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Mental Health Nursing > Exam 1 > Flashcards

Exam 1 Flashcards

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1
Q

Client’s right to make his or her own decisions (these decisions must not endanger others)

A

Autonomy

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2
Q

Providing good, helpful treatments

A

Beneficence

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3
Q

Avoiding actions that cause harm

A

Nonmaleficence

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4
Q

Keeping your word

A

Fidelity

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5
Q

Fair and equal treatment regardless of social class, race, economic status, etc

A

Justice

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6
Q

Being honest, truthful

A

Veracity

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7
Q

Reducing your pain by helping others

A

Altruism

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8
Q

Covering up a real or imagined weakness by emphasizing some other strength

A

Compensation

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9
Q

Converting strong emotional stress into a physical symptom

A

Conversion

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10
Q

Not acknowledging reality because it is too painful or difficult

A

Denial

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11
Q

Redirecting your anger at another object, person, or situation

A

Displacement

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12
Q

Temporarily losing your connection to the outside world to escape the pain

A

Dissociation

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13
Q

Attempting to improve feelings about self by emulating an admired person

A

Identification

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14
Q

Avoiding painful emotions by focusing on logic and reasoning

A

Intellectualization

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15
Q

Attributing your own unacceptable thoughts, feelings, or behaviors to someone else

A

Projection

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16
Q

Justifying unacceptable feelings or behavior by giving excuses

A

Rationalization

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17
Q

Feeling negative or unacceptable feelings but demonstrating the opposite

A

Reaction formation

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18
Q

Returning to childlike, immature behaviors during a time of stress

A

Regression

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19
Q

Unknowingly pushing an unpleasant thought or memory out of your consciousness

A

Repression

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20
Q

Seeing people, situations, or events as either completely good or completely evil

A

Splitting

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21
Q

Redirecting unacceptable drives or passions into socially acceptable forms

A

Sublimation

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22
Q

Consciously deciding to ignore a thought, emotion, or desire

A

Suppression

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23
Q

Trying to reverse a negative or guilty feeling by doing something to make up for it

A

Undoing

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24
Q

Allowing the client to choose the topic of discussion

A

Broad openings

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25
Q

Delving into a topic that seems useful to discuss

A

Exploring

26
Q

Asking a client who is rapidly changing topics, to focus on a single idea or thought (not appropriate if the client is extremely anxious)

A

Focusing

27
Q

Encouraging the client to come up with a plan for dealing with a problem or future situation

A

Formulating a plan of action

28
Q

Giving short verbal or nonverbal encouragement for the client to continue talking

A

General leads

29
Q

Noticing a positive behavior from the client (this is better than complimenting)

A

Giving recognition

30
Q

Verbalizing your perceptions of the client

A

Making observations

31
Q

Making yourself available to the client. Offering your time, presence, and attention.

A

Offering self

32
Q

Informing the client that his or her misperceptions are not real. Used when clients experience hallucinations. Should be done in a non threatening, empathetic manner.

A

Presenting reality

33
Q

Directing questions and feelings back to the client so they can be recognized and accepted

A

Reflecting

34
Q

Repeating the main idea of what the client has said

A

Restating

35
Q

Seeking to understand what a client meant

A

Seeking clarification

36
Q

Allowing time for the client to gather thoughts, think through an issue, experience a strong emotion, etc.

A

Silence

37
Q

Putting into words what the client has only implied or hinted at

A

Verbalizing the implied

38
Q

Expressing uncertainty regarding a client’s perceptions or beliefs. Used when clients express delusions. Should be done in a non confrontational, nonjudgemental manner.

A

Voicing doubt

39
Q

Telling the client what to do

A

Advice giving

40
Q

Approving or disapproving of a client’s ideas or behaviors

A

Moralizing

41
Q

Communicating to a client that you do not believe their feelings are legitimate

A

Belittling the client’s feelings

42
Q

Attempting to protect someone or something from the client’s criticism. Reveals a lack of empathy and encourages the client to double down in their criticism.

A

Defending

43
Q

Attempting to calm a client’s concerns by asserting that will be a good outcome. Minimizes the client’s concerns and discourages communication.

A

False reassurances

44
Q

Attempting to force a meaning or interpretation onto a client

A

Interpreting

45
Q

Changing the topic. Gives evidence of poor listening skills or a desire to keep the conversation superficial.

A

Introducing an unrelated topic (non sequiturs)

46
Q

Persisting questioning of the client

A

Probing

47
Q

Cliches. Discourages the client from expressing heavy thoughts or emotions.

A

Stereotyped comments

48
Q

Asking the client to explain or defend his or herself to the nurse. Does not build rapport.

A

Why questions

49
Q

Actions that are followed by rewards are strengthened and more likely to occur again. Operant conditioning utilizes this fact.

A

Operant conditioning

50
Q

Systems in which behavior is regulated by emphasizing and rewarding positive behaviors and removing those rewards when misbehaving. This approach is commonly used in elementary schools.

A

Token economies

51
Q

The technique involves the intentional removal of a reward for a maladaptive behavior (which is sometimes given unintentionally) so as to decrease its likelihood of recurring. An example of this is teaching parents to ignore and walk away when a child throws a temper tantrum.

A

Extinction

52
Q

Teaching a client behavioral skills by acting out scenarios and practicing them

A

Modeling (role playing)

53
Q

A technique in which therapists help clients extinguish phobias by experiencing increasingly anxiety provoking situations. Typically relaxation techniques are practiced during these exposures.

A

Systematic desensitization

54
Q

Teaching clients proven techniques that decrease anxiety and stress (ex: deep breathing, progressive muscle relaxation, meditation, etc)

A

Relaxation techniques (reciprocal inhibition)

55
Q

Helping a client avoid a behavior by teaching a client to associate it with something negative. An example of this is prescribing disulfiram to treat alcoholism. Disulfiram works by causing extreme discomfort when the patient consumes alcohol.

A

Aversion therapy

56
Q

Roger’s believed constructive change is likely to occur if you are real/transparent with the client (1/3 of Roger’s therapeutic factors)

A

Genuineness

57
Q

Rogers believed constructive change is likely to occur if you feel genuine caring/acceptance/prizing/love for the client (2/3 Roger’s therapeutic factors)

A

Unconditional positive regard

58
Q

Rogers believed constructive change is likely to occur if you can understand the inner world of the client (see the world through the client’s eyes)

A

Empathy

59
Q

In this phase, the nurse prepares for the interaction by obtaining information from the chart, the client’s family, or team members. The nurse should also examine any feelings that may interfere with working with this particular client.

A

Preinteraction phase

60
Q

During this phase, the focus is on building trust and rapport, defining roles, and mutually determining goals. Sadly, most clients are discharged during the phase.

A

Orientation (Introductory) Phase

61
Q

If the therapeutic is able to continue, the client and nurse will progress to this phase. Here the focus is on working toward the selected goals. The nurse provides feedback and support during this process.

A

Working phase

Mental Health Nursing (3 decks)

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