Summary Psych Nursing - Review Notes

The Royal Pentagon Review Specialist, Inc. Psychiatric Nursing

Beliefs  Feelings  Behavior

Therapeutic Communication Techniques
• What you see, you say
• What you hear, you say  restating

Sigmund Freud
• Father of Psychoanalysis
• Structure of Personality (Id, Ego, Superego)

Dominant ID
I Mania
D eat Antisocial
mpulsive drink Narcissistic
want to urinate
want PLEASURE defecate S
PLEASURABLE PRINCIPLE E
Pain Avoidance
It’s all “I”

DOMINANT SUPER EGO
Obsessive - compulsive S
UPER EGO Anorexia Nervosa
hould not
mall voice of God I

CONSCIENCE PRINCIPLE E



GO
Xecutive Secretary Impaired Reality
Schizophrenia


REALITY PRINCIPLE

LIBIDO  sexual energy responsible for survival

PSYCHOSEXUAL THEORY
1. ORAL STAGE
• 0 – 18 Months old
• Survival
• I want to eat, sleep, urinate, defecate



Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

,The Royal Pentagon Review Specialist, Inc. Psychiatric Nursing

• ID formation
• Cry & Suck  mouth
Child Cries

Feed the Infant Ignore the Infant
↓ ↓
Successful Unsuccessful
↓
Narcissistic

Defense Mechanism:
o FIXATION  when a person is stuck in a certain developmental
stage
o REGRESSION  return to an earlier developmental stage

• EGO is develop in the 6th month

2. ANAL STAGE
• Ateen – 3 years old (18 mos – 3 y.o.)
• Toilet training
• Super Ego develop

Toilet Training

Good Mother Bad Mother
↓ ↓
Successful Unsuccessful

SE
Too Rigid Training Dirty
↓ Disorganized
Clean Disobedient
Organized ↓ Small
Obedient ANTISOCIAL SE
BIG
SE ↓ (Anal Expulsive)
OBSESSIVE – COMPULSSIVE
(Anal Retentive)


3. PHALLIC
• 3 – 6 y.o.
• Penis/ Vagina
• Parents is the significant person



Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

,The Royal Pentagon Review Specialist, Inc. Psychiatric Nursing

• Called as Preschooler




• Oedipus Complex  little boy loves mommy
• Electra Complex  little girl loves daddy
• Identification  boy associates with daddy, girl assoc. with
mommy
• Castration  fear of the little boy to daddy
• Penis Envy  envy of little girl towards daddy

Dr. Karen Horney  opposition to penis envy

• Level of Awareness
o Conscious  highest level of awareness
o Preconscious  Tip of the tongue
o Unconscious  deepest level of awareness

• Birth Trauma  First traumatic experience of child
• REPRESSION  unconscious forgetting of an anxiety provoking
concept
• SUPRESSION  conscious forgetting of an anxiety provoking
concept

4. LATENCY STAGE
• 6 – 12 years old
• SCHOOlatency
• Sexual energy is dormant
• Reading, Riting, Rithmetic

• SUBLIMATION  placing sexual energies toward a more
productive endeavors



Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

, The Royal Pentagon Review Specialist, Inc. Psychiatric Nursing

5. GENITAL STAGE
• 12 y. o. – above
• Gising
• Genital

PHARMA MOMENTS
ANTIANXIETY
VLAST ME VAIB
Valium – ate V Miltown - Meal Vistaril - largavista
Libreum - L Equanil – Aqua Kneel Attarax – Mga bato (rocks)
Ativan - Ate Guy Inderal – hindi ralph
Seraks – Sera Ulo Busfar – sasakay ng bus
Tranxene - Transit

ERIK ERIKSON
• PSYCHOSOCIAL THEORY OF DEVELOPMENT
Age + - Affecting Major
Factor
0-18 mos. Trust Mistrust Feeding
18 mos. – 3 y.o. Autonomy Shame/ doubt Toilet Training
AU nal
TO ilet training
NO favorite word
MY
3 – 6 y.o. Initiative Guilt Independence
6 – 12 y.o. Industry Inferiority In da-school
12 – 20 y.o. Identity Role confusion Peer
20 – 25 y.o. Intimacy Isolation Love
25 – 45 y.o. Generativity Stagnation Parenting
45 y.o. and above Ego Integrity Despair Reflection




MASLOW’S HEIRARCHY OF NEEDS


1. Physiologic Needs
o Air, food, water, shelter, rest, sleep, activity and temperature
maintenance that are crucial for survival
2. Safety and Security Needs
o Safe in physical and psychological aspects
3. Love and Belonging Needs
o Giving and receiving affection, attaining a place in a group,
maintaining the feeling of belonging


Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009