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Psychiatric Nursing:Theories and Theorists + Medicine
Psychiatric Nursing: Adult Health I/Queens University, Charlotte, NC
76
Nursing
Not Applicable
06/30/2012

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Term
Most commonly used anti-anxiety group of drugs
Definition
Benzopdiazepine
Term
Examples of Benzodiazepine
Definition
Ativan
Valium
Xanax
Librium
Term
Mechanism of action that produces desired effect with antipsychotic drugs
Definition
Decreases level or activity of dopamine: Dopamine Antagonist
Term
Most commonly used antipsychotic group of drugs
Definition
Phenothiazine
Term
Examples of Phenothiazine
Definition
Thorazine (Chlorpromazine)
Prolixin (Fluphenazine)
Trilafon (Perphenazine)
Term
Adverse Hormonal Effects: Antipsychotic Drugs
Definition
Decreased libido
Retrograde ejaculation
Gynecomastia
Amenorrhea
Weight gain
Term
Rare side effect of atypical antipsychotic: Clozapine
Definition
Agranulocytosis
Term
Symptoms of agranulocytosis
Definition
Sudden onset
Fever
Malaise
Ulcerative sore throat
Leukopenia
Term
Idiosyncratic reaction to antipsychotic drugs
Definition
Neuroleptic Malignant Syndrome
Term
Symptoms of neuroleptic malignant syndrome
Definition
Severe muscle rigidity
Fever up to 107
Tachycardia
Tachypnea
Unstable BP
Diaphoresis
Rapid deterioration of mental status to stupor and coma
Term
EPS: Extrapyramidal Side Effects of antipsychotic drugs
Definition
Acute dystonia
Pseudoparkinsonism
Akathisia
Akinesia
Oculogyric crisis
Tardive dyskinesia
Term
Class of medication prescribed for EPS
Definition
Anticholinergic/anti-parkinsonism agents:
Cogentin
Artane
Term
Role Blurring
Definition
Local clinic nurse wears many hats and does things case manager or other support personnel should do (usually due to budget cuts.)
Term
ACT
Definition
Assertive Community Treatment: these folks are aware of the people in the community who need care
Term
Personality structure according to Freud
Definition
Id
Ego
Superego
Term
Id
Definition
Seeks instant gratification
Causes impulsive, unthinking behavior
No regard for rules of social convention
Term
Superego
Definition
Reflects:
Moral and ethical concepts
Values
Parental and social expectations
Term
Ego
Definition
Balancing or mediating force between the other two components of the personality
Represents mature and adaptive behaviors that allow a person to function successfully in the world.
Term
Freud's belief about anxiety:
Definition
Result of ego's attempts to balance the impulsive instincts of the id with the stringent rules of the superego.
Term
Freud's Levels of Awareness
Definition
Conscious
Preconscious (subconscious)
Unconscious
Term
Conscious
Definition
Perceptions, thoughts and emotions that exist in our awareness.
We can control this, and it is immediately accessible.
Term
Preconscious (subconscious)
Definition
Experiences, thoughts, feelings and desires that are not currently in our awareness, but we can recall them with some effort. (Smells or music may evoke these)
Term
Unconscious
Definition
Memory, thoughts, feelings, wishes that aren't available to our conscious mind. They motivate us even though we are totally unaware of them.
Term
Techniques of Psychoanalysis
Definition
Free Association
Dream Analysis
Hypnosis
Ego Defense Mechanisms
Term
Defense Mechanism (DM)
Definition
Method of attempting to protect the self and cope with basic drives or emotionally painful thoughts, feelings, or events.
Term
(DM) Compensation
Definition
Overachievement in one area to offset real or perceived deficiencies in another.
Ex: Nurse with low self-esteem working double shifts to earn a supervisor's approval.
Term
(DM) Conversion
Definition
Expression of an emotional conflict through development of a physical symptom, usually sensorimotor
Ex: Teenager, forbidden to see porn, does it anyway and develops blindness.
Term
(DM) Denial
Definition
Failure to acknowledge an unbearable condition; failure to admit the reality of a situation or how one enables the problem to continue.
Ex: Diabetic eating chocolate candy.
Term
(DM) Displacement
Definition
Airing one's intense feelings toward persons less threatening than the ones who caused the original feelings
Ex: Person mad at boss, yells at his wife instead.
Term
(DM) Dissociation
Definition
Dealing with emotional conflict by a temporary alteration in consciousness or identity
Ex: Adult remembers nothing of childhood sexual abuse.
Term
(DM) Fixation
Definition
Immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage.
Ex: Oral fixation: overdependent on others and may seek oral stimulation through smoking, drinking or eating.
Term
(DM) Identification
Definition
Modeling actions and opinions of influential others while searching for identity or aspiring to reach a personal, social or occupational goal
Ex: Nursing student becomes a critical care nurse because this is the specialty of an instructor she admires.
Term
(DM) Intellectualization
Definition
Separation of the emotions of a painful event or situation from the facts involved; acknowledging the facts but not the emotions
Ex: Person shows no emotion when discussing a serious car accident
Term
(DM) Introjection
Definition
Accepting another person's attitudes, beliefs, and values as one's own
Ex: Person who dislikes guns becomes an avid hunter just like his best friend.
Term
(DM) Projection
Definition
Unconscious blaming of unacceptable inclinations or thoughts on an external object.
Ex: Man who has thought about same-sex sexual relationship but never had one, beats a man who is gay.
Term
(DM) Rationalization
Definition
Excusing one's own behavior to avoid guilt, responsibility, conflict, anxiety or loss of self-respect
Ex: Student blames failure on teacher being mean
Term
(DM) Reaction Formation
Definition
Acting the opposite of what one thinks or feels
Ex: Woman who never wanted children becomes a supermom
Term
(DM) Regression
Definition
Moving back to a previous developmental stage to feel safe or have needs met
Ex: 5-year-old asks for a bottle when new baby is fed.
Term
(DM) Repression
Definition
Excluding emotionally painful or anxiety-provoking thoughts and feelings from the conscious awareness
Ex: Woman has no memory of the mugging she suffered yesterday.
Term
(DM) Resistance
Definition
Overt or covert antagonism toward remembering or processing anxiety-producing info
Ex: Nurse is too busy to spend time talking with a dying patient
Term
(DM) Sublimation
Definition
Substituting a socially acceptable activity for an impulse that is unacceptable
Ex: Person who quit smoking sucks on hard candy at the urge to smoke.
Term
(DM) Substitution
Definition
Replacing the desired gratification with one that is more readily available
Ex: Woman who wants to have her own children opens a day care center
Term
(DM) Suppression
Definition
Conscious exclusion of unacceptable thoughts and feelings from conscious awareness
Ex: Student decides not to think about a parent's illness in order to study for a big test.
Term
(DM) Undoing
Definition
Exhibiting acceptable behavior to make up for or negate unacceptable behavior
Ex: Person who cheats on spouse brings the spouse a bouquet of roses.
Term
Erik Erikson's Stages of Psychosocial Development: Theory
Definition
There are tasks to be accomplished to maintain well-being and mental health.
Term
Infant
Definition
Stage: Trust versus Mistrust
Virtue: Hope
Task: View the world as safe and reliable, see relationships as nurturing, stable, dependable
Term
Toddler
Definition
Stage: Autonomy versus Shame & Doubt
Virtue: Will
Task: Achieve a sense of control and free will
Term
Preschooler
Definition
Stage: Initiative versus Guilt
Virtue: Purpose
Task: Start developing a conscious; learning to manage anxiety/conflict
Term
School-age
Definition
Stage: Industry versus Inferiority
Virtue: Competence
Task: Emerging confidence in own abilities; taking pleasure in accomplishments
Term
Adolescence
Definition
Stage: Identity versus Role Confusion
Virtue: Fidelity
Task: Formulating a sense of self and belonging
Term
Young Adult
Definition
Stage: Intimacy versus Isolation
Virtue: Love
Task: Forming adult, loving relationships and meaningful attachments to others
Term
Middle Adult
Definition
Stage: Generativity versus Stagnation
Virtue: Care
Task: Being creative and productive; establishing the next generation
Term
Maturity (age 65 and on)
Definition
Stage: Ego Integrity versus Despair
Virtue: Wisdom
Task: Accepting responsibility for one's self and life
Term
Jean Piaget: Cognitive Stages of Development (Theory)
Definition
How intelligence and cognitive functioning develop
Term
(Piaget) Sensorimotor
Definition
Birth to 2
* Sense of self as separate from environment
* Concept of object permanence
* Begins to form mental images
Term
(Piaget) Preoperational
Definition
2-6
* Development of ability to express self with language
* Understands meaning of symbolic gestures
* Begins to classify objects
Term
(Piaget) Concrete Operations
Definition
6-12
* Child begins to apply logic to thinking
* Understands spatiality and reversibility
* Increasingly social
* Able to apply rules
* Thinking is STILL concrete
Term
(Piaget) Formal Operations
Definition
12-15
* Child learns to think and reason in abstract terms
* Child further develops logical thinking and reasoning
* Achieves cognitive maturity
Term
Harry Stack Sullivan (theory)
Definition
Interpersonal Relationship Development
Term
(Harry Stack Sullivan)
Prototaxic Mode
Definition
Characteristic of infancy and early childhood
Unconnected, brief experiences
(*Adults with schizophrenia exhibit this mode)
Term
(Harry Stack Sullivan)
Parataxic Mode
Definition
Characteristic of early childhood
Child begins to connect experiences in sequence; can be easily interrupted, not solidified
*Paranoia and slips of the tongue
Term
(Harry Stack Sullivan)
Syntaxic Mode
Definition
Characteristic of school-aged children and becomes more predominant in preadolescence
Child sees self and world in context of the environment
Can analyze experiences in a variety of settings
Maturity!
Term
(Harry Stack Sullivan)
Milieu
Definition
Therapeutic community where people come and work as a group to accomplish tasks.
Term
Abraham Maslow: Hierarchy of Needs
Definition
Physiological: food, water, sleep, shelter
Safety and security
Love and belonging
Self-esteem
Self-actualization
Term
Carl Rogers
Definition
Client-centered therapy
Term
(Carl Rogers)
Central Concepts
Definition
* Unconditional positive regard: non-judgemental
* Genuineness: congruence
* Empathetic understanding: therapist sense the feelings and personal meaning from the client and communicates this understanding to the client.
Term
Ivan Pavlov
Definition
Classical conditioning
* Behavior can be changed through conditioning with external or environmental conditions or stimuli
Term
B. F. Skinner
Definition
Operant conditioning
* People learn their behavior from their history or past experiences, especially those that were repeatedly reinforced.
"All behavior is learned."
Term
(B. F. Skinner)
Positive reinforcers
Definition
Follow a behavior and increase the likelihood that the behavior will recur.
Term
(B. F. Skinner)
Negative reinforcers
Definition
Removed after a behavior and increase the likelihood that the behavior will recur
Term
(B. F. Skinner)
Systematic Desensitization
Definition
Used to help clients overcome irrational fears and anxiety associated with phobias.
Term
Cognitive therapy
Definition
focuses on immediate thought processing:
*How a person perceives or interprets his experience determines how he feels and behaves.
*Help them change how they think about experiences: "stinking thinking"
Term
Rational Emotive Therapy
(Albert Ellis)
Definition
11 irrational beliefs that people use to make themselves unhappy.
*Client blames unhappiness on a person who doesn't return his/her love.
Term
Complementary Therapy
Definition
Therapy used WITH conventional medicine practices
* Ex. Study on the use of chiropractic massage and antidepressant medication to treat depression.
Term
Alternative Therapy
Definition
Therapy used IN PLACE of conventional treatment
*Traditional Chinese medicine
* Naturopathic
* Homeopathic
Term
Integrative Medicine
Definition
Partnership between the patient and the doctor, where the goal is to treat the mind, body and spirit, all at the same time.
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