NUR 2488MH Final Exam Study Guide.docx

Final Exam Introduction in Psychiatric Nursing  Understand milieu therapy- can you describe it in a clinical setting? o psychotherapy in which Pt's social environment is controlled or manipulated with a view to prevent self-destructive therapy. o The milieu is a supportive environment in which staff work with patients to provide safety and structure while assessing the patient's relationships and behavior. o A consistent routine is maintained, which fosters predictability and trust. o A milieu is considered therapeutic when the program's community provides a sense of civility, membership, belonging, care and accountability.  Describe the difference between mental health and mental illness o Successful performance of mental functions, resulting in the ability to engage in productive activities, enjoy fulfilling relationships, adapt to change, and cope with adversity. o Mental health is the foundation of thinking, communication skills, learning, emotional growth, resilience, and self-esteem throughout the life span. o It is a state of well-being in which individuals are able to realize their abilities as well as contribute to their community within the context of life stressors. o Actual diagnoses, gets in the way of obtaining mental health. o Medical conditions that affect a person's thinking, feeling, mood, ability to seen as the result of flawed biological, psychological, or social processes. o Fortunately, mental illnesses are treatable, and individuals can experience symptom relief, and complete cure in some cases, with treatment and support.  Maslow’s Hierarchy of needs 1. Biological and Physiological needs - air, food, drink, shelter, warmth, sex, sleep. 2. Safety needs - protection from elements, security, order, law, stability, freedom from fear. 3. Love and belongingness needs - friendship, intimacy, trust and acceptance, receiving and giving affection and love. Affiliating, being part of a group (family, friends, work). 4. Esteem needs - achievement, mastery, independence, status, dominance, prestige, self-respect, respect from others. 5. Self-Actualization needs - realizing personal potential, self-fulfillment, seeking personal growth and peak experiences.  Erickson’s o Trust vs. Mistrust (infant 0- 1 1⁄2) trust developed if caregivers give affection, love, care, attention, and reliability. (Feeding) o nomy vAutos. Shame (toddlers 1 1⁄2 - 3) kids need to develop a sense of personal control. (Toilet Training)