T3 - Blueprint 2 (Josh) Flashcards

(64 cards)

1
Q

What are some reasons an older person may not report pain?

A

Fearing the meaning of pain, diagnosis, or treatment.

They may think pain is normal

Also, different cultures present pain differently

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2
Q

Worden’s Four Tasks of Grieving:

A

Task 1: Accepting reality of loss

Task 2: Using coping mechanisms to experience the emotional pain of the loss

Task 3: Changing the environment to accomodate the absence of the deceased

Task 4: Finding a meaningful connection w/ the lost entity while learning to live again

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3
Q

Which street drug used in Date Rape is called ‘black hole’ ‘kit kat’ and ‘special K’?

A

Ketamine

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4
Q

Somatic symptoms of — are common in elderly and mimic the signs of NCD.

A

depression (pseudodementia)

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5
Q

In what way can Life Review actually produce a negative response in Elderly Client?

A

if after reviewing they believe they have nothing of note accomplished in their life

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6
Q

What is difference b/t Reminiscence and Life Review?

A

Life Review is more directed or guided and constructs their story in an autobiographical way

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7
Q

What are the phases of Rape-Trauma Syndrome?

A

Acute Phase (2 weeks)

Long-Term Reorganization

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8
Q

What are the five categories of the Personality Theory of Aging?

A

Mature Men

Rocking Chair

Armored Men

Angry Men

Self-Haters

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9
Q

Which Aging Personality is strongly independent and presents a strong silent front and rely on activity to express their continuing independence?

A

Armored Men

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10
Q

Maladaptive Responses to Grief

A

Delayed (Inhibited) Grief

Distorted (Exaggerated) Grief

Chronic (Prolonged) Grief

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11
Q

Type of Loss:

loss that is not obvious to others

no one else can see/understand the loss

A

Perceived Loss

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12
Q

Type of Grief:

uncomplicated

usually goes through stages of grief and is accepting by 6 months

A

Normal Grief

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13
Q

Which drugs are used to sedate victims of Date Rape?

A

Gamma-hydroxybutyrate (GHB)

Flunitrazepam

Ketamine

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14
Q

Empathy or Sympathy w/ Borderline PD?

A

Empathy

  • encourage client to solve own problems
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15
Q

Type of Grief:

diffucult progression through the expected changes of the grieving process

work of grief is pronlonged

A

Dysfunctional Grief

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16
Q

— is a complex, eclectic treatment that combines cognitive, behavioral, and interpersonal therapies with Eastern mindfulness practices.

A

Dialectical Behavior Therapy

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17
Q

15% of all suicides are committed by persons –

A

65 or older (especially white men)

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18
Q

Anxiety in Elderly clients usually presnts as –

A

physical symptoms

  • fatigue
  • trembling
  • muscle tension
  • headache
  • nausea
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19
Q

— is similar to PTSD and often occurs to the victim of rape.

A

Rape-Trauma Syndrome

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20
Q

Which type of PD will attempt to split the staff and uses threat of self-harm?

A

Borderline

Class B

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21
Q

With which type of PD is it very important that we set limits?

A

Anitsocial

Class B

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22
Q

Type of Loss:

any loss of a valued person/item

A

Actual Loss

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23
Q

Why is the response to a major stressor more intense with elderly clients?

A

Autonomic Nervous System is more fragile

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24
Q

When would a Obsessive Compulsive PD need meds?

A

if they’re depressed

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25
Schizoid vs. Schizotypal Which one is the LONER and which one is the ECCENTRIC?
Schizoid = Longer Schizotypal = Eccentric
26
What is the difference b/t Self-Haters and Angry Men?
Self-Haters turn their animosity on themselves instead of others
27
Individual psychotherapy/cognitive behavioral therapy (like completing a project) is helpful w/ which PD?
Avoidant Class C
28
Which methods of drug administration work best w/ elderly?
Drugs given IM, SubQ, orally, rectally, are not absorbed as efficiently as drugs inhaled, applied topically, given IV
29
With a schizoid personality, what should we respect?
the client's need for privacy
30
Type of Loss: part of the cycle of life anticipated but still intensely felt. ex: retirement, menopause
Necessary Loss
31
Which Theories of Aging are Psychosocial?
Personality Theory Developmental Task Theory Disengagement Theory: Activity Theory: Continuity Theory
32
What should we remember concerning rape victims, even if it's difficult for the client?
don't shower until forensics have done tests
33
What is the goal w/ Narcissistic PD?
place the client's exaggerated self importance in perspective help them develop empathy
34
Cognitive functions that change w/ age.
BRAIN BEGINS TO SHRINK (atrophy) Fluid intelligence declines (emotion, creative capability, spatial perceptions, esthetic) Slower response/reaction time to questions or to danger Slower reflexes Slower response to changes in balance Brain affects the sleep-wake cycle so changes in sleep pattern occur (more frequent awakening) Loss in smell and taste Change in gait Problem solving ability declines
35
Which street drug is called G or Liquid Ecstasy and is used in Date Rape?
Gamma-hydroxybutyrate (GHB)
36
Which Aging Personality leans on others for support, disengage, and let most of lief's activities pass them by?
Rocking Chair Men
37
What are the three phases of Cycle of Battering?
Phase 1: Tension-building Phase 2: Acute or Serious Battering Phase 3: Respite or Honeymoon
38
Who has advanced training in the collection of evidence for suspected or actual cases of sexual assault or other forms of abuse?
Forensic Nurse
39
Which street drug used in Date Rape is called 'roofies' 'club drug' and 'roachies'?
Flunitrazepam (Rohynpnol)
40
In which phase of the Cycle of Battery does the batterer actually batter the victim?
Phase 2: Acute or Serious Battery
41
What are physiological issues that cause increased drug S/E in elderly?
Decreased intracellular fluid Increased gastric pH Decreased gastric blood flow and motility Reduced cardiac output and circulation Decreased liver function Slower metabolism
42
Which anxiety disorder is strongly co-morbid with depression in elderly clients?
GAD
43
Type of Grief: letting go before the actual loss
Anticipatory Grief
44
--- has been shows to diminish self-destructive behaviors in clients with borderline PD.
Dialectical Behavior Therapy
45
Which Aging Personality is bitter about life and have always shown some instability in their work and personal lives, and now feel extremely threatened by old age?
Angry Men
46
Type of Grief: loss that cannot be publicly shared or is not socially acceptable ex: loss through suicide
Disenfranchised Grief
47
Which maladaptive response to grief can lead to disabling behaviors preventing ADLs?
Chronic (Prolonged) Grief
48
What are risks for cognitive decline w/ age?
Reduced efficiency of nerve transmission affecting response time and coordination Decrease in neurotransmitters Reduced brain weight due to loss of neurons – 10% loss in brain weight by age 90 Cerebral blood flow reduced 20% Some changes in brain structures with aging – atrophy in frontal, temporal, parietal lobes; widening of the sulci; ventricular enlargement
49
T/F: Provide nonjudgmental and sympathetic care to rape victims.
FALSE nonjudgmental and EMPATHETIC care
50
Men who batter are usually characterized as persons with ---
low self-esteem
51
Type of Loss: unanticipated loss caused by an external event ex: loss of job
Situational Loss
52
Why are elderly clients more sensitive to Opioids? Does this mean we don't use them?
body doesn't metabolize or excrete them as efficiently we STILL give them for pain relief
53
Mnemonic to remember Worden's Four Tasks of Grieving
TEAR To accept Experience pain of loss Adjust to new environment Reinvest in the new reality
54
Which phase of the Cycle of Battering is the abuse loving, attentive and contrite?
Phase 3: Respite or Honeymoon
55
Does learning ability normally change w/ age?
no, it just takes longer to process info
56
Can minor battering incidents occur during Phase 1 of the the Cycle of Battery?
Yes victim will accept the abuse as deserved
57
What are the three D's that affect cognitive status as we age?
Delirium Depression Dementia (NCD)
58
What is a SANE?
Sexual Assault Nurse Examiner clinical forensic RN who has received specialized training to provide care to the sexual assault victime
59
What is the primary task for Erikson's Integrity v. Despair stage?
primary task of old age is to see one's life as having been lived w/ integrity in the absence of achieving that sense of having lived well, the older adult is at risk for becoming preoccupied w/ feelings of regret or despair
60
What is Battering?
a pattern of coercive control founded on and supported by physical and/or sexual violence OR threat of violence of an intimate partner
61
Two myths about aging and depression:
Myth 1: Pain is expected with aging Myth 2: If patient doesn't complain of pain, they're not in pain
62
Type of Loss: losses normally expected due to the developmental processing of life ex: not being able to move around like normal
Maturational / Developmental Loss
63
Which Theories of Aging are Biological?
Genetic Theory Wear and Tear Theory Environmental Theory Immunity Theory Neuroendocrine Theory
64
What are the Theories of Aging?
Genetic Theory Wear-and-Tear Theory: Environmental Theory: Immunity Theory: Neuroendocrine Theory Personality Theory Developmental Task Theory: Disengagement Theory: Activity Theory: Continuity Theory