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Psych Final pt 1

66 flashcardsby Cat
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1
General Adaptation Syndrome def
Bodys Reaction to Stress
2
Stages of GAS (general adaptation syndrome)
Alarm, Resistance, Exhaustion
3
Alarm stage s/s
Cortisol increases, tachycardia, htn
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resistance stage s/s
poor concentration, irrtitability, frustration
5
exhaustion stage
low immunity, fatigue, depression, anxiety, disease
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Levels of anxiety
mild, moderate, severe, panic
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Mild Anxiety
normal and expected response
8
mild anxiety s/s
heightens awareness, increases perceptual field, helps learning process but can increase irritability
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moderate anxiety s/s
decreased concentration and attention, decreases perceptual field, tachy cardia, tachypnea, GI discomfort, muscle tension
10
severe anxiety
difficulty with ADL's and ineffective learning
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severe anxiety s/s
dread, h/a, n/v, diarrhea, palpitations, hyperventilation, insomnia
12
panic anxiety
loss of reality, ineffective communication, life threatening
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panic anxiety s/s
terror, hallucination, delusions, dilated pupils, trembling, diaporesis
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Mild-Moderate Anxiety Tx
problem solving skills, past coping mechanisms, provide outlet for tension (exercise, art)
15
Severe to panic anxiety tx
quiet calm enviorment, simple clear language, physical needs (maslows)
16
Which stage of GAS has increased cortisol levels tachycardia, and htn?
Alarm
17
Mild anxiety can benefit learning process t or f?
true
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what level of anxiety has "terror" or "impending doom"
panic anxiety
19
Phases of nurse client relationship
preorientation
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preorientation phase includes...
prepare for meeting, review chart, examine feelings/stereotypes etc.
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oreintation phase includes...
introductions, boundaries, confidentiality, set goals, talk about meetings
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working stage includes...
gather data, coping skills, education, evaluate progress
23
termination stage includes...
summarize goal acheivement, use of skills in life, discharge plan, feelings of termination (pt may feel grief)
24
transference
Pt correleates nurse with another person
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countertransference
Nurse correlates PT with another person
26
what would you like to talk about? ...is what kind of therapeutic technique?
broad opening remark
27
tell me more about the voices ...is what kind of therapeutic technique?
open-ended questions
28
you seem sad today ...is what kind of therapeutic technique?
sharing observation
29
do i understand you correctly when you say this ...is what kind of therapeutic technique?
clarification/validation
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What are your thoughts on that specific thing ...is what kind of therapeutic technique?
reflection (refer question back)
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I will wait with you ...is what kind of therapeutic technique?
offer self
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so your anxiety is keeping you up at night ...is what kind of therapeutic technique?
restating
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I understand that you are hearing voices but I do not hear any voices ...is what kind of therapeutic technique?
presenting reality (correct misconception)
34
Non verbal therapeutic communicationt techniques
silence, eye contact, therapeutic touch
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everything is going to be just fine... is therapeutic or non therapeutic
non its false reassurance
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you did the right thing...is therapeutic or non therapeutic
non it is judgement
37
are you sad ....is therapeutic or non therapeutic
non it is close ended
38
why are you angry...is therapeutic or non therapeutic
non it makes pt defensive
39
you dont smoke do you...is therapeutic or non therapeutic
non it is biased or leading
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lets talk about something else...is therapeutic or non therapeutic
non it is changing the subject
41
during which phase of nurse client relationship is confidentiality adressed?
orientation
42
Avoidance def
avoid things that cause distressing thoughts or feelings
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Compensation
focusing on strengths rather than perceived weakness
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Conversion
development of physical symptoms without underlying medical cause
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Denial
refuse to accept reality
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displacement
transfer feeling from one target to another
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disaccosiation
observing one selfs from outside
48
identification
adopts feeling or thoguht of another person
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intellectualization
avoid emotions and focus on facts
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projection
project thoguts and feelings on someone else
51
rationalization
attempt to justify unacceptable behavior with logic
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reaction formation
individual expresses opposite behaviors from what is actually felt
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regression
reverts to an earlier developmental level in response to stressor (older sibling wets pants due to a new baby in house)
54
repression
involuntary blocking of unpleasant feelings (you dont realize)
55
splitting
cannot recognize both bad and good in a person (all or nothing) and common in borderline personality disorder
56
sublimation
takes unacceptable impulses and converts them to acceptable behavior (ex punching a sandbag instead of your boss)
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suppression
concious blocking of unpleasant feelings
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undoing
cancel out unacceptable thoughtsehaviors by doing something else
59
Peplau's infancy stage involves what skill
learning to count on others (communicating needs)
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Peplaus toddlerhood stage involves what skill
learning to delay satisfaction to "please others"
61
Peplaus early childhood stage involves what skill
identifying ones self an understanding expectations
62
Peplaus late childhood stage involves what skill
developing skills in participation (compromise, competition, cooperation)
63
What stage of development is a 18 month old in?
trust vs mistrust
64
What stage of development is a 2 year old in?
autonomy vs shame and doubt
65
what stage of development is a 40 year old in?
generativity vs stagnation
66
at what age does ego integrity vs despair begin
65 YOA
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