Psychiatric Nursing and Mental Health Overview
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Questions and Answers

Which of the following is NOT a characteristic of a patient with paranoid personality disorder?

  • Overly jealous
  • Socially detached
  • Easily triggered and angered (correct)
  • Suspicious and controlling
  • What is the major difference between the three personality components according to Freud?

    According to Freud, the ID represents basic instincts and desires, the ego operates on the reality principle, mediating between the ID and the superego, and the superego embodies morality and societal expectations.

    According to Erikson's stages of psychosocial development, trust is a crucial virtue developed during the stage of infancy (0-12 months).

    True

    The process by which the nurse gains recognition of own feelings, beliefs, and attitudes is called ______.

    <p>self-awareness</p> Signup and view all the answers

    Which of the following is NOT a sign of a person experiencing acute dystonia?

    <p>Pill rolling</p> Signup and view all the answers

    Which of the following is NOT a characteristic of mania?

    <p>Slowed speech</p> Signup and view all the answers

    What is the primary goal of psychotherapy/talk therapy?

    <p>Psychotherapy, also known as talk therapy, aims to provide a safe and structured environment for clients to explore their thoughts, feelings, and behaviors, working towards resolving emotional and behavioral issues.</p> Signup and view all the answers

    The most common side effect of Electroconvulsive Therapy (ECT) is fracture.

    <p>True</p> Signup and view all the answers

    Match the following defense mechanisms with their descriptions.

    <p>Displacement = Transferring feelings to a less threatening object rather than the one who provoked it. Rationalization = Making up excuses to justify socially unacceptable behavior. Projection = Attributing to others one's unacceptable trait. Denial = Failure to acknowledge an unacceptable trait or situation. Sublimation = Placing sexual energies towards a more productive endeavor. Regression = Return to an earlier developmental stage.</p> Signup and view all the answers

    Which of the following is NOT a neurotransmitter?

    <p>Electrolyte</p> Signup and view all the answers

    Match the following phases of Freud's psychosexual development with their age ranges:

    <p>Oral = 0-18 months Anal = 18 months - 3 years Phallic/Oedipal = 3 years - 5 years Latency = 5 years - Puberty</p> Signup and view all the answers

    Match the following stages of Erikson's psychosocial development with their corresponding age ranges:

    <p>Trust vs. Mistrust = 0-12 months Autonomy vs. Shame and Doubt = 1-3 years Initiative vs. Guilt = 3-6 years Industry vs. Inferiority = 6-12 years</p> Signup and view all the answers

    Match the following roles of psychiatric nursing with their descriptions:

    <p>Promote health = Enhancing overall well-being Prevent mental illness = Reducing the risk of psychological disorders Participate in treatment = Engaging in patient rehabilitation processes Find meaning = Helping patients understand their experiences</p> Signup and view all the answers

    Match the following concepts in mental health with their definitions:

    <p>Well-being = Realizing one's own abilities and coping with stress Mental disorder = A condition affecting daily living Contribution to community = Making impactful efforts within society Normalization = Coping effectively with life's normal stresses</p> Signup and view all the answers

    Match the following terms related to personality with their definitions:

    <p>Genetic constitution = Inherited traits influencing personality Psychological development = Changes in an individual's mental state Culture = Environmental factors shaping personality Personality = The unique characteristics of an individual</p> Signup and view all the answers

    Match the following gratifications in Freud's stages with their descriptions:

    <p>Oral = Gratification from oral activities Anal = Gratification from control over elimination Phallic/Oedipal = Gratification related to parental relationships Latency = Repression of sexual feelings</p> Signup and view all the answers

    Match the following virtues developed in Erikson's stages with their descriptions:

    <p>Hope = Emerges from trust in infancy Will = Results from autonomy in early childhood Purpose = Develops through initiative in play Competence = Grows from industry in school-age children</p> Signup and view all the answers

    Match the following WHO definitions with the aspects of mental health:

    <p>Ability to cope = Managing normal life stressors Productive work = Engagement in meaningful activities Self-realization = Understanding and utilizing one’s abilities Community contribution = Participating in society’s betterment</p> Signup and view all the answers

    Match the following symptoms with their corresponding definitions:

    <p>Delusion = False belief that is inconsistent with one’s knowledge and culture Management = Clarification of the meaning Reference = This song has a secret message just for me Engage in reality-based activity = Where do you think the voices are coming from?</p> Signup and view all the answers

    Match the following therapeutic approaches with their descriptions:

    <p>Divert the attention = Remove radio/people from surrounding Talk back to the voices = Labanan nya ang boses / command Reintegrate with the milieu = Engage in activities within the environment Acknowledge the feelings = You seem upset</p> Signup and view all the answers

    Match the following classifications of schizophrenia with their examples:

    <p>Paranoid = Delusions of persecution or conspiracy Disorganized = Incoherent speech and behavior Catatonic = Unresponsiveness and rigid postures Residual = Societal withdrawal and negative symptoms</p> Signup and view all the answers

    Match the following statements with their classifications:

    <p>1 = Clarification of the meaning 2 = Engage in reality-based activities 3 = Voice Doubt 4 = Acknowledgment of feelings</p> Signup and view all the answers

    Match the following coping strategies with their actions:

    <p>Milieu = Environment surrounding the individual Reality-testing = Assess the authenticity of beliefs Self-reflection = Consider personal feelings and thoughts Compassion = Understanding others’ emotional states</p> Signup and view all the answers

    Match the following types of professional space with their appropriate descriptions:

    <p>Intimate Distance = Up to 18 inches, used for personal care Personal Space = 18 inches to 4 ft, used for patient interviews Social Space = 4 to 12 ft, suitable for lectures Public Space = Beyond 12 ft, used for public speaking</p> Signup and view all the answers

    Match the following types of therapeutic communication with their corresponding actions:

    <p>Exploring = Encouraging the client to provide more information Giving Broad Openings = Allowing general topics for patient discussion Accepting = Validating the client's concerns Acknowledging or Giving Recognition = Noticing and affirming the client's situation</p> Signup and view all the answers

    Match the following distances with their definitions:

    <p>Intimate Distance = Closest personal contact, up to 18 inches Personal Space = Moderate distance for personal interaction, 18 inches to 4 ft Social Space = Normal social interaction distance, 4 to 12 ft Public Space = Distance used for public engagement, beyond 12 ft</p> Signup and view all the answers

    Match the following communication techniques with their examples:

    <p>Exploring = Tell me more about that Giving Broad Openings = Would you describe your responsibilities Accepting = I understand your concerns Acknowledging = I noticed that you’ve made improvements</p> Signup and view all the answers

    Match the following Proxemics terms with their respective spaces:

    <p>Intimate Distance = Physical examinations Personal Space = Handover of health education Social Space = Group therapy sessions Public Space = Conferences and seminars</p> Signup and view all the answers

    Match the following phrases with their communication techniques:

    <p>'I’m not sure I understand' = Seeking clarification 'Would you describe your responsibilities?' = Requesting elaboration 'Is there something you’d like to discuss?' = Encouraging patient dialogue 'I notice that you’ve improved' = Recognizing patient change</p> Signup and view all the answers

    Match the following distances with their common usage contexts:

    <p>Intimate Distance = Personal care like catheterization Personal Space = Health teaching sessions Social Space = Conducting lectures Public Space = Addressing a general audience</p> Signup and view all the answers

    Match the following terms with their explanations in therapeutic communication:

    <p>Exploring = Allows deeper understanding of the client's needs Giving Broad Openings = Facilitates a free flow of conversation Accepting = Conveys respect for the client’s viewpoint Acknowledging = Validates the client's presence and contributions</p> Signup and view all the answers

    Match the following communication techniques with their descriptions:

    <p>Offering Self = Expressing willingness to provide support Presenting Reality = Clarifying misinterpretations of reality Making Observations = Noticing and commenting on behavior Informing = Providing information in a clear manner</p> Signup and view all the answers

    Match the following types of questions with their characteristics:

    <p>Close-ended Questions = Questions that can be answered with yes or no Direct Questions = Inquiries that elicit specific answers Open-ended Questions = Questions that encourage elaboration Leading Questions = Questions that suggest a particular answer</p> Signup and view all the answers

    Match the following non-therapeutic communication techniques with their descriptions:

    <p>False Reassurances = Invalidates the patient's feelings Defending = Protecting someone or something from criticism Judging = Evaluating the client's behavior negatively Belittling = Minimizing the client's concerns</p> Signup and view all the answers

    Match the following supportive confrontation strategies with their purposes:

    <p>Acknowledge client's feelings = Validates emotions and experiences Voice doubts = Encourages reflection on inaccuracies Encouragement = Motivates the client to persist Reassurance = Provides comfort and support</p> Signup and view all the answers

    Match the following client scenarios with appropriate communication responses:

    <p>Suicidal Ideation = 'Are you going to kill yourself?' Alzheimer's Patient = 'Do you want pokpok?' Feeling Overwhelmed = 'I know it isn’t easy, but you can do it' Experiencing Delusions = 'I see no one else in the room'</p> Signup and view all the answers

    Match the following therapeutic communication techniques with their benefits:

    <p>Vocal Cues = Enhances message delivery Empathy = Builds trust and rapport Active Listening = Demonstrates understanding Clarification = Ensures accurate understanding of messages</p> Signup and view all the answers

    Match the following elements of supportive communication with their examples:

    <p>Offering Self = 'I’ll sit with you in a while' Health Teaching = 'I’ll be your nurse for today' Making Observations = 'You appear tense' Presenting Reality = 'I find it hard to believe'</p> Signup and view all the answers

    Match the following types of responses with their impact on patient communication:

    <p>Elaboration = Encourages deeper discussion Summarization = Clarifies and condenses information Reflective Responses = Mirrors the client’s feelings Supportive Responses = Provides affirmation and caring</p> Signup and view all the answers

    Match the following symptoms with their descriptions related to mood disorders:

    <p>Depressed mood = Feelings of hopelessness and emptiness Anhedonia = Loss of joy or interest in life Psychomotor retardation = Slowness of thought and movement Insomnia = Difficulty in sleeping at night</p> Signup and view all the answers

    Match the following management techniques for depressed clients with their descriptions:

    <p>Kind firmness = Use of gentle yet firm approach to encourage clients Offering self = Providing personal presence and support Motivate = Encouraging recall of successful past moments Engage in social activities = Encouraging participation in group events</p> Signup and view all the answers

    Match the following types of mood disorders with their characteristics:

    <p>Hypomania = Increased energy and euphoria Major depression = Severe form of depression with significant impairment Hypo Depression = States of excessive loneliness and worthlessness Mania = Extreme elation often combined with psychotic features</p> Signup and view all the answers

    Match the following dietary recommendations for depressed clients with their descriptions:

    <p>Small frequent meals = To avoid large gaps in eating and maintain energy High calorie foods = To ensure adequate caloric intake Stay with client during meals = To provide supportive presence during eating Balanced diet = To promote overall health and well-being</p> Signup and view all the answers

    Match the following antipsychotic medications with their classification:

    <p>Chlorpromazine (Thorazine) = First generation drug Aripiprazole (Abilify) = Second generation drug Haloperidol (Haldol) = First generation drug Olanzapine (Zyprexa) = Second generation drug</p> Signup and view all the answers

    Match the following emotional states with their possible behaviors:

    <p>Feelings of worthlessness = Negative self-perception leading to withdrawal Fatigue = Lack of energy and motivation to participate Suicidal thoughts = Recurrent thoughts of self-harm or ending life Difficulty in concentration = Challenges in focusing on tasks or activities</p> Signup and view all the answers

    Match the following features with their corresponding characteristics linked to catatonia:

    <p>Waxy flexibility = Rigidity and posturing Mutism = Lack of verbal response Negativism = Opposition to instructions Psychomotor disturbances = Abnormal motor behavior</p> Signup and view all the answers

    Match the following drugs with their dosage form requirements:

    <p>Fluphenazine Decanoate = Administer in the same form always Clozapine (Clozaril) = Do not hide tablets Quetiapine (Seroquel) = Do not hide in food Thioridazine (Mellaril) = Explain to the client the reason administering the drug</p> Signup and view all the answers

    Match the following terms related to hypomania with their definitions:

    <p>Hyperactivity = Excessive movement and energy Restlessness = Inability to remain still or calm Increased sex drive = Heightened libido and sexual interest Euphoria = Intense feelings of happiness or elation</p> Signup and view all the answers

    Match the following characteristics of Major Depression with their manifestations:

    <p>Anergia = Lack of energy for daily activities Weight changes = Significant gain or loss of weight Sleep disturbances = Insomnia or hypersomnia-sleep issues Low self-esteem = Feelings of inadequacy and guilt</p> Signup and view all the answers

    Match the following drug suffixes with their corresponding drug types:

    <p>-azine = First generation drugs -pine = Second generation drugs -dol = First generation drugs -done = Second generation drugs</p> Signup and view all the answers

    Match the following mood disorder symptoms with their effects:

    <p>Psychomotor agitation = Restlessness and inability to relax Hypersomnia = Prolonged sleeping often with increased fatigue Anorexia = Loss of appetite and weight reduction Suicidal ideation = Recurring thoughts of death or self-infliction</p> Signup and view all the answers

    Match the following symptoms with their classification in psychosis:

    <p>Positive symptoms = Hallucinations and delusions Negative symptoms = Affective flattening Psychomotor disturbances = Increased physical movement Autism = Social withdrawal</p> Signup and view all the answers

    Match the following psychotherapeutic implications with their statements:

    <p>Do not hide tablets = Ensure patient receives medication Explain drug reasons = Enhance patient compliance Do not hide in food = Prevent altered drug effectiveness Administer same form = Maintain consistency in treatment</p> Signup and view all the answers

    Match the following patient behaviors with their descriptions:

    <p>Autism = Social withdrawal and emotional detachment Mutism = Absence of verbal communication Rigidity = Stiffness and immobility Posturing = Adopting unusual body positions</p> Signup and view all the answers

    Match the following therapeutic guidelines with their explanations:

    <p>Explain to the client = Increases understanding and adherence Do not hide tablets = Ensures medication efficacy Administer drugs in same form = Establishes routine Avoid hiding medications in food = Prevent alteration of medication effect</p> Signup and view all the answers

    Study Notes

    Psychiatric Nursing

    • Interpersonal process where the professional nurse practitioner assists clients through therapeutic use of self.
    • Promotes health
    • Prevents mental illness and suffering
    • Finds meaning in experiences (joyce travelbee)
    • Participates in treatment and rehabilitation of mentally ill

    Mental health

    • State of well-being where an individual realizes abilities, copes with stresses, works productively, and contributes to the community.
    • Opposite is a mental disorder.

    Personality

    • Result of genetics, psychological development and culture.
    • Can be changed.
    • Develops around age 2, influenced by parent-child relationship.
    • Components: ID, Ego, Superego.

    Freud's Psychosexual Stages

    • Oral (0-18 months): Gratification from mouth
    • Anal (18m-3y): Gratification from elimination control
    • Phallic/Oedipal (3y-5y): Genitals are the focus, resolution of complex.
    • Latency (5y-13y): Sublimation of sexual energy to play
    • Genital (12y-21y): Sexual activity, orgasm relieves anxiety, multiple sexual disorder

    Erikson's Psychosocial Stages

    • Trust vs Mistrust (0-12 months): Consistent care = trust
    • Autonomy vs Shame and Doubt (1-3y): Needs consistently met.
    • Initiative vs Guilt (3-6y): Supported efforts to learn.
    • Industry vs Inferiority (6-12y): Learns to make things and work with others.
    • Identity vs Role Confusion (12-18y): Developing identity.
    • Intimacy vs Isolation (18-25y): Satisfying relationships develop.

    Three Personality Components

    • ID (Devil): Pleasure principle, unconscious desires, present at birth.
    • Ego (Reality based): Reality principle, integrates personality, partly unconscious, responsible for adaptive behaviors, develops 1-3 years of age.
    • Superego (Angel): Morality, partly unconscious, develops 3-6 years of age.

    Personality Development

    • At birth: Pleasure principle, unconscious desires are paramount.
    • 1-3 years: Reality principle, adapt to reality/environment, integrating personality.
    • 3-6 years: Morality/conscience develops from early interactions.
    • 6-12 years: Sublimation and development of a social and moral consciousness.
    • 12-21 years: Adult development (genitals become important).

    Nurse-Client Relationship Phases

    • Pre-interaction: Exploring ideas about client.
    • Orientation: Establishing rapport and boundaries, expectations of termination.
    • Working: Identification of problems, goal setting, support independence, identifying & resolving issues.
    • Termination: Goals met, evaluate progress, and preparing the client to end the relationship.

    Communication

    • Sender, message, receiver, feedback
    • Elements of Non-Verbal Communication: Kinesis, Proxemics
    • Intimate distance (0-18 inches)
    • Personal (18 inches-4ft)
    • Social (9-12ft)
    • Public (12ft +)
    • Paralanguage

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    Description

    Explore the essential concepts of psychiatric nursing, mental health, and personality development. This quiz covers key topics such as the interpersonal process in nursing, Freud's psychosexual stages, and the factors influencing personality. Test your knowledge and understanding of these foundational mental health principles.

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