Nurs 360 Exam 1

Question 1

Maladaptive responses

Answer 1

Negative or unhealthy and occur when the integrity of the individual is disrupted

Question 2

Selyes General adaptation syndrome

Answer 2

Alarm reaction stage (fight or flight) stage of resistance (do what we can to get rid of the stress leading us to adapt), stage of exhaustion

Question 3

Precipitating event

Answer 3

Stimulus arising from the internal or external environment and perceived by the individual in a specific manner

Question 4

Primary appraisal

Answer 4

Judgment about the situation as irrelevant, benign-positive, stress appraisal

Question 5

Secondary appraisal

Answer 5

Assessment of skills, resources and knowledge that the person possesses to deal with the situation

Question 6

Cognitive appraisal

Answer 6

The individuals evaluation of the personal significance of an event or occurrence

Question 7

Stress management

Answer 7

Use of coping strategies in response to stressful situations

Question 8

Adaptive coping strategies

Answer 8

Protect individual from harmonist for a physical and psychological homeostasis (relaxation, meditation)

Question 9

Maladaptive coping strategies

Answer 9

Occurs When the conflict being experienced because unresolved or intensifies (substance abuse, running away from problem, denying situation)

Question 10

Mental health

Answer 10

The successful adaptation to stressors from the internal or Extertal environment, evidenced by thoughts, feelings and behaviors that are age-appropriate incongruent with local and cultural norms

Question 11

Mental illness

Answer 11

Maladaptive responses to stress is from the internal external environment, evidence my thoughts, feelings and behaviors that are incongruent with the look on cultural norms and interference with the individual social, occupational, physical functioning

Question 12

Incomprehensibility

Answer 12

Inability of the general population to understand the motivation behind the behavior

Question 13

Cultural relativity

Answer 13

Normality of behavior is determined by the culture

Question 14

Anxiety

Answer 14

Diffuse apprehension that is Vega nature and is associated with feelings of uncertainty and helplessness. Extremely common in society.
Mild anxiety is adaptive and can provide motivation for survival

Question 15

Peplaus four levels of anxiety

Answer 15

Mild, seldom a problem (eating crying laughing)
Moderate, perceptual field diminishes (migrane headaches, irritable bowels)
Severe, perceptual field is so diminished that concentration centers on one detail only or on many extraneous details (anxiety disorder)
Panic, the most intense state (schizo, delusional disorder)

Question 16

Grief

Answer 16

Subjective state of emotional, physical and social responses to the loss of a valued entity and the loss may be real or perceived

Question 17

Five stages of grief

Answer 17

Denial, anger, bargaining, depression, acceptance

Question 18

Anticipatory grief

Answer 18

Experiencing of the grief process before the actual loss occurs

Question 19

Resolution of grief

Answer 19

When individuals able to remember comfortably and realistically but the pleasures and disappointments of that which is lost

Question 20

Resolution is hindered or delayed by

Answer 20

They experience of guilt for having had a love hate relationship with the last entity. Having expensive number of recent losses and being unable to complete one grieving process before another one begins

Question 21

Resolution is facilitated by

Answer 21

Anticipatory grieving

Question 22

Delayed or inhibited grief

Answer 22

Absence of grief when it ordinarily would be expected. Person is not dealing with the reality of the loss and remains fixed in the denial stage of the grief process

Question 23

Denial

Answer 23

Refusal to except reality or fact, acting as if the painful event, thought or feeling did not exist

Question 24

Regression

Answer 24

Reversion to an earlier stage of development in the face of unacceptable thoughts are impulses

Question 25

Projection

Answer 25

Misattribution of the persons undesired thoughts feelings or impulses onto another person who does not have those thoughts feelings or impulses

Question 26

Reaction formation

Answer 26

Converting of unwanted or dangerous thoughts feelings or impulses into their opposites (when something is negative but they say something positive--mother neglected child but child says she she is a wonderful mother)

Question 27

Repression

Answer 27

Unconscious blocking of unacceptable thoughts feelings and

Question 28

Displacement

Answer 28

Redirecting of thoughts feelings and impulses directed at one person or object but taken out upon another person (mad at boss but take it out on kids)

Question 29

Rationalization

Answer 29

Putting something into a different light or offering a different explanation for once perceptions or behaviors in the face of the changing reality (get dumped by guy you like but say he's a loser)

Question 30

Undoing

Answer 30

Attempt to take back and unconscious behavior Or thought that is unacceptable or hurtful

Question 31

Sublimation

Answer 31

Channeling of unacceptable impulses thoughts and emotions into more acceptable ones

Question 32

Compensation

Answer 32

Psychologically counterbalancing perceived weaknesses by emphasizing strength in other areas

Question 33

Suppression

Answer 33

The effort to hide in control unacceptable thoughts or feelings (attracted to someone but you say you don't like that person)

Question 34

Adaptation

Answer 34

Restoration of homeostasis to the internal environmental system; includes response is directed at stabilizing internal biological processes and psychological preservation of self identity and self-esteem

Question 35

Territoriality

Answer 35

Innate tendency to own space

Question 36

Density

Answer 36

The number of people within a given environmental space

Question 37

Distance

Answer 37

Means by which various cultures use space to communicate

Question 38

Intimate distance

Answer 38

Closest distance that individuals allow between themselves and others

Question 39

Personal distance

Answer 39

Distance for interactions that are personal in nature, such as close conversation with friends

Question 40

Social distance

Answer 40

Distance for conversation with strangers or acquaintances

Question 41

Public distance

Answer 41

Distance for speaking in public or yelling to someone some distance away

Question 42

Active listening-- SOLER

Answer 42

Sit squarely facing the client, observe an open posture, lean forward toward the client, establish I contact, relax

Question 43

Milieu therapy

Answer 43

Scientific structuring of the environment to affect behavioral changes and to improve the psychological health and functioning of the individual

Question 44

Focal stimuli

Answer 44

Immediate concern that is causing the threat to self-esteem and the stimulus that is engendering the current behavior; termination and significant relationship, loss of employment

Question 45

Contextual stimuli

Answer 45

All other stimuli present and persons environment that contribute to the behavior being caused by focal stimuli; Child becomes emotionally disabled in response to divorce or advanced age

Question 46

Residual stimuli

Answer 46

Factors that influence one's maladaptive behavior in response to focal and contextual stimuli, being in an environment of ridicule might affect the current adaptation to failure of NCLEX

Question 47

Distorted or exaggerated grief

Answer 47

Individual becomes incapable of managing activities of daily living, remains fixed in the anger stage of the grief process, depressive mood disorder

Question 48

Chronic or prolonged grieving

Answer 48

Behaviors aimed at keeping the lost loved ones alive, behaviors that prevent the individual from adaptively performing activities of daily living