NR 326 Mental Health Exam 1 2025

Mental health - -The successful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are age appropriate and congruent with local and cultural norms. Mental illness - -Your mind's way of dealing w/stress in terms of anxiety & grief in a negative or positive way. Anxiety - -A diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness. Mild anxiety - -Type of anxiety that is seldom a problem; learning is enhanced. Moderate anxiety - -Type of anxiety in which the perceptual field diminishes Severe anxiety - -Type of anxiety where the perceptual fields are so diminished that concentration centers on one detail only or on many extraneous details Panic anxiety - -The most intense state of anxiety; learning can't occur; unable to focus on even one detail. MASLOWS HIERARCHY OF NEEDS - -1. Physiological needs 2. Safety needs 3. Belongingness and love needs 4. Esteem needs 5. Self-actualization needs Compensation - -Covering up a real or perceived weakness by emphasizing a trait one considers more desirable. Rationalization - -Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors. Denial - -Refusing to acknowledge the existence of a real situation or the feelings associated with it. Reaction formation** - -Preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors. NURS326 NURS326 Displacement - -The transfer of feelings from one target to another that is considered less threatening or that is neutral. Regression - -Retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning. Identification - -An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires. Repression - -Involuntarily blocking unpleasant feelings and experiences from one's awareness Intellectualization - -An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis. Sublimation - -Rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive. Introjection - -Integrating the beliefs and values of another individual into one's own ego structure. Suppression - -The voluntary blocking of unpleasant feelings and experiences from one's awareness. Isolation - -Separating a thought or memory from the feeling, tone, or emotion associated with it. Undoing - -Symbolically negating or canceling out an experience that one finds intolerable. Projection - -Attributing feelings or impulses unacceptable to one's self to another person. Dichotomous Thinking - -Individual views situations in terms of all or nothing, black or white, good or bad. Selective abstraction - -A conclusion that's based on only a selected portion of evidence-usually negative evidence. Personalization - -Person takes complete responsibility for situations w/o considering that other circumstances may have contributed to the outcome. NURS326 NURS326 Frontal lobe - -Voluntary body movement, expression of feelings, judgement formation, speaking, and mental health Limbic system - -"Emotional brain" and can help in stabilizing emotional behavior Neurotransmitters - -play an important role in human emotions & behavior = are the target for the mechanism of action in many psychotropic medications. Major categories of neurotransmitters: -Cholinergics ***-Monoamines -Amino acids -Neuropeptides Ethics - -A branch of philosophy that deals with distinguishing right from wrong. Bioethics - -Ethics w/in scope of medicine, nursing, allied health. Moral behaviors - -How individuals ought to treat others Values - -Personal beliefs about what's important and desirable. Values clarification - -Self-exploration- people identify own personal values. Right - -A valid, legally recognized claim or entitlement free from governmental interference Absolute right - -No restriction on individual's entitlement Legal right - -A right that's formalized into law. Utilitarianism - -The most good for the most people Kantianism - -Decisions and actions bound by a sense of duty Christian ethics - -Do unto others as you have them do unto you Natural law theories - -Doing good, avoiding evil Ethical egoism - -Decisions based on what's best for the individual Autonomy - -A person's right to determine their destiny-promotes freedom of choice Beneficence - -One's duty to benefit/promote the good of others NURS326 NURS326 Nonmaleficence - -Do no harm Justice - -A duty to treat all individuals equally and fairly Veracity - -One's duty to always be truthful Medical restraint - -order is good for 24 hours-check patient every 2 hours Behavioral restraint - -Order is good for 4 hours-check patient every 30 minutes; look for skin breakdown, circulation, offer water/food, ask about toileting. Restraints - -18+ years: restraints, MD needs to see pt w/in the hr. Order for restraints must be renewed q4hrs 9-17 years: order must be renewed q2hrs 9 years or younger: order must be renewed every hour *they should only be on for up to 24 consecutive hours. Documentation is very important. Nurse practice act - -Defines legal parameters of professional and practical nursing (every state has their own) Statutory law - -Written law set by a body of legislature Common law - -set by a precedent (roe vs. wade) Civil law - -Protects private/pr