Midterm (Lesson 1-4) Flashcards
Expressive aphasia
CAN understand what’s being said, CAN’T express thoughts or feelings verbally
Self-differentiation
The fundamental concept in Bowen’s construct of family system which emphasizes thinking rather than feeling and communication
Five stages of dying in order
Denial Anger Bargaining Depression Acceptance
When communicating with clients with mental disorders the nurse must _______.
Establish a connection with a client
Adventitious crisis
Affects the whole Community or large groups of people simultaneously
Three assessment tools used assess family relationships
Genograms
Ecomaps
and Family Timelines
The nurse recognizes interventions for the initial family responses to crisis include what two things.
Repeating and frequently reinforcing information
Three types of mental health emergencies
Violence
Suicidal behavior
and
Interpersonal victimization
Three major types of crises
Situational crisis
Adventitious crisis
Developmental crisis
Gerald Caplan’s concept of primary secondary and tertiary prevention to Crisis Intervention what are these prevention strategies specifically referring to
Shock
Recoil
and
Restoration
The guidelines for communicating with the dying.
- Relate to on a human level.
- Show humor as well as sorrow
- Avoid destroying hope
- Reframe hope to what can happen in the here and now
- Maintain a sense of calm
- Use eye contact touch and comfort measures to communicate
What two parties to consider when dealing with a terminally ill child
The parent(s) and the child
_________ is a type of the linguistic deficit.
Excessive aphasia
What is included in the communication disability
Any impairment in body structure or function that interferes with communication
May be caused by impaired functioning of one or more of the five senses or by impaired cognitive functioning
Can also arise from the kind of sensory deprivation that occurs in some extensive intensive care hospital units
The first type step in Crisis Intervention
Assess the lethality and mental status of the client
The steps of developing an action plan (3)
- Providing structure and encouragement
- Designing achievable tasks
- Engaging clients in simple problem solving activities
The assessment tool that uses visual diagrams
Family timeline
In a healthcare setting family is defined as
- May be blood related
- Is an essential part of the healthcare team
- Has a close relationship with the client
Crisis
Occurs when a stressful life event overwhelms an individual’s ability to cope effectively in the face of a perceived challenge or threat
Based on ‘Arnold’s text’, which situations characterize the grieving process
Acute grief
Chronic sorrow
Complicated grieving
Know the elements of a ‘good death’
Receiving affirmation as a whole person
Pain and symptom relief
Achieving a sense of completion
When a client expresses a sense of loss, this describes:
The breaks in their expected life story
Receptive aphasia
Has difficulty in receiving and processing written and oral messages
Genogram
Focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations
Crisis Intervention
A systematic application of theory-based problem-solving strategies designed to help individuals and family resolve a crisis situation quickly and successfully
The nurses role in the care of a client with communication deficit
- The assessment of the patient’s communication abilities
- The development of strategies to facilitate communication
- Advocacy
An advanced directive
A legal document that gives client’s the privilege to specify what actions should be taken on their behalf should they be unable to make health-related decisions
What can interventive questioning be used to do
Help family members sort out personal fears, concerns, and challenges in healthcare situations
Blended family
A combination of two families with children from one or both families and sometimes Children of the newly married couple
The goal of Crisis Intervention (3)
1) Stabilization of distress symptoms
2) Reduction of distress systems
3) Restoration of functional capabilities
How can the nurse communicate with a visually impaired client
Using vocal cues
Compassion fatigue
A syndrome associated with serious spiritual physical and emotional depletion related to caring for clients
The indicators for family assessment (3)
1) Deterioration in a family members condition
2) Discharge from a healthcare facility to the home
3) Health problem is defined by the family as a family issue
The nurse should initially ___________, during report, when speaking with a doctor when a client is becoming increasingly short of breath
State the problem
The nurse should _______ when orientating families of a client.
Provide information on the unit location of the cafeteria and restrooms parking options nearby lodging and access to the hospital list or physician
Communication deficits (3)
1) Visual impairment
2) Speech and language deficits
3) Cognitive deficits
The types of family composition according to Arnold and Boggs
Dyad family
What strategies could you use to reach out to a client who recently lost their vision
Use vocal cues as you approach to avoid startling the blind client
