressors.
Diagnosis of Mental Disorders
- Uses a multiaxial system (DSM-V)
- Axis I: Primary/secondary mental disorders (e.g., schizophrenia, bipolar disorder)
- Axis II: Personality disorders and mental retardation (e.g., borderline personality disorder)
- Axis III: General medical disorders (e.g., diabetes, hypertension)
- Axis IV: Psychosocial & environmental problems (e.g., divorce, homelessness)
- Axis V: Global Assessment of Functioning (GAF) - scores below 50 indicate a need for hospitalization
Levels of Psychiatric Nursing Practice
- Basic Level RN: Provides care in psychiatric settings while maintaining a therapeutic milieu
- Advanced Practice RN: Can prescribe medication and perform psychotherapy
Freud's Psychoanalytic Theory
- Id: Driven by pleasure/impulses
- Ego: Concerned with reality/problem-solving ability
- Superego: Driven by moral standards
Defense Mechanisms
- Unconscious strategies to reduce anxiety
- Examples include rationalization
Transference & Countertransference
- Transference: Patient redirects feelings onto the nurse
- Countertransference: Nurse projects feelings onto the patient
Erikson's Eight Stages of Development
- Stages of psychological development across the lifespan
Sullivan's Interpersonal Theory
- Behavior is influenced by interpersonal interactions and the reduction of anxiety
Peplau's Theory of Interpersonal Relationships
- Emphasizes the role of nurses in providing care, compassion, advocacy, and therapeutic relationships
Behavioral Therapies
- Examples: Modeling, operant conditioning, systematic desensitization, aversion therapy,
Cognitive Behavioral Therapy (CBT)
- Focuses on changing thought patterns to improve behavior
- Created by Aaron Beck
Maslow's Hierarchy of Needs
- Emphasizes human potential and strengths
Milieu Therapy
- Creates a structured, safe healing environment
- Prioritizes nursing actions based on patient needs
- Models appropriate behavior and promotes autonomy
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