NUR2459 / NUR 2459: Exam 1 (Latest 2021 / 2022) Mental and Behavioral Health Nursing - Rasmussen

Mental and Behavioral Health Nursing Exam 1

NUR 2459 Mental and Behavioral Health Nursing MBH Exam 1 Psychopharmacology - Pharmacological treatment has been used successfully in treating those with a mental illness for over half a century. It is still unknown how some of these medications cause changes in the brain. This treatment is directed at the suspected neurotransmitterreceptor problem and will be covered in more detail when the mental health disorders are reviewed. Defense mechanism purpose: - safeguard one from stress and anxiety. They assist the individual in maintaining a positive self-image by blocking feelings, conflicts, and memories positive defense mechanisms - Altruism: dealing with stress by reaching out to others - Sublimation: Rechanneling drives on impulses that are unacceptable into constructive activities Negative defense mechanisms - Compensation: emphasizing strengths to make up for weaknesses - Conversion: Unconscious development of physical manifestations not caused by a physical illness - Denial: Refusing to acknowledge the real situation or feelings associated with it - Displacement: Transfer feeling from one target to another that is considered less threat - Dissociation: Creating temporary compartmentalization, or lack of connection between the person's identity, memory on how they perceive the environment - Identification: Conscious or unconscious assumption of characteristics of another individual one admires - Intellectualization: Events are analyzed based on facts without passion - Projection: Attributing feelings or impulses unacceptable to one's self to another person - Rationalization: Creating reasonable and acceptable explanations for unacceptable behavior - Reaction formation: Demonstrating the opposite behavior of what is felt - Regression: Unconsciously retreating to an earlier level of development - Suppression: The voluntary blocking of unpleasant feelings and thoughts - Splitting: Demonstrating an inability to reconcile negative and positive attributes of self or other - Undoing: Performing an act to make up for prior behavior Stages of nurse /client relationship - pre-interaction orientation(introductory) Working Termination Preinteraction phase - 1st encounter Obtaining available information on clients from their chart, significant others, or other health-care team members. The initial assessment begins once this information is obtained. The nurse may become aware of personal response to client Examine one's feelings, fears, and anxieties about working with this particular client. (i.e. the nurse may have been raised with an alcoholic in her family, and may have ambivalent feelings about caring for someone who is alcohol dependent.) All individuals bring attitudes and feelings from prior experiences to the clinical setting. The nurse must be aware of how those preconceptions may affect their ability to care for the client.