developmental theories

Question 1

Interpersonal Theory- who? and what does it state?

Answer 1

Sullivan- that all behavior and personality are result of personal relationships and all behavior is directed at relieving anxiety
Good Me, Bad Me, Not Me

Question 2

Good Me develops in response to….

Answer 2

positive feedback from primary caregiver. Person feels pleasure, contentment, and gratification

Question 3

Bad Me develops in response to….

Answer 3

negative feedback from primary caregiver

- person develops anxiety, distress, displeasure

Question 4

Not Me develops from ….

Answer 4

situations that produce anxiety in the child- horror, awe, loathing, dread. Person denys these feelings, and withdrawal from these feelings causes serious implications for mental disorders later in life

Question 5

Sullivans stages of personality development- Stage 1: Infancy

Answer 5

birth-18 months

oral gratification of needs

Question 6

Sullivans- Stage 2: Childhood

Answer 6

18 mo-6 years

learn to experience delay in personal gratification without feeling anxiety

Question 7

Sullivans- Stage 3: Juvenile

Answer 7

6 years- 9 years

learn from satisfactory peer relationships

Question 8

Sullivans- Stage 4: Pre-adolescence

Answer 8

9years-12 years

learn from satisfactory relations with peers of same gender. Initiate feelings of affection

Question 9

Sullivan- Stage 5: Early Adolescence

Answer 9

12-14years

learn from satisfactory relationships with peers of opposite gender. Develop sense of identity

Question 10

Sullivan- Stage 6: Late Adolescence

Answer 10

14 years-21 years

Establish self identity. Experience satisfying relationships and intimate relationships with opposite gender

Question 11

Mahler- Theory of Object Relations

Answer 11

• separation-individuation process of infant from maternal figure
• helps nurse assess clients level of individuation from primary caregivers.

Question 12

theory of object relations- autistic phase

Answer 12

birth- 1 month

infant is half sleeping and/or half walking and doesn’t perceive existence of other people or an external environment

Question 13

theory of object relations- symbiotic phase

Answer 13

1 month-5 months

child views self as extension of mother and develops awareness that it is she who fills the childs every need

Question 14

theory of object relations- separations-individuation

Answer 14

5 mo-36 mo

child obtains sense of personal distinction from mother

Question 15

Nurse- Patient relationship process: Pre-interaction phase

Answer 15

• get info from staff on patients file

- examine own self-awareness, attitudes, beliefs

Question 16

nurse-patient relationship: Orientation phase

Answer 16

• meet and orient
• establish expectations
• gather assessment data
• set goals that are mutually agreed upon

Question 17

nurse-patient relationship: Working Phase

Answer 17

• problem solving
• overcoming resistant behavior
• evaluate progress

Question 18

nurse patient relationship: termination phase

Answer 18

let them from from the start that process is time sensitive

- address any feelings of sadness

Question 19

purpose of nursing assessment

Answer 19

• establish rapport
• obtain understanding of the problem
• ID goals
  mental status exam
• ID behaviors/beliefs/areas to be modified to effect positive changes
• formulate plan of care

Question 20

What are the 4 sub-phases in the Separation-Individuation stage of Mahlers Object Relations theory

Answer 20

1. Differentiation- recognize separateness from mother
2. Practicing- increased independence through locomotor functioning. Increased sense of separateness of self
3. Rapprochement- acute awareness of separateness of self. Learning to seek emotional refueling from mothering figure to maintain security. If stuck in this stage, if stage not completed, person will feel fear of abandonment and underlying rage.
4. Consolidation- sense of separateness established. Able to internalize a sustained image of loved object/person when it is out of sign. Resolution of separation anxiety.