Psych Exam 1: Intro to mental Health, Therapeutic communication

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17 Terms

1
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What are the 7 aspects of mental health?

  1. Happiness

  2. Control of behavior

  3. Appraisal of Reality

  4. Effective in Work

  5. Healthy Self-Concept

  6. Satisfying Relationships

  7. Effective coping

2
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Name some mental health disorders: (5)

  1. neurodevelopmental disorders (autism, dyslexia)

  2. neurocognitive disorders (dementia, delirium, TBI)

  3. schizophrenia

  4. anxiety disorders

  5. eating disorders

3
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What is Diathesis Stress Model?

basically predispositions (genes, early experiences) plus stressors (trauma, illness) —> turns into mental illness (person can’t cope anymore)

4
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What is milieu?

the environment surrounding patient

  1. consider safety (objects/ interferences)

  2. structure (circadian rhythm)

  3. balance (whats the line b/w dependence and independence)

5
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Whats a stigma in mental health? (4)

negative belief and thoughts that influence the patient

ex:

  1. stereotyping

  2. labeling

  3. separating

  4. discrimination

6
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What is the DSM-5?

Diagnostic and Statistical Manual of Mental Disorders

  • used to categorize and dx mental health disorders

7
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What are challenges to those with Severe Persistent Mental Illness? (SPMI) (11)

  1. residual symptoms

  2. med side effects like extrapyramidal sympt

  3. meds are expensive $$$

  4. possible relapse and loss

  5. co-occurring mental illness

  6. unemployment/ poverty

  7. housing instability

  8. stigma

  9. social isolation/ loneliness

  10. meds reduce libido

  11. tx inadequate

8
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Examples of verbal comm: (3)

  1. vocabulary

  2. Pacing

  3. Intonation

9
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Examples non-verbal comm: (6)

  1. appearance

  2. gesture

  3. posture

  4. sounds

  5. facial expression

  6. silence

  7. gait

10
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Transference means what:

Patient views the nurse as someone they know in their life either negative or positive

  • parent

  • sibling

11
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Countertransference means:

The nurse associates their patient with someone they know in their life

  • close friend

  • co-worker

12
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what is SOLER?

Used for therapeutic/ good communication

13
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List out SOLER:

  1. Sitting at comfortable angle and distance

  2. Open posture, arms, legs (uncrossed)

  3. Lean in

    • Look genuinely interested

    • Listen actively

  4. Eye contact w/o staring

  5. Relax

14
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Effective communication skills to have as a nurse (12)

  1. Active listening

  2. Allow time for feedback

  3. Open ended questions

  4. Paraphrasing

  5. Clarifying

  6. Offering self

  7. Touch

  8. Caring attitude

  9. Honesty

  10. Trust

  11. Empathy

  12. Nonjudgemental attitude

15
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4 phases of therapeutic relationship and describe:

  1. Pre-Introductory phase: gather data. check self-awareness

  2. Orientation: nurse/pt meet talk abt goals

    • build trust and rapport

    • ID problem and nurse role

  3. Working: implementation of ideas/ cooperation

  4. Termination: End of relationship d/t good progress or transfer out of care

    • reflect on progress made and evaluates

16
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Milieu therapy is what?

supportive, safe environment hoping the pt will learn to interact and cope with others

17
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obstacles in therapeutic relationship? (3)

  1. Judgmental attitude

  2. Excessive probing

  3. lack self-awareness