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(Q2) COMM 25: Interpersonal Communications > Final Review > Flashcards

Final Review Flashcards

1
Q

what does the client with a life-threatening illness worry or fear about?

A

symptoms of illness and pain they need to endure
what will happen to their spouse, partner, and familay

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2
Q

reasons a person will use alcohol

A
  • to produce a feeling of well-being
  • to depress the CNS
  • to avoid problems or bolster confidence
  • increase in ability to tolerate
  • deny problems
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3
Q

defense mechanisms

A

Compensation - overemphasizing a characteristic to compensate for real or imagined deficiency

Denial - Refusal to acknowledge painful realities, feelings, or experiences. Offers temporary escape

Displacement - taking emotions out on people who are not responsible for those emotions

Projection - attributing one’s own thoughts or impulses to another individual as if they had originated in the other person

Rationalization - justifying behavior by offering an explanation other than a truthful response.

regression - attempt to go back to an earlier stage of development to escape fear, anxiety, or conflict

repression - unconscious blocking from awareness material that is threatening or painful

supression - is the conscious or unconscious attempt to keep threatening material out of consciousness. Deliberately refusing to acknowledge something that causes mental pain or suffering.

sublimation - redirecting a socially unacceptable impulse into socially acceptable behavior

undoing - canceling out a behavior or trying to make amends.

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4
Q

anticipatory grief

A

grieving process prior to actual loss

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5
Q

hospice

A

focus is comfort care and management of pain and symptoms

the goal is dying at peace and with dignity

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6
Q

what role does age have with dealing with grief?

A

infants: only know when someone is not there to care for them

toddlers: confused, cannot distinguish animate from inanimate

children (3-5 years): death is reversible

children (6-10 years): curious about death

adolescents: fascination and fear about death

adults: sense that loss poses a threat to pattern of living

older adults: grieve aging process, grieve for friends who have died, and fear loss of independence

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7
Q

bipolar disorder

A

major depression; manic-depressive

extreme heights of mania and severe lows (hypomania)

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8
Q

palliative care

A

relieves or alleviates symptoms without curing

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9
Q

how does the client that has a serious diagnosis feel?

A

anger

a fear of symptoms and pain, but not death

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10
Q

type of medications usually prescribed for a client that is terminal?

A

analgesics = pain
sedatives = sleep
meds for disease
antidepressants
tranquilizers
O2

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11
Q

clients with life-threatening illness will miss what most?

A

privacy/independence

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12
Q

what circumstances make it easier to work through grief?

A

acceptance (?)

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13
Q

when a person is told they have a life-threatening illness, do they still have hope or is it the end?

A

usually the end AND hope should be maintained

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14
Q

phases of life-altering illness + terms used

A

chronic illness where death is inevitable = life-threatening

life-altering v life-threatening = fine line. distinction is perception of the illness.

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15
Q

phases of violence

A

1: tension building
2: abuse occurs
3: calm returns / honeymoon

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16
Q

four types of abuse and defense mechanisms used

A

intimate partner violence, child abuse, abuse of older adults, rape

  • rationalization
  • displacement
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17
Q

addiction

A

physiological or psychological dependence on a substance that is beyond voluntary control

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18
Q

Dread

A
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19
Q

who should make decisions for the dying client?

A

the client - whatever is in their advance directive, living will, etc.

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20
Q

Dr. George L. Engel’s stages of grief

A

1: experiencing disbelief or shock over the loss
2: realizing loss occurred
3: acknowledging loss in realistic manner

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21
Q

be able to express how a child that has been abused feels

A

sense of self is low

22
Q

marijuana

A

AKA cannabis

  • reduces nausea and vomiting
  • chemo
  • effective for seizures

Schedule I: little or no benefit, high potential for abuse

23
Q

Dr. Elisabeth Kübler-Ross’ stages of grief

A

1: denial
2: anger
3: bargaining
4: depression
5: acceptance

24
Q

dependency and codependency

A

excessive use of drug –> disapproval –> self recrimination –> guilt –> rationalization –> denial –> back to excessive use of drug

25
Q

is a health care provider able to help move a person from the various stages of grief?

A

no

26
Q

is self-care important for those that care for clients with life-threatening illnesses?

A

yes

27
Q

is it acceptable for a health care provider to show their emotions to clients?

A

no

28
Q

bullying

A

unwanted aggressive behavior that invokes a real or perceived power imbalance

29
Q

what is the client’s view about death when they have a life-threatening illness?

A

anger, fear of symptoms, worry of what happens to the things they will leave behind

30
Q

substance abuse / dependence

A

abuse: substance use for 12-months that leads to significant impairment of one or more of the following –> recurrent use,. continued use, legal problems, psychological problems

dependence: significant impairment of two or more of the following –> tolerance, withdrawal, larger amounts, persistent desire, time increased in obtaining them, diminished activities, continued use in spite of problems

31
Q

be able to recognize what displaced anger looks like

A

looks like client clamming the door who is angry at the provider for not explaining the procedure completely - provider is the one being slammed

32
Q

paranoia

A

psychosis of fear that is related to a feeling of being victimized

can cause irrational or compulsive behavior

33
Q

how many states mandate reporting of IPV?

A

6 states mandate reporting and a majority of states have enacted laws

34
Q

what type of loss causes the most grief?

A

unresolved

35
Q

when is it necessary to set limits with clients?

A
36
Q

type of opioids

A
  • control pain
  • hydrocodone, oxycodone, morphine, codeine
37
Q

dysthmia

A

persistent depressive disorder

a LESS severe form of minor depression

38
Q

what behaviors do patients with Alzheimer’s show?

A

memory loss, confusion

39
Q

assisted death law

A

someone provides the means for a person to end their life

40
Q

Patient Self-Determination Act and who is mandated to inform clients of this

A

physicians and health care providers

establish written policies and procedures on advance directives, allowing individuals the right to identify clear choices of their death

41
Q

what happens with unresolved grief?

A

can cause unexpected somatic responses, some stress-related medical disease, altered relationships. inability to cope is disruptive to physiological and psychological functioning

42
Q

medical detoxification and next steps

A

rid body of substance

administration of meds, treatment with monitoring, counseling, and support

43
Q

resentment

A

chronic form of anger that is long lasting

44
Q

what is an advanced directive?

A

written policies and procedures allowing individuals the right to identify clear choices in their death

45
Q

steps you should take when you feel hostility towards clients

A

examine feelings and discuss response with someone who can help you sort through your reaction

continuous giving to others can drain you and you must be relatively free of anxiety to be therapeutic

46
Q

what are the different types of rape?

A

angry
power (most common)
sadistic

47
Q

depression, the various types, and treatments

A
  • Major and Minor Depression
  • Persistent Depressive Disorder
  • Reactive Depression
  • Bipolar Disorder (BPD)
  • Major Depressive Disorder/Seasonal Pattern Disorder
  • Major Depression Disorder with Peripartum Onset
  • Psychotic Depression

psychotherapy, talk therapy, antidepressant meds, light therapy/phototherapy, cognitive behavioral therapy. interpersonal psychotherapy

48
Q

terror

A

occurs when individual is overwhelmed with feeling of impending danger

may cause illogical reaction and form of a panic attack

49
Q

therapeutic responses

  • anger
  • avoidance
  • disgust
  • objectivity
A

anger: calm, don’t get angry back, deescalate, allow clients to express,

avoidance: balancing a neutral curiosity with ongoing optimism

disgust: acceptance, seeking clarification, reflecting, voicing doubt

objectivity: giving options, summarizing,

50
Q

suicide

A

the taking of ones life

4 stages
1: anger/hostility
2: panic
3: helplessness is communicated
4: preparation and carrying out act

51
Q

how to handle clients that continually drop treatment programs?

A

with the 5 C’s…
I did not Cause the disease
I cannot Cure the disease
I cannot Control the disease or substance dependent client
And if I try to, I Contribute to the problem and I go Crazy

become educated
be alert
do not be discouraged
do not believe you can “fix it”

(Q2) COMM 25: Interpersonal Communications (2 decks)

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