Block 1 Flashcards

1
Q

Cultural Continuum 1

A

Cultural Destructiveness - One way of being and denies others

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2
Q

Cultural Continuum 2

A

Cultural Incapacity - Separate but equal groups, lacks capacity to respond

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3
Q

Cultural Continuum 3

A

Cultural Blindness - Works with one should work with all

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4
Q

Cultural Continuum 4

A

Cultural Precompetence - Encourages learning and understanding of new ideas and solutions, aware there is no clear plan but is trying

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5
Q

Cultural Continuum 5

A

Cultural Competence - Actively seeking advice and commitment to incorp new knowledge

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6
Q

Cultural Continuum 6

A

Cultural Proficiency - Respectful and promotes cultural relations. Pursues and advocates

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7
Q

Questions to ask regarding folk medicine

A

Who do you consult first? Are you currently using alt tx? Who do you want to visit?

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8
Q

Evaluate level of understanding

A

What will you tell spouse? Explain back? Show me what to do?

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9
Q

Chunk and Check

A

Summarize and check understanding, don’t wait until end. Don’t say “do you understand”

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10
Q

Red flags of Nonunderstanding

A

Excuses, perceived resistance, few questions, frequently tardy, non-compliance

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11
Q

Translator hierarchy

A

Fluent HCP (gold standard), medical interpreter, Radio, MARTTI, telephonic, Ad hoc only in emergency

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12
Q

Erickson Stage 1

A

Trust vs mistrust (0-1): basic needs are taken care of

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13
Q

Erickson Stage 2

A

Autonomy vs Doubt (1-2): Self sufficiency develops but if restrained too much they can doubt their abilities

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14
Q

Erickson Stage 3

A

Initiative vs Guilt (3-5): Children learn to assume more responsibility but if they overstep limits can lead to guilt

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15
Q

Erickson Stage 4

A

Industry vs. Inferiority (5-pub): Develop range of skills but feel inferior if they do not.

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16
Q

Erickson Stage 5

A

Identity vs Confusion (adol): Gain sense of identity by experimenting with looks. Can lead to role confusion and confusion of personal values

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17
Q

Erickson Stage 6

A

Intimacy vs Isolation (early ad): Commitment to relationships

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18
Q

Erickson Stage 7

A

Generativity vs. Self (mid): concern for society vs only self

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19
Q

Erickson Stage 8

A

Integrity vs Despair (late): Sense of fulfillment vs despair with dying

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20
Q

Kohlbergs Stage 1

A

Preconventional level - avoids punishment and looks out for self. Early childhood

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21
Q

Kohlbergs Stage 2

A

Conventional Level - morals based on laws. Late childhood

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22
Q

Kohlbergs Stage 3

A

Postconventional - based on self chosen principals. Human rights > laws (adulthood)

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23
Q

Piaget Stage 1

A

Sensorimotor (0-2): learn through sensory/motor interactions: develop symbolic representation of objects, and object permanence (devs at 8 months)

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24
Q

Piaget Stage 2

A

Preoperational (2-6): represents things through words and images, intuitive reasoning, pretend play, egocentricism, develops beginning of conservation (via idea of reversibility)

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25
Piaget Stage 3
Concrete operational (6-12): Logical thinking, transitivity, conservation and seriation
26
Piaget Stage 4
Formal Operation (12+): Abstract reasoning, hypothetical deductive thoughts
27
Number one cause of fetal mental retardation
Maternal substance abuse (Fetal alcohol syndrome)
28
APGAR Score
Color, rate, reflex, muscle, breath at 1,5 mins
29
Easy vs Difficult Temperment
Easy children have less swings of emotion and are more regular
30
Reflexes of child
Palmar grasp (2 months) Sucking (3 months) - brush cheek and head turns Moro (4 months) - startled arms and legs extend Babinski (12 months) - sole of foot stroked leading to large tow curl
31
Anaclitic Depression
Infants separated from mom at 1month to 1 year old leading to panic and agitation and later = silence and apathy
32
What must develop to show completion of sensoritomotor
Object permanence, stranger anxiety, symbolic representation
33
Assimilating schema
Interpretation of new experiences in terms of present schema
34
Accommodating Schema
Modification of present schema to fit new experience
35
Best Parenting style
Authoritative - demanding but rational limits for children and communicate well
36
Secure attachment
Infant freely explores situation in presence of mother, distress when she leaves, enthusiastic when she returns. Tends to be popular, resilient, resourceful
37
Insecure avoidant
minimal interest in mother. Emotional insulation, antisocial, cheats and lies. Maybe from caregiver not being present when ill
38
Insecure ambivalent
Seeks closeness with mom but little exploration, high distress as she leaves but ambivalent on return. From caregiver being inconsistent with care
39
Insecure disorganized
Confused upon mom leaving and returning. Later is aggressive and dissociative.
40
5 months social
laughs, excited at food
41
5 months motor
rolls, reaches, one hand grip, object to mouth, sits with support
42
5 months Language
Babbles one syllable sounds, responds to name, stares
43
10 months social
Stranger anxiety, social games, waves bye, imitates sounds, holds bottle
44
10 months motor
sits without support, crawls, objects btwn hands, stands, walks with help, bangs cubes, uncovers objects under cloth
45
10 months language
babbles with mulisyllables, attends to language, turns to sounds of voices
46
12 months social
cooperates with dressing, pretend play, dependent on parents
47
12 months motor
walks, turns pages, climbs alone, hand preference, kick/throw, stacks cubes
48
12 months Language
first word, single words, object permanence
49
15 months social
separation anxiety
50
15 months motor
tower of two cubes, steps alone
51
15 months language
few words, 25% intelligible
52
18 months social
desires (points, clingy, transitional objects), feeds self, cup drinking
53
18 months motor
walks alone, coordinated, stairs, runs
54
18 months language
10-20 words, names and pictures, scribbles
55
24 months social
no phase, simple garments
56
24 months motor
kicks balls, stairs fine, opens door, jumps, ball overhand
57
24 months language
2-3 word sentences, grammar formation, knows name, 50% intelligible
58
3 yrs social
Understands turns, urine/bowel, unbuttons, puts on simple garments
59
3 yrs motor
tricycle, copies circle, cuts paper with scissors, feeds self
60
3 yrs language
Gender identity, knows age, 3500 words, 80% intelligible
61
4 yrs social
coop, dresses, brushes teeth
62
4 yrs motor
cross shape, hops on one foot, heal to toe gait
63
4 yrs language
tell story, 90% intelligible
64
5 yrs social
group work, dresses/undresses
65
5 yrs motor
square, sphincter ctrl, draws person, runs, fine ctrl, skips
66
5 yrs language
concept of past/future, share ideas, 100% intelligible
67
6 yrs language
reads
68
4 stages of identity development
Identity diffusion, foreclosure, moratorium, identity achievement
69
Bioreasons for increased risk
sex hormones, increased adrenals, increased dopamine
70
Adolescent Interview
Biheads
71
Suicide
Risk : IMMUD | Attempts: FIGHT
72
Most important C of managing dying
Concern
73
SPIKES protocol
Set up interview, Perception of patient, Invitation, Knowledge, Emotion, Summary