rasmussen mental health exam 1, With
Complete Solution.
Id
acts on pleasure, regardless of consequence, infantile it is of the unconscious mind
ego
regulates the id, more realistic, still seeks pleasure but makes more socially responsible
decisions, it is instinctive helps with problem solving
superego
it is the problem soler reality tester it is of the conscious, and has morals
maslows hierarchy of needs
cannot be on a level higher than a level that you have not completed
Trust vs mistrust
age birth to 1.5 years task-basic sense of trust and physical feeling of comfort
decreases fear
autonomy vs shame and doubt
1.5 to 3 years task- gain self control and independence in the environment
initiative vs guilt
3-6 years task-acheive a sense of purpose and mastery over tasks
industry vs inferiority
6-12 years task-gain a sense of self confidence through learning, competing and
performing sucessfully
identity vs role confusion
12-20 years task-integrate all tasks into a secure sense of self
intimacy vs isolation
20-30 task- forming a boding social relationship
generativity vs self absorption
30-65 achieve life goals and obtain concern for wellness of future generations
integrity vs depair
65-death task-derive meaning from ones whole life, obtain self worth
dopamine
decreases parkinsons, depression, increase schizeophrenia mania. used for cognition,
motivation and movement controls emotional responses of brains rewards and pleasure
centers
serotonin
decrease depression increase anxiety regulates mood arousal attention behavior and
body temperature
nor epinephrine
regulates mood, attention and arousal. stimulates CNS increases mania anxiety and
schizophrenia decreases depression
GABA
, anti convulsion muscle relaxant impairs cognition and psycho motor functions reduces
anxiety excitation aggression. role in pain perception decreases mania, anxiety and
schizophrenia
orientation phase
atmospere established, nurse role is defined, contract containing date, time, place of
meeting, confidentiliaty is discussed. terms of termination discussed, atmosphere of
trust
working phase
maintain relationship, gather more data, promote problem solving skills, facilitate
behavior change, evaluate problems and goals
termination phase
summarizes goals and objectives achieved, how to incorperate into daily life, echanging
memories, by sharing this phase with patient is shows you care.
nurse client relationship
facilitates comunication of distressing thoughts feelings and assisting patients with
problem solving. helps patients examine self defeating behaviors. promotes self care
and independence
social relationship
initiates for friendship socialization, enjoyment includes giving advice approval and
disapproval and meetings basic dependency needs.
transference
person consciously and inappropriately displaces anger to a different person
counter transference
tendency of a nurse to displace onto the patient feelings related to people of in the past
nursing process
assessment -hx, interview, MSE
diagnosis -identify problem nursing DX prioritizing tx.
outcome- identify attainable outcomes
planning -identify safe interventions
implementation-practicing interventions, meds and advanced practice
evaluation document results of evaluation if not reached and then revise
goal development
contains attainable cultural sensitive goals that can be measured with a time limit
mental health
being comfortable with yourself
feeling good about relationships with others
being able to meet the demands of life
mental illness
low self esteen and self concept
unable to relate to others
incapable to relate to others
unable to distinguish between reality, fantasy and imagination
parts of MSE
personal info- age, gender, marital status, relision, race employment
appearance- grooming, hygiene, pupils, facial expression, HT, WT, tattoos, age
Complete Solution.
Id
acts on pleasure, regardless of consequence, infantile it is of the unconscious mind
ego
regulates the id, more realistic, still seeks pleasure but makes more socially responsible
decisions, it is instinctive helps with problem solving
superego
it is the problem soler reality tester it is of the conscious, and has morals
maslows hierarchy of needs
cannot be on a level higher than a level that you have not completed
Trust vs mistrust
age birth to 1.5 years task-basic sense of trust and physical feeling of comfort
decreases fear
autonomy vs shame and doubt
1.5 to 3 years task- gain self control and independence in the environment
initiative vs guilt
3-6 years task-acheive a sense of purpose and mastery over tasks
industry vs inferiority
6-12 years task-gain a sense of self confidence through learning, competing and
performing sucessfully
identity vs role confusion
12-20 years task-integrate all tasks into a secure sense of self
intimacy vs isolation
20-30 task- forming a boding social relationship
generativity vs self absorption
30-65 achieve life goals and obtain concern for wellness of future generations
integrity vs depair
65-death task-derive meaning from ones whole life, obtain self worth
dopamine
decreases parkinsons, depression, increase schizeophrenia mania. used for cognition,
motivation and movement controls emotional responses of brains rewards and pleasure
centers
serotonin
decrease depression increase anxiety regulates mood arousal attention behavior and
body temperature
nor epinephrine
regulates mood, attention and arousal. stimulates CNS increases mania anxiety and
schizophrenia decreases depression
GABA
, anti convulsion muscle relaxant impairs cognition and psycho motor functions reduces
anxiety excitation aggression. role in pain perception decreases mania, anxiety and
schizophrenia
orientation phase
atmospere established, nurse role is defined, contract containing date, time, place of
meeting, confidentiliaty is discussed. terms of termination discussed, atmosphere of
trust
working phase
maintain relationship, gather more data, promote problem solving skills, facilitate
behavior change, evaluate problems and goals
termination phase
summarizes goals and objectives achieved, how to incorperate into daily life, echanging
memories, by sharing this phase with patient is shows you care.
nurse client relationship
facilitates comunication of distressing thoughts feelings and assisting patients with
problem solving. helps patients examine self defeating behaviors. promotes self care
and independence
social relationship
initiates for friendship socialization, enjoyment includes giving advice approval and
disapproval and meetings basic dependency needs.
transference
person consciously and inappropriately displaces anger to a different person
counter transference
tendency of a nurse to displace onto the patient feelings related to people of in the past
nursing process
assessment -hx, interview, MSE
diagnosis -identify problem nursing DX prioritizing tx.
outcome- identify attainable outcomes
planning -identify safe interventions
implementation-practicing interventions, meds and advanced practice
evaluation document results of evaluation if not reached and then revise
goal development
contains attainable cultural sensitive goals that can be measured with a time limit
mental health
being comfortable with yourself
feeling good about relationships with others
being able to meet the demands of life
mental illness
low self esteen and self concept
unable to relate to others
incapable to relate to others
unable to distinguish between reality, fantasy and imagination
parts of MSE
personal info- age, gender, marital status, relision, race employment
appearance- grooming, hygiene, pupils, facial expression, HT, WT, tattoos, age
