Mental Health Test 1

1. Happiness2. Control over behavior3. Appraisal of reality4. Effectiveness of work5. Healthy self concept

Axis 1= Clinical SyndromesAxis 2= Personality Disorders and Mental RetardationAxis 3= Medical ConditionsAxis 4=Psychosocial and Environmental ProblemsAxis 5= Global Assessment of Functioning (GAF) Ranges from 1-100 (1= flat line, not good. 100=very good)

Plight of mentally ill recognized by legislative community. This led to establishment of state hospitals

1. intellectual, emotional, and interpersonal aspects of behavior in awareness at a given time

2. experiences, thought, feelings or desires not in immediate awareness, but able to recall

3. Memories, thoughts, feelings, or wishes not available to conscious mind. Repressed, not logical.

Instincts and drives

Mediates between the id and super-ego. Distinguishes between what is reality and fantasy.

Internal representative of values, beliefs, and moral standards of society. strives for perfection. comes from parents

From ego, in order to protect ourselves and lower anxiety.

Oral (represents trust, security)Anal (represents need to protect and control)PhallicLatencyGenital

1. Stresses ego2. Psychosocial aspects of development3. Considers life span development 4. Studied healthy people

• 1. Trust vs. Mistrust (Infants, 0 to 1.5 year)
• 2. Autonomy vs. Shame & Doubt (Toddlers, 1.5 to 3 years)
• 3. Initiative vs. Guilt (Preschool, 3 to 6 years)
• 4. Industry vs. Inferiority (Childhood, 6 to 12 years)
• 5. Identity vs. Role Confusion (Adolescents, 12 to 20 years)
• 6. Intimacy vs. Isolation (Young Adults, 20 to 35 years)
• 7. Generativity vs. Stagnation (Middle Adulthood, 35 to 65 years)
• 8. Wisdom: Ego Integrity vs. Despair (Seniors, 65 years onwards)

Purpose of all behavior is to get needs met through interpersonal interactions and to decrease or avoid anxiety.
*Foundation for Peplau theories

Nurse is a participant observer, offering mutuality, respect for the patient, unconditional acceptance, and empathy. Focus is on client, nurse has awareness of role, nursing is investigative, nurses use theory, developed process recording.