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Sheet Music The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

Beliefs ! Feelings ! Behavior

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•
GET — On the App StoreWhat you see, you say
• What you hear, you say ! restating

Sigmund Freud
• Father of Psychoanalysis
• Structure of Personality (Id, Ego, Superego)

Dominant ID
I Mania
D eat Antisocial
mpulsive drink Narcissistic
Edited Carl Balita want to
Palmer Complete Maternity Nursing urinate
Pentagon Review NLE Reviewer Nursing Research Communicabl
Question and… Edited Royal…want PLEASURE
Edited Royal… defecate
Royal Pentagon Review SDse Reviewer
Answers Pentagon Pentagon
PLEASURABLE PRINCIPLE
Pain Avoidance
It’s all “I”

DOMINANT SUPER EGO

Obsessive - compulsive S
UPER EGO Anorexia Nervosa
hould not
mall voice of God I

CONSCIENCE PRINCIPLE

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

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

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The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

• ID formation
• Cry & Suck ! mouth
Child Cries

Feed the Infant Ignore the Infant

↓ ↓
Successful 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 6 th month

2. ANAL STAGE
• Ateen – 3 years old (18 mos – 3 y.o.)
• Toilet training
• Super Ego develop

Toilet Training

Good Mother Bad Mother

↓ ↓
Successful Unsuccessful

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

3. PHALLIC
• 3 – 6 y.o.
• Penis/ Vagina
• Parents is the significant person

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

• 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

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

5. GENITAL STAGE
• 12 y. o. – above
• Gising
• Genital

PHARMA MOMENTS
ANTIANXIETY
VLAST ME VAIB
Valium – ate V Miltown - Meal Vistaril - largavista
Libreum - L Equanil – Aqua Kneel Attarax – Mga bato (rocks)
Ativan - Ate Guy Inderal – hindi ralph
Seraks – Sera Ulo Busfar – sasakay ng bus
Tranxene - Transit

ERIK ERIKSON
• PSYCHOSOCIAL THEORY OF DEVELOPMENT
Age + - Affecting Major
Factor
0-18 mos. Trust Mistrust Feeding
18 mos. – 3 y.o. Autonomy Shame/ doubt Toilet Training
AU nal
TO ilet training
NO favorite word
MY
3 – 6 y.o. Initiative Guilt Independence
6 – 12 y.o. Industry Inferiority In da-school
12 – 20 y.o. Identity Role confusion Peer
20 – 25 y.o. Intimacy Isolation Love
25 – 45 y.o. Generativity Stagnation Parenting
45 y.o. and above Ego Integrity Despair Reflection

MASLOW’S 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

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

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 One’s maximum potential and realize one’s 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 ↓ ↑

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

The Royal Pentagon Review Specialist, Inc . Psychiatric Nursing

Urinary Urinary
retention Frequency
Neuro Epi/ Nor Acetyl Choline

PHARMA MOMENTS
MONOAMINE OXIDASE INHIBITORS
AR
M PLAN
N DIL
P NATE

ANTIPARKINSON
CAPABLES

Cogentin
Artane
Parlodel
Akineton
Benadryl
Larodopa
Eldepryl
Symmetryl

THERAPEUTIC COMMUNICATION
Therapeutic Non-Therapeutic
• Offer your self ! I’ll stay with • Don’t worry be happy
you • Everything’s gonna be alright
• Silence • Ignoring the client
• Making observations • Changing the subject
o You seem sad • Nice weather we’re having
• Active listening o Adjectives – value
o Nodding based perception,
o Eye contact should not be use
o Lean forward • You are the most beautiful
• Who, what, when, where client
• General leads • Why
o Go on, I’m listening, • Arguing
what else? • Flattery
• Broad opening - best Opening • You should do this now
line • In my opinion

Jomar Anthony D. Maxion, BSN, RN College of Nursing Batch 2009

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