Block 1 Flashcards

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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
Q

Piaget Stage 3

A

Concrete operational (6-12): Logical thinking, transitivity, conservation and seriation

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26
Q

Piaget Stage 4

A

Formal Operation (12+): Abstract reasoning, hypothetical deductive thoughts

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27
Q

Number one cause of fetal mental retardation

A

Maternal substance abuse (Fetal alcohol syndrome)

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28
Q

APGAR Score

A

Color, rate, reflex, muscle, breath at 1,5 mins

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29
Q

Easy vs Difficult Temperment

A

Easy children have less swings of emotion and are more regular

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30
Q

Reflexes of child

A

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
Q

Anaclitic Depression

A

Infants separated from mom at 1month to 1 year old leading to panic and agitation and later = silence and apathy

32
Q

What must develop to show completion of sensoritomotor

A

Object permanence, stranger anxiety, symbolic representation

33
Q

Assimilating schema

A

Interpretation of new experiences in terms of present schema

34
Q

Accommodating Schema

A

Modification of present schema to fit new experience

35
Q

Best Parenting style

A

Authoritative - demanding but rational limits for children and communicate well

36
Q

Secure attachment

A

Infant freely explores situation in presence of mother, distress when she leaves, enthusiastic when she returns. Tends to be popular, resilient, resourceful

37
Q

Insecure avoidant

A

minimal interest in mother. Emotional insulation, antisocial, cheats and lies. Maybe from caregiver not being present when ill

38
Q

Insecure ambivalent

A

Seeks closeness with mom but little exploration, high distress as she leaves but ambivalent on return. From caregiver being inconsistent with care

39
Q

Insecure disorganized

A

Confused upon mom leaving and returning. Later is aggressive and dissociative.

40
Q

5 months social

A

laughs, excited at food

41
Q

5 months motor

A

rolls, reaches, one hand grip, object to mouth, sits with support

42
Q

5 months Language

A

Babbles one syllable sounds, responds to name, stares

43
Q

10 months social

A

Stranger anxiety, social games, waves bye, imitates sounds, holds bottle

44
Q

10 months motor

A

sits without support, crawls, objects btwn hands, stands, walks with help, bangs cubes, uncovers objects under cloth

45
Q

10 months language

A

babbles with mulisyllables, attends to language, turns to sounds of voices

46
Q

12 months social

A

cooperates with dressing, pretend play, dependent on parents

47
Q

12 months motor

A

walks, turns pages, climbs alone, hand preference, kick/throw, stacks cubes

48
Q

12 months Language

A

first word, single words, object permanence

49
Q

15 months social

A

separation anxiety

50
Q

15 months motor

A

tower of two cubes, steps alone

51
Q

15 months language

A

few words, 25% intelligible

52
Q

18 months social

A

desires (points, clingy, transitional objects), feeds self, cup drinking

53
Q

18 months motor

A

walks alone, coordinated, stairs, runs

54
Q

18 months language

A

10-20 words, names and pictures, scribbles

55
Q

24 months social

A

no phase, simple garments

56
Q

24 months motor

A

kicks balls, stairs fine, opens door, jumps, ball overhand

57
Q

24 months language

A

2-3 word sentences, grammar formation, knows name, 50% intelligible

58
Q

3 yrs social

A

Understands turns, urine/bowel, unbuttons, puts on simple garments

59
Q

3 yrs motor

A

tricycle, copies circle, cuts paper with scissors, feeds self

60
Q

3 yrs language

A

Gender identity, knows age, 3500 words, 80% intelligible

61
Q

4 yrs social

A

coop, dresses, brushes teeth

62
Q

4 yrs motor

A

cross shape, hops on one foot, heal to toe gait

63
Q

4 yrs language

A

tell story, 90% intelligible

64
Q

5 yrs social

A

group work, dresses/undresses

65
Q

5 yrs motor

A

square, sphincter ctrl, draws person, runs, fine ctrl, skips

66
Q

5 yrs language

A

concept of past/future, share ideas, 100% intelligible

67
Q

6 yrs language

A

reads

68
Q

4 stages of identity development

A

Identity diffusion, foreclosure, moratorium, identity achievement

69
Q

Bioreasons for increased risk

A

sex hormones, increased adrenals, increased dopamine

70
Q

Adolescent Interview

A

Biheads

71
Q

Suicide

A

Risk : IMMUD

Attempts: FIGHT

72
Q

Most important C of managing dying

A

Concern

73
Q

SPIKES protocol

A

Set up interview, Perception of patient, Invitation, Knowledge, Emotion, Summary