Exam 1 Flashcards

(36 cards)

1
Q

what was florence nightingale focused on in nursing?

A

not just the physical aspect of nursing but also the emotional aspect and caring for patients

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2
Q

talk about peplau

A
  • she is the mother of psych nursing
  • her interpersonal theory of nursing has to do with anxiety
  • when you think PEPLAU think ANXIETY
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3
Q

transference

A

when a patient takes a relationship with someone else and uses it on you; how the patient treats you; not in their conscience

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4
Q

counter transference

A

our lives get super transposed on their relationships; we relate more to them

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5
Q

what can master’s level psych nurse do?

A

psychotherapy and diagnosing

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6
Q

what can bachelor’s level psych nurse do?

A

therapy groups

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7
Q

maslow’s lowest level of need

A

safety ~ IF SAFETY IS ON THE TEST THINK SAFETY

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8
Q

who began the first graduate problem?

A

peplau

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9
Q

six indicators that are a reflection of mental health

A
  1. positive attitude toward self
  2. growth, development, ability to achieve self-actualization
  3. integration
  4. autonomy
  5. perception of reality
  6. environmental mastery
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10
Q

adaptive response

A

healthy response; behavior that maintains the integrity of the individual

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11
Q

maladaptive response

A

unhealthy response; behavior disrupts the integrity of the individual

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12
Q

five stages of grief

A
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
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13
Q

what do we call psych patients?

A

clients

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14
Q

what does the medical model state?

A

people are not responsible for their own problems nor responsible to solve them

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15
Q

what does the compensatory model state?

A

people are not to blame for problems but should assist in solving them

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16
Q

what does the enlightenment model state?

A

people are responsible for creating problems and should rely on others for solution

17
Q

what does the moral model state?

A

people cause their own problems and should be responsible for developing solutions to them

18
Q

resistance

A

when someone doesn’t like you; not talking to you

19
Q

what did peplau define as the 7 roles of the nurse?

A
  1. stranger
  2. resource person
  3. teacher
  4. leader
  5. surrogate
  6. technical expert
  7. counselor
20
Q

how much communication is nonverbal? verbal?

A

80% nonverbal, 20% verbal

21
Q

what should you tell a patient instead of asking “why”?

A

“tell me more”

22
Q

SOLER

A
  • non-verbal attention to client
    S - Sit squarely facing the client
    O - Observe and open posture
    L - Lean forward toward the client when appropriate
    E - Establish eye contact. Watch for patient eye contact
    R - Relax. Breathe and demonstrate a feeling of being comfortable with the client
23
Q

probing

A

the use of direct questions intended to stimulate discussion in the hope of uncovering relevant information or helping the client come to a particular realization or achieve a particular insight

24
Q

intimate space

25
personal space
18" to 4 feet
26
social space
9 - 12 feet
27
public space
12' and over
28
what is the DESC script used for and what is it?
- used for assertiveness skills D - Describe the situation E - Express feelings S - Specify what want C - consequences
29
stages of nurse-patient relationship
1. orientation phase: defining the problem mutually with the client 2. working phase: assisting the client with problem solving alternatives 3. termination phase: dissolving the links between client and nurse
30
freud's id, ego, and superego
- id = concerned with instant gratification, only thinks of self - ego = rational - superego = concerned with social rules and moral behavior
31
erikson stages of development
1. trust vs. mistrust (birth to 18 months) 2. Autonomy vs. shame and doubt (18 months to 3 yrs.) 3. initiative vs guilt (3 - 6 yrs) 4. industry vs inferiority (6 - 12 yrs) 5. identity vs. role confusion (12 - 20 yrs) 6. intimacy vs. isolation (20 - 30 yrs) 7. generativity vs. stagnation (30 - 65 yrs) 8. ego integrity vs. despair (65 yrs and older)
32
SELYE
- general adaptation for anxiety
33
what happens to the body in moderate anxiety?
peripheral vision narrows, can't focus on things
34
what happens in severe anxiety?
extreme narrowing of visual field
35
genuineness
to be open, honest, and "real" in interactions with the patient
36
empathy
to see beyond outward behavior and understand the situation from the patient's point of view