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NSG 382 Pysch > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

what was florence nightingale focused on in nursing?

A

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

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2
Q

talk about peplau

A
  • she is the mother of psych nursing
  • her interpersonal theory of nursing has to do with anxiety
  • when you think PEPLAU think ANXIETY
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3
Q

transference

A

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

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4
Q

counter transference

A

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

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5
Q

what can master’s level psych nurse do?

A

psychotherapy and diagnosing

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6
Q

what can bachelor’s level psych nurse do?

A

therapy groups

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7
Q

maslow’s lowest level of need

A

safety ~ IF SAFETY IS ON THE TEST THINK SAFETY

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8
Q

who began the first graduate problem?

A

peplau

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9
Q

six indicators that are a reflection of mental health

A
  1. positive attitude toward self
  2. growth, development, ability to achieve self-actualization
  3. integration
  4. autonomy
  5. perception of reality
  6. environmental mastery
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10
Q

adaptive response

A

healthy response; behavior that maintains the integrity of the individual

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11
Q

maladaptive response

A

unhealthy response; behavior disrupts the integrity of the individual

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12
Q

five stages of grief

A
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
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13
Q

what do we call psych patients?

A

clients

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14
Q

what does the medical model state?

A

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

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15
Q

what does the compensatory model state?

A

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

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16
Q

what does the enlightenment model state?

A

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

17
Q

what does the moral model state?

A

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

18
Q

resistance

A

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

19
Q

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

A
  1. stranger
  2. resource person
  3. teacher
  4. leader
  5. surrogate
  6. technical expert
  7. counselor
20
Q

how much communication is nonverbal? verbal?

A

80% nonverbal, 20% verbal

21
Q

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

A

“tell me more”

22
Q

SOLER

A
  • 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
23
Q

probing

A

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

24
Q

intimate space

A

up to 18”

25
Q

personal space

A

18” to 4 feet

26
Q

social space

A

9 - 12 feet

27
Q

public space

A

12’ and over

28
Q

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

A
  • used for assertiveness skills
    D - Describe the situation
    E - Express feelings
    S - Specify what want
    C - consequences
29
Q

stages of nurse-patient relationship

A
  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
30
Q

freud’s id, ego, and superego

A
  • id = concerned with instant gratification, only thinks of self
  • ego = rational
  • superego = concerned with social rules and moral behavior
31
Q

erikson stages of development

A
  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)
32
Q

SELYE

A
  • general adaptation for anxiety
33
Q

what happens to the body in moderate anxiety?

A

peripheral vision narrows, can’t focus on things

34
Q

what happens in severe anxiety?

A

extreme narrowing of visual field

35
Q

genuineness

A

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

36
Q

empathy

A

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

NSG 382 Pysch (4 decks)

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