Psychology I
Terms
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- Three levels of health prevention
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*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
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-Trust
-Report
-Collaboration
-Education
-Reinforcement
-Advocate - Definition of Health
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-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
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-State of well being
*Five Demensions:
-Physical
-Social
-Emotional
-Intellectual
-Spiritual - Health Care Compliance
- An individual's behavior coinicides with medical or health advice
- Maslow's Hierarchy of Needs
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*Level 1: Physiological
*Level 2: Safety/Security
*Level 3: Love and Belonging
*Level 4: Self-Esteem
*Level 5: Self-Actualization - Self Concept
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*Four Demensions:
-Self-knowledge
-Self-expectations
-Social self
-Social evaluation - Roles
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-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
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*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* - Sexuality
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-Sex: Actual act of
-Gender: Male/Female
-Sexuality: All aspects of being sexual - Sexual Identity
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-Biological Sex: chromosomal makeup
-Gender Identity: belief of being male or female
-Gender-Role Behavior: How they present themselves is how they are addressed - PLISSIT Model
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*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
-Refocus
-Change Assignments
-Clarify Consequences - Anxiety
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Mild
Moderate
Severe
Panic
*mild anxiety good for learning* - Anger
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-Emotional state consisting of a subjective feeling of animosity or strong displeasure
-Hostility
-Aggression
-Violence
*let them vent to prevent them from going to violence* - Crisis
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-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
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-Denial
-Anger
-Bargaining
-Depression
-Acceptance - Infancy
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*Birth to 18 months
*Trust vs Mistrust
-most important psychological stage
-quality of relationship between infant and caretaker is being established - Toddler
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*18 months to 3 years
*Autonomy vs Shame & Doubt
-Discovery of own behavior and how he can manipulate his world - Preschool
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*3 to 6 years
*Initiative vs Guilt
-Development of conscience begins
-Exploring imagination - School Age
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*6 to 12 years
*Industry vs Inferiority
-Differentiate between work & play
-Need for acceptance from peers - Adolescence
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*12 to 20 years
*Identity vs Diffusion
-Withdrawal from family begins
-Decisions for future are starting to be made - Young Adult
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*20 to 40 years
*Intimacy vs Isolation
-Concerned with establishing sexual intimacy
-Final career choices become important - Adulthood
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*40 to 60 years
*Generativity vs Stagnation
-Contribute something of lasting value
-Adjusting to change in sexual activity - Senescence
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*60 to death
*Integrity vs Dispair
-Accepting one's own life for what it is
-Feeling useful and enjoying respect - 5 stages of Illness
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-Symptoms
-Assumption of sick role
-Medical contact
-Dependent client role
-Recovery