Nurs 661 Rated A+ 2024
Nurs 661 Rated A+ 2024 Unconscious incompetency: 2.Conscious incompetency: 3.Conscious competency: Novice no experience, governed by rules and regulations Advanced beginner recognizes aspects of situations and makes Competency/Proficiency 2 to 5 years' experience, coordinates complex care and sees situations as wholes, and long-term solutions 4U.nconscious competency Attunement Expert flexible, efficient, and uses intuition. describes how reactive a person is to another's emotional needs and moods. A person who is well attuned will respond with appropriate language and behaviors based on another person's emotional state. Are you able to read social cues? Verbal or non-verbal, whether to engage with it or not Egocentrism: is the inability to differentiate between self and other. More specifically, it is the inability to untangle subjective schemas from objective reality and an inability to accurately assume or understand any perspective other than one's own. All about me, especially in teens and kids. Minimizing: downplaying the significance of an event or emotion—is a common strategy in dealing with feelings of guilt. In teens. Not to minimizing patient's problem. Normalizing their situation is good but not minimizing. Neuroplasticity: also known as brain plasticity, neuroelasticity, or neural plasticity, is the ability of the brain (cortex) to change continuously throughout an individual's life, e.g., brain activity associated with a given function can be transferred to a different location, the proportion of grey matter can change, and synapses may strengthen or weaken over time. Therapy can help to change the brain. Nurturing: the entirety of climate-related aspects which impact the growth and actions of an individual. Psychologists have displayed specific interest in sociosocial and ecological factors, like family characteristics, child-rearing traditions, and economic status. Can be immature or maladaptive Overdeterminism: occurs when a single-observed effect is determined by multiple causes, any one of which alone would be sufficient to account for the effect. That is, there are more causes present than are necessary to cause the effect. Problem may come from different source. Reframing: Developing a new conceptual or emotional outlook relating to situations experienced, and putting it into another frame which follows the facts or evidence equally well, changing its whole definition. Reconstruction of a subject's experiential view to impart a more positive view of it. Method for changing self-defeating thought processes by consciously inserting more positive ones. Restarting Resilience The ability to adapt or rebound quickly from change, illness, or bad fortune. Also known as: psychic resilience; psychological resilience. Able to handle stress. May have a genetic component. Know what the adaptive information processing model and what it is used for. The AIP model was developed by Shapiro through her development and observations of the effects of eye movement desensitization and reprocessing (EMDR) therapy (Shapiro, 2001). AIP hypothesizes that humans have an inherent information processing system that usually processes experiences to a physiological adaptive state in which information can be taken in and learning can occur. This model posits that there is an innate self-healing quality in the brain that strives to regulate its internal environment to survive and to maintain a stable, constant condition by means of dynamic regulation. Positive and negative experiences affect neurophysiological harmony. Optimally, memory is stored in a way that allows for connection with other adaptive memory networks. how traumatic memories are stored in the brain. Know what the Diathesis-Stress model is what it is used for: Theory stating that mental and physical disorders develop from genetic or biological predisposition combined with stress. This theory is often used to describe the pronunciation of mental disorders, like schizophrenia, that are produced by the interaction of a vulnerable hereditary predisposition, with precipitating events in the environment. Nature (genetic) vs nurture (stress). Schizophrenia and bipolar look at this module. Acetylcholine this neurotransmitter occurs in cholinergic tracts extending from the limbic structures to the cortex, and a decrease in concentration is associated with memory and cognitive impairments. An increase is associated with Alzheimer's disease. Cortisol a potent stress hormone that mobilizes energy stores, stimulates the release of glucose, potentiates the release of adrenaline, increases cardiovascular tone, and inhibits growth, immune, and inflammatory responses. An increase leads to cell atrophy and a decrease leads to cell growth. Weight gain, PTSD. Dopamine produced in the substantia nigra and other areas in the brainstem, it is a key neurotransmitter for motor action and the reward system. Too much may change mood, increase motor behavior, and disturb frontal lobe functioning, resulting in depression, memory impairment, and apathy. Parkinson's disease has been linked with decreased levels of dopamine. Mood, reward. Positive symptoms in schizophrenia and psychosis due to increase the DA. Antipsychotic can cause EPS, because it lowers the dopamine. Nuplazid, does not hit DA for Parkinson. Gaba: this inhibitory neurotransmitter contributes to a momentary refraction of neuron firing, and the glutamate derivative is found in most neurons in the central nervous system. It is involved in postsynaptic inhibition when benzodiazepines are given for anxiety, which further decreases the f iring of the neurons. A decrease is associated with anxiety disorders. Dependency, addiction, seizure if withdraw. Gaba and benzo, brain accommodates to benzo quickly so after two weeks brain needs more. so only as needed. Glutamate it is found in all cells, and its major receptor, N-methyl-d-aspartate (NMDA), helps to regulate brain development. Too much glutamate is toxic to neurons. Very exciting. Can cause problem with ACH if dysfunctional. Helps with memory. Acting Out: avoiding conscious experience of the emotion through impulsive action (e.g., instead of feeling sad, a person gets drunk). Impulsive to undesired feeling. Dysfunctional. Denial: avoiding the reality of painful reality by ignoring or refusing to acknowledge reality (e.g., a man with schizophrenia denies that he is ill and does not take his 99 62 medication). Hypochondria: exaggerating an illness arising from unacceptable feelings (e.g., anger and hostility are transformed into pain and somatic complaints). Response to fear or stressors. Introjection: internalizing the qualities of the other (e.g., identification with the aggressor through which the person becomes aggressive to gain control). Isolation: an unconscious separation of an unacceptable act or idea from its memory. This removes any emotional association from the memory which means it can no longer trigger anxiety.
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