I
Phases of interpersonal relationship theory
What is Orientation, Identification, Exploitation, Resolution
Wellness and Health Promotion
1. primary prevention- before problems occur
2. secondary prevention- early detection of mental illness
3. tertiary prevention- help with adaptive coping and support and promote well-being/quality of life
cognitive therapy
focuses on the thoughts not the action
Psychoanalytic Theory led to what theory to develop?
psychodynamic theory
what is a serious mental illness?
chronic dysfunction in daily living (mental, behavioral, or emotional disorder)
Whats mental health?
a state of a well being in which an individual realizes their own abilities, can cope with normal stressors of life, can work productively, and contributes to their community
The five zones of the mental health continuum
1. Excelling- cheerful, energetic
2. Thriving- good mental health
3. Surviving- worried, distracted
4. Struggling- depression, anxiety
5. Crisis- suicidal thoughts, self harm, affects functioning
behavioral therapy
- stops actions not thoughts
- replaces maladaptive behaviors (bad) with adaptive behaviors (acceptable)
- can be abusive
recovery
belief that an individual is in charge of their life and have right to live self-directed life although they might not be symptom free
cultural repatterning
A direct therapeutic intervention performed by the nurse that supports the client who is changing a culturally related behavior in an effort to improve health outcomes.
What is mental illness?
results in change in emotions, thinking, and behavior- becomes a mental illness when it impacts functioning
mental health continuum self-check tool
1. Healthy
2. Reacting- common and reversible, get help/have support
3. Injured- feelings that can be associated with mental illness (ex: anxious)
4. Ill- having the actual mental illness (ex: generalized anxiety disorder)
Biological Theory
Theory that focuses on biological contributions to certain traits (nature focus)
Therapeutic use of self
do not spend more/less time with certain pts due to personal feelings/bias (over/underinvolvement)
cultural accommodations
Nursing considerations that help the client adapt or negotiate with other cultures while in treatment.
SOLER- nonverbal communication strategies are
s: sit squarely to the client
o: open posture
l: lean forward
e: eye contact
r: relax
psychodynamic theory consists of
1. childhood experiences
2. foundation for nature vs. nurture
Erickson's Psychosocial Stages
1. trust vs mistrust- infancy
2. autonomy vs shame and doubt- early childhood
3. initiative vs guilt- late childhood
4. industry vs inferiority- school age
5. identity vs role confusion- adolescents
6. intimacy vs isolation- adulthood
7. generativity vs stagnation- old age
8. integrity vs despair- old, old age
holistic nursing
addresses and treats the mind-body-spirit of the patient- treat pt as a whole not just an illness
Populations at risk for mental illness
1. Underserved individuals- social determinants of health, aces, geographic/environmental setting, marginalized social or ethical groups
2. incarcerated individuals
3. homeless
The Nurses' Role in Reducing Disparities
1. provide culturally sensitive client-centered care
2. increase work diversity
3. improve awareness of disparities
4. promote cultural and language competence
5. advocate for system and legislative changes
psychodynamic theory
how your childhood experiences affect your personality and adult life
Kohlberg's Moral Development teaches individuals...
how to be moral and do the right thing
milieu
environment, setting = safe
Prevalence of Mental Illness in US
1 in 10 adults experience a mental health disorder (depression and anxiety is the most prevalent)