What is meant by the continuum of care & why it is important to nursing -
correct answer ✔Mental Health <--> mental illness
Important because all of us fall somewhere on the continuum & can shift
gradually or suddenly
Psychoanalytic Theory - correct answer ✔Sigmund Freud
- Levels of Awareness: Conscious, Preconscious, & unconscious
- Personality Structure: Ego, Id, Superego
- Defense Mechanisms & Anxiety
- Psychosexual Stages of Development
Psychoanalytic Therapy - correct answer ✔rarely used today
- uncovers unconscious conflicts via free association, dreams & fantasy,
defense mechanisms, interpretation; transference & countertransference
Psychodynamic Therapy - correct answer ✔relatively healthy & well-
functioning individuals "worried well" have difficulty & are intelligent,
psychologically minded, & well motivated for change
pt & therapist agree on what the focus should be & concentrate on that focus
(↑ involvement & interaction)
Nursing Implications of Psychoanalytic Theories & Therapies - correct answer
✔emphasis on childhood development - healthy environment, root causes of
suffering/themes, active listening, talk
,Interpersonal Theory - correct answer ✔Harry Stack Sullivan
emphasized early relationship w/ primary parenting figure or significant other,
as crucial for personality development
(Interaction vs. Loneliness)
Interpersonal Therapy - correct answer ✔short-term therapy focused on
reducing or eliminating psychiatric symptoms (esp. depression) by improving
interpersonal functioning & satisfaction w/ social relationships
Especially for:
- Grief & loss
- Interpersonal Disputes
- Role Transition
↓ psychiatric symptoms by improving interpersonal function & satisfaction w/
social relationships
Theory of Interpersonal Relationships - correct answer ✔Hildegard Peplau
established foundation for professional practice of psych nursing // what
nurses do WITH patients
- nurse helps patient make positive change in healthcare status & well-being
- nurses are both participants & observers in therapeutic conversations
- described effects of different levels of anxiety on perception & learning
Nursing Implications of the Interpersonal Theory & Therapies - correct
answer ✔- grief & loss
- interpersonal disputes
, - role transition
- Peplau's Theory of Interpersonal Relationship: nurse/patient relationship //
levels of anxiety & ability to think & function
Classical Conditioning - correct answer ✔behavioral theory
Ivan Pavlov
stimulus pairing
Behavioral Theory - correct answer ✔John B. Watson
use classical conditioning as training to mold personality
Operant Conditioning Theory - correct answer ✔behavioral therapy
B.F. Skinner
learning via reinforcement & extinction
Behavioral Therapy - correct answer ✔based on the assumption that
changes in maladaptive behavior can occur without insight into the underlying
cause
directed at specific problems & goals are well defined
good for phobias, alcoholism, schizophrenia
done via modeling, operant conditioning, systematic desensitization, aversion
therapy, & biofeedback
Nursing Implications of Behavioral Theory - correct answer ✔techniques for
modifying or replacing undesirable behaviors