Mental health 1.txt

develop and maintain a therapeutic nurse-client relationship

prep for first encounter, gather info from chart, family, other staff

establishing contract, establishing parameters, confidentially, preliminary care plan

CP implemented through therapeutic alliance, transference (pt), countertransferrence

review progress and plans for the immediate future

procedure/technical skills

positive regard, nonjudgment, empathy, authentic

connectiveness, respect for diverse needs

beliefs about the locus of control

assess, plan, intervene, evaluate/anticipatory planning

sit squarely facing patient, observe an open posture, lean forward, establish eye contact, relax

spiritualist

folk healer

shake hands with muslim women

moderate touch indicates personal warmth and conveys caring

may be considered an overt sexual gesture capable of stealing the spirit of another or taboo between women and men

people touch one another as frequently as possible

right to refuse medication; right to least restrictive treatment alternative

doing good

fair and equitable treatment for all

pt right to make own decision

loyalty and faithfulness to client and one’s duty

being honest

HIV status, duty to warn and protect third parties and abuse

right to humane treatment and care, right to vote, right to due process, right to press legal charges, informed consent, refuse treatment, written POC and DC info and review of treatment plan

observed and assessed every 10-15 minutes

do good and avoid evil

golden rule

greatest happiness principle (end result)

“I make this choice because it is morally right” (don’t care about end result)

accuracy of brain structure to detect possible lesions, abscesses, areas of infarction or aneurysm; identify anatomical differences in clients with schizophrenia, organic mental disorders and bipolar

associated with short inhibitory interneurons; interrupts the progression of the electrical impulse at synapse junction producing a significant slowdown of body activity; decreased level in anxiety, huntington’s and epilepsy

fight or flight, found in ANS; regulation of mood; decreased in depression, anorexia and increased in mania, anxiety and schizophrenia

enlargement in cerebral ventricular size, decreased temporal lobe; caused by an excess of dopamine dependent neuronal activity in the brain; increase prolactin

ability to see oneself as others do and fit into the culture and society where one lives; mental illness is inability

pleasure principle; immediate gratification; impulsive and irrational

rational self; 4 to 6 months of age; mediator-maintain harmony between external world, id and superego

perfection principle; internalizes values and morals set forth by primary caregivers; assists ego in control of id impulses; when superego becomes rigid and punitive, problems with low self esteem and self-confidence

birth to 18 mo; relief of anxiety through oral satisfaction

18 mo to 3 yrs; learning independence and control

3-6 years; identification with parent of same gender; development of sexual identity

6-12 years; sexually repressed; relationships with members of same sex peers

13-20; libido reawakened and focus on relationship with opposite gender

individual behavior and personality development are the direct result of interpersonal relationships; major concepts were anxiety, satisfaction of needs, interpersonal security, self-system

birth-18 mo; relief of anxiety through oral gratification of needs

18 mo-6 years; learning to experience a delay in personal gratification without undue anxiety

6-9 years; learning to form satisfactory peer relationships

9-12 years; same gender feelings

12-14 years; relationships with opposite gender; developing sense of identity

14-21 years; self identify; opposite gender relationship

therapeutic relationships to successfully interact with others

help nurse assess the client’s level of individuation from primary caregivers

birth-1 month; normal autism; fulfillment of basic needs for survival and comfort

1-5 months; symbiosis; development of awareness of external source of need fulfillment

5-10 months; differentiation; commencement of a primary recognition of separateness from the mothering figure

10-16 months; practicing; increased independence through locomotor functioning; increased sense of separateness of self

16-24 months; rapprochement; acute awareness of separateness of self; learning to seek emotional refueling from mothering figure to maintain feeling of security

24-36 months; consolidation; sense of separateness established; resolution of separation anxiety