• Mental health Correct Answer-state of well being where one is able to
realize his/her own potential, cope with normal stresses, work
productively, contribute to community
• Mental illness Correct Answer-all psychiatric disorders that have
definable diagnoses
o Dysfunctions can relate to developmental, biological, or psychological
disturbances
o Ability to think - Alzheimer's
o Emotions - major depression
o Behavioral alterations - schizophrenia
DIAGNOSTIC AND STATISTICAL MANUAL (DSM -5) Correct
Answer-· Publication of the APA (American Psychiatric Association);
describes the criteria for 157 disorders & classifies those disorders
· Tool for collecting epidemiological stats about the diagnosis of
psychiatric disorders
· Important in terms of planning pt care & determining reimbursement
for services
· Dominant method of categorizing & diagnosing mental illness
• Incidence Correct Answer-conveys info about risk of contracting a
disease
o Refers to # of new cases of mental disorders in a population in a given
time period
,o Ex: the number of Atlanta adolescents diagnosed w/ major depression
between 2000 and 2001
• Prevalence Correct Answer-the total number of cases, new and
existing, in a given population during a specific period of time
(regardless of when they became ill)
o Ex: the number of adolescents who screened positive for major
depression in LA schools between 2000 and 2010
• Comorbid condition Correct Answer-more than one mental disorder
o Ex: schizophrenia is frequently comorbid with diabetes
• Freud's Psychoanalytic Theory Correct Answer-o Formation of a
personality
o Conscious & unconscious influences
o Importance of individual talk sessions
o Attentive listening
o Classic psychoanalysis - applies most to nursing in nurse-pt scenario
• Erikson's theory Correct Answer-o Developmental model portion of
nursing assessment
o Determines what types of interventions are most likely to be effective
o Stages of psychosocial development increase in complexity with age
♣ Trust v. mistrust
♣ Autonomy v. shame & doubt
,♣ Initiative v. guilt
♣ Industry v. inferiority
♣ Identity v. role confusion
♣ Intimacy v .isolation
♣ Generativity v. stagnation
♣ Integrity v. despair
• Maslow's Theory Correct Answer-o Emphasize human potential &
strengths
o Prioritizes nursing actions in the nurse-patient relationship
o Hierarchy of needs
♣ Physiological
♣ Safety
♣ Love & belonging
♣ Esteem
♣ Self actualization
♣ Self-transcendence
• Psychobiological Correct Answer-o Recognition that psychiatric
illnesses are as much physical in origin as physiological diseases
decreases the stigma
o Telling pt & their family they aren't responsible/at fault for the illness
o Med management & admin
, • Countertransference Correct Answer-unconscious feelings that the hc
worker has toward the pt
• Transference Correct Answer-unconscious feelings the pt has toward
the hc worker originally felt in childhood for a significant other
• Classical conditioning: natural stimulus repeatedly paired with another
stimulus, eventually the "sound" of the stimulus could elicit a desired
response
o Ex: getting sick after eating spoiled eggs and being nauseated
whenever smelling eggs as an older adult
• Operant conditioning Correct Answer-learning that occurs through
rewards & punishment for voluntary behavior
o Elicited through reinforcement
♣ Positive - addition of a reward
♣ Negative - removal of an averse stimulus
o Helpful for improving verbal behaviors of mute, autistic, and
developmentally disabled children
• Systematic desensitization Correct Answer-involves development of
behavior tasks customized to pt's specific fears; tasks are presented to pt
while using learned relaxation techniques
o Pt fear broken down into components; explore stimulus cues
o Pt exposed to fear little by little
o Pt instructed in how to design a hierarchy of fears
o Pt practices techniques every day