Unit I

Unit I

Mental Health Nursing I NURS 1300 Unit III Developmental Stages Throughout the Life Span Objective 1 Review concepts specific to health and development

Health level of functional and metabolic efficiency ability to respond efficiently to stressors effective restoration and sustenance of homeostasis Objective 1 (contd)

Growth measurement of increase in physical dimensions Development behavioral changes increasing competency in functional abilities and skills

Maturation biological plan for growth and development Objective 2 Review Eriksons 8 stages of

development and describe how mastery of each task relates to ones self-concept Stage 1 Trust vs. Mistrust Birth to 18 months Develop a sense of trust in others Stage 2 Autonomy vs. Shame and Doubt 18 months to 3 years Learn self-control

Stage 3 Initiative vs. Guilt 3 to 6 years Initiate spontaneous activities Stage 4 Industry vs. Inferiority 6 to 12 years Develop necessary social skills Stage 5 Identity vs. Role Confusion 12 to 20 years Integrate childhood experiences into a

personal identity Stage 6 Intimacy vs. Isolation 18 to 25 years Develop commitments to others and to a career Stage 7 Generativity vs. Stagnation 21 to 45 years Establish a family and become productive

Stage 8 Integrity vs. Despair 45+ years View ones life as meaningful and fulfilling Objective 3 Describe the major developmental characteristics and concerns of each of the 8 stages Stage 1

Characteristics social attachment maturation of sensory, perceptual, and motor functions Concerns

may develop emotional dissatisfaction with self and others, suspiciousness, and difficulty with interpersonal relationships if one fails to master this stage of development Stage 2 Characteristics self-control language development

fantasy play Concerns failure to master this task may result in lack of self-confidence, lack of pride in the ability to perform, a sense of being controlled by others, and rage

against self Stage 3 Characteristics early moral development self-esteem group play egocentrism

Concerns feelings of inadequacy and guilt accepting of liability in situations for which individual is not responsible Stage 4 Characteristics

friendship skill learning self-evaluation team play Concerns difficulty in interpersonal

relationships caused by feelings of inadequacy Stage 5 Characteristics physical maturation emotional development membership in peer group sexual relationships

Concerns failure results in self-consciousness, doubt, and confusion about ones role in life Stage 6

Characteristics stable relationships childbearing work Concerns withdrawal social isolation

aloneness inability to form lasting, intimate relationships Stage 7 Characteristics nurturing of close relationships management of career and household parenting

Concerns may develop a lack of concern for the welfare of others and total preoccupation with the self if one fails to master this task

Stage 8 Characteristics promote intellectual vigor redirect energy to new roles and activities develop a point-of-view about death

Concerns failure may result in self-contempt and disgust with how life has progressed Objective 4 Describe the basic human needs in each level of Maslows Hierarchy of Needs

Objective 5 List factors which influence the clients ability to meet physiological and safety needs Age

Cultural beliefs Spirituality Self-concept Family and community resources Emotional responses to illness Objective 6 Describe nursing measures that will assist the client in meeting physiological and safety needs Nursing diagnoses for clients

physiological needs: Ineffective airway clearance Sleep pattern disturbance Impaired skin integrity Fluid volume deficit

Pain Impaired mobility Nursing diagnoses for clients safety needs:

Risk for falls Risk for injury Risk for infection Anxiety or fear Memory impairment Confusion Objective 7 Discuss priority needs of the client Lower needs on Maslows Hierarchy

of Needs require fulfillment before those at higher levels can be achieved The basic needs for human functioning are the physiological needs, and safety and security needs Objective 8 Relate how self-esteem can affect

the hospitalized individual Hospitalization takes away locus of control, highly impacting self-esteem

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