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Psych (RM) > Test 1 Blueprint (4) > Flashcards

Test 1 Blueprint (4) Flashcards

1
Q

What are the 4 stages of the relationship?

A

(POW-T)

1) Pre-interaction
2) Orientation (Introductory)
3) Working
4) Termination

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2
Q

Which r’ship phase begins the initial assessment and allows nurse to become aware of personal responses to knowledge about the client?

A

Pre-interaction

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3
Q

What is the goal of the pre-interaction phase?

A

Examine one’s feelings about encounter

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4
Q

Building trust and rapport take place in the _____ phase.

A

orientation

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5
Q

Which stage allows the identification of the client’s strengths and limitations and allows nurse/client to devise nursing diagnoses and set goals/plans of action?

A

Orientation

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6
Q

What is the goal of the orientation phase?

A

Establish trust and contract development

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7
Q

What is the goal of the working phase?

A

Promote client change

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8
Q

The therapeutic work of the relationship is done in the _____ phase.

A

working

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9
Q

The termination phase begins upon ____.

A

admission

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10
Q

What are some reasons a relationship may be terminated?

A
  • mutual goals are met
  • client discharged
  • end of rotation
  • too difficult for client and/or nurse
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11
Q

What is the goal of the termination phase?

A

Evaluate goal attainment and ensure therapeutic closure.

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12
Q

What should we remember regarding termination?

A
  • Set a plan for continuing care during stressful events (phone #)
  • Explore client’s feelings about termination of relationship
  • Instill confidence in client’s growth “I feel confident that you can be discharged…”
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13
Q

Define transference:

A

when the client unconsciously displaces or transfers to the nurse feelings formed toward a person from his/her past.

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14
Q

How should we address transference?

A
  • Not always necessary to terminate relationship
  • Help pt sort out these emotions
  • Assign correct meaning to the r’ships based on present circumstances, not the past
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15
Q

_____ refers to the nurse’s behavioral and emotional responses to the client.

A

Countertransference

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16
Q

When does countertransference negatively effect the therapeutic relationship?

A

The nurse shows favoritism to the client or does anything that hinders the r/ship.

17
Q

What should the nurse do in situations where countertransference is observed?

A
  • Terminate r/ship only if necessary
  • Identify misplaced feelings and work through them
  • Evaluate sessions with client
18
Q

What are 2 responses to stress?

A

Anxiety & Grief

19
Q

List Peplau’s 4 levels of anxiety.

A

1) Mild
2) Moderate
3) Severe
4) Panic

20
Q

What is positive about mild anxiety?

A

Heightened perception
Enhanced learning
Increased motivation

21
Q

T/F: Mild anxiety is seldom a problem.

A

True

22
Q

Which level of anxiety is characterized by:

  • reduced alertness
  • decreased attention span
  • decreased concentration
  • increased restlessness, HR, BP, etc
  • feeling of discontent
  • some impairment in r’ships
A

Moderate

23
Q

Which level of anxiety is characterized by:

  • greatly diminished perceptual field
  • extremely limited attention span
  • inability to concentrate or problem solve
  • physical symptoms (HA, trembling, pain, insomnia)
  • feelings of dread/loathing
  • total focus on self
A

Severe

24
Q

Which level of anxiety is characterized by:

  • inability to focus on even one detail
  • inability to concentrate
  • inability to comprehend even simple directions
  • immobility or purposeless hyperactivity
  • inability to verbalize or incoherence
  • terror
  • may be a break with reality
A

Panic

25
Q

Everyone has a _____ _____.

A

breaking point

26
Q 
Acute = \_\_\_\_ anxiety
Chronic = \_\_\_\_ anxiety
A

state

trait

27
Q

The greater the anxiety, the greater the risk for ____ and ____ and ____ in relating to others.

A

hallucinations
delusions
impairment

28
Q

What are the 5 stages of grief (Kuebler Ross)?

A

(DABDA)

1) Denial
2) Anger
3) Bargaining
4) Depression
5) Acceptance

29
Q

Do individuals always move through the stages of grief linearly?

A

No, they can move back and forth.

30
Q

What is grief that occurs while anticipating an expected event?

A

Anticipatory grief

31
Q

How is anticipatory grief helpful?

A

It allows the person to have time to prepare for the loss.

32
Q

What is it called when an individual is unable to progress through the stages of grieving to resolution?

A

Maladaptive or complicated grief

33
Q

What are 3 types of maladaptive grief?

A

1) prolonged
2) delayed
3) distorted

34
Q

Prolonged grief: an intense ____ with ____ of the lost entity for ____ after the loss has occurred.

A

preoccupation
memories
years

35
Q

Delayed grief: individual becomes ____ in the ____ stage of grieving.

A

fixed

denial

36
Q

Distorted grief: fixed in the ____ stage of grief.

A

anger

37
Q

What are 4 factors that contribute to prolonged grieving?

A

1) Ambivalence of r’ship; unfinished business
2) Guilt: feelings of anger toward self; feelings of contribution to death
3) The # of recent losses (especially for elderly)
4) Bereavement overload: accumulation of grief

Psych (RM) (14 decks)

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