Term
| Emits serotonin- depression & fibromyalgia |
|
Definition
|
|
Term
| This section of the brain controls executive function and is very impaired in schizophrenia |
|
Definition
|
|
Term
| Pleasure center of the brain, involved in addiction |
|
Definition
|
|
Term
| Nerve trunk connecting thalamus to basal ganglia, controls muscle tone reflexes. Antipsychotic meds affect this. |
|
Definition
| Extrapyramidal motor system. |
|
|
Term
| Ability of brain to change |
|
Definition
|
|
Term
| This happens to the brain in adolescence. |
|
Definition
|
|
Term
| Stores NTs & release when excited |
|
Definition
|
|
Term
| Space between presynapse & postsynapse |
|
Definition
| Synapse (Synaptic cleft or gap) |
|
|
Term
| Receives impulse when transmitted |
|
Definition
|
|
Term
| This NT is involved with cognition, motor, and neuroendocrine functions. |
|
Definition
|
|
Term
| Dopamine is overactive in what mental illness? |
|
Definition
| Schizophrenia & other psychosis |
|
|
Term
| What drugs involve dopamine release? |
|
Definition
|
|
Term
| This NT affects appetite, sleep mood, pain perception. |
|
Definition
|
|
Term
| This NT is under-active in depression, bulimia & OCD. |
|
Definition
|
|
Term
| This NT is dysregulated in anxiety, violence, schizoaffective & personality disorders. |
|
Definition
|
|
Term
| This NT is involved in mood states, learning & memory. It is under-active in anxiety & depression. It is depleted in Alzheimer's & Korsakoff's |
|
Definition
|
|
Term
| This NT is under-active in Alzheimer's |
|
Definition
|
|
Term
| This chemical synthesized from serotonin is implicated in SAD & sleep/wake cycle. |
|
Definition
|
|
Term
| Inhibitory NT, low levels r/t anxiety disorders, seizures. Action destroyed by ETOH. |
|
Definition
|
|
Term
| This drug class increases GABA function for antianxiety, anticonvulsant, sedative & muscle relaxant. |
|
Definition
|
|
Term
| Excitatory NTs implicated in kindling phenomenon seen in Bipolar |
|
Definition
|
|
Term
| 4 Interventions to regulate NTs |
|
Definition
Meds
ECT
Cognitive therapy
Alt therapies (relaxation) |
|
|
Term
| This field explores interaction between CNS, endocrine & immune systems; impact of stress on these interactions & impact of psychological & medication intervention. |
|
Definition
|
|
Term
| What can decrease WBCs & lead to illness not related to disease? |
|
Definition
| Stress, death of a spouse, depression, marathon running |
|
|
Term
| Increased stress decreases what kind of WBCs that control viral infections & tumor surveillance? |
|
Definition
|
|
Term
| Study & measure of time structures and biological rhythms eg circadian rhythms. |
|
Definition
|
|
Term
| Time synchronizers like light or suprachiasmatic nuclei of the hypothalamus |
|
Definition
|
|
Term
| Custom drugs based on genetic profiles to avoid side effects. |
|
Definition
|
|
Term
| Research use mostly, inject substance to induce Sx like panic & monitor bio response |
|
Definition
|
|
Term
| TRH stimulation test & dexamethasone suppression test, for example. |
|
Definition
| Endocrine stimulation tests |
|
|
Term
| Seizures may look more like psych disorder, use for hallucinations & dissociative states. Caffeine, BDZs, Lithium & illicit drugs interfere. |
|
Definition
| Electroencephalography (EEG) |
|
|
Term
| Sleep lab for sleep disorders. |
|
Definition
|
|
Term
| In this disorder REM starts quicker & delta sleep is reduced. |
|
Definition
|
|
Term
| This measures brain response to stimulus. |
|
Definition
|
|
Term
| 20 electrode EEG shows frontal lobe hypoactivity in schizophrenia |
|
Definition
| Brain electrical mapping (BEAM) |
|
|
Term
Unconscious response of client. Client: Inappropriate intensity of feelings: hostility, anger, love, dependence.
Nurse: Confront distortions of reality gently, facilitate client awareness. |
|
Definition
|
|
Term
| Inappropriate intensity of nurse's feelings. |
|
Definition
|
|
Term
| Normal response to anxiety-provoking thoughts & feelings - afraid of self-exploration. |
|
Definition
| Resistance-Testing Behaviors |
|
|
Term
| The process of understanding one's own beliefs, thoughts, motivations, biases & limitations, and recognizing how they affect others. |
|
Definition
|
|
Term
| The development of this requires a willingness to be introspective. |
|
Definition
|
|
Term
| What four quadrants does Johari's Window contain? |
|
Definition
| Open (1), Blind(2), Hidden(3), Unknown(4) |
|
|
Term
| This quadrant is known to self & others |
|
Definition
|
|
Term
| This quadrant is known to others but not known by the self. |
|
Definition
|
|
Term
| This quadrant is private life space & personal secrets |
|
Definition
|
|
Term
| This quadrant is the unconscious self & unknown to others. |
|
Definition
|
|
Term
| The goal of self awareness is to increase which quadrant? |
|
Definition
|
|
Term
| Increasing this increases confidence, produces growth and makes in easier to relate to others. |
|
Definition
|
|
Term
| This term means that a change has taken place so that quadrant 1 is larger. |
|
Definition
|
|
Term
| Ongoing process of interaction in which meaning emerges. |
|
Definition
| Therapeutic communication |
|
|
Term
| Verbal communication accounts for __%, nonverbal accounts for __% |
|
Definition
|
|
Term
| When does the orientation phase end? |
|
Definition
| When patient begins identifying problems. |
|
|
Term
| This phase of nurse-patient relationship contains problem ID & solving. |
|
Definition
|
|
Term
| This person produced the Transactional Analysis Model. |
|
Definition
|
|
Term
| e.g. Adult to Adult transaction |
|
Definition
| complementary transaction |
|
|
Term
| e.g. one party speaking as an adult & the other as a parent |
|
Definition
|
|
Term
| e.g. Appears to be adult to adult but in reality client is asking for parenting from the nurse, but does not really want it so rejects all ideas suggested. |
|
Definition
|
|
Term
| Interpersonal harmony characterized by understanding and respect. |
|
Definition
|
|
Term
| Explicitly checking out one's own thoughts or feelings with another person. |
|
Definition
|
|
Term
| Ability to experience, in the present, the situation as another did at some time in the past. |
|
Definition
|
|
Term
| The defining limits of persons, objects or relationships. |
|
Definition
|
|
Term
| Attitudes & behaviors taught (Berne) |
|
Definition
|
|
Term
| Logical, rational, realistic (Berne) |
|
Definition
|
|
Term
| Feelings from childhood (Berne) |
|
Definition
|
|
Term
| What method of therapeutic communication can be used to track the patient's verbal interaction. |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Dress, furnishing, possessions type of cue. |
|
Definition
|
|
Term
| Analysis of your interaction with a patient in order to learn. |
|
Definition
|
|
Term
| What are the three aspects of process recordings analysis? |
|
Definition
Symbolism
Contact Themes
Communication blocks |
|
|
Term
| Do nurse's do cognitive behavioral therapy or techniques? |
|
Definition
|
|
Term
| What is a method of therapy that has extensive evidence to support its efficacy? |
|
Definition
| Cognitive behavioral therapy |
|
|
Term
| Empirically based, goal oriented, practical, collaborative, open, homework, measurements, active and short term are used to describe what? |
|
Definition
| Cognitive Behavioral Therapy |
|
|
Term
| This type of therapy is stimulus-response, useful for treating phobias, involuntary and invented by Pavlov. |
|
Definition
|
|
Term
| This type of therapy uses reinforcement, voluntary behavior is learned, and activity is strengthened or weakened by its consequences. (Skinner) |
|
Definition
|
|
Term
| Anything that increases desired behavior |
|
Definition
|
|
Term
| Reinforcement follows every response |
|
Definition
|
|
Term
| Reinforcement follows a set number of responses |
|
Definition
|
|
Term
| Reinforcement follows a varying number of responses. Most effective in producing long term change. |
|
Definition
|
|
Term
| Behavior rewarded at specific time intervals. |
|
Definition
|
|
Term
| Aversive stimulus decreases future undesirable behavior (not a negative reinforcer). |
|
Definition
|
|
Term
| Penalty for undesirable behavior. |
|
Definition
|
|
Term
| Eliminate behavior by ignoring or not rewarding it. |
|
Definition
|
|
Term
|
Definition
|
|
Term
| People are disturbed not by an event, but by the _________ of that event. (CBT) |
|
Definition
|
|
Term
| The cognitive triad includes what? |
|
Definition
| Thoughts about self, world, future. |
|
|
Term
| Shoulds, oughts, must be a certain way. |
|
Definition
|
|
Term
| Filter allowing only information compatible with one's own view of self & the world. |
|
Definition
|
|
Term
| People are born with the potential to be rational (self-constructive) and irrational (self-defeating) therapy style. (Albert Ellis) |
|
Definition
| Rational Emotive Behavior Therapy (REBT) |
|
|
Term
Activating event
Belief system
Consequences of belief system
Dispute unreasonable expectations
Effective outlook developed |
|
Definition
| Rational Emotive Behavior Therapy |
|
|
Term
| Three types of cognitive behavioral strategies. |
|
Definition
Anxiety Reduction
Cognitive restructuring
Learning new behavior |
|
|
Term
| Exposure to imagined stimulus |
|
Definition
|
|
Term
| Exposure to real stimulus many times |
|
Definition
|
|
Term
| Immediate exposure to anxiety provoking stimulus. |
|
Definition
|
|
Term
| In vitro & in vivo are part of what anxiety reduction strategy? |
|
Definition
| Systematic desensitization |
|
|
Term
| Monitoring brain waves & vital signs while practicing relaxation |
|
Definition
|
|
Term
| This is the anxiety reduction strategy that works for kids afraid of going to school. |
|
Definition
|
|
Term
| A technique that utilizes daily record of dysfunctional thoughts form. |
|
Definition
|
|
Term
Monitoring thoughts & feelings
Questioning the evidence
Examining alternatives
Decatastrophizing - "what if" technique
Reframing |
|
Definition
|
|
Term
| Learn to stop negative or maladaptive thinking |
|
Definition
|
|
Term
| Technique that associates ceasing a negative thought with a visual image, sensation or circumstance. |
|
Definition
|
|
Term
| Vicarious learning, imitation |
|
Definition
|
|
Term
| Token economy; prompting, fading, time out, revoking privileges |
|
Definition
|
|
Term
| Using token or points to reward target behaviors, lose tokens for inappropriate behavior |
|
Definition
|
|
Term
| Assertiveness, communication skills, problem-solving |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Verbal or written agreement outlining expected behaviors and consequences of undesirable behaviors. |
|
Definition
|
|
Term
| Apply noxious stimulus to unwanted behavior, ex. snapping a rubber band on your wrist to delete intrusive thoughts. |
|
Definition
|
|
Term
| Visualize that you can do better - self efficacy theory (Bandura) |
|
Definition
|
|
Term
| self-help (eg bibliotherapy) |
|
Definition
| Psycho-educational resources |
|
|
Term
| A cognitive behavioral therapy designed for a specific patient population - borderline personality disorder. |
|
Definition
| Dialectical Behavior Therapy (DBT) |
|
|
Term
| Accepting maladaptive behavior patterns (cognitively) while working to change them (behaviorally) by teaching patient specific skills. |
|
Definition
| Dialectical Behavior Therapy (DBT) |
|
|
Term
| Therapy that focuses on solutions rather than problems, assists the client in exploring life w/o the problem, asserts that what the patient expects to happen influences what the patient does. (deShazer & Insoo Kim Berg) |
|
Definition
| Solution-Focused Brief Therapy (SFBT) |
|
|
Term
| This is a technique that must be used carefully but can be very helpful. |
|
Definition
|
|
Term
| 5 techniques (question types) utilized in SFBT. |
|
Definition
Miracle
Exception
Scaling
Relationship
Compliments |
|
|
Term
| SFBT asks questions to enable the development of _______ goals. |
|
Definition
|
|
Term
| What kind of goals does SFBT focus on? |
|
Definition
| Specific, concrete & achievable goals. |
|
|
Term
| Rate problem on scale of 1 to 10. |
|
Definition
|
|
Term
| What would your SO say to you about this? |
|
Definition
|
|
Term
| What was life like when you did not have this problem? |
|
Definition
|
|
Term
| #1 cause of disability worldwide |
|
Definition
|
|
Term
| WHO predicts that what will be the #1 public health problem in 21st century. |
|
Definition
|
|
Term
| Recurrent disturbances or alterations in mood that cause psychological distress & behavioral impairment. |
|
Definition
|
|
Term
| Depressed mood/loss of interest or pleasure in nearly all activities for at least 2 wks & 4 additional symptoms |
|
Definition
| Major Depressive Disorder |
|
|
Term
| Depressed mood for most days for at least 2 years. |
|
Definition
|
|
Term
| This population has slow treatment response, chronic illnesses and the highest suicide rates of any age group. |
|
Definition
|
|
Term
| Regular temporal seasonal relationship between onset of an episode of depression or bipolar. |
|
Definition
| Seasonal Affectiveness Disorder |
|
|
Term
|
Definition
| At least 2 episodes in 2 consecutive years |
|
|
Term
|
Definition
|
|
Term
| What does phototherapy do? |
|
Definition
| Resets circadian rhythms (30 min to 2 hrs in AM) |
|
|
Term
| Depressive episode within 4 wks of giving birth |
|
Definition
|
|
Term
| 1/1000 postpartum depression have what? |
|
Definition
|
|
Term
| About __% of Americans will experience a mood disorder (___% for relatives c depression) |
|
Definition
|
|
Term
| Which gender after puberty has more mood disorder? |
|
Definition
|
|
Term
| Which race has higher % depression? |
|
Definition
|
|
Term
| Cytokines signal the brain & mediate immune response |
|
Definition
|
|
Term
| Hypothalamic adrenal pituitary dysfunction with possible control by NTs |
|
Definition
| Neuroendocrine & neuropeptide hypotheses |
|
|
Term
| PET scans show glucose hypometabolism in the frontal lobe. R Hemisphere for ______; L for _______. |
|
Definition
|
|
Term
| Tx for severe depression; used for mania & schizophrenia when other tx have failed. |
|
Definition
|
|
Term
|
Definition
|
|
Term
| HoTN, HTN, bradycardia, tachycardia and minor arrhythmias are associated with what therapy? |
|
Definition
|
|
Term
| Headache, nausea, muscle pain and transient memory loss are side FX of what? |
|
Definition
|
|
Term
| Alternative to ECT in managing Sx of depression, current sent through magnetic coil & enters brain. |
|
Definition
| Transcranial magnetic stimulation (TMS) |
|
|
Term
| Why is ECT such a big deal? |
|
Definition
|
|
Term
| FDA approved Tx for seizures where implan small generator in pts chest electrode threaded SQ on L side of neck & wrapped around vagus nerve |
|
Definition
| Vagus nerve stimulation (VNS) |
|
|
Term
| This is an adjunctive Tx of severe depression for adults who are unresponsive to four or more adequate antidepressant Txs. |
|
Definition
|
|
Term
| This drug class was initially intended to Tx psychotic disorders. |
|
Definition
|
|
Term
| How soon can ppl improve from antidepressants? |
|
Definition
|
|
Term
| Antidepressants are associated with an increased risk of suicide in what populations? |
|
Definition
|
|
Term
| Prototype SSRI that blocks reuptake of 5HT at axon. |
|
Definition
| fluoxetine (Prozac) 20 mg Qday |
|
|
Term
|
Definition
|
|
Term
| All SSRIs have very low _________ and ________ effects. |
|
Definition
| Anticholinergic; sedative |
|
|
Term
|
Definition
fluoxetine (Prozac)
sertraline (Zoloft)
paroxetine (Paxil)
citalopram (Celexa)
escitalopram (Lexapro) |
|
|
Term
| Life-threatening emergency usually caused by combining SSRIs, MAOis, St. John's Wort, TCAs, cocaine, ecstasy |
|
Definition
|
|
Term
| Time limited, self resolving & includes Sx of tremor, myoclonus, diaphoresis & restlessness. |
|
Definition
| Mild Sx of Serotonin Syndrome |
|
|
Term
| Coma, generalized tonic clonic seizures, high fever (>104 F) |
|
Definition
| Toxic state serotonin syndrome |
|
|
Term
|
Definition
IVF
Seizure precautions
Cooling blanket
Dantrolene
BDZs |
|
|
Term
|
Definition
2-4 wks between MAOIS & SSRIs
Decrease drug, will usually resolve 24-72 hrs |
|
|
Term
|
Definition
|
|
Term
| BDZ for restlessness/agitation in SS. |
|
Definition
|
|
Term
| Which depression medication has higher lethal potential and more serious side FX. |
|
Definition
|
|
Term
|
Definition
amitriptyline (Elavil)
imipramine (Tofranil) |
|
|
Term
| Low sedation/anticholinergic TCAs |
|
Definition
amoxapine
nortriptyline
desipramine |
|
|
Term
| Medium sedation/anticholinergic TCAs |
|
Definition
imipramine
doxepin
maprotiline |
|
|
Term
| High sedation/anticholinergic TCAs |
|
Definition
amitryptiline
clomipramine |
|
|
Term
| Impotence, Anticholinergic effects and ortho HoTN common side effects of what antidepressant? |
|
Definition
|
|
Term
| What amts are TCAs usually prescribed in? |
|
Definition
|
|
Term
| How much TCA does it take to OD/lethal? |
|
Definition
|
|
Term
|
Definition
phenelzine (Nardil)
Tranylcypromine (Parnate) |
|
|
Term
| Why aren't MAOIs usually prescribed? |
|
Definition
| HTN crisis too dangerous (Tyramine) |
|
|
Term
| OTC cold & weight reduction meds, aged cheeses, red wine, sherry, beer, pepperoni, salami, sauerkraut should be avoided in ppl taking MAOIs because they include what? |
|
Definition
|
|
Term
| Serotonin antagonist reuptake inhibitors |
|
Definition
|
|
Term
|
Definition
venlafaxine (Effexor)
duloxetine (Cymbalta)
nefazodone (Serzone)
disipramine (Norpramin) |
|
|
Term
| The dosage of this class of antidepressants determines how many types of NTs in reuptakes. |
|
Definition
|
|
Term
| NDRI prescribed for smoking cessation up to 12 wks. |
|
Definition
| buproprion (Wellbutrin, Zyban) |
|
|
Term
| Tetracyclic antidepressants |
|
Definition
Mirtazapine (Remeron)
Maprotiline HCl |
|
|
Term
| This class of antidepressants can cause psychosis |
|
Definition
|
|
Term
|
Definition
| Lithium, Lithium Carbonate |
|
|
Term
|
Definition
|
|
Term
| This drug has been used since 1970s, is effective in about 40% of patients. It may take 2 wks or longer to onset. |
|
Definition
|
|
Term
| This medication is used primarily for "slow-cyclers" (yearly or less often) |
|
Definition
|
|
Term
| This drug has side FX of tremors, muscle twitches metallic taste, Gi/GU distress n/v/d, fatigue, lethargy and wt gain |
|
Definition
|
|
Term
| What needs to be monitored every 6 months for ppl taking Lithium? |
|
Definition
| TSH & renal status (kidney damage and can lead to hypothyroidism) |
|
|
Term
| What frequency of blood levels do you do with Lithium initially? |
|
Definition
|
|
Term
| Therapeutic level Lithium |
|
Definition
| 0.5-1.5, ideal 0.8-1.0 mEq |
|
|
Term
| A pt. with Lithium forgot to take his pill this morning, what should he do? |
|
Definition
|
|
Term
| Peak serum Lithium levels occur when? |
|
Definition
|
|
Term
| FDA approved anticonvulsants |
|
Definition
carbamazepine (Tegretol)
valproic acid (Depakote)
lamotrigine (Lamictal) |
|
|
Term
| Therapeutic level valproic acid |
|
Definition
|
|
Term
| Why is valproic acid the gold standard? |
|
Definition
| Fewest side effect, but it is most expensive |
|
|
Term
| Effective in pts who experience no response to lithium or patients with secondary mania. |
|
Definition
| carbamazepine (Tegretol) More side FX |
|
|
Term
| With this thymoleptic WBCs must be monitored |
|
Definition
|
|
Term
|
Definition
Lithium 0.8
Tegretol 8
Depakote 80 |
|
|
Term
| Effective for rapid cycling and in the depressed phase of bipolar |
|
Definition
|
|
Term
| Life threatening rashes can occur within 2-8 wks of treatment with this medication (highest risk in children) |
|
Definition
|
|
Term
| What drug class can make bipolar patients go into a manic state? |
|
Definition
|
|
Term
| What kind of questions should you ask someone in a manic state? |
|
Definition
|
|
Term
| Rhyming, irritability, hyperactivity, grandoise delusions, flight of ideas are associated with what condition? |
|
Definition
|
|
Term
| What physiological disease can resemble mania? |
|
Definition
|
|
Term
| An abnormally and persistently elevated, expansive or irritable mood for a duration of at least 1 wk. |
|
Definition
|
|
Term
| Combinations of major depression & full mania |
|
Definition
|
|
Term
| Alternating between manic and depressive episodes (fast cyclers) |
|
Definition
|
|
Term
| Combination of major depression and hypomania. |
|
Definition
|
|
Term
| Manic episode at least 4 days. Change in function but no psychosis, hospitalization |
|
Definition
|
|
Term
| Presence for at least 2 yrs of numerous periods c hypomanic sx & numerous periods with depressive sx that do not meet full criteria for major depressive episode. |
|
Definition
|
|
Term
| In children and adolescents with bipolar disorder, what state appears first usually? |
|
Definition
|
|
Term
| This population with bipolar demonstrates more confusion and disorientation; more likely related to secondary mania (medical illness/tx or substance abuse). |
|
Definition
|
|
Term
| When do Sx bipolar show up? |
|
Definition
|
|
Term
| Gender with more depression & rapid cycling in bipolar. |
|
Definition
|
|
Term
| Gender with more manic episodes |
|
Definition
|
|
Term
| Stress, like shock is hypothesized to lower the threshold for behavioral sensitization. Repeated daily sub-threshold electrical stimulation (seizure like activity) Manic episode can be triggered w/o any apparent stressors theory. |
|
Definition
|
|
Term
| In bipolar depression antidepressants are combined with a _____ _______ to "protect" against a manic switch. |
|
Definition
|
|
Term
| What is the best predictor for positive outcomes in bipolar disorder? |
|
Definition
| Being in a treatment relationship |
|
|
Term
| This drug class is used in bipolar patients temporarily in patients who experience psychosis or who cannot take mood stabilizers. |
|
Definition
|
|
Term
| Theories that explain mental & emotional forces & their effects on developmental, behavior & mental states. |
|
Definition
|
|
Term
| Aware of & able to control |
|
Definition
|
|
Term
| Not in immediate awareness but can be recalled to consciousness |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Interpretation of symbolism |
|
Definition
|
|
Term
| Not available to conscious mind |
|
Definition
|
|
Term
| Sources of instinctual (inherited) drives. Operates on pleasure principle, disregard for others. |
|
Definition
|
|
Term
| Use of reason & intellect to meed Id demands. Operates on reality principle, weights actions & consequences. |
|
Definition
|
|
Term
| Concerned c right & wrong, moral values; evaluates & judges behavior |
|
Definition
|
|
Term
| Defined defense mechanisms to protect a person from unwanted anxiety (denial, rationalization) |
|
Definition
|
|
Term
| Patient develops feelings for therapist; therapist develops feelings for patient |
|
Definition
| Transference; countertransference |
|
|
Term
| Inferiority is the src of all human strivings, goal is to strive for superiority. Mutual respect, choice, responsibility, consequences & belonging. |
|
Definition
| Individual psychology (Alfred Adler) |
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Term
| Extroverted vs. introverted personalities |
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Definition
| Analytical psychology (Jung) |
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Term
| Rejected traditional psychoanalytic belief that women felt disadvantaged b/c of genital organs. |
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Definition
| Feminine psychology (Karen Horney) |
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Term
| Birth trauma causes neurosis |
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Definition
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Term
| Play therapy techniques, a child patterns self after another person. |
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Definition
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Term
| Client-centered therapy (reaction against instinctual drives & passivity of psychoanalysis). Human potential for goodness, experience the world positively. Therapist empathy, unconditional positive regard, genuineness. |
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Definition
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Term
| Used techniques to enhance awareness of emotions, physical state & repressed needs |
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Definition
| Gestalt therapy (Frederick S. Perls) |
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Term
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Definition
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Term
| Psychosocial development theory |
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Definition
| Erik Erikson (table 6.4, p 64) |
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Term
| Intellectual development & learning in children theory |
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Definition
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Term
| Girls development is more related to attachment within relationships than boys |
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Definition
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Term
| Patterned interpersonal & social interactions |
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Definition
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Term
| Individuals with this type of strong support system live longer than those w/o that type of support. |
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Definition
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Term
| Degree to which values of formal organization & primary group members differ |
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Definition
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Term
| Describe an individual's social position & function within an environment. Societal expectations, social status, rights. |
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Definition
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Term
| Practical model for conceptualizing delivery of mental health care in community, particularly in rural areas where resources are limited. |
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Definition
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Term
| Approaches are based on patient's assumption of a role within the psychiatric environment. |
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Definition
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Term
| Anthropologist that studied influences determining male & female behavior. |
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Definition
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Term
| Transcultural health care, caring culturally based. |
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Definition
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Term
| Nurse-pt. relationship. Validating the patients distress before taking action to relieve it or discuss their situation. |
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Definition
| Ida Jean Orlando (interpersonal relations) |
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Term
| The power of empathy. Abnormal behavior is best understood by analyzing our relationships with others. |
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Definition
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Term
| Program to treat antisocial personality disorder - deals with cognitive distortions. |
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Definition
| Cognitive Behavioral Therapy (CBT) |
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Term
| Adventure based counseling is especially effective for which age group? |
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Definition
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Term
| Low functioning schizophrenic program at FSH |
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Definition
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Term
| Components of Therapeutic Milieu in Social Learning |
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Definition
Containment
Support
Structure
Involvement
Validation |
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Term
| 1/3 of visits to the doctor are related to ___________ distress and another third are related to ___________ behaviors. |
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Definition
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Term
| Counseling, crisis intervention, discharge planning etc. domain of practice. |
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Definition
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Term
| Case conferences, treatment planning, staff & team meetings, report domain of practice. |
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Definition
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Term
| Committees, delegation, program planning & eval, mentorship etc domain of practice. |
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Definition
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Term
| ________ with the patient is an important step in each of the standards of care. |
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Definition
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Term
| 5 disciplines that must be involved in mental health Tx. |
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Definition
RN
Marriage & family therapy
Social work
Psychology
Psychiatry |
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Term
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Definition
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Term
| Categories of Outcome Indicators in EBP (4) |
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Definition
Clinical
Functional
Pt & Family satisfaction
Financial |
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Term
| King George III was misdiagnosed with bipolar illness but actually had _______, an autosomal dominant genetic disease. |
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Definition
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Term
| A syndrome experienced by Phineas Gage involving labile mood, impulsive/inappropriate behavior and spontaneity. |
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Definition
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Term
Drawing conclusions about a wide variety of things on the basis of a single event.
eg A patient who did not complete his homework correctly the first time says “I will never be able to do this, I might as well give up ever leaving the hospital.” |
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Definition
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Term
Related external events to oneself even if it is not justified.
eg “Jody said that our group will not be able to have the pizza party because the weather is too bad for delivery. I know the real reason is because I did not go to group today.” |
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Definition
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Term
Thinking in extremes that things are either all good or all bad.
eg “If I flunk this test I might as well be dead” |
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Definition
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Term
Focusing on details but not on other relevant information.
eg A wife believes her husband does not love her because he works late but she ignores his affection, the gifts he brings her and the special vacation they are planning together. |
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Definition
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Term
Drawing a negative conclusion w/o supporting evidence.
eg A young woman concludes that “my friend no longer likes me” because she did not receive a birthday card |
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Definition
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Term
Believing that one knows the thoughts of another w/o validation
eg They probably think I am fat and lazy. |
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Definition
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Term
Exaggerating (catastrophizing) or trivializing the importance of events.
eg. “I left the lights on in the house which goes to show how incompetent I am.”
It does not mean anything that I won the award for the best nurse in my unit anyway. |
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Definition
| Magnification/Minimization |
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Term
| Need to do everything perfectly in order to feel good about oneself. |
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Definition
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Term
| Determining ones' value based on approval of others. |
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Definition
| Externalization of self worth |
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Term
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Definition
| Giving up control of your feelings |
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Term
Allowing beliefs that things should or ought to be a certain way to cause undue unhappiness.
eg I should not have lost so much money on the stock market so I may as well die. |
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Definition
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Term
| Excessive daydreaming as a substitute for human relationships, more effective action or problem solving |
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Definition
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Term
| Attributing exaggerated negative qualities to self or others. |
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Definition
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Term
| Transferring a feeling about or a response to one object onto another substitute object. |
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Definition
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Term
| Complaining or making repetitious requests for help and then rejecting the suggestions, advice or help offered. |
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Definition
| Help-rejecting complaining |
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Term
| Excessive use of abstract thinking or the making of generalizations to control or minimize disturbing feelings. |
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Definition
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Term
| Separation of ideas from the feelings originally associated with them |
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Definition
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Term
| Falsely attributing to another one's own unacceptable feelings, impulses or thoughts. |
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Definition
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Term
| Channeling potentially maladaptive feelings or impulses into socially acceptable behavior. |
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Definition
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Term
| Words or behavior designed to negate or make amends symbolically for unacceptable thoughts, feeings or actions. |
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Definition
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Term
| Compartmentalizing opposite affect states and failing to integrate the positive and negative qualities of the self or others into cohesive images. |
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Definition
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Term
| Expelling disturbing wishes, thoughts or experiences from conscious awareness |
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Definition
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Term
| Substituting behavior, thoughts or experiences that are diametrically opposed to one's own unacceptable thoughts or feelings (usually in conjunction w/repression) |
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Definition
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Term
| Concealing the true motivations for one's own thoughts, actions or feelings through the elaboration of reassuring or self-serving but incorrect explanations. |
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Definition
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Term
| Falsely attributing to another one's own unacceptable feelings, impulses or thoughts. Individual remains aware of his or her own affect but misattributes them as justifiable reactions to the other person. |
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Definition
| Projective identification |
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Term
| Turning to others for help or support |
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Definition
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Term
| Dedicating life to meet the needs of others |
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Definition
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Term
| Mimicking or imitating the movements of another person |
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Definition
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Term
| Difficulty performing a purposeful task |
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Definition
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Term
| Impairment in understanding or transmission of ideas by language. |
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Definition
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Term
| Pattern of speech that is indirect and delayed in reaching its goal because of excessive or irrelevant detail or parenthetical remarks. The speaker eventually gets around to the point, and clauses remain logically connected, but to the listener it seems that the end will never be reached. |
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Definition
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Term
| A sudden obstruction or interruption in spontaneous flow of thinking or speaking, perceived as an absence or deprivation of thought. |
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Definition
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Term
| It interferes with a person's ability to understand what he or she sees, hears, and touches. For this reason, a person has very difficult problems knowing how to behave properly and how to interact with other people. The person has to be taught behaviors that develop normally in most people. For example, they may have problems communicating with other people, or they may repeat certain behaviors over and over again. |
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Definition
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Term
| A confused person's tendency to make up a response to a question when he or she cannot remember the answer |
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Definition
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Term
| An association disturbance in which a person's thought and speech stray from the original discussion, never return to the central point, and never answer the original question. |
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Definition
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Term
| Involuntary excessive continuation or repetition of a single response, idea, or activity; may apply to speech or movement but most often verbal. |
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Definition
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Term
| A nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words. When severe, speech may be disorganized and incoherent. |
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Definition
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Term
| A disturbance of thinking (shown in speech) in which ideas shift from one subject to another. These subjects are unrelated or minimally related. Statements that lack a meaningful relationship may be juxtaposed, or speech may shift suddenly from one frame of reference to another. The speaker gives no indication of being aware of the disconnectedness, contradictions, or illogicality of speech. |
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Definition
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Term
| a new word or condensed combination of several words coined by a person to express a highly complex idea not readily understood by others; seen in schizophrenia and organic mental disorders. |
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Definition
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Term
| : A misperception or misinterpretation of a real external stimulus, such as hearing the rustling of leaves as the sound of voices |
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Definition
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Term
| Techniques that inhibit communication (5) |
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Definition
Advice
Agreement
Challenges
Reassurance
Disapproval |
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Term
| Genius inventor that suffered from depression after being hit in the face with a bat. (srsly) |
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Definition
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Term
| These side effect of antidepressants can be treated c bethanechol, pilocarpine drops, sugarless gum or lozenges, H20 and toothpaste. |
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Definition
| Dry mouth, caries, inflammation |
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Term
| With these side effects of antidepressants one can either change medicaition or take meds with bland foods/daily exercise. |
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Definition
| Nausea, vomiting, wt gain |
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Term
| Tx flushing/sweating side effect of anti-depressants |
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Definition
| Terazosin; frequent bathing |
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Term
| Tx tremor from antidepressants |
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Definition
| B-blockers; lower med dose |
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Term
| Tx urinary hesitation side effect of antidepressants |
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Definition
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Term
| British Novelist thought to have had bipolar disorder. Committed suicide at age 59. |
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Definition
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Term
| Edema of feet or hands; fine hand tremor; mild diarrhea, muscle weakness, fatigue or memory/concentration difficulties, metallic taste, nausea, polydipsia/polyuria are possible side effects of what? |
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Definition
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Term
Trust v Mistrust
Autonomy v shame
initiative v guilt
industry v inferiority
identity vs role diffusion
intimacy v isolation
generativity v stagnation
ego integrity v dispair are _________'s eight stages. |
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Definition
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Term
Rejected traditional psychoanalytic belief that women felt disadvantaged because of their genital organs
Women are at a disadvantage because of authoritarian culture |
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Definition
| Karen Horney; feminine psychology |
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Term
interpersonal relations
Great influence on psychiatric nursing (Peplau)
Instincts & drives less important |
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Definition
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Term
| This person started play therapy technique because children pattern self after another person |
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Definition
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Term
| Who developed the idea that girls development is more related to attachment within relationships than boys? |
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Definition
| Carol Gilligan & Jean Baker Miller |
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Term
| Who believed in transcultural health care, caring culturally based/sunrise modelS? |
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Definition
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Term
Who believed in the power of empathy?
Emphasizes social or interpersonal experiences
Abnormal behavior is best understood by analyzing our relationships with others |
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Definition
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Term
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Definition
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Term
| When others place pressure on an individual. |
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Definition
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Term
| Not an actual conflict, but results from the perception that conflict exists. |
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Definition
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Term
| Individuals disagree about info that can be verified. |
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Definition
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Term
| Dispute that centers on status or power |
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Definition
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Term
| Conflict about personal belief. |
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Definition
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Term
| Needs of one individual conflict w/ needs of another |
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Definition
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Term
May lack time, energy, confidence or skills
May be afraid things will get worse
Agrees to disagree but doesn’t get to root of the problem
conflict mgmt |
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Definition
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Term
“Gives in” to make peace
Don’t want to make waves
Can cause resentment and is the classic sign of the passive-aggressive individual
conflict mgmt |
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Definition
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Term
Being right may provide a sense of accomplishment
May use emotional appeals, persistence, or be “pushy”
conflict mgmt |
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Definition
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Term
If you understand people’s needs, you will be able to find a way to meet all party’s needs
Now whose needs will be met but how they will be met.
Requires trust and openness
conflict mgmt |
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Definition
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Term
| Use words that frame _______ not people or feelings. |
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Definition
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