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NURS 360 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Define veracity.

A

duty to always be truthful

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2
Q

What are the 2 reasons restraints can be used?

A
  1. behavior is out of control
  2. immediate risk to physical safety and psychological well-being of self and others
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3
Q

What is the difference between adapative and maladaptive coping strategies?

A

– adaptive: protect the individual from harm and restore physical and psychological equilibrium

– maladaptive: when the conflict experienced goes unresolved or intensifies

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4
Q

Describe denial as a defense mechanism.

A

non-acceptance of a feeling/situation

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5
Q

Describe dissociation as a defense mechanism.

A

separating a mental or behavior process from the rest of the person’s consciousness or identity

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6
Q

Describe projection as a defense mechanism.

A

attributing one’s thoughts or impulses to another person; blaming others

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7
Q

Describe regression as a defense mechanism.

A

retreating to an earlier level of development

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8
Q

Describe splitting as a defense mechanism.

A

all good or all bad

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9
Q

Describe fixation as a defense mechanism.

A

failure to move on to the next level of development

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10
Q

Describe rationalization as a defense mechanism.

A

using a socially acceptable excuse or logical reason for unacceptable behavior or feelings

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11
Q

Describe reaction formation as a defense mechanism.

A

covering up unacceptable thoughts or behaviors by exaggerating the opposite thought or behavior

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12
Q

Describe repression as a defense mechanism.

A

involuntary blocking

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13
Q

Describe suppression as a defense mechanism.

A

voluntary blocking

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14
Q

Describe isolation/intellectualization as a defense mechanism.

A

overwhelming feelings that lead to isolation

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15
Q

Describe assertiveness as a defense mechanism.

A

respectfully expressing your thoughts and needs

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16
Q

Describe compensation as a defense mechanism.

A

covering up a weakness by emphasizing a trait that one considers desirable

17
Q

Describe sublimation as a defense mechanism.

A

rechanneling impulses that are socially unacceptable to constructive activities

18
Q

What are the 2 symptoms of anxiety disorders?

A
  1. anxiety
  2. avoidance
19
Q

What are somatic symptom disorders?

A

when physical symptoms emerge for which that there is no evident organic pathology

20
Q

What are dissociative disorders?

A

disruption in usually integrated functions of consciousness, memory, identity, or perception of the environment

21
Q

What are the 5 stages of grief in order?

A
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
22
Q

What is anticipatory grief?

A

experiencing grief before the loss actually occurs

23
Q

What often lengthens the grieving process?

A

guilt

24
Q

What may shorten the grieving process?

A

anticipatory grieving

25
Q

What occurs when a person experiences maladaptive grief responses?

A
  • unable to progress through stages of grief
  • individual becomes fixed in denial or anger stage of grief
26
Q

What are the 3 types of grief responses that are pathological?

A
  1. prolonged: preoccupation with memories of the loss entity many years after
  2. delayed/inhibited: fixed in the denial stage
  3. distorted: fixed in the anger stage; may culminate in pathological depression
27
Q

For which demographic is suicide the 2nd leading cause of death?

A

young Americans aged 10 - 34

28
Q

What is a huge risk factor for suicide attempt?

A

hx of previous suicide attempt

29
Q

Describe how gender affects the risks factors for suicide?

A
  • women attempt suicide more often
  • men complete suicide more often
  • men use more lethal means
  • transgender are at higher risk
30
Q

Summarize important risk factors for suicide with the mnemonic IS PATH WARM.

A
  • ideation
  • substance abuse
  • purposelessness
  • anxiety
  • trapped
  • hopelessness
  • withdrawal
  • anger/change in behavior
  • recklessness
  • mood changes
31
Q

Differentiate between transference and countertransference.

A

– transference: pt unconsciously displaces feelings formed toward a person from the past onto the nurse

– countertransference: nurse unconsciously displaces feelings formed toward a person from the past onto the pt

32
Q

Between delirium, dementia, and depression, which has an acute or insidious onset?

A
  • delirium = acute
  • dementia = insidious
  • depression = acute or insidious
33
Q

Describe the course of development for delirium, dementia, and depression.

A
  • delirium = fluctuating – periods of improvement and worsening
  • dementia = progressive – gradual worsening
  • depression = may be chronic
34
Q

Describe duration of delirium, dementia, and depression.

A
  • delirium = hours to weeks
  • dementia = months to years
  • depression = months to years
35
Q

Describe the level of consciousness for delirium, dementia, and depression.

A
  • delirium = altered
  • dementia = usually clear
  • depression = clear
36
Q

Between delirium, dementia, and depression, which condition is irreversible?

A

dementia

NURS 360 (1 decks)

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