Psych Test 1

Medical-psychobiologictheory

key concepts are related to an illness or defect. Medical- illness is located in the brain. Does begin to reduce stigma.Research into biologic transmission, biochemical and metabolic variablesGenetic riskDominance of thepsychiatrist/prescriberMedication educationSymptom management

Psychoanalytic theory

childhood experiences influence adulthoodPsychotherapy(Advanced Practice)Nurses have limitedrole

Cognitive-behavioral

focuses on here and now rather than the past. What we do is because of a learned behaviorGoal is behavior change through conditioning

Social-Interpersonal theory

General Systems Theory- recognizes the hirearchy and we try tomaintain balanceGoal is enhanced awareness and quality of interpersonal interactions.Holistic approachTherapeutic communicationNurse-patient relationship

Ethical dilemas in psychiatric care

Potential stigma ofpsychiatric diagnosesControlling individual freedomInvoluntary treatmentRestrictive treatmentinterventions- everyone has the right tothe least restrictive care possible.Client�s right to suicideClient�s right to privacy

Role of the nurse

As providerNegligenceMalpracticeAs EmployeeAs Citizen�Client Advocate

Cultural Competence includes:

Self-awarenessLearningIdentifying healthcare issues

Culturally based assessment of risk factors

Ethnicity/raceDietAlcohol/drug useHealth and healingpracticesReligious orspiritual beliefsTime orientation

Factors that influence expectations can be:

CultureLife experiencesUpbringingMedia

Factors impacting mental health and illness:

BiologicSocialCultural

Mental Disorder Characteristics

DistressDisabilityRiskIt is other than what is culturally expected

What does the DSM do?

IdentifyStandardizeCategorize