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Flashcards in Intro to Psych Nursing Deck (117)
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Patient is aware of public's negative view of mental illness, and agree with the public's perception


Label Avoidance

Avoiding treatment or care in order not to be labeled as being mentally ill, is another type of stigma, and one of the reasons, that so few people with mental health problems actually receive help



Journey of healing and transformation enabling the person with mental health problem to lead a meaningful life in community of choice while striving to achieve full potential
- Single most important goal


Acute Stress as it relates to Mental Illness

Acute stress can lead to physiologic overload, which in turn can have a negative impact on a person’s health


Chronic Stress as it relates to Mental Illness

Chronic stress is clearly associated with negative health incomes.


Person-Environment Relationship

Has to do with the interpersonal and psychosocial aspects of stress

It is the interaction between an individual and the environment that change throughout a stress experience. It is based on the values and beliefs people they carry with them in life, as well as personality factors and factors related to the individual’s social and physical environment.



A given event or situation may be extremely stressful to one person but not to another. The more important or meaningful the outcome, the more vulnerable the person is to stress. Appraisal is the process where all aspects are considered—the demands, constraints, and resources are balanced with personal goals and beliefs.


What two factors determine if a person experiences stress response?

1. Person-Environment relationship
2. Appraisal


Person-Environment Relationship Personality Types

Types A, B, C, and D


Type A Personality

1. Competitive
2. Aggressive
3. Ambitious
4. Impatient
5. Alert
6. Tense
7. Restless


Type B Personality

1. Relaxed
2. Easygoing
3. Easily satisfied


Type C Personality

1. Introverted
2. Respectful
3. Conforming
4. Compliant
5. Eager to please


Type D Personality

1. Increased negative emotions
2. Pessimism
3. Non-sharing of emotions


Emotional Stress Responses

1. Negative emotions
2. Positive emotions
3. Borderline emotions
4. Nonemotions


Negative Emotions

An emotional stress response

- Occur when there is a threat to, delay in, or thwarting of a goal or a conflict between goals: anger, fright, anxiety, guilt, shame, sadness, envy, jealousy, and disgust


Positive Emotions

An emotional stress response

- Occur when there is movement toward or attainment of a goal: happiness, pride, relief, and love


Borderline Emotions

An emotional stress response

- Are somewhat ambiguous: hope, compassion, empathy, sympathy, and contentment



An emotional stress response

- Connote emotional reactions but are too ambiguous to fit into any of the preceding categories: confidence, awe, confusion, and excitement



- Deliberate, planned, and psychological activity to manage stressful demands
- Positive coping leads to adaptation
- Teach patients how to adapt to stress



Person's ability to survive and flourish.


The three important areas that adaptation effects

1. Health
2. Psychological well-being
3. Social functioning


Human Response to Stress: Overall Goals

1. Resolve stressful person-environment situations
2. Reduce the stress response
3. Develop positive coping skills


Human Response to Stress: Goals for those at risk for stress

1. Recognize the potential for stressful situations
2. Strengthen positive coping skills


Assessment of the Biologic Domain of Mental Health

1. Gender differences
2. Review of systems
3. Physical functioning
4. Pharmacological assessment


Biologic Domain Assessment: Gender Differences

It is now known that people experience stress differently depending on their gender. Whereas males are more likely to respond to stress with a fight or flight response, females have less aggressive responses; they “tend and befriend.”


Biologic Domain Assessment: Review of Systems

A systems review can elicit the person’s own unique physiologic response to stress and can also provide important data on the effect of chronic illnesses


Biologic Domain Assessment: Physical Functioning

Typically, sleep is disturbed, appetite either increases or decreases, body weight fluctuates, and sexual activity changes. Physical appearance may be uncharacteristically disheveled—a projection of the person’s feelings. Body language expresses muscle tension, which conveys a state of anxiety not usually present. Because exercise is an important strategy in stress reduction, the nurse should assess the amount of physical activity, tolerance for exercise, and usual exercise patterns


Biologic Domain Assessment: Pharmacologic Assessment

In assessing a person’s coping strategies, the nurse needs to ask about the use of alcohol, tobacco, marijuana, and any other addictive substances. If a psychiatric disorder is present, the nurse should assess medication compliance, especially if the psychiatric symptoms are reappearing


Nursing Interventions for the Biologic Domain of Mental Health

1. Activities of daily living
2. Nutrition
3. Exercise
4. Relaxation techniques
5. Referral for hypnosis or biofeedback


Assessment of the Psychological Domain of Mental Health

1. Emotions and their severity
2. How the person reacts to emotions
3. Coping Strategies