Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PMHNP Purple Book Review > Ch. 3 Theoretical Basis of Care > Flashcards

Ch. 3 Theoretical Basis of Care Flashcards

(76 cards)

Start Studying
1
Q

4 major dimensions of recovery include:

A

health, home, purpose, community

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

therapeutic relationship assumes:

A

the client and nurse enter into a mutual, interactive, interpersonal relationship specifically to focus on the identified needs of the client

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or False: therapeutic relationships are focused on the client’s needs, goal-directed, theory-based, and open to supervision

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

transference:

A

displacement of feelings for significant people in the client’s past onto the PMHNP in the present relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

countertransference:

A

the nurse’s emotional reaction to the client based on their past experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Therapeutic Relationship: Introduction (Orientation)

A

-create trusting environment
-establish professional boundaries
-establish length of anticipated interaction
-provide diagnostic eval
-set mutually agreed-upon tx objectives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Therapeutic Relationship: Working (Identification and Exploitation)

A

-clarify expectations and mutual goals
-implement tx plan
-monitor health
-preventative care
-measure outcomes
-eval outcomes
-reprioritize plan and objectives as needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Therapeutic Relationship: Termination (Resolution)

A

-review progress toward objectives
-establish long-term plan
-focus on self-management strategies
-disengage from relationship
-refer to other services as needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Common client behavior during Introduction phase

A

-initially hesitant to participate fully in assessment and tx
(approach avoidance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Common client behavior during Working phase

A

-transference/countertransference
-resistance to care practices
-resistance to change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Common client behavior during Termination phase

A

-resistance to termination
-regression
-reemergence of symptoms or problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Erik Erikson’s Developmental Stage: Infancy (age range and task)

A

Birth - 1 yr
trust vs. mistrust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Erik Erikson’s Developmental Stage: Early Childhood (age range and task)

A

1 - 3 yrs
autonomy vs. shame and doubt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Erik Erikson’s Developmental Stage: Late Childhood (age range and task)

A

3 - 6 yrs
initiative vs. guilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Erik Erikson’s Developmental Stage: School-age (age range and task)

A

6 - 12 yrs
industry vs. inferiority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Erik Erikson’s Developmental Stage: Adolescence (age range and task)

A

12 - 20 yrs
identity vs. role confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Erik Erikson’s Developmental Stage: Early Adulthood (age range and task)

A

20 - 35 yrs
intimacy vs. isolation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Erik Erikson’s Developmental Stage: Middle Adulthood (age range and task)

A

35 - 65 yrs
generativity vs. self-absorption or stagnation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Erik Erikson’s Developmental Stage: Late Adulthood (age range and task)

A

> 65 yrs
integrity vs. despair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

mastery of trust vs. mistrust includes (3)

A

-ability to form meaningful relationships
-hope about the future
-trust in others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

failure of trust vs. mistrust includes (3)

A

-poor relationships
-lack of future hope
-suspicious of others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

mastery of autonomy vs. shame and doubt include (3)

A

-self-control
-self-esteem
-willpower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

failure of autonomy vs. shame and doubt include (4)

A

-poor self-control
-low self-esteem
-self-doubt
-lack of independence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

mastery of initiative vs. guilt includes (3)

A

-self-directed behavior
-goal formation
-sense of purpose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
failure of initiative vs. guilt includes (2)
-lack of self-initiated behavior -lack of goal ortientation
26
mastery of industry vs, inferiority includes (2)
-ability to work sense of competency and achievement
27
failure of industry vs. inferiority includes (2)
-sense of inferiority -difficulty w/ working and learning
28
mastery of identity vs. role confusion includes
personal sense of identity
29
failure of identity vs. role confusion includes (2)
-identity confusion -poor self-identification in group settings
30
mastery of intimacy vs. isolation includes (2)
-committed relationships -compacity to love
31
failure of intimacy vs. isolation includes (2)
-emotional isolation -egocentrism
32
mastery of generativity vs. self-absorption or stagnation includes (2)
-ability to give time and talents to others -ability to care for others
33
failure of generativity vs. self-absorption or stagnation includes (3)
-self-absorption -inability to grow and change as a person -inability to care for others
34
mastery of integrity vs. despair includes (3)
-fulfillment and comfort w/ life -willingness to face death -insight and balanced perspectives on life's events
35
failure of integrity vs. despair includes (3)
-bittnerness -sense of dissatisfaction w/ life -despair over impending death
36
Psychodynamic (Psychanalytic) Theory was developed by _______
Sigmund Freud
37
True or False: psychodynamic theory focuses on concepts of intrapsychic conflict among the structures of the mind
True
38
psychanalytical theory assumes that all behavior is ____ and ______
purposeful and meaningful
39
principle of psychic determinism:
even apparently meaningless, random, or accidental behavior is motivated by underlying unconscious mental content
40
typical age of onset for intellectual disability
infancy -usually evident at birth
41
typical age of onset for ADHD
early childhood (per DSM-5 by age 12)
42
typical age of onset schizophrenia (men/women)
men 18-25 yrs women 25-25 yrs
43
typical age of onset major depression
late adolescence to young adulthood
44
typical age of onset dementia
most common after age of 85
45
The id:
-primary drives/ instincts -seeks immediate satisfaction/pleasure -says "i want"
46
The ego:
-contains concept of external reality -rational mind -says "i think, i evaluate"
47
The superego:
-sense of conscience -right vs. wrong -moral values - says "i should, i ought"
48
denial:
avoidance of unpleasant realities by unconsciously ignoring their existence
49
projection:
unconscious rejection of emotionally unacceptable personal attributes, beliefs, or actions by attributing them to other people, situations, or events
50
regression:
return to more comfortable thoughts, behaviors or feelings used in earlier stages of development in response to current conflict, stress or threat
51
reaction formation:
overcompensation; unacceptable feelings, thoughts, or behaviors are pushed from conscious awareness by displaying and acting on the opposite feeling, thought or behavior
52
rationalization:
justification of illogical, unreasonable ideas, feelings or actions by developing an acceptable explanation that satisfies the person
53
undoing:
behaviors that attempt to make up for or undo an unacceptable action, feeling or impulse
54
intellectualization:
attempts to master current stressor or conflict by expansion of knowledge, explanation, or understanding
55
suppression:
conscious analog of repression; conscious denial of a disturbing situation, feeling or event
56
sublimation:
unconscious process of substitution of socially acceptable, conservative activity for strong unacceptable impulse
57
altruism:
meeting the needs of others in order to discharge drives, conflicts, or stressors
58
True or False: defense mechanisms are a function of the id
False, they're a function of the ego
59
cognitive theory was developed by:
Jean Piaget
60
cognitive theory proposes that:
human development evolves through cognition, learning and comprehending
61
Piaget's 4 stages of cognitive development:
-sensorimotor -preoperational -concrete operations -formal operations
62
sensorimotor stage (age and definition):
birth- 2 yrs -object permanence is critical achievement of this stage
63
preoperational stage (age and definition):
2-7 yrs -more extensive use of language and symbolism -magical thinking
64
concrete operations stage (age/definition)
7-12 yrs -begin to use logic -concepts of reversibility and conservation
65
formal operations stage (age/definition)
12yrs -adult -ability to think abstractly -thinking in a formal, logical manner
66
Interpersonal Theory developed by______ and says ______
Harry Stack Sullivan -behavior occurs because of interpersonal dynamics
67
Maslow's Hierarchy of Needs:
-survival -safety and security -love and belonging -self-esteem -self-actualization
68
Health Belief Model developed by _____ and says_____
Marshall Becker -healthy people do not always take advantage of screening or preventative programs d/t certain variables
69
Transtheoretical Model of Change 6 stages:
-precontemplation -contemplation -preparation -action -maintenance
70
True or False: Motivational Interviewing is focused, goal-directed, builds on transtheoretical model of change, elicits motivation from client and is nonconfrontational, nonadversarial
True (Miller & Rollnick, 1991)
71
Self-efficacy and Social Learning Theory says that
-behavior is result of cognitive and environmental factors (Albert Bandura)
72
self-efficacy is:
the perception of one's ability to perform a certain task at a certain level of accomplishment
73
Theory of Cultural Care developed by _____ and says ______
Madeline Leininger -regardless of culture, care is the unifying focus and essence of nursing
74
Theory of Self-Care developed by ____ and says _____
Dorothy Orem -discusses activities that maintain life, health, and well-being (self-care)
75
Therapeutic Nurse-Client Relationship Theory developed by _____ and says ______
Hildegard Peplau -based in part on interpersonal theory -all interventions occur w/in context of nurse-client relationship -includes phases
76
Caring Theory developed by ______ and says______
Jean Watson -caring is an essential component of nursing

PMHNP Purple Book Review (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions