Midterm (Lesson 1-4)

Question 1

Expressive aphasia

Answer 1

CAN understand what’s being said, CAN’T express thoughts or feelings verbally

Question 2

Self-differentiation

Answer 2

The fundamental concept in Bowen’s construct of family system which emphasizes thinking rather than feeling and communication

Question 3

Five stages of dying in order

Answer 3

Denial 
Anger 
Bargaining 
Depression 
Acceptance

Question 4

When communicating with clients with mental disorders the nurse must _______.

Answer 4

Establish a connection with a client

Question 5

Adventitious crisis

Answer 5

Affects the whole Community or large groups of people simultaneously

Question 6

Three assessment tools used assess family relationships

Answer 6

Genograms
Ecomaps
and Family Timelines

Question 7

The nurse recognizes interventions for the initial family responses to crisis include what two things.

Answer 7

Repeating and frequently reinforcing information

Question 8

Three types of mental health emergencies

Answer 8

Violence
Suicidal behavior
and
Interpersonal victimization

Question 9

Three major types of crises

Answer 9

Situational crisis
Adventitious crisis
Developmental crisis

Question 10

Gerald Caplan’s concept of primary secondary and tertiary prevention to Crisis Intervention what are these prevention strategies specifically referring to

Answer 10

Shock
Recoil
and
Restoration

Question 11

The guidelines for communicating with the dying.

Answer 11

• 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

Question 12

What two parties to consider when dealing with a terminally ill child

Answer 12

The parent(s) and the child

Question 13

_________ is a type of the linguistic deficit.

Answer 13

Excessive aphasia

Question 14

What is included in the communication disability

Answer 14

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

Question 15

The first type step in Crisis Intervention

Answer 15

Assess the lethality and mental status of the client

Question 16

The steps of developing an action plan (3)

Answer 16

• Providing structure and encouragement
• Designing achievable tasks
• Engaging clients in simple problem solving activities

Question 17

The assessment tool that uses visual diagrams

Answer 17

Family timeline

Question 18

In a healthcare setting family is defined as

Answer 18

• May be blood related
• Is an essential part of the healthcare team
• Has a close relationship with the client

Question 19

Crisis

Answer 19

Occurs when a stressful life event overwhelms an individual’s ability to cope effectively in the face of a perceived challenge or threat

Question 20

Based on ‘Arnold’s text’, which situations characterize the grieving process

Answer 20

Acute grief
Chronic sorrow
Complicated grieving

Question 21

Know the elements of a ‘good death’

Answer 21

Receiving affirmation as a whole person
Pain and symptom relief
Achieving a sense of completion

Question 22

When a client expresses a sense of loss, this describes:

Answer 22

The breaks in their expected life story

Question 23

Receptive aphasia

Answer 23

Has difficulty in receiving and processing written and oral messages

Question 24

Genogram

Answer 24

Focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations

Question 25

Crisis Intervention

Answer 25

A systematic application of theory-based problem-solving strategies designed to help individuals and family resolve a crisis situation quickly and successfully

Question 26

The nurses role in the care of a client with communication deficit

Answer 26

• The assessment of the patient’s communication abilities
• The development of strategies to facilitate communication
• Advocacy

Question 27

An advanced directive

Answer 27

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

Question 28

What can interventive questioning be used to do

Answer 28

Help family members sort out personal fears, concerns, and challenges in healthcare situations

Question 29

Blended family

Answer 29

A combination of two families with children from one or both families and sometimes Children of the newly married couple

Question 30

The goal of Crisis Intervention (3)

Answer 30

1) Stabilization of distress symptoms
2) Reduction of distress systems
3) Restoration of functional capabilities

Question 31

How can the nurse communicate with a visually impaired client

Answer 31

Using vocal cues

Question 32

Compassion fatigue

Answer 32

A syndrome associated with serious spiritual physical and emotional depletion related to caring for clients

Question 33

The indicators for family assessment (3)

Answer 33

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

Question 34

The nurse should initially ___________, during report, when speaking with a doctor when a client is becoming increasingly short of breath

Answer 34

State the problem

Question 35

The nurse should _______ when orientating families of a client.

Answer 35

Provide information on the unit location of the cafeteria and restrooms parking options nearby lodging and access to the hospital list or physician

Question 36

Communication deficits (3)

Answer 36

1) Visual impairment
2) Speech and language deficits
3) Cognitive deficits

Question 37

The types of family composition according to Arnold and Boggs

Answer 37

Dyad family

Question 38

What strategies could you use to reach out to a client who recently lost their vision

Answer 38

Use vocal cues as you approach to avoid startling the blind client