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Exam 3 Flashcards

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1
Q

A client reports she went to dinner and a movie last night. She resides in a nursing home.

a. ) confabulation
b. ) illusion
b. ) agnosia
d. ) agraphia

A

A - confabulation a defense mechanism

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2
Q

A client with dementia is waiting an ER assessment. She is touching all item in the exam room

a. ) hypermetamorphosis
b. ) hypervigilance
c. ) hyperorality
d. ) hypervanity

A

A - hypermetamorphosis

All s&s of dementia though

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3
Q

The client that has a diagnosis of pneumonia reports seeing rats in the hospital room today

a. ) dementia
b. ) delirium
c. ) Depression
d. ) Dystonia

A

B - delirium

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4
Q

A client gets confused and irritated each evening and tries to elope form the facility

a. ) preservation
b. ) sundowning
c. ) aphasia
d. ) agnosia

A

B -sundowning

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5
Q

A client is provided cereal breakfast. She is given a spoon and she appears to brush her hair

a. ) agnosia
b. ) amnesia
c. ) aphasia
d. ) apraxia

A

A - Agnosia

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6
Q

A client is experiencing a steady decline in mental and physical functioning

a. ) delirium
b. ) dementia
c. ) autism
d. ) ADD

A

B - Dementia

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7
Q

Addiction

A

Continued use of substances despite adverse consequences

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8
Q

Use

A

Ingestion, smoking, sniffing, or injection of mind altering substances

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9
Q

Abuse

A

Use for purposes of intoxication or beyond intended use

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10
Q

Withdrawlal

A

Symptoms occurring when substance no longer used

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11
Q

Detoxification

A

Process for safe withdrawal

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12
Q

Relapse

A

Recurrence

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13
Q

What neurotransmitter pathway is activated in the brain when abusing substances

A

Dopamine pathways - reward seeking

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14
Q

What is the most abused drug?

A

Alcohol

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15
Q

What is the second most abused drug?

A

Marijuana

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16
Q

Comorbid mental disorders to substance abuse

A

Psychotic
Anxiety
Mood disorder

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17
Q

Alcohol is a CNS ___. So what drugs would you want to avoid?

A

Alcohol is a CNS depressant

Avoid other drugs that ca cause sedation

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18
Q

BAL 0.05

A

Or 1-2 drinks

Impaired judgement, giddiness, mood changes

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19
Q

BAL 0.10

A

Or 5-6 drinks

Difficultly driving and coordinating movements

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20
Q

BAL 0.20

A

Or 10-20 drinks

Motor functions severely impaired, resulting in ataxia; emotional lability

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21
Q

BAL 0.30

A

Or 15-20 drinks

Stupor, disorientation and confusion

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22
Q

BAL 0.40

A

Or 20-24 drinks

Coma

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23
Q

BAL 0.50

A

25 drinks

Respiratory failure

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24
Q

Assessment of substance abuse

A

What your using
How often are you using
How long have you been using
When was the first use

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25
Q

Alcohol can impair what organs?

A

Liver

Cardiac function

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26
Q

Wernicke encephalopathy

A

ACUTE
Thaimine deficit
Vision impairment, ataxia, hypotension, confusion

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27
Q

Korsakoff’s amnestic syndrome

A

CHRONIC
Heart, vascular, nervous system problems
Difficultly acquiring new info and retrieving memories

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28
Q

Wernicke-Korsakoff Syndrome

A

Amnesia

Confabulation

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29
Q

Alcohol withdrawal syndrome happens:

A

Usually within 12 hours after abrupt d/c

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30
Q

Symptoms of alcohol withdrawal syndrome:

A

Delirium tremen
Seizures
Elevated temp, pulse, and BP

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31
Q

A pt. is withdrawal from alcohol and starts having seizure activity. How would the nurse stage the withdrawal?

A

Stage 3 - Severe

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32
Q

Pt is withdrawal from alcohol and has a HR of 115. How would the nurse stage the withdrawal?

A

Stage 2 - Moderate

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33
Q

Pt is withdrawal from alcohol and has visual and auditory hallucinations. How would the nurse stage the withdrawal?

A

Stage 2 - Moderate

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34
Q

CAGE assessment

A

Screening for substance abuse problems
C - ever need to CUT down drinking
A - do you ever feel ANNOYED when people tell you to stop drinking
G - do you ever feel GUILTY about drinking
E - Do you need an EYE opener in the morning (Drink)

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35
Q

What is the first symptoms the nurse would notice on a pt. that is withdrawing form alcohol?

A

Elevation of heart rate, temp, and BP

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36
Q

Delirium Tremens

A 
Hyperarousal
Disoriented
Hallucinations
Tremors
MOST SERIOUS: seizures
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37
Q

CIWA protocol

A

Clinical institute withdrawal of alcohol

Rating scale for symptoms: N/V, Tremors, Anxiety, Sweats, Agitation

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38
Q

Meds for alcohol withdrawal

A

Benzos
Antidepressants
Sleep meds
Antipsychotics

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39
Q

Relapse Px meds for alcohol:

A

Disulfiram

Naltrexone

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40
Q

What is important teaching for a pt. taking Disulfiram?

A

Do not drink anything with alcohol in it. Will make you very sick. You will vomit.
Ex. mouth wash, hand sanitizer, cough syrups

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41
Q

Naltrexone

A

Help reduce craving for alcohol and opioids

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42
Q

Do not admin Naltrexone unless pt. is clean for __-__ days

A

Do not admin Naltrexone unless pt. is clean for 7-10 days

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43
Q

Naltrexone is contraindicated in what kind of pt.?

A

Pregnant

Use cautiously in: acute hepatitis, liver failure, depression, SI, and breast feeding

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44
Q

Do not admin Disulfiram until the pt. is clean from alcohol for at least __ hour

A

Do not admin Disulfiram until the pt. is clean from alcohol for at least 12 hour

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45
Q

Alcohol nutrition teaching

A

Increase protein
Increase thaimine
Increase Folic Acid

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46
Q

Cocaine increases what neurotransmitters?

A

Increases: Dopamine, norepinephrine, serotonin

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47
Q

Cocaine rush

A

lasts 10-20 min followed by intense letdown effect:

Irritability, depression, tiredness, and craving more drug

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48
Q

Cocaine withdrawal with long term use

A

Long term depletion of norepinephrine > “ crash” and sleeping 12-18 hr.

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49
Q

Amphetamines block reuptake of what neurotransmitters?

A

Amphetamines block reuptake of norepinephrine and dopamine

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50
Q

MDMA (Ecstasy) increases what neurotransmitter?

A

MDMA (Ecstasy) increases serotonin and dopamine

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51
Q

Methamphetamines increases what neurotransmitter?

A

Methamphetamines increases dopamine

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52
Q

The term “binge and crash” is used for pt. that are addicted to this class of drugs?

A

Pt. that abuse methamphetamines “binge and crash”

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53
Q

Date rape drug

A

Rohypnol GHB

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54
Q

Marijuana binds to ___ receptors in the brain and blocks reuptake of ___ neurotransmitter?

A

Marijuana binds to mu receptors in the brain and blocks reuptake of dopamine neurotransmitter?

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55
Q

Severe reactions of Hallucinogens

A 
Paranoia
Fear of losing one's mind
Depersonalization
illusion
Delusions
Hallucination
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56
Q

Most abused opioid

A

Heroin

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57
Q

Naloxone

A

Emergency Tx of opioid intoxication or overdose

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58
Q

Maintenance therapy for drug withdrawal

A

Methadone therapy and behavioral therapy and counseling

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59
Q

Inhalants are CNS ___

A

Inhalants are CNS depressants

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60
Q

Severe risk with inhalant drugs

A

Severe risk for sudden sniffing death

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61
Q

Long term use of inhalant drugs can cause chronic __ __

A

Long term use of inhalant drugs can cause chronic neurological syndromes

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62
Q

Steroid can cause what symptoms?

A

Increases irritability and aggression

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63
Q

Mild withdrawal symptoms

A 
Yawning
Rhinorrhea
Perspiration
Restlessness
Lacrimation
Sleep disturbance
Increased craving
Anxiety
Dysphoria
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64
Q

Moderate withdrawal Symptoms

A 
Dilated pupils
Bone and muscle aches
Sensation of "goose flesh"
Hot/cold flashes
Irritability
Increase anxiety and craving
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65
Q

Severe withdrawal symptoms

A 
N/V
Stomach cramps
Diarrhea
Insomnia
Weight loss
Twitching
Increased BP, HR, RR
Depression
Anxiety
Dysphoria
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66
Q

Withdrawal Assessment

A 
Behaviors and substance use Hx
Denial of prob
Motivation for change
Countertransference
Codependence (Enabling)
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67
Q

Intense fear of gaining weight or becoming fat

A

Anorexia Nervosa

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68
Q

Two types of Anorexia Nervosa

A

Restricting

Binging and purging

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69
Q

Onset of Anorexia Nervosa

A

Early adolescence

Then becomes chronic with relapses

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70
Q

Interoceptive awarenes

A

Awareness to sensory cues to hunger

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71
Q

F and E complications of purging

A

Hypokalemia
Hypochloremia
Hypomagnesemia
Increased BUN

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72
Q

Med for Anorexia Nervosa

A

Fluoxetine (SSRI)

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73
Q

Interventions for Anorexia Nervosa

A 
Journaling
Understanding feelings
Restructuring distortions
Movement and dance therapy
Imagery and relaxation
Interpersonal therapy
Pt. and family education
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74
Q

Criteria for hospitalization for Anorexia Nervosa

A 
Acute weight loss < 85%
HR near 40
Temp <36.1
BP < 80/50
Hypokalemia
Hypophosphatemia
Hypomagnesemia
Poor motivation to recover
SI
Severe depression
Failure to comply with Tx
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75
Q

Dichotomous/All-or-Nothing Thinking

A

“I’ve gained 2 lb, so I’ll be up by 100 lb soon.”

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76
Q

Magnification

A

“I binged last night, so I can’t go out with anyone.”

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77
Q

Selective Abstraction

A

“I can only be happy 10 lb lighter.”

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78
Q

Overgeneralization

A

“I didn’t eat anything yesterday and did okay, so I don’t think not eating for a week or two will harm me.”

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79
Q

Catastrophizing

A

“I purged last night for the first time in 4 months—I’ll never recover.”

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80
Q

Risk factor survey for Anorexia Nervosa

A

McKnight Risk Factor Survey

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81
Q

Bulimia Nervosa

A

Binging and purging in secret

Normal weight

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82
Q

Bulimia Nervosa diagnostic criteria

A

Episodes occurring at least once a week for at least 3 months

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83
Q

Difference between Bulimia Nervosa and Anorexia Nervose

A

Anorexia Nervosa: Severe weight loss and amenorrhea

Bulimia Nervosa - normal weight

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84
Q

Characteristics of Bulimia Nervosa

A

Impulsivity
Boundary probs
Limit-setting difficulties

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85
Q

Meds for Bulimia Nervosa

A

SSRIs

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86
Q

Assessment for Bulimia Nervosa

A

Eating patterns
# of times/day they binge or purge
Sleep patterns
Exercise

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87
Q

Interventions for Bulimia and Anorexia Nervosa

A

Strict I and Os
Supervision of bathroom visits
Sleep management
SSRIs

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88
Q

Binge eating disorder cirteria

A

Binge eating
distress about binge
Eating until uncomfortably full
Feelings of guilt or depression afterward

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89
Q

True/False: Prevalence of sleep wake disorders increase with age

A

True

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90
Q

parasomnia disorders

A

Sleep walking

Night terrors

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91
Q

Circadian disorder

A

Jeg lag

Work-Shift

92
Q

Sleep wake transition disorders

A

Trouble starting sleep

sleep talking

93
Q

When sleeping what neurotransmitters are involved?

A 
GABA
Adenosine
Histamine
Hypocretin
Melatonin
Cortisol
94
Q

Sleep latency

A

Bedtime to the beginning of sleep

95
Q

Sleep architecture

A

pattern of NREM and REM sleep

96
Q

Sleep efficiency

A

Ratio of total sleep time to nocturnal time in bed

97
Q

Cycle of sleep

A

1 > 2 > 3 > 4 > 3 > 2 > REM > 2 > 3 > 4 > 3 > 2 > REM

98
Q

Where is the biological clock located?

A

Hypothalamus

99
Q

When does restorative function happen when sleeping?

A

Stages 3 and 4

100
Q

When does vivid dreaming happen when sleeping?

A

REM

101
Q

How long does it take for NREM to start after falling asleep?

A

90 min

102
Q

Fragmented sleep

A

Body response when deprived of REM and slow wave sleep debt

103
Q

Deprivation of REM sleep can lead to:

A

Rebound effect

104
Q

Insomnia diagnostic criteria

A

Daytime fatigue
Difficulty with concentration
Poor mood
No indication of other disorders

105
Q

Insomnia often causes relapses is what mental disorders?

A

PTSD and depression

106
Q

What is one major cause of insomnia?

A

Depression

107
Q

What meds are used for pt with insomnia?

A

Benzos
Nonbenzos: Zaleplon (Sonata) and Ezopiclone (Lunesta)
Melatonin: Ramelteon
Antidepressants: Trazadone, amitriptyline, doxepin, mirazapine
OTC: Antihistamines

108
Q

What nonpharm interventions can the nurse do for a pt. with insomnia?

A

Sleep hygiene

109
Q

Diagnosis tool for sleep apnea

A

polysomnography

110
Q

Primary Hypersomnia

A

Excessive sleepiness for at least 1 month with daytime sleep episodes OR sleeping extended periods at night

111
Q

How long does a pt. with Primary Hypersomnia sleep?

A

8-12 hours

112
Q

Symptoms of Primary Hypersomnia

A 
8-12 hours of sleep
Difficulty awakening
Poor concentration and memory
Excessive daytime sleepiness
Napping
113
Q

Diagnosis tool for Primary Hypersomnia

A

Polysomnography

Multiple sleep latency tests

114
Q

Meds for Primary Hypersomnia

A 
Dextroamphetamine and amphetamine mix
Modafinil
Methylphenidate
Pemoline
Caffeine
Stimulants to help daytime sleepiness
115
Q

Narcolepsy

A

Irresistible urge to sleep at any time of the day regardless of amount of previous sleep

116
Q

Cataplexy

A

Bilateral loss of muscle tone

Symptom of narcolepsy

117
Q

Symptoms of Narcolepsy

A

Daytime sleepiness
Hypnagogic hallucinations
Sleep paralysis
Cataplexy

118
Q

Meds for Narcolepsy

A

CNS stimulants

TCAs - cataplexy

119
Q

Restless Leg Syndrome

A

urge to move legs

worsens at times of rest

120
Q

Chronotherapy

A

timed interventions, manipulates the sleep schedule by progressively delaying bedtime until acceptable time

121
Q

Chronopharmacotherapy

A

Resets the biologic clock by using medications to induce sleep

122
Q

Luminotherapy

A

(light therapy)

Used to manipulate the circadian system

123
Q

Meds for Restless leg syndrome

A

Pramipexole
Rotigotine
Cabergoline
Gabapentin***

124
Q

Prazosin is helpful when Tx what sleep disorder?

A

Nightmare disorder

also PTSD

125
Q

Disorders of arousal meds:

A

Benzos

126
Q

Exhibitionism

A

The behavior involves exposing one’s genitals to strangers, with occasional masturbation

127
Q

Fetishism

A

An object such as women’s undergarments or foot apparel is used for sexual arousal. Fetishism usually begins in adolescence and continues throughout life.

128
Q

Frotteurism

A

Sexually arousing urges, fantasies, and behaviors occur when touching or rubbing one’s genitals against the breasts, genitals, or thighs of a NONconsenting person. begins in early adolescence or young adulthood and diminishes with age.

129
Q

Pedophilia

A

Sexual activity occurs with a child usually 13 yrs of age or younger by an individual at least 16 yrs of age or 5 yrs older than the child.
AGAINST THE LAW

130
Q

Sexual masochism

A

This behavior involves the act of being humiliated, beaten, bound, or made to suffer. Self-induced masochistic acts include use of electric shock, pin sticking, restraints, and mutilation

131
Q

Sexual sadism

A

Sexual excitement occurs when causing physical or psychological suffering to another individual. various forms of physical punishment, use of restraints, rape, burning, stabbing, strangulation, torture, and murder.

132
Q

Transvestic fetishism

A

This behavior applies generally to the heterosexual man who cross-dresses for the purpose of sexual excitement.

133
Q

Voyeurism

A

This behavior involves “peeping,” for the purpose of sexual excitement, at unsuspecting people who are nude, undressing, or engaged in sexual activity.
AGAINST THE LAW

134
Q

zoophilia

A

sexual activities involving animals

135
Q

necrophilia

A

sexual activities involving dead bodies

136
Q

coprophilia

A

sexual activities involving feces

137
Q

urophilia

A

sexual activities involving urine

138
Q

partialism

A

sexual activities involving body parts

139
Q

telephone scatalogia

A

sexual activities involving obscene telephone calls

140
Q

A client has been diagnosed with erectile dysfunction. The nurse would expect the client to be placed on which of the following medications?

A

PDE5 Meds: sildenafil, vardenafil, tadalafil, and avanafil

141
Q

Which of the following is a characteristic of Anorexia Nervosa?

a. ) Uncontrollable binging w/o compensatory behaviors
b. ) intense fear of weight gain
c. ) inappropriate compensatory behaviors
c. ) recurrent episodes of uncontrollable binging

A

B - intense fear of weight gain

142
Q

Autism spectrum disorder (ASD)

A

Neurodevelopment delays with or w/o intellectual disabilities

143
Q

Nurse is caring for a pt with autism spectrum disorder. What skill can the nurse expect the pt. to lack?

A

Social skills

May be intelligent and have appropriate language

144
Q

What type of repetitive behaviors might be exhibited in a pt. with autism spectrum disorder

A

Rocking

Hand flapping

145
Q

Interventions for autism spectrum disorder

A 
Education of self-care skills
Physical safety
Admin antipsychotics for behavioral difficulties
Focus on building strengths
Positive reinforcement
Structured environment
Redirect
Ignore repetitive behavior
146
Q

ADHD commonly diagnosed at what age?

A

3-17

147
Q

ADHD

A

Persistent pattern of inattention, hyperactivity and impulsiveity

148
Q

ADHD is Tx with what kind of meds?

A 
Psychostimulants
Atomexetine
Bupropion
TCAs
Alpha agonists
149
Q

Pt. has ADHD and is taking psychostimulants for Tx. The pt came in last year for annual check up. This year the nurse will want to check for what SE of psychostimulants?

A

Assess height and weight

Psychostimulants can cause growth stunt

150
Q

When should the psychostimulants be given?

A

Preferably in the morning w/ meals

A minimum of 6 hours before bedtime

151
Q

Atomexetine used to Tx ADHD

A

SNRI

Taken in conjunction with psychostimulants

152
Q

Assessments for alpha agonist used to Tx ADHD

A

Monitor BP
Stay hydrated
Avoid extreme high temps.

153
Q

Where should a kid with ADHD do their homework?

a. ) At the kitchen table
b. ) A room with music playing quietly
c. ) on the couch
d. ) in a room by themselves

A

In a room by themselves - quiet and no distractions

154
Q

Environment for ADHD

A

Predictable environment with decreased stimuli

One task at a time

155
Q

Motor Tics

A

Quick jerky movements of the eyes, face, neck, and shoulders

156
Q

Phonic tics

A

Repetitive throat clearings, grunting, or other noises or complex sounds such as words, or parts of words, or possibly obscenities

157
Q

Tourette disorder

A

Multiple motor and phonic tics
OCD also frequently occurs
Affects boys more than girls
Onset: 7 yr.

158
Q

What meds are used to Tx Tourette disorder

A

Antipsychotics - aripiprazole (2nd gen)

Alpha agonists - clonidine

159
Q

True/False: Phonic tic come before motor tics

A

False - motor tics first

160
Q

Schoolphobia

A

manifestation of anxiety

161
Q

OCD Tx with what kind of meds?

A

SSRI

162
Q

Enuresis

A

Bed wetting after potty training; regression

163
Q

Encopresis

A

Fecal soiling after potty training; regression
Fecal deposition in inappropriate places
Test for Hirschsprung disease (colon died)

164
Q

Desmopressin

A

Used for Tx of Enuresis

Does not cure disorder; acute control

165
Q

Sexual maturation

A

4 areas: biosexual identity, gender identity, sex role identity, and sexual orientation

166
Q

Biosexual identity

A

anatomic and physiologic states of being male and female

167
Q

Gender identity

A

the conviction of belonging to a male or female gener

168
Q

Sex role identity

A

outward expression of gender, including behaviors, feelings, and attitudes

169
Q

Sexual orientation

A

a person’s sexual attraction to those f the opposite sex, same sex, or both sexes

170
Q

Sexual desire

A

the ability, interest, or willingness to recieve or a motivational state to seek sexual stimulation

171
Q

Masters and Johnson Classic Human sexual response cycle

A 
4 phases:
Excitement
Plateau
Orgasmic
Resolution
172
Q

Kaplan model of sexual response

A

3 phases:
Desire
Excitement
Orgasm

173
Q

Anorgasmia

A

Inability to achieve an orgasm

174
Q

Orgasmic disorder

A

The inability to reach orgasm by any means

175
Q

Senate focus

A

Method for partners to learn what each finds arousing and learn to communicate those preferences

176
Q

Premature ejaculation

A

Inability to control ejaculation before or shortly after penetration

177
Q

Erectile Dysfunction

A

refers to the inability to acheive or maintain an erection sufficient for satisfactory completion of the sexual activity

178
Q

Dyspareunia

A

genital pain associated with sexual intercourse

179
Q

Vaginismus

A

Spastic involuntary constriction of the parineal and out vaginal muscles

180
Q

Gender dysphoria

A

an incongruence between an individuals experience/expressed gender and assigned gender

181
Q

Egocentrism

A

concept of imaginary audience and personal fable (they are special and unique)

182
Q

Attachment

A

the emotional bond between an infant and his/her parental figure

183
Q

Attachment disorganization

A

consequence of extreme insecurity that results from feared or actual seperation from the attached figure.

184
Q

Temperament

A

person’s characteristic intensity, activity level, threshold of responsiveness

185
Q

Easy temperament

A

positive mood, regular patterns of eating and sleeping, positive approach to new situations, and low emotional intensity

186
Q

Difficult temperament

A

irregular sleep and eating patterns, negative response to new stimuli, slow adaptation, negative mood, and high emotional intensity

187
Q

Slow to warm up temperament

A

negative, mildly emotional response to new situations that is expressed with intensity and initially slow adaptation but evolves into a positive response

188
Q

What is the key diagnostic criteria for delirium?

A

Impaired consciousness

189
Q

Aphasia

A

Alteration in language ability

190
Q

Apraxia

A

Impaired ability to execute motor activities despite intact motor functions

191
Q

Agnosia

A

Failure to recognize or identify objects despite intact sensory function

192
Q

Disturbance of executive functioning

A

Ability to think abstractly, plan, initiate, sequence, monitor, and stop complex behavior

193
Q

Hallmarks of alzheimer’s disease

A

Beta-amyloid plaques

Neurofibrillary tangles

194
Q

What neurotransmitter is reduced in a pt. with alzheimer’s disease?

A

ACh - acetylcholine

195
Q

Catastrophic reactions

A

overreactions or extreme anxiety reactions to everyday situations

196
Q

Meds for Alzheimer’s Disease

A 
Acetylcholinesterase inhibitors - inhibit enzymes that breakdown ACh
Donepezil
Galantamine
Mementine
Rivastigmine
197
Q

What mental impairment in that occurs usually in older adults is an EMERGENCY?

A

Delirium

198
Q

What major med can cause delirium?

A

Steroids

199
Q

What physical disorder can cause delirium?

A

UTI**
Hypoglycemia
Hypoxia

200
Q

True/False: The nurse should inform the family member of an Alzheimer’s pt. that things will only get worse

A

True but word it better lol

201
Q

Sleep wake disturbance that occurs in Alzheimer’s

A

Sun downing

202
Q

What is an intervention the hospital can implement for pt. with alzheimer’s trying to leave the hospital consitently

A

Put locks higher than eye level

203
Q

Erikson’s Stage: Trust vs. mistrust

A

Infancy
Is my world safe
Feeding/comfort

204
Q

Erikson’s Stage: Autnomy vs. shame/doubt

A

Early Childhood 2-3 years
Can I do things by myself or need I always rely on others?
Toilet training/Dressing

205
Q

Erikson’s Stage: Initiative vs. guilt

A

Preschool 3-5 years
Am I good or bad?
exploration/play

206
Q

Erikson’s Stage: Industry vs. Inferiority

A

School Age 6-11
How can I be good?
School/activities

207
Q

Erikson’s Stage: Identity vs. Role Confusion

A

Adolescence 12-18
Who am I and where am I going?
Social relationships/Identity

208
Q

Erikson’s Stage: Intimacy vs. Isolation

A

Young adult 19-40
Am I loved and wanted?
Intimate relationships

209
Q

Erikson’s Stage: Generatively vs. Stagnation

A

Middle Adulthood 40-65
Will I provide something of real value
Work and parenthood

210
Q

Erikson’s Stage: Ego identity vs. despair

A

Maturity 65 +
Have I lived a full life?
Reflection on life

211
Q

Nuclear Family

A

2+ people living together and related by blood/marriage/adoption

212
Q

Extended family

A

Several nuclear families

213
Q

Calgary Family Model

A

Structure
Development
Functional
Four stages: engagement, assessment, intervention, and termination

214
Q

Minuchin Family Model

A

Family structure
Subsystems
Boundaries

215
Q

Bowen Family System Model

A 
Differentiation of self
Triangles
Family projection
Emotional process
Multigenerational transmission process
Sibiling position
Emotional cutoff
216
Q

Examples of using coercion and threats

A

Threatening to leave, commit suicide, hurt her

Make her drop charges or do illegal things

217
Q

Examples of using intimidation

A

Making her afraid by using looks, actions, gestures

Smashing things, destroying property, abusing pets. displaying weapons

218
Q

Examples of using economic abuse

A

Preventing her from getting/keeping a job
Making her ask for money
Taking her money
Not letting her have access to money

219
Q

Examples of using male priviledge

A

Treating her like a servant
Master of the castle
Making all big decisions

220
Q

Examples of emotional abuse

A 
Putting her down
Making her feel bad
Calling names
Playing mind games
Humiliating her
Making her feel guilty
221
Q

Examples of using isolation

A

Controlling what she does, reads, or sees, where she goes, limiting outside involvement

222
Q

Examples of using children

A

Making her feel guilty about the children
Using children to rely messages
Threatening to take the children away

223
Q

Examples of minimizing, denying, and blaming

A

Making light of the abuse and not taking her concerns about it seriously
Saying the abuse doesn’t happen
Saying she caused it

224
Q

Stalking

A

Repeated unwanted contact, attention, and harassment

225
Q

Sexual assualt

A

Include any form on nonconsenting sexual activity, ranging from fondling to penetration

226
Q

Child maltretment

A

Includes all type of abuse or neglect of a child under 18

227
Q

Intergenerational transmission of violence

A

Theory suggests that children who witness or experience violence in their homes often perpetuate violent behavior

Psych (19 decks)

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