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1. Biomedical Model Focus on the symptoms as a problem that must be eliminated/cured w/ med-
ication
2. Holistic Model Focus on healing; becoming whole, body, mind, and spirit
Symptoms are seen as a form of communication and are useful tools in under-
standing what is going on
3. What are specific A presence of acceptance, patience, kindness, nonjudgemental attitude, under-
techniques used to standing, good listening skills, honesty, and empathy
build and foster
the therapeutic re-
lationship?
4. Goals of Psy- 1. Symptom reduction
chotherapy 2. Improvement in functioning
3. Relapse prevention
4. Empowerment
5. Achievement of collaborative goals
5. Resilience The person's ability to cope w/ adversity, adapt to challenges, and access
resources
6. Resilient Zone An internal state of adaptability and flexibility regulated by our nervous system
We feel our best and can think clearly/deal effectively w/ life when in this zone
7. What happens We cannot think clearly or function appropriately; therapy is ineffective
when we are out- Too High = edgy, irritable, manic, anxious
side of our resilient Too Low = depression, isolated, fatigue, numb
zone (either too
high or too low)?
8. Stabilization Helps the client manage stressors and develop stronger internal resources to
enhance resilience
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9. What are stabiliza- 1. Therapeutic relationships
tion strategies? 2. Case management
3. CBT, DBT
4. Managing arousal (imagery, calm place, etc.)
5. Mindfullness, meditation, yoga
6. Medication
10. What do stabiliza- They assist the person to be better able to change one's present physiology in
tion strategies do? order to function more effectively in the moment
11. Processing Access to all dimensions of memory: behaviors, affect, sensations, cognitions,
and all beliefs associated w/ trauma
Helps the client explore the meaning of adverse life events
12. What are process- 1. Therapeutic relationships
ing strategies? 2. Psychodynamic psychotherapy
3. Cognitive processing
4. Somatic processing
5. EMDR
13. Peplau's Roles: The nurse and patient meet as strangers; the nurse offers acceptance and builds
Stranger trust/rapport
14. Peplau's Roles: Re- The nurse provides information and answers questions to help the patient
source Person understand their condition and treatment
15. Peplau's Roles: The nurse educated the patient about illness, meds, coping strategies, etc.
Teacher
16. Peplau's Roles: The nurse guides the therapeutic process, encourages participation, and sets
Leader goals collaboratively w/ the patient
17.
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Peplau's Roles: The nurse may be seen as a parental or other figure by the patient
Surrogate Important for understanding transference and maintaining boundaries
18. Peplau's Roles: The nurse provides emotional support, helps the patient explore feelings, and
Counselor fosters personal growth
The most important role in psych nursing
19. Maslow's Hierar- 1. Physiological needs
chy of Needs 2. Safety and security
3. Love and belonging
4. Self-esteem
5. Self-actualization
20. What does self-ac- The ideal mentally healthy individual:
tualization look - Appropriate perception of reality
like? - Ability to concentrate and problem solve
- Acceptance of oneself and others
- Intense emotional experiences
- Independence, autonomy, nonconformance
- Creativity
- Maturity
21. How do ACEs ACEs affect brain development leading to long-lasting psychological and phys-
affect mental ical consequences;
health? effects behavior, economics, education, and health outcomes
22. Health Belief Mod- Explain and predict health behaviors
el A person's belief about a perceived threat of illness combined w/ belief in the
effectiveness of the recommended action predicts a person's willingness to
change
23. HBM: Perceived Clients must believe the condition has serious consequences in left unattended
Seriousness