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8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
"A woman drinks alcohol every day, cannot stop, and does not acknowledge that she has a problem." ANSWER Denial "Alain, who is very aggressive, becomes a hockey player." ANSWER Sublimation "Elsie, who was sexually abused as a child, cannot remember that abuse at all." ANSWER Repression "Four-year old Jeff starts wetting his bed after his parents bring home a new baby." ANSWER Regression "I don't want to think about that now. I'll do it tomorrow." ANSWER Suppression "Jane hates nursing. She attended nursing school to please her parents. During career day, she speaks to prospective students about the excellence of nursing as a career." ANSWER Reaction formation
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
"John tells the rehab nurse, "I drink because it's the only way I can deal with my bad marriage and my worse job."" ANSWER Rationalization "Sue feels a strong sexual attraction to her track coach and tells her friend, "he's coming on to me!"" ANSWER Projection 12 - 20 years ANSWER identity vs role confusion 18 months-3 years ANSWER autonomy vs shame and doubt 20 - 30 years ANSWER intimacy vs isolation 201 commitment means... ANSWER Patient agrees to inpatient treatment Can sign themselves out "Voluntary" 3 - 6 years ANSWER initiative vs guilt
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
65 - death ANSWER Ego Integrity vs. Despair Antidepressants ANSWER Blocks the reuptake of: SEROTONIN NOREPINEPHRINE Antipsychotics ANSWER work by blocking specific neurotransmitter receptors Assault ANSWER act that results in a person's genuine fear and apprehension that he or she will be touched without consent; threat Autonomy ANSWER presumes that individuals are always capable of making independent choices for themselves Battery ANSWER Unconsented touching of another person
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
Beneficence ANSWER one's duty to benefit or promote the good of others Benzodiazepines ANSWER facilitate the transmission of GABA Birth-18 months ANSWER trust vs mistrust Boundaries with a patient ANSWER 1. never take money/valuables (CAN take a gift that doesn't have value like a note)
- Don't keep secrets
- Don't confide in your patients; never share about disputes or problems about your job
- Don't share personal issues; its about the client and what they are going through
- Ask yourself, "whose needs are being met by this action?" Countertransference ANSWER 1. We as the nurse are caring for someone that reminds us of someone.
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
Justice ANSWER "justice as fairness" right of individuals to be treated equally and fairly regardless of race, sex, marital status, medical diagnosis, social standing, economic level or religious beliefs Love and belonging ANSWER friendship, intimacy, family, sense of connection Maslow's Hierarchy of Needs ANSWER 1. Physiological
- Safety/security
- Love/Belonging
- Self-esteem/esteem of others
- Self-actualization Mental health means... ANSWER 1. Successful adaptation to stressors
- Internal coping
- Behaviors, thoughts, feelings within cultural and social norms
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
Mental illness means... ANSWER 1. Maladaptive responses to stressors
- Lacks internal coping
- Behavior, thoughts, feelings outside of cultural and social norms Mental status exam includes ANSWER 1. Appearance
- Mood
- Speech
- Behavior
- Thought Nonmaleficence ANSWER requirement that healthcare providers do no harm to their clients, either intentionally or unintentionally Orientations (introductory) phase ANSWER The nurse and patient become acquainted.
- Build trust and establish plan
- Gather assessment
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
Psychostimulants ANSWER increase release of: NOREPINEPHRINE SEROTONIN DOPAMINE Rationalization ANSWER making up acceptable excuses for unacceptable behavior Reaction formation ANSWER Forming an emotional reaction or attitude that is the opposite of one's threatening or unacceptable actual thoughts Regression ANSWER Falling back on childlike patterns as a way of coping with stressful situations Repression ANSWER pushing/threatening or conflicting events or situations out of conscious memory
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
safety and security ANSWER personal security, employment, resources, health, property self-actualization ANSWER desire to become the most that one can be Sublimation ANSWER turning socially unacceptable urges into socially acceptable behavior Suppression ANSWER Voluntary blocking unpleasant feelings and experiences Termination phase ANSWER Mutually agreed-on goals may have been reached; the patient may be discharged from the hospital; or in the case of a student nurse, it may be the end of the clinical rotation. Main task involves bringing a therapeutic conclusion to the relationship.
- Obtain closure
- Goals were met
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
- 8 stages of development
- Major tasks associated to be accomplished before moving to the next stage What is primary prevention? ANSWER Services aimed at reducing the incidence of mental disorders within the population. "Educate" P in primary = prevent What is secondary prevention? ANSWER Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness. "Early detection" S in secondary = screen What is teritary prevention? ANSWER Services aimed at reducing the residual challenges that are associated with severe and persistent mental illness. "Treatment, rehab" T in tertiary = treat
8TH EDITION MICHELLE MORRISON-VALFRE
TEST BANK
What is the DSM-5? ANSWER Diagnostic and Statistical Manual of Mental Disorders What should be drawn on all mental health clients to r/o other conditions? ANSWER TSH Working phase ANSWER The therapeutic work of the relationship is accomplished during this phase
- Action toward goals
- Problem solving
- Evaluating progress toward the goal
