Psychosocial Integrity Flashcards
When caring for a client who is a Jehovah’s Witness, what is one of the common medical interventions to which he or she typically will NOT consent?
blood transfusions
In the Jehovah’s Witness religion, administration of blood products is not allowed.
What personality type is characterized by submissive & clinging behavior?
dependent
As opposed to an independent personality type, a dependent personality type may exhibit submissive & clinging behavior. This behavior may range from occasional to pathological.
What is the likely diagnosis for a client who experiences alternating phases of manic & depressive episodes?
bipolar disorder
Bipolar disorder is characterized by recurring manic & depressive episodes. These episodes can range from mild to severe.
If a client is brain dead & will soon be donating his or her kidneys, what is the primary intervention the PN should ensure is taken?
Promote adequate hydration with IV fluids
If the client is brain dead, the routine care activities may no longer be necessary; however, the PN should ensure the client stays adequately hydrated to maintain viability of the kidneys.
What is the final stage of the five basic stages of grief?
acceptance
The five basic stages of grief are denial, bargaining, anger, depression, & acceptance. Clients & family members may vacillate between these stages during grief.
What mental risk nursing diagnosis would be appropriate for a client who has recently started a medication with a know side effect of alopecia?
risk of unexpected altered body image
If the medication causes alopecia, the LPN should be prepared for the client to have an altered body image. The loss of hair may change how the client feels about themselves.
When a client is coping with stress, how should the LPN react to attempts at humor?
Appropriate use of humor should be encouraged along with positive reframing.
When the client is coping with stress or illness and using positive reframing techniques, appropriate use of humor should be encouraged as it is a useful technique.
What is the term for the ego defense mechanism that puts the blame on others for their own faults or weaknesses?
projection
Projection is when the clients blame others for their own faults or weaknesses. For example, clients might project the fact that they did not get into a college of their choice on their parents or the college admission department when in fact the true blame is on their lack of preparation for standardized tests & consistently poor performance in school. Projection protects the ego until they are able to identify & cope with the underlying issue.
The client is engaging in a stress management technique where he is viewing his vital signs while being exposed to a stressor. During the exposure, the client uses relaxation techniques & watches his vitals to observe how his body controls itself in response to stress. What is this an example of?
biofeedback
Biofeedback is a lesser-used relaxation technique, but it may help clients with certain stressors that cause their pulse to increase or their blood pressure to rise.
What term refers to the behavioral management technique that provides a desirable reward to encourage a certain behavior?
positive reinforcement
The positive reinforcement technique provides a desirable reward when the client exhibits a certain behavior. This can also include a desirable reward when the client avoids a certain negative behavior or habit.
What term refers to the behavioral management technique where an attractive reward is paired with a negative event or object?
aversion therapy
In aversion therapy, an attractive reward can be paired with a negative event or object so that the client can be desensitized to the event or object. The client is then less likely to have a negative reaction to the event or object in the future.
What form of abuse is the most under-reported in the United States?
child sexual abuse
Child sexual abuse is often not reported as the child is in a vulnerable population that may not have the ability to comprehend or express the abuse. In addition, the abuser may be a family member or caregiver who has influence over the child.
What two objectives are at the center of most cases of domestic violence?
power & control
In most cases of domestic violence, the abuser is possessive of the victim & attempts to maintain power & control in the relationship. This may make reporting the abuse difficult fort the victim.
What medication is frequently used to treat and/or manage alcohol withdrawal?
Librium (C?hlordiazepoxide)
Librium is a benzodiazepine that is often used in managing alcohol withdrawal for clients to reduce potential dangerous effects of this chemical withdrawal.
When dealing with an angry or agitated client, should the LPN set limits & boundaries or allow the client to set the limits & boundaries?
The LPN should set the limits & boundaries
In attempting to de-escalate angry or agitated patients, the LPN or caregiver communicating with the client should set reasonable limits & boundaries. The client should not be given the control to set limits & boundaries. The client should not be given the control to set limits & boundaries. The LPN should also provide an explanation for these realistic & acceptable limits & boundaries.
