Psychosocial and Death, Dying, Grief Flashcards
Identity
internal sense of individuality, wholeness, and consistency of a person over time and in different situations.
an adolescent attempting to adjust to the physical, emotional, and mental changes of increasing maturity.
body image
includes physical appearance, structure, and function of the body.
amputation, facial disfigurement, or scars from burns.
role performance
the way in which individuals perceive their ability ro carry out significant roles. situational transitions
self-esteem
individuals overall feeling of self worth
role conflict
Example: a middle-aged woman with teenage children assuming responsibility for the care of her older parents.
role ambiguity
common in adolescents and employment situations
role strain
example: providing care to a family member with Alzhemier disease.
role overload
unsuccessfully attempting to meet the demands of work and family while c carving out some personal time.
self-esteem stressors
example: perceived inability to meet parental expectations, harsh criticism, and inconsistent discipline.
Trust vs Mistrust (infancy-birth- 18 months)
Feeding- children will develop trust when caregivers provide reliability, care, and affection. A lack of this will lead to mistrust.
Autonomy vs shame and doubt: Early childhood (2-3 years)
Toilet training: Children need to develop a sense of personal control over physical skills and a sense of independence. Success leads to feelings of autonomy, failure leads to feelings of shame and doubt.
Initative vs Guilt : Preschool (3-5 years)
Exploration: Children need to begin asserting control and power over the environment. Succes in this stage leads to a sense of purpose. Children who try to exert too much power experience disapproval, resulting in a sense of guilt.
Industry vs. Inferiority: School age (6-11 years)
School: children need to cope with new social and academic demands. Success leads to a sense of competence, while failure results in feelings of inferiority.
Identity vs role confusion: Adolscense (12-18 years)
social relationships: teens need to develop a sense of self and personal identity. Success leads to an ability to stay true to yourself, while failure leads to role confusion and a weak sense of self.
Intimacy vs Isolation: Young adulthood (19-40)
Relationships: Young adults need to form intimate, loving relationships with other people. Success leads to strong relationships, while failure leads to loneliness and isolation.
Generativiy vs self absorption : Middle adulthood (40-65)
Work and parenthood: Adults need to create or nurture tings that will outlast them, often by having children or creating a positive change that benefits other people. Success leads to feelings of usefulness and accomplishments, while failure results in shallow involvement in the world.
Ego integrity vs despair : Maturity (65-death)
Reflection of life: older adults need to look back own life and feel a sense of fulfillment. Success at this stage leads to wisdom, while failure results in regret, bitterness, and despair.
Examples of situation factors:
personal, job, or family changes. (divorce, laid off, pregnancy)
examples of maturational factors:
stressors vary with age. children: related to physical appearance, families, friends, and school. Preadolscents- self esteem issues, changing family structure. Adolscenets- identify with peer groups and separate from their families. (sex jobs, schools, career choices)
examples of sociocultural factors:
environmental and social stressors. poverty and physically handicapped.
identify 3 subjective areas that are used to assess a patients level of stress.
- create a non-threatening physical environment
- assume the same height as the patient so you can maintain or avoid eye contact
- develop a trusting relationship with him or her.
Identify some objective findings related to stress and coping:
- observe grooming
- hygiene
- gait
- characteristics of handshake
- actions while sitting
- quality of speech
- eye contact
identify areas about which the nurse can educate patients and their families to reduce stress
- regular excercise and diet
- support systems
- time managment
- guided imagery and visualization
- progressive muscle relaxation therapies
- assertiveness training
- journal writing
- stress management in the workplace
ego defense mechanism: compensation
non athletic student joins debate team
ego defense mechanism: displacement
patient yes at significant other after being diagnosed with cancer
ego defense mechanism: intellectualization
patient discusses all test results but avoids focusing on fears and feelings.
ego defense mechanism: projection
preoperative patient says to wife, “don’t be scared”
ego defense mechanism: rationalization
mother of latchkey 10 yr old says, “he needs to learn to be self sufficient”
ego defense mechanism: rejection formation
a person does not like a neighbor but is over friendly.
ego defense mechanism: rejection formation
a person does not like a neighbor but is over friendly.
Maturational losses
form of nesscary loss, including all normal expected life changes across the life span.