Exam 1

Question 1

what was florence nightingale focused on in nursing?

Answer 1

not just the physical aspect of nursing but also the emotional aspect and caring for patients

Question 2

talk about peplau

Answer 2

• she is the mother of psych nursing
• her interpersonal theory of nursing has to do with anxiety
• when you think PEPLAU think ANXIETY

Question 3

transference

Answer 3

when a patient takes a relationship with someone else and uses it on you; how the patient treats you; not in their conscience

Question 4

counter transference

Answer 4

our lives get super transposed on their relationships; we relate more to them

Question 5

what can master’s level psych nurse do?

Answer 5

psychotherapy and diagnosing

Question 6

what can bachelor’s level psych nurse do?

Answer 6

therapy groups

Question 7

maslow’s lowest level of need

Answer 7

safety ~ IF SAFETY IS ON THE TEST THINK SAFETY

Question 8

who began the first graduate problem?

Answer 8

peplau

Question 9

six indicators that are a reflection of mental health

Answer 9

1. positive attitude toward self
2. growth, development, ability to achieve self-actualization
3. integration
4. autonomy
5. perception of reality
6. environmental mastery

Question 10

adaptive response

Answer 10

healthy response; behavior that maintains the integrity of the individual

Question 11

maladaptive response

Answer 11

unhealthy response; behavior disrupts the integrity of the individual

Question 12

five stages of grief

Answer 12

1. denial
2. anger
3. bargaining
4. depression
5. acceptance

Question 13

what do we call psych patients?

Answer 13

clients

Question 14

what does the medical model state?

Answer 14

people are not responsible for their own problems nor responsible to solve them

Question 15

what does the compensatory model state?

Answer 15

people are not to blame for problems but should assist in solving them

Question 16

what does the enlightenment model state?

Answer 16

people are responsible for creating problems and should rely on others for solution

Question 17

what does the moral model state?

Answer 17

people cause their own problems and should be responsible for developing solutions to them

Question 18

resistance

Answer 18

when someone doesn’t like you; not talking to you

Question 19

what did peplau define as the 7 roles of the nurse?

Answer 19

1. stranger
2. resource person
3. teacher
4. leader
5. surrogate
6. technical expert
7. counselor

Question 20

how much communication is nonverbal? verbal?

Answer 20

80% nonverbal, 20% verbal

Question 21

what should you tell a patient instead of asking “why”?

Answer 21

“tell me more”

Question 22

SOLER

Answer 22

• non-verbal attention to client
  S - Sit squarely facing the client
  O - Observe and open posture
  L - Lean forward toward the client when appropriate
  E - Establish eye contact. Watch for patient eye contact
  R - Relax. Breathe and demonstrate a feeling of being comfortable with the client

Question 23

probing

Answer 23

the use of direct questions intended to stimulate discussion in the hope of uncovering relevant information or helping the client come to a particular realization or achieve a particular insight

Question 24

intimate space

Answer 24

up to 18”

Question 25

personal space

Answer 25

18” to 4 feet

Question 26

social space

Answer 26

9 - 12 feet

Question 27

public space

Answer 27

12’ and over

Question 28

what is the DESC script used for and what is it?

Answer 28

• used for assertiveness skills
  D - Describe the situation
  E - Express feelings
  S - Specify what want
  C - consequences

Question 29

stages of nurse-patient relationship

Answer 29

1. orientation phase: defining the problem mutually with the client
2. working phase: assisting the client with problem solving alternatives
3. termination phase: dissolving the links between client and nurse

Question 30

freud’s id, ego, and superego

Answer 30

• id = concerned with instant gratification, only thinks of self
• ego = rational
• superego = concerned with social rules and moral behavior

Question 31

erikson stages of development

Answer 31

1. trust vs. mistrust (birth to 18 months)
2. Autonomy vs. shame and doubt (18 months to 3 yrs.)
3. initiative vs guilt (3 - 6 yrs)
4. industry vs inferiority (6 - 12 yrs)
5. identity vs. role confusion (12 - 20 yrs)
6. intimacy vs. isolation (20 - 30 yrs)
7. generativity vs. stagnation (30 - 65 yrs)
8. ego integrity vs. despair (65 yrs and older)

Question 32

SELYE

Answer 32

• general adaptation for anxiety

Question 33

what happens to the body in moderate anxiety?

Answer 33

peripheral vision narrows, can’t focus on things

Question 34

what happens in severe anxiety?

Answer 34

extreme narrowing of visual field

Question 35

genuineness

Answer 35

to be open, honest, and “real” in interactions with the patient

Question 36

empathy

Answer 36

to see beyond outward behavior and understand the situation from the patient’s point of view