精神科护理(双语)(第2版)PPT课件 Chapter 10 Nursing Management for Clients with Neurosis.pptx

PeoplesMedicalPublishingHouseChapter10NursingManagementforClientswithNeurosis

LearningObjectivesMemorization1.Definetheconceptsofnormalanxietyandpathologicalanxiety.2.Describevarioustypesofanxietydisordersandobsessivecompulsivedisorder.3.Definetheconceptsofsomatizationdisorderandhypochondriasis.

LearningObjectivesComprehension1.Discussetiologicalimplicationsinthedevelopmentofneurosis.2.Identifysymptomatologyassociatedwithanxietydisorders,obsessivecompulsivedisorder,dissociativedisordersandconversiondisorders.3.Explainvariousmodalitiesrelevanttotreatmentofindividualswithneurosis.

LearningObjectivesApplication1.Formulatenursingdiagnosesandoutcomeidentificationforclientswithneurosis.2.Implementappropriatenursinginterventionsforbehaviorsassociatedwithneurosis.3.Evaluatenursingcareofclientswithneurosis.

IntroductionNeurosis“Neurosis”wasfirstmentionedbyanEnglishdoctornamedWilliamCullenin1769.Agroupofmentaldisorders,usuallyonsetafterpsychosocialfactorsandlastforalongtime.Themainmanifestationsareanxiety,depression,phobia,obsession-compulsion,hypochondriasis,somaticsystems,orneurasthenicsymptoms.Symptomsarewithoutanydemonstrableorganicbasis,disproportionaltotheclient’sactualsituation.

Section1NursingManagementforClientswithAnxietyDisorders

NormalAnxietyandPathologicalAnxietyNormalAnxietyAnormalemotionalstateofanxietyconsistsofthreeparts:physiologicarousal,cognitiveprocesses,andcopingstrategies(Peplau,1989).Anxietyisusedtodescribefeelingsofuncertainty,uneasiness,apprehension,ortensionthatapersonexperiencesinresponsetoanunknownobjectorsituation.AnxietyandStress.AnxietyandFear.

NormalAnxietyandPathologicalAnxietyPathologicalAnxietyAnxietyisconsideredabnormalorpathologicalif(BeckEmery,1985):1.Theresponseisgreatlydisproportionatetotheriskandseve