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Milieu refers to the environment in which holistic treatment occurs and includes all members of the
treatment team in a positive physical setting, with interactions among those who are hospitalized and
activities that promote recovery.
The psychiatric mental health registered nurse provides, structures, and maintains safe, therapeutic,
recovery oriented environment collaboration with health care consumers, families, and other health
care clinicians.
Among other things milieu management includes orienting patients to their rights and responsibilities.
Milieu management also includes informing patients in a culturally competent manner about the need
for structure, maintenance of a safe environment, and limits set on the unit.
The nurse selects activities (both individual and group) that meets the patient's physical and mental
health needs. The patient should always be maintained in the least restrictive environmen -
(answer)Milieu Therapy
Successful performance of mental functions, resulting in the ability to engage in productive activities,
enjoy fulfilling relationships, adapt to change, and cope with adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional growth,
resilience, and self-esteem throughout the life span.
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. - (answer)Mental health
Actual diagnoses, gets in the way of obtaining mental health.
Medical conditions that affect a person's thinking, feeling, mood, ability to relate to others, and daily
functioning. Basically, mental illness can be seen as the result of flawed biological, psychological, or
social processes.
, RASMUSSEN MENTAL HEALTH FINAL EXAM LATEST REAL EXAM WITH QUESTIONS
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Fortunately mental illnesses are treatable, and individuals can experience symptom relief, and complete
cure in some cases, with treatment and support. - (answer)Mental illness
Needs are placed conceptually on a pyramid, with the most basic and important needs on the lower
level.
The higher levels, the more distinctly human needs, occupy the top sections of the pyramid. According
to Maslow, when lower level needs are met, higher level needs are able to emerge.
**Physiological needs first, safety second - (answer)Maslow's hierarchy of needs
Food, water, oxygen, elimination, rest, and sex - (answer)Physiological needs
Security, protection, stability, structure, order, and limits. - (answer)Safety needs
Affiliation, affectionate relationships, and love - (answer)Love and belonging needs
Self-esteem related to competency, achievement, and esteem from others. - (answer)Esteem needs
Becoming everything one is capable of. - (answer)Self-actualization needs
When a person experiences a sense of identity that transcends or extends beyond the personal self. -
(answer)Self-transcendence
The primitive, pleasure-seeking part of our personalities that lurks in the unconscious mind. -
(answer)The Id
Our sense of self. (Also unconscious mind)
, RASMUSSEN MENTAL HEALTH FINAL EXAM LATEST REAL EXAM WITH QUESTIONS
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Acts as an intermediary between the id and the world by using ego defense mechanisms, such as
repression, denial, and rationalization. - (answer)The Ego
Conscious mind.
Our conscience (our sense of what is right or wrong) and is greatly influenced by our parents' or
caregivers' moral and ethical stances. - (answer)The Superego
Freud believed that personality development is based on stages. During these stages, the id focuses on
an erogenous zone of the body. These zones are oral, anal, and phallic. Fixation through overindulgence
or frustration results in pathologic conditions and personality disorders. Freud's work has been criticized
for a variety of reasons. One of the harshest criticism stems from the concept of penis envy in which
females suffer from feelings of inferiority for not having male genitalia. - (answer)Freud's contribution to
mental health
Pleasure-pain principle
Id, the instinctive and primitive mind, is dominant
Demanding, impulsive, irrational, asocial, selfish, trustful, omnipotent, and dependent
Primary thought processes
Unconscious instincts—source-energy-aim-object
Mouth—primary source of pleasure
Immediate release of tension/anxiety and immediate gratification through oral gratification
, RASMUSSEN MENTAL HEALTH FINAL EXAM LATEST REAL EXAM WITH QUESTIONS
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Task—develop a sense of trust that needs will be met - (answer)Freud - Oral—birth to 1½ years
Reality principle—postpone immediate discharge of energy and seek actual object to satisfy needs
Learning to defer pleasure
Gaining satisfaction from tolerating some tension-mastering impulses
Focus on toilet training—retaining/letting go; power struggle
Ego development—functions of the ego include problem-solving skills, perception, ability to mediate id
impulses
Task—delay immediate gratification - (answer)Freud - Anal—1½ to 3 years
Superego develops via incorporating moral values, ideals, and judgments of right and wrong that are
held by parents; superego is primarily unconscious and functions on the reward and punishment
principle (sexual identity attained via resolving oedipal conflict)
Conflict differs for boy and girl masturbatory activity
Task—develop sexual identity through identification with same-sex parent - (answer)Freud - Phallic—3
to 7 years
Desexualization; libido diffused