NSG 371 Mental Health Final

identify the advocacy role for a nurse.

-Continues to evolve -Report incidents of abuse/neglect to appropriate authorities for immediate action -Upholds patient confidentiality -Supporting the patient's right to make decisions regarding treatment -May choose to be active in + consumer mental health groups + state/local mental health associations to reduce the stigma of mental illness

the scope of practice for a Basic vs an Advanced Level of Psychiatric Nurse.

Basic Level: • Coordination of care • Health teaching & promotion • Milieu therapy • Pharmacological, biological & integrative therapies • Can counsel—DOES NOT provide consultation Advanced Practice: • All actives of Basic Level plus • Medication prescription & treatment • Psychotherapy • Consultation

According to Freud there are 3 levels of awareness. What are they and what do they mean?

Conscious- Aware of your thoughts & of thinking those thoughts. Preconscious- Unconscious thoughts at a particular moment in time, but are not repressed and are, therefore, available for recall. Unconscious- Processes of the mind not available for introspection.

The __________ is a multi-axial system used to code mental disorders.

DSM IV-TR

identify which disorder is coded on which Axis.

DSM IV-TR Axis: • Axis I: Mental disorder that is the focus of treatment • Axis II: Personality disorders and mental retardation • Axis III: General medical disorder relevant to the mental disorder in Axis I • Axis IV: Global Assessment of Functioning (GAF)

According to Sigmund Freud's psychoanalytic theory of personality, personality is composed of three elements. What are they and give examples?

Id Pleasure principle Reflex action Primary process Ego Problem solver Reality tester Superego Moral component

___________lies on a continuum with __________ being at one end of the spectrum and ___________ at the other.

Mental health mental illness mental health

Define Evidence-Based practice

Optimal health care is the result of integrating the best current evidence while considering the patient/family values and preferences.

What are Freud's psychosocial levels of development?

Oral (0-1 yr.) Anal (1-3 yrs.) Phallic (3-6 yrs.) Latency (6-12 yrs.) Genital (12 yrs. & beyond)

Mental disorders are considered a manifestation of ________, __________, & __________dysfunction of the individual.

behavioral, psychological & biological

According to Freud, experiences during the early stages of life determine what?

o Individual's lifetime adjustment patterns o Personality traits o Psychosexual stages of development

Freud's defense mechanisms and anxiety theory

o Problems result from intrapsychiatric conflict leading to anxiety o Operate on unconscious level o Use defense mechanisms to relieve anxiety o Deny, falsify, or distort reality to make it less threatening o Focus of treatment is on feelings

Mental Health is the ability to (10)

• Able to recognize own potential • Cope with normal stress • Work productively • Make contribution to community • Think rationally • Communicate appropriately • Learn • Grow emotionally • Be resilient • Have a healthy self-esteem

Freudian Theory and Nursing:

•Formation of personality •Conscious and unconscious influences •Importance of individual talk sessions •Attentive listening •Transference o The pt. redirects feelings & desires from past experiences--especially unconscious ones from childhood--toward a new object. •Countertransference o The nurse redirects feelings & desires from past experiences—especially unconscious ones from childhood—toward the patient.