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Psychology I


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Three levels of health prevention
*Primary Prevention:
-the efforts in community psychology to reduce the incidence of new cases of psychological disorder by such means as altering stressful living conditions and genetic counseling.
*Secondary Prevention:
-the efforts to detect orders early, so that they will not develop into full blown, perhaps chronic, disabilities.
*Tertiary Prevention:
-the efforts to reduce the long-term consequences of having a disorder, equivalent in most respects to therapy.
Nurse's role in health prevention
Definition of Health
-Not a condition but a process
-Not the presence or absence of disease
-Process adapts an individual to physical and social environment
Definition of Wellness
-State of well being
*Five Demensions:
Health Care Compliance
An individual's behavior coinicides with medical or health advice
Maslow's Hierarchy of Needs
*Level 1: Physiological
*Level 2: Safety/Security
*Level 3: Love and Belonging
*Level 4: Self-Esteem
*Level 5: Self-Actualization
Self Concept
*Four Demensions:
-Social self
-Social evaluation
-Role Performance: behaviors that are expected of that role
-Role Development: socialized into role
Role Ambiguity: expectations are unclear
-Role Strain: made to feel inadequate in role
-Role Conflict: Trying to meet expectations of different roles

*Look at the performance of that person*
Locus of control
*Internal: one's own actions (take responsibility for own health), see they have ability to change
*External: fate, God's hands, chance, not me

*from pt's view point*
-Sex: Actual act of
-Gender: Male/Female
-Sexuality: All aspects of being sexual
Sexual Identity
-Biological Sex: chromosomal makeup
-Gender Identity: belief of being male or female
-Gender-Role Behavior: How they present themselves is how they are addressed
*Counseling for altered sexual function
-P: permission giving
-LI: Limited Information
-SS: Specific Suggestions
-IT: Intensive Therapy
Nursing Strategies for
Inappropriate Sexual Behaviors
-Be professional
-Communicate inappropriateness
-Tell client how behavior make u feel
-Identify behavior expected and set firm limits
-Change Assignments
-Clarify Consequences
*mild anxiety good for learning*
-Emotional state consisting of a subjective feeling of animosity or strong displeasure
*let them vent to prevent them from going to violence*
-Acute: time limited state of disequilibrium resulting from situational, developmental, or societal stressors
-Temporarily unable to cope or adapt to the stressor by using previous coping strategies
Stages of Grieving
*Birth to 18 months
*Trust vs Mistrust
-most important psychological stage
-quality of relationship between infant and caretaker is being established
*18 months to 3 years
*Autonomy vs Shame & Doubt
-Discovery of own behavior and how he can manipulate his world
*3 to 6 years
*Initiative vs Guilt
-Development of conscience begins
-Exploring imagination
School Age
*6 to 12 years
*Industry vs Inferiority
-Differentiate between work & play
-Need for acceptance from peers
*12 to 20 years
*Identity vs Diffusion
-Withdrawal from family begins
-Decisions for future are starting to be made
Young Adult
*20 to 40 years
*Intimacy vs Isolation
-Concerned with establishing sexual intimacy
-Final career choices become important
*40 to 60 years
*Generativity vs Stagnation
-Contribute something of lasting value
-Adjusting to change in sexual activity
*60 to death
*Integrity vs Dispair
-Accepting one's own life for what it is
-Feeling useful and enjoying respect
5 stages of Illness
-Assumption of sick role
-Medical contact
-Dependent client role

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