Exam (elaborations)
NUR 2488 Mental Health latest graded A
- Course
- Institution
NUR 2488 Mental Health latest graded A
[Show more]
Seller
Follow
maggieobita
Reviews received
Content preview
NUR 2488 Mental Health latest 2022-2023 graded A• Introduction in Psychiatric Nursing
• Basic Brain Anatomy- what do the
different part of brain control?
o Frontal Lobe: Thought Processes & Voluntary
Movement (decision making)
o Temporal Lobe: Auditory Processes (language,
speech, connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation,
reading, math, proprioception)
o Hypothalamus: maintains homeostasis, regulates
BP, Temp, libido, hunger, thirst, and sleep/wake
cycles.
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into
chemical signals released at the synapse
▪ Synapse- (pg. 51)- The space between neurons in
which neurotransmitters are released and either
inhibit/excite the
adjacent neuron. The 4 NT’s are dopamine,
norepinephrine, serotonin and acetylcholine.
• Milieu Therapy: Creating a SAFE, structured
inpatient/outpatient setting where the mentally ill can test
new behaviors and coping mechanisms with others.
o Creating a SAFE, structured inpatient/outpatient setting
where patients with mental illness can test new
behaviors and interactions.
o Climate is essential to healing: paint color,
relaxed environments are conducive to the healing
process.
o Florence Nightingale believed that the environment helps
heal
• Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a
constant body temperature. If all the needs were
deprived, this level would take priority.
o Safety Needs: Security, protection, freedom from
fear/anxiety/chaos, and the need for law, order, and
limits.
o Belonging and Love Needs: intimate relationship,
love, affection, and belonging, having a family and
a home and being part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel
confident, valued, and valuable. When self-esteem is
compromised, we feel inferior, worthless, and helpless.
o Self-actualization: Reaching our full potential to feel
inner peace and fulfillment.
,NUR 2488 Mental Health latest 2022-2023 graded A
• Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing
individual and family roles in recovery. (Based off of
Sullivan’s Interpersonal Theory). Relationships greatly
influence recovery
• Freud- what did he contribute to
psychiatric setting? (Unconscious thoughts)
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly
influenced by our parents morals and
ethical stances
o Erickson’s
▪ Trust vs. Mistrust (infant 0- 1 ½) trust
developed if caregivers give affection, love,
care, attention, and reliability. (Feeding)
▪ Autonomy vs. Shame (toddlers 1 ½ - 3)
kids need to develop a sense of personal
control. (Toilet Training)
▪ Initiative vs. Guilt (children 3-6) children need
to have power to explore their environment and
not receive disapproval from parents.
(Exploration)
▪ Industry vs. Inferiority: (school aged kids 6-
12) Kids dealing with new social and academic
demands. Success leads to a sense of
competence. (School)
▪ Identity vs. Role Confusion (teens 12-20)
Teens need to develop self-identity and personal
identity to stay true to themselves. (Social
Relationships)
▪ Intimacy & Solidarity vs. Isolation (young
adults 20- 30) Young Adults need to form
intimate, loving relationships. (Relationships)
▪ Generativity vs. Self-Absorption: (adults 30-
65) Need to create/nurture things by having
children. (Work & Parenthood)
, NUR 2488 Mental Health latest 2022-2023 graded A
▪ Integrity vs. Despair (elderly 65+) Need to
look back and feel fulfilled by accomplishments;
have wisdom and no regrets (Reflection on Life)
o Sullivan
▪ Personalities are influenced during childhood and
mostly by the MOTHER. (Page 31 in book for more
information)
• Therapeutic Communication
• Therapeutic Communication: goal directed, professional,
scientifically based. Goal is to get information so that you can
plan care for the patient.
o Active Listening
▪ Clarifying: promotes understanding of the
patient’s statement
▪ Restating: repeating the same key words the
patient has just spoken to echo their feelings. (Ex: If
a patient remarks, “My life is empty…it has no
meaning,” additional information may be gained by
restating, “Your life has no meaning?”)
▪ Reflecting: helps people understand their own
thoughts better; summarizes (Ex: For example, to
reflect a patient's feelings about his or her life, a
good beginning might be, “You sound as if you have
had many disappointments.”)
▪ Exploring: use of open-ended questions or
statements to allow the patient to express
thoughts/feelings. (Ex: “Tell me more…”, “Give me
an example of…”)
• Communication Technique Examples in
Different Scenarios
o For Suicidal Patients: “These thoughts are very
serious Mr. Adams. I do not want any harm to come to
you. Can you tell me what you were feeling and if
there were any circumstances that led you to this
decision?”
o For Patients who start Crying: Stay with your
patient and reinforce that it is all right to cry & offer
tissues. “You seem upset, what are you thinking right
now?”
o For Patients who say they “don’t want to talk”:
“Its alright. I would like to spend time with you. We don’t
have to talk.” Or reapproach at a later time, “Our 5
minutes is up. I will be back at 10am and spend another 5
minutes with you.”
o For Patients who ask the nurse to keep a secret:
Nurses cannot make such promises, as it may be
important to share that information with other staff for
safety reasons. “I cannot make
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller maggieobita. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72841 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now