Glossary of Psych Nursing Test 1
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- What is the role of the Psych nurse?
- Caregiver, Manager of Care
- What did Robinson define mental health as?
- (1983) a dynamic state in which thought, feeling, and behavior that is age appropiate and congruent w/ the local and cultural normas is demonstrated.
- Who made up "mental health indicators"? What are they?
1. positive attitude toward self
2. personal growth and development
5. Perception of Reality
6. Environmental Mastery
- Hx of psychiatric care
- *Early beliefs centered on evil spirits or supernatural causes.
*Tx included torture to purge the body of spirits
*correlated w/ withcraft and burned at the stake
*Hippocrates 400BC associated Mental Illness w/ irregularity among the four humors
*500-1500AD the 1st assylums were built in hosp in the middle East.
- What was the first hospital in America to admit the mentally ill?
- a hosp in Philadelphia in the mid 18th century.
- Who initiated the 1st humane tx in the US?
- Benjamin Rush
- In the 19th century who wanted state hospitals?
- Dorthy Dix
- When was the 1st school of psych nursing made?
- When was psych nursing added into the school curiculum?
- What is stress?
- a transition between the person and the environment
- What is anxiety?
- a diffuse apprehension that is vauge in nature and is associated w/ feeling of uncertainty and helplessness.
- What are the levels of anxiety?
- 1. mild-moderate(sometimes helpful)
2. severe- behavior aimed at relieving the anxiety. Extended periods of this type can lead to neurosis.
- What are three types of anxiety disorders?
- 1. somatoform- people think their sick and they are not.
2. dissociative- separating yourself due to painful experiences.
3. Panic- worst disorders; you can die from it; most intense of these disorders.
- What is the most important way to manage stress?
- What is DSM-IV-TR Multiaxial Evaluation System?
- used to dx psych disorders
- Name the five axis' and define them.
- Axis 1- clinical disorders(focus of attention)
Axis 2- Personality disorders and mental retardation
Axis 3- general medical conditions (for eg: hypertension)
Axis IV- Psychosocial and environmental problems
Axis V- global assessment of functions (GAF score)
- What is the GAF score?
- a scale that represents in global terms a single measure of the individual's psychological, social and occupational functioning.
- Name and define ethical principles r/t nursing.
- autonomy- self determined
beneficence-benefit the good of others.
Nonmaleficence- do no harm
Justice- "fairness Principle"
veracity- truth telling
- What is the biggest problem is the psych field?
- List the tx for an aggressive patient.
- 1. talking is the LEAST restrictive
2. quiet area like a "time out"
3. meds (chemical restraint)
5. restraints (most restrictive)(If you do not start w/ number 1 you have committed a legal act)
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