NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Introduction in Psychiatric Nursing
Understand milieu therapy- can you describe it in a clinical setting?
Describe the difference between mental health and mental illness
Mental health: a person’s condition with regard to their psychological and
emotional well-being:
Mental illness: a disorder or disease affecting a person’s psychological and
emotional well-being.
Maslow’s Hierarchy of needs (pg 31)
Maslow
Self-actualization—morality, lack of
prejudice, acceptance of facts
Self- Esteem—self-esteem, confidence,
actualization achievement, respect of others and by
others
Esteem Love and Belonging—friendship,
family, sexual intimacy
Love and Belonging Safety—no harm to self or others,
security of body, employment,
Safety resources, morality, family, health,
property
Physiological- Food, Water,
Physiological Breathing, sex, sleep, homeostasis,
excretion
*Most basic needs must be met first; think of highest priority (ABC’s)—physiological
Review table 3-2 (pg 28)
Erikson
Trust vs.
Infancy Birth-1.5yrs Develops trust
Mistrust
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Self-control;
Early Autonomy vs.
1.5-3yrs independence;
Childhood Shame/Doubt
confidence
Developing
Play Late Initiative vs.
3-6yrs sense of
Child Guilt
purpose
“An 11-
year-old
Industry vs.
School Age 6-12yrs Competing girl trying
Inferiority
out for
cheer”
Identity vs. Secure sense of
Adolescent 12-20yrs
Role Confusion self
Intimacy vs. Ability to love
Young Adult 20-30yrs
Isolation and be loved
Nurturing
Generativity vs.
Adulthood 30-65yrs subsequent
Stagnation
generations
Integrity vs. Acceptance of
Old Adult 65-death
Despair life
Freud-(Apply concept of Id, Ego and Superego) (page 19)
One of Freud’s later and widely known constructs concerns the intrapsychic
struggle that occurs within the brain among the id, the ego, and the superego.
The id is the primitive, pleasure-seeking part (according to Freud, predominantly
sexual pleasure) of our personalities that lurks in the unconscious mind.
(Unconscious)
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Pleasure-pain principle
Id, the instinctive and primitive mind, is dominant
Demanding, impulsive, irrational, asocial, selfish, trustful, omnipotent, and
dependent
Primary thought processes
Unconscious instincts—source-energy-aim-object
Mouth—primary source of pleasure
Immediate release of tension/anxiety and immediate gratification through oral
gratification
Task—develop a sense of trust that needs will be met
The ego is our sense of self and acts as an intermediary between the id and the
world by using ego defense mechanisms, such as repression, denial, and
rationalization (conscious)
The superego is assigned to those processes that Freud referred to as our
conscience (our sense of what is right or wrong) and is greatly influenced by our
parents’ or caregivers’ moral and ethical stances. The assumption is made that in
healthy individuals, the ego is able to realistically evaluate situations, limit the id’s
primitive impulses, and keep the superego from becoming too rigid and obsessive.
(Unconscious)
Therapeutic Communication
Be able to given examples of verbal and non-verbal communication
ABLE 8-2
Techniques that Enhance Communication
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Technique Discussion Examples
Using silence Gives the person time to collect Encourage a person
thoughts or think through a point. to talk by waiting
for the answers.
Accepting Indicates that the person has been “Yes.”
understood. The statement does not
necessarily indicate agreement but “Uh-huh.”
is nonjudgmental. However, nurses
should not imply that they “I follow what you
understand when they do not say.”
understand.
Giving Indicates awareness of change and “Good morning, Mr.
recognition personal efforts. Does not imply James.”
good or bad, or right or wrong.
“You’ve combed
your hair today.”
“I notice that you
shaved today.”
Offering self Offers presence, interest, and a desire “I would like to
to understand. Is not offered to get spend time with
the person to talk or behave in a you.”
specific way.
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Introduction in Psychiatric Nursing
Understand milieu therapy- can you describe it in a clinical setting?
Describe the difference between mental health and mental illness
Mental health: a person’s condition with regard to their psychological and
emotional well-being:
Mental illness: a disorder or disease affecting a person’s psychological and
emotional well-being.
Maslow’s Hierarchy of needs (pg 31)
Maslow
Self-actualization—morality, lack of
prejudice, acceptance of facts
Self- Esteem—self-esteem, confidence,
actualization achievement, respect of others and by
others
Esteem Love and Belonging—friendship,
family, sexual intimacy
Love and Belonging Safety—no harm to self or others,
security of body, employment,
Safety resources, morality, family, health,
property
Physiological- Food, Water,
Physiological Breathing, sex, sleep, homeostasis,
excretion
*Most basic needs must be met first; think of highest priority (ABC’s)—physiological
Review table 3-2 (pg 28)
Erikson
Trust vs.
Infancy Birth-1.5yrs Develops trust
Mistrust
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Self-control;
Early Autonomy vs.
1.5-3yrs independence;
Childhood Shame/Doubt
confidence
Developing
Play Late Initiative vs.
3-6yrs sense of
Child Guilt
purpose
“An 11-
year-old
Industry vs.
School Age 6-12yrs Competing girl trying
Inferiority
out for
cheer”
Identity vs. Secure sense of
Adolescent 12-20yrs
Role Confusion self
Intimacy vs. Ability to love
Young Adult 20-30yrs
Isolation and be loved
Nurturing
Generativity vs.
Adulthood 30-65yrs subsequent
Stagnation
generations
Integrity vs. Acceptance of
Old Adult 65-death
Despair life
Freud-(Apply concept of Id, Ego and Superego) (page 19)
One of Freud’s later and widely known constructs concerns the intrapsychic
struggle that occurs within the brain among the id, the ego, and the superego.
The id is the primitive, pleasure-seeking part (according to Freud, predominantly
sexual pleasure) of our personalities that lurks in the unconscious mind.
(Unconscious)
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Pleasure-pain principle
Id, the instinctive and primitive mind, is dominant
Demanding, impulsive, irrational, asocial, selfish, trustful, omnipotent, and
dependent
Primary thought processes
Unconscious instincts—source-energy-aim-object
Mouth—primary source of pleasure
Immediate release of tension/anxiety and immediate gratification through oral
gratification
Task—develop a sense of trust that needs will be met
The ego is our sense of self and acts as an intermediary between the id and the
world by using ego defense mechanisms, such as repression, denial, and
rationalization (conscious)
The superego is assigned to those processes that Freud referred to as our
conscience (our sense of what is right or wrong) and is greatly influenced by our
parents’ or caregivers’ moral and ethical stances. The assumption is made that in
healthy individuals, the ego is able to realistically evaluate situations, limit the id’s
primitive impulses, and keep the superego from becoming too rigid and obsessive.
(Unconscious)
Therapeutic Communication
Be able to given examples of verbal and non-verbal communication
ABLE 8-2
Techniques that Enhance Communication
, NUR 2488 MENTAL HEALTH NURSING FINAL EXAM
KEY CONCEPTS PART 1
NUR 2488 Mental Health Nursing
Final Exam
Key Concepts
Technique Discussion Examples
Using silence Gives the person time to collect Encourage a person
thoughts or think through a point. to talk by waiting
for the answers.
Accepting Indicates that the person has been “Yes.”
understood. The statement does not
necessarily indicate agreement but “Uh-huh.”
is nonjudgmental. However, nurses
should not imply that they “I follow what you
understand when they do not say.”
understand.
Giving Indicates awareness of change and “Good morning, Mr.
recognition personal efforts. Does not imply James.”
good or bad, or right or wrong.
“You’ve combed
your hair today.”
“I notice that you
shaved today.”
Offering self Offers presence, interest, and a desire “I would like to
to understand. Is not offered to get spend time with
the person to talk or behave in a you.”
specific way.
