CORRECT ANSWERS|AGRADE
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.
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)
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
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
Involved in learning social skills, exploring, building, collecting, accomplishing, and hero worship
Peer group loyalty begins
Gang and scout behavior
Growing independence from family
Task—sexuality is repressed during this time; learn to form close relationship(s) with same-sex
peers - ANSWER-Freud - Latency—7 to 12 years