MH Chapter 1 & 3

Basic needs(food, water, sleep, shelter, sex, pain-free) Second lvl(safety & security) Third lvl(love & belonging needs)

Giving pt attention & positive feedback

Example: Nurse has a teenage daughter & pt same age as teen. Nurse will have a parental tone to pt

Erikson Psycosocial Stages of Development: Each stage person must complete a task essential to wellbeing & MH>

Virtue: Will

Methods of attempting to protect self & cope w/basic drives/emotionally painful thoughts, feelings, or events

Tx as the establishment of satisfying interpersonal relationships

Psychoanalysis focuses on discovering causes of pt unconscious repressed thoughts/feelings

Method of attempting to strengthen a desire or response by reinforcement either positive or negative

Task: Achieveing a sense of control & free will

authoritative statements by professional organization that describe the responsibilities for which nurses accountable

People learn from their behaviors from their history or past experiences, esp if repeatedly reinforced

The DSM-5 describes all mental disorders, outlining specific diagnostic criteria for each based on clinical research

Philippe Pinel formulated concept of asylum as a safe heaven for mentally ill & Dorthea Dix = improve tx of mentally ill

Highest lvl of Hierary of needs(describes a person who has achieved all needs of hierarchy & develops fullest potential)

Directed by nurse & involves engaging the pt in tx, providing explanations & info, answering questions

A deliberate shift from institutional care in state hospitals to community facilities

MH: Biological makeup, autonomy/independance, self-esteem, coping abilities, reality oriented, growth capacity, etc

Methods of attempting to protect self & cope w/basic drives/emotionally painful thoughts, feelings, or events

Management of care on a case-by-case basis represent an effort to provide necessary services at low cost

Occurs when therapist displaces onto the pt attitudes or feelings from their past

Sickness seen as displeasure from Gods/punishment for sins/early christians seen as possessed by demons

Virtue: Fidelity

Example: adolescent working w/a nurse who looks the same age as pt parent. Nurse will exeperience rebellion from pt

Task: Being creative & productive; establishing the next generation

The part of one's nature that reflects moral & ethical concepts, values & parental/social expectations (opposite of id)

Focuses on role of client, rather than therapist, as a key healing process

Begins when the pt works interdependently w/the nurse, expresses feelings, & begins to feel stronger

Started to look closely into psychiatry & diagnosis & tx of mental illness

Seeks instant gratification, causes impulsive unthinking behavior, & has NO regard for rules or social convention

Task: Viewing the world as safe & reliable; relationships as nuturing, stable, & dependable

There are 13 areas of concern that MHN focus on when caring for pts (BOX 1.2)

(Therapist role) Meaning tht therapist both participates in & observes progress of relationships

Pt kept in the ED while waiting to see if crisis descalates or until an inpt bed can be located or becomes avaliable

Interpersonal theories by Sullivan believed tht one's personality involves more than individual characteristics

Task: Accepting responsibility for oneself & life

(Birth to 2 yrs) sense of self & form mental images, knows objects don't cease to exist bc out of sight

Pt no longer needs professional services & gives up dependent behavior (relationship ends)

(12-15 yrs+) Learns to think & reason in abstract terms, further develops logical thinking & reasoning achieves maturity

Behaviorist believe that behavior can be changed thru a system of rewards & punishment.

MI: Biologic makeup, intolerable/unrealisitc worries/fear, loss of one's life meaning, can't tell reality from fantasy

Concept designed to purposely control of balance b/w the quality of care provided & the cost of care

(2-6 yrs) Ability to express self w/language, understands meaning of symbolic gestures & classify objects

Task: Formulating a sense of self & belonging

Humanism focuses on a person's positive qualities, capacity to change, & promotion of self-esteem

(Early Childhood) Connects events into sequence & may not have logical sense of experiences sees them as coincidence

Pt makes full use of services offered

Therapist tries to uncover client's true thoughts & feelings by saying a word & asking pt to respond w/1st thing in mind

Task: Emerging confidence in own abilities; taking pleasure in accomplishments

Shorter stays in the hospital but admitted to hospital more frequently

Virtue: Care

Has 4 phases (role of nurses in therapeutic relationship & how roles meet pt needs)

Paiget explored how intelligence & cognitive functioning develop in children thru stages

state of emotional, psychological, & social wellness

MI: Lack of resources, violence, homelessness, poverty, an unwarranted - world view, discrimination

Virtue: Love

The balancing/mediating force b/w the id & superego

MH: Effective communication, ability to help others, intimacy, & balance of separatness & connectedness

Represents mature & adaptive behavior that allows person to function successfully in the world

(Infancy & childhood) Involves beliefs, unconnected experiences that have NO relationship to one another

MH: Sense of community, access to adequate resources, intolerance of violence, diversity support, realistic + world view

Virtue: Wisdom

The process by which the nurse gains recognition of their feelings, beliefs, & attitudes

Psychoanalytic theory supports the notion that all human behavior is caused explained & can be explained.

Virtue: Purpose

Task: Beginning development of a conscience; learning to manage conflict & anxiety

Virtue: Competence

Freud's Psychoanalyis Includes:

MI: Ineffective communication, excessive dependency on or withdrawal of relationships, loss of emotional control, no

Disorders that affect mood, behavior, & thinking (depression, etc) dissatisfaction w/self, relationships & coping

Wellness videnced by satisfying interpersonal relationships, effective behavior & coping, + self concept & stability

Virtue: Hope

Involves removing a stimulus immediately after behavior occurs so its more likely to occur again

(6 to 12 yrs) Apply logic to thinking, understands spatiality & reversibility & increasing social & able to apply rules

1950s w/development of psychotropic drugs to tx mental illness

The part of one's nature that reflects basic or innate desires (pleasure-seeking behavior, aggression, sex impulses)

Task: Forming adult loving relationships & meaningful attachments to others

Occurs when pt displaces onto the therapist attitudes & feelings tht the pt originally experience in other relationships

(School-aged Children)Begins to percieve him & the world w/in environment & analyze experiences in a variety of settings

A primary tech that involves discussig a client's dreams to discover their true meaning & significance