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137 Cards in this Set

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Health conditions marked by alterations in thinking, mood, or behavior that cause distress, impair ability to function, or both

Mental Disorders

Considered a clinically significant behavioral or psychological syndrome experienced by a person and marked by distress, disability, or the risk of suffering, disability, or loss of freedom

Mental Ilness

The person acts independently, dependently, or interdependently as the need arises without permanently losing his/her autonomy

Self-Governance

The person is willing to move forward to maximize his/her capabilities

Progress towards growth/self realization

The person faces the uncertainty of life and the certainty of death with faith and hope

Tolerance of Uncertainty

The person's sense of self esteem is founded in self-knowledge and awareness of personal abilities and limitations

Self-Esteem

The person distinguishes fact from fantasy and behaves accordingly

Reality Orientation

The person is competent, effective, and creative in interacting with and influencing his/her environment

Mastery of Environment

The person experiences appropriate emotions in daily life and can tolerate stress, knowing that the feelings are not going to last forever

Stress Management

Outlets

DSM

Diagnostic and Statistical Manual of Mental Disorders

An interpersonal process whereby the nurse assists an individual, family, or community to promote mental health, to prevent or cope with the experience of mental illness and suffering and if necessary

Psychiatric Nursing

Focuses on the care and rehabilitation of people with identifiable mental illness or disorders

Psychiatric Nursing

Focuses on well and at-risk populations to prevent mental illness or provide immediate treatment for those with early signs of disorder

Mental Health Nursing

Main tool of the nurse in the practice of psychiatric nursing

Therapeutic Use of Self

Using one's humanity, personality, experiences, values, feelings

Therapeutic Use of Self

Knowing our own strengths and limitations, understanding our own emotions and the impact of our behavior in diverse situations

Self-awareness

Model of interpersonal awareness

Johari Window

Useful tool in improving self-awareness and through it, our abilities to worl well with others

Johari Window

The organ of thought and all other mental states

Brain

System that carries signals from the brain to the rest of the body

Nervous System

Main type of cell that makes up the nervous system

Neurons

Transmit messages across synapses

Neurons

The process by which crossing takes place is complex, involving tiny explosive depolarization, a relase of chemical transmitting substances

Neurotransmitters

Junction between 2 neurons or between a neuron and an effector cell

Synapse

4 Main Regions of Brain

Cerebral Hemispheres (Cerebrum)


Diencephalon


Brainstem


Cerebellum

Ventricles

Lateral ventricles


Interventicular foramen


Third ventricle


Cerebral aqueduct


Fourth ventricle


Central canal

5 Lobes of Brain

Frontal


Parietal


Temporal


Occipital


Insula

3 Regions (cross-section)

Cerebral Cortex (Gray Matter)


White Matter


Basal Nuclei

Composed of frontal, parietal, occipital, and temporal regions

Cerebrum

Brain center responsible for intellectual functions:


Learning, judgment, reasoning, memory

Cerebrum

Sits at the very center of the brain

Diencephalon

Acts as a large relay station through which sensory information passes on its way to the other cortical region

Thalamus

Receives and directs all info headed to the cerebral cortex (learning and memory)

Thalamus

Beneath the thalamus, control center of endocrine, somatic, and autonomic functioning

Hypothalamus

Releasing hormones to the bloodstream and modulate body functions including drinking (thirst), salt balance, sexual activity

Hypothalamus

Houses the pituitary gland

Hypothalamus

Houses the pineal gland which secretes melatonin

Epithalamus

Hormone that affects the sleep-wake cycle

Epithalamus

Regulates sleep

Epithalamus

Contains nerve-fiber pathways that relay information to the other areas of the CNS

Pons

Controls respirations, GI motility and circulation

Medulla Oblongata

Maintaining vital functions

Midbrain

Controls and guides movements; maintaimns muscle tones

Cerebellum

Located under the cerebral cortex and is composed of the Hippocampus, Amygdala, and Fornix

Limbic System

Mediate feelings or aggression, sexual impulses, and submissive behavior

Limbic System

Part of brain stem that controls motor activity and muscle tone

Basal Ganglia

Provides channel through which sensory information from the body reaches the brain


-pathways for voluntary control of skeletal muscles that regulates much functioning of internal organs

Spinal Cord

Brain develops rapidly during infancy

Brain Development

Brain adapts to new conditions

Neuroplasticity

Form of education and an attemlt to change brain's structure so changes in behavior will follow

Psychotherapy

Dopamine (DOPAMINE)

Drive


psychOsis


Parkinsonism


Attention


Motor


Inhibition of Prolactin


Narcotics


Extrapyramidal symptoms

SEROTONIN (Head, Red, Fed)

Head


-Depression


-Anxiety


-Social interactions


-Headache


-Sex drive


Red


-Platelet


-GI Motility-Nausea


Fed


-SSRI


-Antiemetic

-Key component of the SNS


-Attention


-Burst of Energy


-Increased BP


-Focus on survival functions

Norepinephrine/Noradrenaline

Brain's "off" switch

(GABA) Gamma Aminobutyric Acid

Brain's "on" switch

Glutamate

Hay fever


Itching


Sleeping

Histamine

Autonomic


Contraction/Muscle contraction


Hippocampus

Acetylcholine

Opoids (ARMEDC)

Analgesia


Respiratory


Miosis


Euphoria


Drowsiness


Constipation

Antidote of Opoids

MoNa:


Morphine


Oxygen


Nitroglycerin


Aspirin

Behavioral disturbances stem from emotionally painful experience

Sigmune Freud's Psychoanalytic Theory

Involves experiences which can be recalled at will without any effort

Conscious

Involves experiences which can be recalled at will with some effort

Preconcious

Involves experiences which cannot be recalled at will

Unconscious

Interplay of the three subsystems results to behavior

Structure of Personality

-Pleasure


-Instinctual drives


-Completely selfish and concerned with immediate gratification of desires and needs

Id

-Reality


-mediates between the id and superego

Ego

-Moral


-conscience


-concerned with the matters of right and wrong

Superego

Unconscious measures that people use to defend their personal stability and protect against anxiety and threat resulting from conflicts among the id, ego, and the superego

Defense Mechanisms

Expressing thoughts and feelings in actions rather than words

Acting out

Refusing to recognize a reality that might be troublesome or traumatic

Denial

Attributing exaggeratedly negative qualities to oneself or others

Devaluation

Seeing someone or something else as perfect or more ideal, or worthy, than everyone/everything else

Idealization

Splitting off thoughts and associated feelings from conscious awareness, as if to place them in a separate mental compartment

Dissociation

Acting and behaving like someone else; taking on another person's personality characteristics

Identification

Using the power of intellecta, thinking and reasoning to blunt reality

Intellectualization

Refusing ti recognize behavior in oneself and instead "projecting" it or seeing it in someone else

Projection

-Doing the opposite of one's unconscious wishes often expressed in an exaggerated or showy way


-Hiding of true feeling way by behaving in the exact opposite manner

Reaction Formation

Going back to an earlier and happier time of development

Regression

-Placing material of life experience out of the conscious


-Unconscious and Involuntary forgetting of painful ideas, events, and conflicts

Repression

Conscious exclusion from awareness anxiety-producing feelings, ideas and situations

Suppression

Transforming conflicted emotions, unmet desires, or unacceptable impulses into productive outlets

Sublimation

Conscious or unconscious attempts to make a prove that one's feelings or behaviors are justifiable

Rationalization

Unconsciously incorporating values and attitudes of others as if they were your own

Introjection

-Consciously covering up for a weakness by overemphasizing or making up a desirable trait


-Overachieving in one area to compensate for failures in another

Compensation

-Consciously covering up for a weakness by overemphasizing or making up a desirable trait


-Overachieving in one area to compensate for failures in another

Compensation

Consciously doing something to counteract or make up for a transgression or wrongdoing

Undoing

Unconsciously discharging pent-up feeling to a less-threatening object, person, or animal

Displacement

Unconscious expression of intrapsychic conflict symbolically through physical symptoms

Conversion

A boy develops an unconscious infatuation towards his mother, and simultaneously fears his father to be a rival

Oedipus Complex

A girl's sense of competition with her mother for the affection of her father

Electra Complex

Refers to feelings and thoughts that clients have toward the nurse psychiatrist, or other service provider



Patient - > Nurse

Transference

Feelings and thoughts that service providers have toward the client

Nurse - > Patient

At each stage the ego acquires attitudes and skills that make the individual an active contributing member of society

Erik Erikson's Psychosocial Theory

-Unsatisfactory interpersonal relations will result to maladaptive behaviors


-Early childhood has a role in shaping human beings and self concept

Harry Stack Sullivan's Interpersonal Theory

A type of therapy that utilizes a uniquely structured model for the treatment of mental health issues

Interpersonal Theory

-Motor activities involving concrete objects result in the development of mental functionin


-Focuses on innate development of thinking ability from infancy to childhood

Jean Piaget's Cognitive Theory

Realizing objects exist even though they no longer see it

Object Permanence

-Conditions such as depression result from pervasive, negative misinterpretations of experience


-Person's susceptible to depression develop inaccurate/unhelpful core beliefs about themselves, others

Aaron Beck's Cognitive Theory

Activating events do not cause emotional or behavioral consequences directly, rather, beliefs about these activating events



"Self statements"

Albert Ellis's Rational-Emotive Theory

Has a three stage process that describes the physiological changes the body go through when under stress

Hans Selye's Stress Adaptation Syndrome

A three stage process that describes the physiological changes the body go through when under stress

General Adaptation Syndrome

Initial symptoms the body experiences when under stress


"fight-or-flight" response

Alarm Reaction Stage

After initial shock, the body begins to repair itself


Signs: irritability, frustration, poor concentration

Resistance Stage

-The result of prolonged or chronic stress


-Drained to the point where body no longer has strength to fight stress


Signs: fatigue, burnout, depression, anxiety, decreased stress tolerance

Exhaustion stage

Neither the environmental factor/event nor the person's response definesnstress, rather than the individual perception of the psychological situation is the critical factor

Richard Lazarus Interactional Model

A false belief or impression that is firmly maintained despite being contraindicated by what is generally accepted as reality

Delusion

False sensory perception in the absence of external stimuli

Hallucination

Misperception of an actual external stimuli

Illusion

A condition in which a patient's limbs retain any position into which they are manipulated by another person

Waxy Flexibility

Ritualistic displacement of anxiety through repetitive actions carried out against the patient's conscious wishes which have symbolic relationship to underlying conflict

Compulsion

A compulsive displacement of anxiety through automatic duplication of the immediately observed movements

Ecopraxia

Repeating the speech of another as is expressing a compulsion to respond

Echolalia

Using of phrases or words with similar ending lines

Rhyming

Grouping of rhyming words, that are based on similar sounding sounds, even though the words themselves don't have any logical reason to be grouped together

Clang Association

Playing upon words, usually injection of a witty remark into a conversation

Punning

Creation/coining of new words that are meaningless except to the coiner

Neologism

Inclusion if irrelevant details, scattered thoughts and explanations that takes away from the point of delays reaching the goal point of the conversation

Circumstantiality

Replies totally irrelevant and off-point to questions

Tangentiality

Talking quickly and eratically, jumping rapidly between ideasand thoughts


"topic-jumping "

Flight of Ideas

Sudden stopping of speech while ostensibly in pursuit of a goal

Blocking

Confused or unintelligible mixture of seeminfly random word and phrases

Word Salad

The state of being silent or voiceless, in the absence of rganic etiology

Mutism

Meaningless repetition of same words and phrases

Verbigeration

Overwhelming feeling of well-being, happiness, and joy

Euphoria

State of heightened joy, exaggerated optimism and restless excitement

Elation

Lack motivation to do anything or just don't care about what is going on around

Apathy

Difficulty expressing emotions characterized by diminished facial expression, expressive gesture, and vocal expressions

Blunting

Rapid, often exaggerated changes in mood, where strong emotions or feelings (uncontrollable laughing or crying)

Lability

Lack of trust in others often accompanied by anxiety

Suspicion

Being unaware of the correct time, date, places, etc

Disorientation

Having ability to understand communication

Comprehension

Inability to adequately comprehend a situation or recognize the logic of explanations

Impairment of Judgment

Feeling like you are outside of your body or you are unreal, feeling detached

Depersonalization

Belief that that he is someone else and he acts like that person

Transfer of Personality

Unresponsiveness from which a person can be aroused only by vigorous, physical stimulation

Stupor

Falsification of memory by a person who, believes he or she is genuinely communicating trustful memories

Confabulation

Creation if elequent amd interesting stories


-to impress others

Pseudologia Fantastica (Pathological Lying)