Quiz #1: Theories & Therapies for Nursing Practice/Therapeutic Nurse-Patient Relationship/Legal & Ethics Flashcards

Question

Psychosexual Stages of Development: Latency

Answer 1

- Nothing significant/sexual - Continues to grow - Focused on interacting with the environment

Answer 2

- Puberty and adolescence (time for more awareness for sexual pleasure and role of person sexual interest) - **Important because person develops trust during oral stage. Control in anal stage and role in phalic stage. (They use all this in order to form meaningful relationship)

Answer 3

1. Infancy (0-1.5 years) - Trust versus Mistrust 2. Toddler/Early Childhood (1.5-3 years) - Autonomy versus Shame and Doubt 3. Preschool (3-6 years) - Initiative versus Guilt 4. School Age (6-12 years) - Industry versus Inferiority 5. Adolescent (12-20) - Identity versus Role Confusion 6. Early Adulthood (20-35 years) - Intimacy versus Isolation 7. Middle Adulthood (35-65) Generativity versus Stagnation 8. Late Adulthood (65-Death) Ego Integrity versus Despair

Answer 4

Trust developed by satisfying the need otherwise, mistrust develops.

Answer 5

- Autonomy: In this stage, caregivers often serve as a safe base from which to explore the world. When caregivers encourage independence, children will feel secure enough to take risks. - Shame: Children whose caregivers discourage them may develop feelings of shame. If caregivers foster excessive dependence, the child may learn to doubt their own abilities.

Answer 6

Preschoolers are increasingly focused on doing things themselves and establishing their own goals. - Initiative: When caregivers nurture these tendencies, children learn how to make decisions and plan for the future. They can grow into adults who are able to follow their ambitions. - Guilt: If children are criticized for being assertive, they may feel guilt for pursuing their desires. Controlling caregivers may teach children to follow another’s lead rather than starting their own plans.

Answer 7

As children grow in independence, they become increasingly aware of themselves as individuals. They begin to compare themselves with others. - Industry: Children who are accomplished compared to their peers can develop self-confidence and pride. Praise for their achievements can boost their self-esteem. - Inferiority: Children who do not achieve certain milestones may doubt their abilities or self-worth. When children are constantly criticized, they may develop feelings of inferiority.

Answer 8

During this stage, adolescents’ main goal is to answer the question “Who am I?” They may try different personas to determine which roles fit them best. - Identity: To succeed in this stage, adolescents need to establish a coherent sense of self. They will need to determine their priorities in life (family, academic success, etc.). Then they will need to set goals for their adult selves based on those values. - Role confusion: Some adolescents may have a weak sense of self. They may struggle to break away from the person their parents or peers expect them to be. Without a consistent identity, they may grow confused about what they truly want for the future.

Answer 9

According to Erikson, young adulthood is the period during which many people get married or develop significant relationships. It has been defined as anywhere from 20-24 years to 20-40 years. - Intimacy: Relationships can be a key source of affection and intimacy in adulthood. Many find emotional benefits from having a committed, lifelong bond. - Isolation: According to Erikson, people who do not develop relationships may become socially isolated. They may develop long-term feelings of loneliness.

Answer 10

The focus of this stage is to contribute to society and the next generation. Adults in this stage are often at the height of their careers. Many people are raising children. - Generativity: People may offer guidance to the next generation through parenting or mentorship. They may also offer lead the way by leaving a legacy. Contributing to society’s future can give people a sense of community and purpose. - Stagnation: Some people may feel as if they have no impact on society. If people do not find their work meaningful, they may feel restless or isolated. Some may feel they have “peaked” and that their lives will only get worse in the future.

Answer 11

During this phase, older adults reflect on the life they have lived. - Ego Integrity: Those who feel fulfilled by their lives can face death and aging proudly. - Despair: People who have disappointments or regrets may fall into despair.

Answer 12

- Know why patient is not there. What is the need you can reach out to your patient. - Establish and understanding that the nurse is safe, confidential, reliable and consistent. - Trust developing here.

Answer 13

- Goal oriented toward promoting the patient’s growth and well-being, purposeful. ** - Present boundaries and be professional (not there to be friends), offer support and be nonjudgmental - Present time restriction (say you can only be there for a certain amount of time)

Answer 14

- Facilitating communication of distressing thoughts and feelings - Assisting patients with problem solving - Helping patients examine self-defeating behaviors - Promoting self-care and independence

Answer 15

- Transference | - Countertransference

Answer 16

- Patient unconsciously and inappropriately displaces (transfers) onto the nurse feelings and behaviors related to significant figures in patient’s past - You may find patient express in you bc pt says u look just like my sister and they are extra willing to give you. Bc u need an interview.

Answer 17

- Nurse unconsciously and inappropriately displaces onto the patient feelings and behaviors related to significant figures in the nurse’s past - Warning sign is if you over-identify with your patient - Ex: Elderly patient reminds you of your grandma- the problem here is then you are not being fair with your other pts. Medsurg role you spend more time in the room bc she looks like your grandma.

Answer 18

- Strive for a well-defined therapeutic nurse-patient relationship - Clear boundaries around the therapeutic relationship will provide a safe space for the patient to explore feelings and treatments - Don’t become too social with patients, don’t let your needs trump the patient’s needs and maintain strict boundaries pertaining to romantic/sexual relationships.

Answer 19

-People who have used and abused illegal drugs -People who use sexually vulgar language -Both women and men who identify as lesbian or gay and they make romantic advances toward you -People who have attempted suicide -People who have a history of sexually or physically abusing children -Extremely religious people People who do not believe in a god

Answer 20

- Pre-orientation Phase - Introductory/Orientation Phase - Working Phase - Termination Phase

Answer 21

- Self-exploration - Gather data about your pt. read ahead about them or previous SBAR - Plan for first meeting- how do I dx pt.

Answer 22

- Determine why patient sought treatment- asking pt more about themselves. Exemplified by knowing their CC. - Establish trust and open communication - Explore patient’s thoughts, feelings, and actions - Identify patient’s problems and define goals with patient

Answer 23

- Most of the therapeutic work is carried out in this phase - Goal: actual behavioral change (Explore stressors) - Promote patient’s insight and use of coping mechanisms - Overcome resistance behaviors

Answer 24

Establish reality of separation | Review progress & attainment of goals

Answer 25

``` Stimulus Sender Message Mode Receiver Feedback ```

Answer 26

1. Personal factors: emotions, mood, stress, personal bias, culture, language cognitive, problem solving abilities, knowledge level 2. Environmental factors: noise, privacy, accommodations, presence of others 3. Relationship factors: relationships, social standing, power