Final Exam Flashcards

1
Q

Erik Erikson Theory

A

Psychosocial Development

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2
Q

Theory of Psychosocial Development

A
  1. Infancy: trust vs mistrust
    1. Toddlers: autonomy vs shame and doubt
    2. Preschool: initiative vs guilt
    3. School Age: industry vs inferiority
    4. Adolescents: identity vs role confusion
    5. Young Adults: intimacy vs isolation
    6. Middle Adult: generativity vs stagnation
      1. Older Adult: ego integrity vs despair
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3
Q

PD, Infancy

A

Trust vs. mistrust

Developmental goal: secure attachment

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4
Q

PD, Toddlers

A

Autonomy vs self-doubt

Developmental goal: self confidence

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5
Q

PD, School Age

A

Industry vs inferiority

Developmental goal: feeling of competence and belief in their skills

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6
Q

PD, Adolescents

A

Identity vs role confusion

Developmental Goal: Who am I? Integrate previous stages to form identity

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7
Q

PD, Young adults

A

Intimacy vs isolation

Developmental Goal: affiliation and love

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8
Q

Middle Adults

A

Generativity vs stagnation

Developmental Goal: creating a legacy

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9
Q

Older adult

A

Ego integrity vs despair

Developmental Goal: life fulfillment

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10
Q

Piaget

A

Theory of cognitive development; development precedes learning
assimilation - accomodation - equilibration

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11
Q

Theory of Cognitive Development

A

(((PIAGET)))
Sensorimotor 0-2, object permanence
Preoperational 2-7, symbolic play
Concrete Operational 7-11, conservation, can consider other points of view
Formal Operational 11-15, logical thought and abstract reasoning

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12
Q

Vygotsky Framework

A

Children must learn in order to develop: 4 principles

Children construct their own knowledge
Development cannot be separated from it’s social context
Learning can “lead” development
Language plays a central role in mental development

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13
Q

Kohlberg (theory)

A

development of justice and moral reasoning

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14
Q

Gilligan (theory)

A

studied girls and showed that they process moral dilemmas differently than boys —- girls have more care-based morality, males justice-based

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15
Q

Models of Maternity Care:

Technocratic

A
separation of the mind and body:
		○ Pt viewed as an object
		○ "curing disease"
		○ High value on science and technology
		○ "mother nature" fails us - aggressive intervention
		○ Death = defeat, viewed as "failure"
		○ Profit driven systems
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16
Q

Models of Maternity Care:

Humanistic

A

○ Mind-body connectional, there is a relational piece to the giving of care
○ Healing happens inside and out
○ Info and decisions are shared
○ Focus on disease prevention
○ Death is part of the cycle
○ Balance and connection - body seen as an organism.

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17
Q

Models of Maternity Care:

Holistic

A
○ Openness of mind-body-spirit
		○ Healing the whole person
		○ Unity of client and provider
		○ Healing from inside out
		○ Individualized care
		○ Technology at service to ppl
		○ Long-term health and well-being 
		○ Death is a step in the process of the cycle
		○ Birth is NORMAL
		○ Healing is the focus
		○ Embrace multiple healing modalities
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18
Q

Perinatologist

A

doctor for complicated, high risk moms

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19
Q

Birth Settings

A

Level I: birth centers

2: alamance regional
3: hospitals w a neonatal intensive care unit

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20
Q

How do you know if baby is getting enough calories?

A

Look at poop! # poops

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21
Q

How long should you put baby to breast when crying?

A

First 2 weeks

22
Q

When to swaddle?

A

When breastfeeding is established

23
Q

PD, preschool

A

Initiative vs guilt

Developmental Goal: direction and purpose

24
Q

Potty Training

A

18 MONTHS
• If kids can stay dry for 2 hrs, or post nap
• Kids has to recognize that s/he is urinating or having bowel movement
• Physical skills necessary
Child wants to use toilet (must be interested)

25
Q

Kids Teeth

A

First dental exam 6-12 mo.
Help brush until 7 years
Teeth come in at 3, start losing at 6

26
Q

how big is a 4 y.o.?

A

40 in, 40 lbs!

27
Q

by 2 yrs…

A

toddlers have reached half of adult height and 90% of head circum.

28
Q

when do developmental delays become more obvious?

A

preschool age (3-5)

29
Q

Booster seats

A

Until 4’9” or 90 lbs

30
Q

Enuresis

A

No bladder control:

primary. ..never had it
secondary. ..had it and lost it

31
Q

HEADDSSS Adolescent Assessment

A
  • Home
    • Education/employment
    • Activities
    • Drugs
    • Diet
    • Sexuality
    • Suicide and depression
    • Safety and violence
32
Q

Cross-sex hormone therapy

A
  • Puts you through the pubertal development aligned w gender identity
    • Administration of exogenous cross-sex hormones
    • Estrogen - patch, pulls, injection; Androgen-blocker - usually spironolactone pills
    • Testosterone - Subcutaneous or intramuscular injection
33
Q

OARS

A

open ended questions
affirmation
reflective listening
summarize

34
Q

four processes of MI

A

engage
focus
evoke
plan

(EFEP)

35
Q

Types of screening

A

Mass
Selective (high risk populations)
Periodic (periodic screening of subgroup - cervical cancer in older women)

36
Q

Sensitivity & Specificity

A

Sensitivity: The ability of a test to correctly identify people who have the condition that is being tested for (i.e., a test’s ability to identify true positives).
poor sens: inc. false negatives

Specificity: The ability of a test to correctly identify people who do not have the condition that is being tested for (i.e., a test’s ability to identify true negatives)
poor spec: inc. false positives

37
Q

Essentialism

A

one thing has universal identity; does not take into account variation within a culture and can lead to stereotyping

38
Q

CLAS

A

Culturally and Linguistically Appropriate Services

39
Q

Three levels of prevention

A

First: before disease
Second: focuses on early detection and swift treatment
Third: minimizes effects of disease after diagnosis is firmly established

40
Q

Occupational hazards: Normalized deviation

A

• Dangerous behavior is normalized - just bc something dangerous works a bunch of times, doesn’t mean it will work forever.

41
Q

Type II violence

A

caused by pts

42
Q

5 As of Tobacco

A
Ask - can we talk
Advise - benefits of quitting
Assess - readiness for change
Assist - make a plan
Arrange - follow up
43
Q

5 Rs for encouraging behavior change (eg smoking)

A
Relevance
Rewards
Risks
Roadblocks
Repetition
44
Q

Exercise Recommendations - Adults

A

150 min moderate (for preggo women too) or 75 intense exercise. 2 days muscle strengthening

45
Q

Exercise Recommendations - Kids

A

60 min every day, muscle 3x/wk

Bone-strengthening

46
Q

SMART goals

A
specific
measurable 
acheivable
relavent
time-bound
47
Q

Domains of Learning

A

Cognitive/thinking- discussion
Affective/feeling - role play
Psychomotor/acting - demonstration

48
Q

Somnambulism

A

sleep-walking (17% of kids?)

49
Q

Domestic Violence Screening Tool

A

HITS

50
Q

Stages of change

A
Precontemplation
Contemplation
Preparation
Action
Maintenance
51
Q

Gross Motor Skills

A

2-4 mo: smile, objects in mouth, follows objects w eyes, drools, chew. Nocturnal sleep patterns at 4 mo.
5-8: sit, roll over, sleep through night, reg. bladder and bowels
9-11: crawl, pulls to standing, drinks from cup, PINCHING, attempts to walk
12-15: no more babinkskis, uses spoon, walks, shakes head “no”, shivers, HAND EYE COORDINATION
16-18: walks up stairs, turns pgs of book, objects in a hole, potty training