NUR 2488 - Mental Health Exam 1 Guide.

NUR 2488 - Mental Health Exam 1 Guide. Freud- Apply concept of Id, Ego, and Superego  Id  Primitive, pleasure-seeking part of our personalities that lurks in the unconscious mind (demanding, impulsive, irrational, asocial, selfish, trustful, omnipotent, and dependent)- primary thought process  Ego  Sense of self and acts as an intermediary between the id and the world by using ego defense mechanisms, such as repression, denial, and rationalization (problem solving skills, perception, and ability to mediate Id impulses)  Super Ego  Assigned to those processes that Freud referred to as our conscious (sense of right or wrong) and is greatly influenced by our parent’s or caregiver’s moral and ethical stances (moral values, ideals, and judgments of right and wrong that are held by parents) Primarily unconscious Maslow’s Hierarchy of needs  Physiologic Needs  Food, water, oxygen, elimination, rest, and sex  Safety Needs  Security, protection, stability, structure, order, and limits  Love and Belonging Needs  Affiliation, affectionate relationships, and love  Esteem Needs  Self-esteem related to competency, achievement, and esteem from others  Self-actualization  Becomes everything one is capable of  Self-transcendence Erikson’s Stages of Development  Infancy (birth to 1.5 years)- Trust versus mistrust  Early childhood (1.5-3 years)- Autonomy versus shame/doubt  Preschool (Play) (3-6 years)- Initiative versus Guilt  School aged (6-12 years)- industry versus inferiority  Adolescents (12-20 years)- Identity versus Role Confusion  Young Adulthood (20-30 years)- Intimacy versus Isolation  Adulthood (30-65 years)- Generativity versus self-absorption  Older Adults (65-death)- Integrity versus despair This study source was downloaded by from CourseH on :51:11 GMT -05:00 Role of Neurotransmitters  Chemical messenger between neurons by which one neuron triggers another  Dopamine  Involved in cognition, motivation, and movement  Norepinephrine  Involved in mood, cognition, and perception  Serotonin  Involved in regulation of mood, arousal, attention, behavior, and body temperature  GABA  Modulates neuronal excitability and is associated with the regulation of anxiety Nurse-Client Relationship  Orientation Phase  Can last for a few meetings or can extend over a longer period  It is the first time the nurse and patient meet, and they are strangers to each other  Assessment, history, rapport, learn about patient  Working Phase  Maintains relationship; gather further data; promote the patient’s problem solving skills, self-esteem, and use of language; facilitate behavioral change; overcome resistance behaviors; evaluate problems and goals; promote practice and expression of alternative adaptive behaviors  Goal setting, implementing, nursing diagnosis, interventions, care plans  Termination Phase  Summarizing the goals and objectives achieved in the relationship; discussing ways for the patient to incorporate into daily life any new coping strategies learned during the time spent with the nurse; reviewing situations that occurred during the time spent together; exchanging memories, which can help validate the experience for both the nurse and patient and facilitates closure of that relationship  Terminating relationship, reflect on relationship  Understanding the difference between a nurse-client and a social relationship  Social relationship can be defined as a relationship that is primarily initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task.  DO NOT bring own issues into a patient’s life. A nurse must keep her personal life confidential. This study source was downloaded by from CourseH on :51:11 GMT -05:00  Understanding boundaries with clients  Clear boundaries with clients  Not appropriate to disclose personal info about yourself and personal relationships  Do not say what your family does for a living  Role of Psych Nurse- What is considered within the scope of practice  Educate patients  Assess patients  Management (self-care)  Symptom management (stress)  Nursing diagnoses  No individual therapy