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Chapter 2 Key Terms

Acceptance and commitment therapy (ACT)

Behavior therapy method to change the person’s responses to the environment, usually with reward systems

Chlorpromazine

also known as Thorazine, a strong antipsychotic medication, first generation

Cognitive behavioral therapy (CBT)

used to change the way a person feels or perceives an experience and therefore behaves[

Cognitive development

dynamic process with primitive awareness and recognition to a more complex manner of thinking

Consciousness

aware of one’s own existence, sensations, thoughts, surroundings, the part of the mind comprising psychic material of which the individual is aware

Countertransference

unconscious feeling the health-care worker has toward the client

Defense mechanism

thought, words, or behavior prompted by the unconscious mind; can reduce anxiety in the short-term; may result in ineffective coping if used longer term

Dialectical behavior therapy (DBT)

focuses on problem-solving skills and the ability to find and seek acceptance by regulating negative emotions and tolerating stressors

Ego

part of the psychic apparatus that experiences and reacts to the outside world and thus mediates between the primitive drives of the id and the demands of the social and physical environment

Empathy

helps nurses to place themselves in the client’s shoes, through compassion, understanding, and identification

Family behavioral therapy (FBT)

type of group therapy where all the participants of the group are related

Group therapy

addresses interaction pattern problems while also providing disorder-specific support within a group of strangers who have similar challenges

Guided imagery

alternate narration the mind can focus on during an unpleasant experience

holistic health

clinical approach that considers the client’s physical and emotional well-being, the whole person, and how they interact with their environment

Humanistic theory

places the person at the center of mental health care where they are supported to identify personal strengths and discover their own perspectives

Id

part of the mind that is the most primitive, it drives the instincts, reflexes, and needs

Interpersonal process

where the nurse and client communicate to develop an understanding of their roles and responsibilities in the therapeutic relationship

Milieu

therapeutic, controlled, and supportive environment that provides safety and structure while one seeks treatment and works on changing negative behavior

Mindfulness

state of awareness, achieved through personal focus, being present and through meditation

Mindfulness-based cognitive therapy (MBCT)

behavioral therapy that is combined with meditation

Mindfulness-based stress reduction (MBSR)

mental training used to alter how pain is processed within the central nervous system, thereby diminishing or reducing one’s perception of pain

Moral development

provides a framework for understanding the progression through which a child develops in terms of learning right and wrong

Nurse-client relationship

pre-orientation, orientation, working, and mutual termination phases where the nurse and client move through these phases in an interwoven manner over time

Preconscious

part of the mind where thoughts and feelings are available to the conscious mind though not currently being applied

Psychopharmacology

using chemicals to regulate brain chemistry to assist the client with mental health disorders

Psychosexual stages of development

proposes that childhood experiences shape the adult personality and can underlie mental health problems

Psychosurgery

neurosurgery intended to alter psychological responses

Rapport

process where the nurse creates an atmosphere of safety, trust, and understanding

Reality testing

when thoughts and emotions can be objectively evaluated by the person

Self-actualization

realization of full potential or inner fulfillment considered as a drive or need present in everyone

Significant other

main person, or a parent, from which humans have their first interpersonal interaction

Social determinants of health (SDOH)

conditions of the environments where people live or work, which represent the nonmedical factors that influence health outcome

Superego

part of the personality representing the conscience, formed in early life by internalization of the standards of parents and other models of behavior

Theory of object relations

how a person relates to the world is dependent upon their past relationships, specifically with the significant person

Transcranial magnetic stimulation (TMS)

brain stimulation therapy targeting specific brain areas

Transference

unconscious feeling the client has toward another or the health-care worker that is originally based on a past experience with an important person in their life

Unconsciousness

repressed memories, thoughts, and unacceptable feelings a person may have

definition

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Mental Health for Undergraduate Nursing Copyright © 2025 by Russelyn Connor is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.