NUR 2488 Mental Health FINAL EXAM REVIEW

Introduction in Psychiatric Nursing Understand milieu therapy- can you describe it in a clinical setting? Team working together, stress free working environment Describe the difference between mental health and mental illness Mental health: a person’s condition about their psychological and emotional well-being: Mental illness: a disorder or disease affecting a person’s psychological and emotional well-being. Maslow’s Hierarchy of needs (pg 31) Erikson Infancy Birth-1.5yrs Trust vs. Mistrust Develops trust Early Childhood 1.5-3yrs Autonomy vs. Shame/Doubt Self-control; independence; confidence Play Late Child 3-6yrs Initiative vs. Guilt Developing sense of purpose School Age 6-12yrs Industry vs. Inferiority Competing “An 11-year-old girl trying out for cheer” Adolescent 12-20yrs Identity vs. Role Confusion Secure sense of self Young Adult 20-30yrs Intimacy vs. Isolation Ability to love and be loved Adulthood 30-65yrs Generativity vs. Stagnation Nurturing subsequent generations Old Adult 65-death Integrity vs. Despair Acceptance of life Freud-(Apply concept of Id, Ego and Superego) (page 19) The id is the primitive, pleasure-seeking part (according to Freud, predominantly sexual pleasure) of our personalities that lurks in the unconscious mind. (Unconscious) Pleasure-pain principle Id, the instinctive and primitive mind, is dominant The ego is our 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 (conscious) The superego is assigned to those processes that Freud referred to as our conscience (our sense of what is right or wrong) and is greatly influenced by our parents’ or caregivers’ moral and ethical stances. The assumption is made that in healthy individuals, the ego is able to realistically evaluate situations, limit the id’s primitive impulses, and keep the superego from becoming too rigid and obsessive. (Unconscious)