Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evi-
dence-Based Practice: Chapter 1:
Study online at https://quizlet.com/_av5mt6
1. Anosognosia A condition in which a person with an illness seems unaware of the existence of
his or her illness.
2. Anxiety A feeling of discomfort and apprehension related to fear of impending danger.
The individual may be unaware of the source of his or her anxiety, but it is often
accompanied by feelings of uncertainty and helplessness..
3. Anticipatory grief The experiencing of the grief process before the actual loss occurs.
Anticipatory grieving is thought to shorten the grief response in some individuals
who are able to work through some of the feelings before the loss occurs. If the loss
is sudden and unexpected, mourning may take longer than it would if individuals
were able to grieve in anticipation of the loss.
4. Resolution of Length of the grief process is entirely individual. It can last from a few weeks to
grief: years and is influenced by a number of factors.
5. Bereavement The length of the grief response is often extended when an individual has expe-
overload rienced a number of recent losses and when he or she is unable to complete one
grieving process before another one begins.
6. Coping skills Coping behaviors that enhance one's adaptation.
These include enhancing knowledge, social affiliation with others, and prob-
lem-solving.
7. Ego defense Used either consciously or unconsciously as protective devices for the ego in an
mechanisms effort to relieve mild to moderate anxiety. They become maladaptive when an
individual uses them to such a degree that the defense mechanism interferes with
the ability to deal with reality, with interpersonal relations, or with occupational
performance.
8.
1/9
, Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evi-
dence-Based Practice: Chapter 1:
Study online at https://quizlet.com/_av5mt6
Examples of ego Compensation, conversion, denial, displacement, identification, dissociation, re-
defense mecha- gression, intellectualization, introjection, isolation, projection, rationalization, re-
nisms: action formation, repression, sublimation, and undoing.
9. Fight-or-flight Physical reactions triggered by the sympathetic nervous system that prepare the
syndrome body to fight or to run from a threatening situation
10. Grief Subjective state of emotional, physical, and social responses to the loss of a valued
entity
Loss may be real or perceived.
11. 5 stages of grief Denial, Anger, Bargaining, Depression, and Acceptance.
in order:
12. 5 stages of grief Not all individuals experience each of these stages in response to a loss, nor
do they necessarily experience them in this order. Some individuals' grieving
behaviors may fluctuate, and even overlap, among the stages.
13. Stage 1: Denial This is a stage of shock and disbelief. The response may be one of "No, it can't be
true!" The reality of the loss is not acknowledged. Denial is a protective mechanism
that allows the individual to cope within an immediate time frame while organizing
more effective defense strategies.
14. Stage 2: Anger "Why me?" and "It's not fair!" are comments often expressed during the anger
stage. Envy and resentment toward individuals not affected by the loss are com-
mon. Anger may be directed at the self or displaced on loved ones, caregivers, and
even God. There may be a preoccupation with an idealized image of the lost entity.
15. Stage 3: Bargain- "If God will help me through this, I promise I will go to church every Sunday and
ing volunteer my time to help others." During this stage, which is usually not visible
or evident to others, a "bargain" is made with God in an attempt to reverse or
postpone the loss. Sometimes the promise is associated with feelings of guilt for
not having performed satisfactorily, appropriately, or sufficiently.
2/9
dence-Based Practice: Chapter 1:
Study online at https://quizlet.com/_av5mt6
1. Anosognosia A condition in which a person with an illness seems unaware of the existence of
his or her illness.
2. Anxiety A feeling of discomfort and apprehension related to fear of impending danger.
The individual may be unaware of the source of his or her anxiety, but it is often
accompanied by feelings of uncertainty and helplessness..
3. Anticipatory grief The experiencing of the grief process before the actual loss occurs.
Anticipatory grieving is thought to shorten the grief response in some individuals
who are able to work through some of the feelings before the loss occurs. If the loss
is sudden and unexpected, mourning may take longer than it would if individuals
were able to grieve in anticipation of the loss.
4. Resolution of Length of the grief process is entirely individual. It can last from a few weeks to
grief: years and is influenced by a number of factors.
5. Bereavement The length of the grief response is often extended when an individual has expe-
overload rienced a number of recent losses and when he or she is unable to complete one
grieving process before another one begins.
6. Coping skills Coping behaviors that enhance one's adaptation.
These include enhancing knowledge, social affiliation with others, and prob-
lem-solving.
7. Ego defense Used either consciously or unconsciously as protective devices for the ego in an
mechanisms effort to relieve mild to moderate anxiety. They become maladaptive when an
individual uses them to such a degree that the defense mechanism interferes with
the ability to deal with reality, with interpersonal relations, or with occupational
performance.
8.
1/9
, Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evi-
dence-Based Practice: Chapter 1:
Study online at https://quizlet.com/_av5mt6
Examples of ego Compensation, conversion, denial, displacement, identification, dissociation, re-
defense mecha- gression, intellectualization, introjection, isolation, projection, rationalization, re-
nisms: action formation, repression, sublimation, and undoing.
9. Fight-or-flight Physical reactions triggered by the sympathetic nervous system that prepare the
syndrome body to fight or to run from a threatening situation
10. Grief Subjective state of emotional, physical, and social responses to the loss of a valued
entity
Loss may be real or perceived.
11. 5 stages of grief Denial, Anger, Bargaining, Depression, and Acceptance.
in order:
12. 5 stages of grief Not all individuals experience each of these stages in response to a loss, nor
do they necessarily experience them in this order. Some individuals' grieving
behaviors may fluctuate, and even overlap, among the stages.
13. Stage 1: Denial This is a stage of shock and disbelief. The response may be one of "No, it can't be
true!" The reality of the loss is not acknowledged. Denial is a protective mechanism
that allows the individual to cope within an immediate time frame while organizing
more effective defense strategies.
14. Stage 2: Anger "Why me?" and "It's not fair!" are comments often expressed during the anger
stage. Envy and resentment toward individuals not affected by the loss are com-
mon. Anger may be directed at the self or displaced on loved ones, caregivers, and
even God. There may be a preoccupation with an idealized image of the lost entity.
15. Stage 3: Bargain- "If God will help me through this, I promise I will go to church every Sunday and
ing volunteer my time to help others." During this stage, which is usually not visible
or evident to others, a "bargain" is made with God in an attempt to reverse or
postpone the loss. Sometimes the promise is associated with feelings of guilt for
not having performed satisfactorily, appropriately, or sufficiently.
2/9
