Beliefs Feelings Behavior Therapeutic Communication Techniques What you see, you say What you hear, you

you say restating Sigmund Freud Father of Psychoanalysis Structure of Personality (Id, Ego, Superego) Dominant ID Mania Antisocial Narcissistic

D mpulsive want to want PLEASURE PLEASURABLE PRINCIPLE Pain Avoidance Its all I

eat drink urinate defecate

UPER EGO hould not mall voice of God CONSCIENCE PRINCIPLE

DOMINANT SUPER EGO Obsessive - compulsive Anorexia Nervosa

I E

GO Xecutive Secretary

Impaired Reality Schizophrenia

REALITY PRINCIPLE LIBIDO sexual energy responsible for survival PSYCHOSEXUAL THEORY 1. ORAL STAGE 0 18 Months old Survival I want to eat, sleep, urinate, defecate ID formation Cry & Suck mouth Child Cries Feed the Infant Successful Ignore the Infant Unsuccessful Narcissistic

Defense Mechanism: o FIXATION when a person is stuck in a certain developmental stage o REGRESSION return to an earlier developmental stage

EGO is develop in the 6th month 2. ANAL STAGE Ateen 3 years old (18 mos 3 y.o.) Toilet training Super Ego develop

Toilet Training Good Mother Successful Bad Mother Unsuccessful

SE
Too Rigid Training Clean Organized Obedient OBSESSIVE COMPULSSIVE (Anal Retentive) Dirty Disorganized Disobedient ANTISOCIAL (Anal Expulsive)

BIG SE

Small S E

3. PHALLIC

3 6 y.o. Penis/ Vagina Parents is the significant person Called as Preschooler

Oedipus Complex little boy loves mommy Electra Complex little girl loves daddy Identification boy associates with daddy, girl assoc. with mommy Castration fear of the little boy to daddy Penis Envy envy of little girl towards daddy Dr. Karen Horney opposition to penis envy Level of Awareness o Conscious highest level of awareness o Preconscious Tip of the tongue o Unconscious deepest level of awareness Birth Trauma First traumatic experience of child REPRESSION unconscious forgetting of an anxiety provoking concept SUPRESSION conscious forgetting of an anxiety provoking concept

4. LATENCY STAGE 6 12 years old SCHOOlatency Sexual energy is dormant Reading, Riting, Rithmetic

SUBLIMATION placing sexual energies toward a more productive endeavors 5. GENITAL STAGE 12 y. o. above Gising Genital PHARMA MOMENTS ANTIANXIETY VLAST ME VAIB Valium ate V Miltown - Meal Libreum - L Equanil Aqua Kneel Ativan - Ate Guy Seraks Sera Ulo Tranxene - Transit

Vistaril - largavista Attarax Mga bato (rocks) Inderal hindi ralph Busfar sasakay ng bus

ERIK ERIKSON PSYCHOSOCIAL THEORY OF DEVELOPMENT Age 0-18 mos. 18 mos. 3 y.o. + Trust Autonomy AU nal TO ilet training NO favorite word MY Initiative Industry Identity Intimacy Generativity Ego Integrity Mistrust Shame/ doubt Affecting Major Factor Feeding Toilet Training

3 6 y.o. 6 12 y.o. 12 20 y.o. 20 25 y.o. 25 45 y.o. 45 y.o. and above

Guilt Inferiority Role confusion Isolation Stagnation Despair

Independence In da-school Peer Love Parenting Reflection

MASLOWS HEIRARCHY OF NEEDS 1. Physiologic Needs o Air, food, water, shelter, rest, sleep, activity and temperature maintenance that are crucial for survival 2. Safety and Security Needs o Safe in physical and psychological aspects 3. Love and Belonging Needs o Giving and receiving affection, attaining a place in a group, maintaining the feeling of belonging 4. Self esteem Needs o Self esteem feelings of independence, competence and self respect o Esteem from others recognition, respect, appreciation 5. Self Actualization o Ones maximum potential and realize ones abilities and qualities BEHAVIORAL MODELS 1. Ivan Pavlov Classical Conditioning Model All behavior are learned Food dog Salivation Bell Food Dog Salivation Bell Salivation 2. B.F. Skinner Operant Conditioning All behaviors are unlearned Reward (+ reinforcement) and Punishment (- Reinforcement) BRAIN LOBES ACTION Frontal Language, Learning, Personality, Judgment Temporal hearing, smelling Parietal Taste, touch Occipital Vision Sensory Integration Voluntary Motor Involuntary

VOLUNTARY NERVOUS SYSTEM Somatic Nervous System

AcetylCholine Brain Spinal Cord Motor Nerve Muscle Fiber INVOLUNTARY NERVOUS SYSTEM Autonomic Nervous System Sympathetic Parasympathetic HR RR GI Constipation Diarrhea GU Urinary retention Urinary Frequency Neuro Epi/ Nor Acetyl Choline PHARMA MOMENTS ANTIPARKINSON (CAPABLES) MONOAMINE OXIDASE INHIBITORS Cogentin AR Artane M PLAN Parlodel N DIL Akineton P NATE Benadryl Larodopa Eldepryl Symmetryl THERAPEUTIC COMMUNICATION Therapeutic Non-Therapeutic Dont worry be happy Offer your self Ill stay with you Everythings gonna be alright Silence Ignoring the client Making observations Changing the subject o You seem sad Nice weather were having Active listening o Adjectives value based o Nodding perception, should not be o Eye contact use o Lean forward You are the most beautiful client Who, what, when, where Why General leads Arguing o Go on, Im listening, what Flattery else? You should do this now Broad opening - best Opening line In my opinion o How are you today? o How are you? Restating Clarrification Refocusing we are talking about the exam Focusing tell me about

DEFENSE MECHANISMS Fight for stress DISPLACEMENT DENIAL DISSOCIATION REGRESSION REPRESSION RATIONALIZATION Transfer of feelings to a less threatening object rather than the one who provoke it Failure to acknowledge an unacceptable trait or situation Psychological flight from self A type of amnesia Return to an earlier developmental stage Unconscious forgetting of an anxiety provoking concept Illogical reasoning for a socially unacceptable trait sayang ang beer sa ref, kaya ko ininum doing the opposite of your intention plastic Doing the opposite of what you have Boss shouts at you, you shout at your subordinate Im not an alcoholic Sino ka, Sino ako? Return to thumbsucking Hindi ko maalala I drink because I dont want to waste the beer in the ref sasabunutan kita. . . ay kuklulutin lang kita ay pinatid kita, halika

REACTION FORMATION UNDOING

IDENTIFICATION PROJECTION INTROJECTION

SUPPRESSION SUBLIMATION CONVERSION

COMPENSATION SUBSTITUTION

done due to guilt orocan, plastic, Tupperware Assume trait for personal, social, occupational role Attributing to others ones acceptable trait Pasa load Assume another persons trait as your own Conscious forgetting of an anxiety provoking concept Placing sexual energies toward a more productive endeavors Repressed angers put towards physical symptoms affecting nervous system leading to sensory numbness and motor paralysis Overachievement in one area to cover a defective part Replacing a difficult goal with a more accessible one

punta kita sa clinic Tulad niya hindi ako alcoholic, sila yon ako din Not just you, me too Hindi ko alam yan Angry at life, put anger in singing Biglang mangingig

Pilay pero magaling kumanta Gusto ko Disneyland. Enchanted nalang.

STOP GABA Inhibitory Gamma Amino Butyric Acid SNS ANXIETY GO Epinephrine/ Norepinephrine Exitatory Anticholinergic side effect Constipation Urinary Retention Dry Mouth Blurred Vision

Within 1 week Rebound phenomenon Seizure Abrupt Dependence Withdrawal

Anti-Anxiety Drowsy No Alcohol No Coffee Develop Orthostatic Hypotension Prevetion of O.H. 1. Sit Down 2. Dangle feet 3. Stand Up Gradually RELAXED ANXIETY Vague sense of impending doom

Gradually Tapered Dose

Mild Moderate +1 +2 Widened acing Perceptual Field RN Meds Restless Enhanced Learning

Severe Panic +3 +4 ont know what uicide to say/do afety IRECTIVE

Dont touch client Respi Alkalosis Bown Bag

Capacity You Seem Restless

Assess : Level of Anxiety Nx Dx : Ineffective Individual Coping Powerlessness Impaired Skin Integrity Planning/ Implementation: level of anxiety environmental Stimuli Relaxation Technique Showing pictures of flower, waterfalls Hearing sounds of chirping birds Evaluation : Effective individual coping ENERALIZED ANXIETY DISORDER months excessive worrying Might be mild, moderate and severe anxiety S/Sx Restless Difficulty of concentration Sleep Disorders Palpitations Edge of the seat Easy fatigability PANIC DISORDER 15 30 Minutes escalation of SNS AGORAPHOBIA fear of open space/ public places SOCIAL PHOBIA fear of public POST TRAUMATIC STRESS DISORDER Trauma Disaster Accident War Rape Earthquake Soldier 6 years old Assignments/ Homeworks No Assignments/ Homeworks You Think Teacher may get angry

Flashbacks VICTIMS Survivors Nightmares

Anxiety I am sick MALINGERING pretending to be sick (Conscious) Absent

SOMATOFORM > no pretension > no organic basis > unconscious PSYCHOSOMATIC > Real pains/ illness > Real symptoms > 4 major types * Hypertension * Migraine * Stress Ulcer * Asthma

Escape from Teacher PRIMARY GAIN (Behavior anxiety)

Mama Care Attention SECONDARY GAIN

SOMATOFORM DISORDERS

SOMATOFORM Nervous System CONVERSION DISORDER La Belle Indifference emotional disattachment from disability Illusion of structural defect BODY DYSMHORPIC DISORDER

Minor Discomfort Interpreted as major illness HYPOCHONDRIASIS Maliit na butas, pinalalaki Favorite Past Time: Doctor Hopping Nursing Focus: Feelings PSYCHOSOMATIC DISORDERS Anxiety SNS BP Hypertension Vasoconstriction Cerebral Artery Migraine Left Gastric Artery Stress Ulcer OBSESSIVE COMPULSIVE Belief/ thought Door Open Burglar may go inside Obsession (thought) Feelings Anxiety PNS Bronchoconstriction Asthma

anxiety Returns to house (Action) Anxiety Compulsion PHOBIA Irrational fears Etiology o Knowledge o Experience

Immediate Nursing Intervention remove the stimuli SYSTEMATIC DESENSITIZATION o Gradual exposure to feared object

PHARMA MOMENTS ANTIPSYCHOTIC AGENT SSTTCMHP Stelazine - sexy star Serentil serena Thorazine babaeng Tora Trilafon - tri-band phone Clozaril closed reel Mellaril maraming reel Haldol hahaha Prolixin pero lick scene

ALCOHOLISM Etiology: Intergenerational Transmission From one generation to another generation Alcohol

 Blackout awake but unaware Confabulation inventing stories to self-esteem Denial I am not an alcoholic Dependence I cant live without it Enabling significant other tolerates abusers Another term CO DEPENDENCY TOLERANCE Substance to achieve a previous effect DETOXIFICATION Withdrawal with MD supervision Check Alcohol, Mouthwash, Elixer void alcohol version therapy lcoholics Anonymous self help group ntabuse DISULFIRAM Never drink alcohol 12 hour interval/ 12 h last alcohol intake B1 Vitamin Deficiency or else: nausea, vomiting and hypotension Wernickes Encephalopathy motor Complications Korsakoffs Psychosis memory Delirium Tremens 24 72 h after last dose of alcohol untreated withdrawal syndrome ormocation bugs crawling under the skin amily Therapy mother, father, brother AUTISM Autistic Savant autistic with a special talent Assess Appearance flat affect, consistent movement Behavior repetitive, ritualistic Communication echolalia, incomprehensible Nx Dx Impaired verbal communication Impaired social interaction Self mutilation Risk for injury Planning/ Implementation Maslows hierarchy of needs Constancy, promote safety Evaluation Expressive therapy drawing, muscic etc Enhanced communication Improved social interaction Safety ATTENTION DEFICIT HYPERACTIVE DISORDER Onset : 7 y.o. and below Duration : 6 months and above Settings : 2 House and school Id Dominant : Mom or RN will act as superego ADHD Glucose Frontal Lobe impaired judgement ADHD S/Sx Ritalin Frontal Lobe Judgement ADHD S/Sx (stimulant) Assess Appearance dirty Behavior clumsy, impatient, easily distracted, hyperactive Communication talkative, blurts out in class Nx Dx Risk for injury

 Impaired social interaction Planning/ Implementation tructure separate room for eating, playing, sleeping and etc chedule time for everything et limits afety Evaluation Minimize Risk for Injury Improved social interaction Safety Residual ADHD grows up not antisocial Meds: Ritalin, dexedrin, pemoline, adderal Best time to give: once a day: AFTER MEALS: prevent lost of appetite Dont give at bedtime STIMULANT causes insomnia Give 6 hours prior bedtime if bid EATING DISORDERS Anorexia Nervosa Diet, diet, diet <85% of expected body 3 mos. ammenorhea Karen Carpenter Eating Disorders Eating Pattern Weight Menstruation Bulimia Eat, eat, vomit Normal weight Irregular menstruation Dao Ming Xi Da Ming Sugat/ suka Vomiting; Dental caries; Wounded knuckles; Metabolic alkalosis; Metabolic acidosis

18 mos. 3 y.o. Toilet Training Clean Obedient Organized Thought I Am Fat Vomiting

6 y.o. class valedictorian/ model student social inactive/ no BF weighing

Feeling Behavior Self Esteem Diet, Diet, Diet

Fluid Volume Deficit ARRHYTHMIA (fatal complication) Diarrhea Interventions Restore fluid and electrolyte balance Collaborative regarding menu contract Target weight gain After meals: stay 30 mins 1 hour PHARMA MOMENT LITHIUM L evel 0.6 1.2 mEq/L Increase urination Tremors, fine hand Hydration 3 L/day Increase Uu diarhea Mouth, dry ANTICHOLINERGIC (ABC) Artane Akineton Benadryl ausea, vomiting, diarrhea Lithium Toxicity a+

Kidney

ANTIPARKINSON DOPAMINERGIC (PLSE) Parlodel Larodopa Symmetyl

Cogentin

Eldepryl

SCHIZOPHRENIA Ego disintegration Impaired reality perception Genetic vulnerability Stress Diathesis Model o Too much stress in the reality will lead client to escape it and go to the fantasy world Biological Theory o Dopamine level is High The exact cause is unknown ffect appropriate, inappropriate, flat, blunt (incomplete emotion) mbivalence torn between 2 opposing forces utism ssociative Looseness Symptoms Negative Positive Hypoactive Hyperactive Withdrawn Sociable Apathy Flight of Ideas Talkative Assess : Content of Thought Nx Dx : Disturbed thought process Planning/ Implementation: *Present reality; *Provide safety Evaluation : Improve thought process Assess : Hallucination/ Illusions Nx Dx : Disturbed sensory perception Planning/ Implementation: *Present reality; *Provide safety Evaluation : Improve sensory perception Assess : Suspicious Nx Dx : Risk for other directive behavior Planning/ Implementation: *Present reality; *Provide safety Evaluation : Eliminate/ minimize risk for other-directed violence Assess : Suicidal Nx Dx : Risk for self directive behavior Planning/ Implementation: *Present reality; *Provide safety Evaluation : Eliminate/ minimize risk for self-directed violence Flight or Looseness I am going to the mall. Where is the light? Go here. Mineral Water. I am going to the mall. The mall is big. Big is the tree. The tree is tall.

Magical Thinking Believes to have a magical power I can turn you into a frog Halucinations Echolalia I repeat what you say Parrots Stimulus Absent Echopraxia I repeat what you do Visual X Word Salad words, no rhyme Auditory X Clang Association words with rhyme : Dunk, plank, Tactile X sunk Neologism creation of new words Plinking, hustash Clarification done in case of neologism Delusion: Persecutory NBI is out to get me/ someone will harm the client Religious I am Jesus Christ

Illusion Present

Grandeur I am the queen of the world. Ideas of reference Nurses are talking about me. Concrete Association pilosopo what will you wear? clothes Thought Blocking In case of hallucinations do: (HARD) Hallucinations Acknowledgment I know you the voices are real to you Reality orientation But I dont hear them Diversion Lets go to the garden But if nothing in the preceeding intervention are seen Assess what the voices are saying SCHIZOPRENIA

Disorganized
Sad but smiles o Inappropriate affect No reaction o Flat affect Flight of ideas o HEBEPHRENIC Giggling Positive and Negative classified S/Sx

Catatonic
Ambivalence Waxy Flexibility o Iniwan na posture, ganun forever No favorite word Negativism

Paranoid
Suspicious Tendency to be violent MistrustScaredWithdrawn Nrsg. Int: Develop trust 1 to 1 short interaction frequent visit foods in sealed container meds wrapped for violent pt. Doors open Near the door Dont touch the pt. Eye contact 1 arms length away call reinforcement

differentiated

Cant be classified st No more positive 1 paranoid, then s/sx, disorganized then just withdrawn catatonic, etc etc

Residual Mixed classification

Acetylcholine = ON

Normally Dopamine = OFF

Your always ON With parkinsON

High Dopamine= Schizophrenia

ANTIPSYCHOTICS = makes Dopamine goes down ON Extrapyramidal Side Effects AKATHISIA

 Anticholinergic Drugs that will make the AcH down o Artane o Akineton o Benadryl o Cogentin Dopaminergic Dopamine goes up o Parlodel o Larodopa o Symmetryl o Eldepryl

o Restless, inability to sit o Makati siya, ahh kati siya AKINESIA o Muscle rigidity o Ahh kiniss siya DYSTONIA o 3 features TORTICOLLIS Wry neck OCULOGYRIC CRISIS Fixed stare OPISTHOTUNOS Arched back TARDIVE DYSKINESIA o Irreversible side effects of antipsychotics o Lip smacking o Tongue protruding o Cheeks puffing NEUROLEPTIC MALIGNANT SYNDROME o Hyperthermia among client taking antipsychotic o Hyperthermia with muscle rigidity

Other Side Effects Photosensitivity o Sunscreen o Wide brimmed hat Agranulocytosis o Report immediately Sore throat

1st sign to appear

PHARMAMOMENTS ANTIDEPRESSANTS (ANTSAAVE PPZ) Asendin ascending Norpramin sabaw ng knorr Tofranil Tofu Sinequan nood ng Sine Quan ang title Anafranil kina Ana Praning Aventyl kina Aven Til Midnight tayo Vivactil Bye Back till next week Elavil Eh love mo ba ako Prozac Pero saka na Paxil - Taksil Zoloft mag Solo ka BIPOLAR DISORDER Mania more common Female 20 years old and above Stressful life Obese TASK Caregiver Role Strain Self Esteem Safety Impaired social interaction Safety Risk for injury/ other directed violence Self Actualization Eating finger food Lithium 2 4 weeks before effect Sleep Private room Hyperactive Sex Anxiety

SE Compensation interfere ADLs, harm others SE Compensation interfere ADLs, harm others TASK increases clients self esteem Gross motor skills via sublimation Escorted walk outdoors Punching bag No group games compition will increase anxiety 3 or more signs confirms disorder (GF-SPEED) G randiose F light of ideas S leeplessness P ressured speech E xagerated SE E xtraneous stimuli (easily distracted) D istractibility PERSONALITY DISORDERS SCHIZOID I dont want people Believes he can stand on his own Never had a best friend Avoid groups and social activities no enjoyment Cares more about computers and pets AVOIDANT I avoid people, I fear criticism Have talent but no confidence ANTISOCIAL I break the law as motto As a child,: steal, lie, always get reprimanded Adult grand robbery, illegal activitist against the law, drug addiction, drives fast, unsafe sex, thrill seeker Good talker, charmer, witty manipulator BORDERLINE my life is an emptyglass DEPENDENT I cant live without you self esteem poor decision making skills HISTRIONIC excited, dramatic but manipulative center of attention NARCISSISTIC I love myself Insensitive, arrogant I am the best OBSESSIVE COMPULSIVE I am organized

Perfectionist Provide time to do rituals

PARANOID Suspicious PASSIVE AGGRESSIVE Always say yes but resistance is hidden Serotonin MAO Serotonin MAO Serotonin Serotonin MAO kills Serotonin

ANTIDEPRESSANTS

1st Line of Drug Prescribed afest ELECTIVE ide effects low EROTONIN EUPTAKE

wo 4 weeks wo neurotransmitter RI ONO

CYCLIC

MINE

NTIDEPRESSANT Higher incidence of Side effects Serotonin/ Epi affected

XIDASE

to 4 weeks NHIBITOR PPZ ANTSAVE MNP

NHIBITOR

All neurotransmitter affected Highest Side effects Avoid tyramine rich food may lead to HYPERTENSIVE CRISES

TYRAMINE RICH FOODS vocado ged Cheese eer hocolate ermented Foods ickles reserved Foods oy Sauce

SSRI

TCA

MAOI

Antidepressant Anticholinergic Side Effects (Syphathetic) Male Erectile Dysfunction

Antidepressant no effect ECT ELECROCONVULSIVE THERAPY Pre o Informed consent o NPO 6 8 hours prior Meds o Atropine dry mouth o Barbituate Sedative o Succinylcholine muscle relaxant, prevent seizure Post o Side-lying lateral o S/E headache, dizziness, TEMPORARY MEMORY LOSS distinct sign 70 110 volts 20 30 seconds hour asleep post PHARMAMOMENTS SUBSTANCE ABUSE DOWNERS (ABONM INE) Alcohol Morph Barbituates Code Opiates Hero Narcotics UPPERS (CHA) Cocaine Hallucinogen Amphetamines

NARCAN antidote

Marijuana OVERDOSE Alcohol HR RR BP LOC Cocaine

Coma
Bradycardia Bradypnea Pupil constriction Moist mouth Constipation Hypotension Coma Asleep Weight gain

Seizure

EUPHORIA
Tachycardia Tachypnea Pupil Dilation Dry mouth Hypertension Seizure Awake Weight Loss

Psych well being NARCAN Narcotic Antagonist narcotic overdose

DETOXIFICATION withdrawal with MD Supervision METHADONE

WITHDRAWAL reverse of effect or opposite of overdose DEPRESSION Serotonin, if unresponsive to drugs, ECT The Grief Process Denial no! this cant be true Anger why me, why me, why now Bargaining if something happens, then Ill give something back Depression Im down 2 weeks or more s/sx major depression Acceptance client acts according to situation Self Actualization Self Esteem withdrawn C TASK Stay

Risk for self directed violence Eating SUICIDE Verbal I wont be a problem anymore This is my last day on earth Ill soon be gone Non Verbal Take this ring, its yours (giving of valuable) Sudden change in mood SUICIDE TRIAD *Loss of spouse *Loss of Job *Aloneness Sleep Hypoactive Sex

Sensitivity to client needs

WHO WILL COMMIT SUICIDE? (SAD PERSONS) Sex Male (more successful)/ female (hesitant) Age 15 24 y/o or above 45 Depression Patient with previous attempt ETOH ethanol - alcoholics Rirrational Social support lacking Organized plan greater risk No family

Sickness, terminal
Is Patient is SUICIDAL; nurse should: DIE

 BEST APPROACH FOR SUICIDAL PT. : Direct approach NURSING MANAGEMENT: Close surveillance HOSPITAL AREA MAJORITY SUCIDE WILL HAPPENS AT:

Direct question Are you going to commit suicide? Irregular interval of visit to pt. room Early AM and period of endorsement the time pts commit suicide

weekends 1- 3 am Sunday Weekend less staff personnel Early AM every one is asleep

Give simple

task. Dont give complex may cause depression ex. Jigsaw

Water plants Wash the dishes except sharps

CHILD ABUSE (think B)

Burns, bruise, bone fractures, BUNGI!

Dont bathe the child, dont brush teet. Body of evidence will be lost Bantay Bata 163

LEVELS OF MENTAL RETARDATION Profound o < 20 o thinks like an infants o cant be trained ero 2 y/o o stay with the patient ensorimotor Severe evere o 20 35 Moderate o 35 50 Modera e o can be train hirtyfive 50 o mental age is 2 7 y/o rainable o pre-operational stage wo 7 y/o Mild o 50 70 o meantal age is 7 12 o educable o can go to school Borderline o 70 - 90 Normal o 90 100 JOHN PIAGETS COGNITIVE THEORY 02 Sensorimotor Baby can sense, see, perceive and hear. Object permanence 24 Preconceptual Language 47 Intuitive Unidimentional classification characteristic. Child can fix toys according to size, color, height = one at a time 7 12 Conservation Multidimensional Concrete Association Formal Good abstract thinking. Can interpret words 12 Operation ALZHEIMER COCAINE Nasal Septum perforation

NOMIA dont know name of objects

MARIJUANA impaired Lung Structure

GNOSIA problem with senses PHASIA cant say it PRAXIA cant do it

eroine withdrawal ikab atsing u hu hu

CRITICAL REVIEW TEST TAKING TECHNIQUES 1. Assess the answer, use circle 2. Initial priority 3. Good Word/ Bad Word 4. S Technique eek support it tay upervised ee = observed eem = notice t

TRUST Air food, water

ABC ASSESS ABC

assi ASSESS feeling

ASSESSS air

5. 2 same answer/ 2 same mistake 6. Words to watch out for: (Inappropriate; Most; Not included; Except; All but one) 7. Umbrella RELATIONSHIP Preorientation Self awareness Orientation Trust Setting Contract Resistance Working Discussion Termination Evaluation

PRACTICE OF NURSING Level of Prevention 1 Healthy Community Demog. SELF HELP GROUPS Nique niversality r not alone DEPRESSION Endogenous Reactive Internal external Chemical Barbituate withdrawal LIBRIUM (Chloridiazepoxide) TOFRANIL Antidepressant/ Anticholinergic pupil dilation midriasis Catharsis Feelings Free Association Ideas ATTITUDE THERAPIES Active friendliness ask permission No Demand Depressed Kind Firmness Anorexic Crisis 4 6 weeks assive Friendliness aranoid anipulative anic atter of fact 2 Ill Crisis Intervention 3 Relapse AA RESTATE exact words REFLECT use other words

Goal Return the client to the pre-crisis level of functioning PSC Perception what do you think about it? Coping what will you do about it? Support who will be there for you? Kulit kulit kulit kulit Perseveration stick to 1 topic Ulit Ulit Ulit Verbigeration DISSOCIATION Dissociative Amnesia dont know themselves Fugue Far Dissociative Identity Disorder Multiple Personality D.O.