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272 Cards in this Set
- Front
- Back
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What is the DSM-IV-TR criteria for an ill psych patient?
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general medical condition adversely affected by a psychological factor
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Depression, anxiety, substance abuse, grief and loss, denial, and fear of dependency are all psychological responses to __________ _________ ___________
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serious medical illness
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During the nursing assessment of a psych patient you must assess Psycho_________ factors
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psychosocial
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During the nursing assessment of a psych patient you must assess a brief _______ _____ ________
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quality of life assessment
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During the nursing assessment of a psych patient you must assess usual _______ ___________
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coping strategies
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During the nursing assessment of a psych patient you must assess ______ __ ________ ______
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activities of daily living
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During the nursing assessment of a psych patient you must assess _________ and ____________
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spirituality and religiosity
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During the nursing assessment of a psych patient you must assess social ______ and __________
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activities and supports
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Monitoring stress is a _________ level intervention
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basic
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Teaching stress management technizues is a _________ level intervention
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basic
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Assessing the efficacy of the pain management program is a _________ level intervention
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basic
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considering complementary approaches to stress and pain is a _________ level intervention
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basic
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Cognitive-behavioral psychotherapy are _________ ____________ interventions
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advanced practice
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Guided imagery is a _________ ________ intervention
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advanced practice
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Biofeedback is a _________ ________ intervention
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advanced practice
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Acupressure is a _________ ________ intervention
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advanced practice
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hypnosis is a _________ ________ intervention
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advanced practice
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Psychodynamic psychotherapy is a _________ ________ intervention
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advanced practice
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Teach patients to ______ all they can about the disease
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learn
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Teach patients to practice __________ behaviors
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healthy
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Assessing the efficacy of the pain management program is a _________ level intervention
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basic
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considering complementary approaches to stress and pain is a _________ level intervention
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basic
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Cognitive-behavioral psychotherapy are _________ ____________ interventions
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advanced practice
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Guided imagery is a _________ ________ intervention
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advanced practice
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What is the DSM-IV-TR criteria for an ill psych patient?
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general medical condition adversely affected by a psychological factor
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Biofeedback is a _________ ________ intervention
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advanced practice
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Depression, anxiety, substance abuse, grief and loss, denial, and fear of dependency are all psychological responses to __________ _________ ___________
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serious medical illness
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Acupressure is a _________ ________ intervention
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advanced practice
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During the nursing assessment of a psych patient you must assess Psycho_________ factors
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psychosocial
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During the nursing assessment of a psych patient you must assess a brief _______ _____ ________
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quality of life assessment
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hypnosis is a _________ ________ intervention
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advanced practice
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Psychodynamic psychotherapy is a _________ ________ intervention
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advanced practice
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During the nursing assessment of a psych patient you must assess usual _______ ___________
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coping strategies
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Teach patients to ______ all they can about the disease
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learn
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During the nursing assessment of a psych patient you must assess ______ __ ________ ______
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activities of daily living
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Teach patients to practice __________ behaviors
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healthy
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During the nursing assessment of a psych patient you must assess _________ and ____________
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spirituality and religiosity
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During the nursing assessment of a psych patient you must assess social ______ and __________
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activities and supports
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Monitoring stress is a _________ level intervention
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basic
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Teaching stress management technizues is a _________ level intervention
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basic
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Teach patients to take advantage of medical ______ _______
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support groups
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Teach patients to consider entering ___________
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psychotherapy
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Teach patients to find a way to express _______
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feelings
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Teach patients to seek additional help if they become _______
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depressed
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Teach patients to find a _____ ________
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creative outlet
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Teach caregivers to not neglect _____________
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self-care
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Mental illness, HIV positive status, and transgender surgeries or reatments put a client at risk for....
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stigmatization
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Inadequate care, undue stress, worsening of physical illness and death are all potential risks of _______
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stigma
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Dr. Elisabeht Kybler-Ross did ground breaking work with the.....
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terminally ill
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According to Dr. Elisabeht Kybler-Ross, does personal growth cease in the last stages of life?
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no
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Which researcher's work spurred the opening of hospice organizations in America?
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Dr. Elisabeht Kybler-Ross
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The goal of palliative care is ________, __________ care for individuals with a life-limiting illness or injury
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quality, compassionate
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What approach must be taken in palliative care inregards to medical care, pain management, and emotional and spiritual support?
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team- oriented approach
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Whose choices are followed in palliative care?
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the terminally ill individual's choices
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_______ and _______ should be included in the team-oriented approach of palliative care
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family and friends
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Hospice:
Ensuring client _______ and ________ |
dignity and respect
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Hospice:
treating the client and family as the _____ of_______ |
unit of care
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Hospice:
Supporting a _______, _______-______ death |
peaceful, pain-free
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Hospice:
provides client ____ and _______ |
control and choice
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Hospice:
Views the client _________ |
holistically
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What does hospice offer to the family after the death?
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bereavement support
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Is hospice care available to anyone regardless of age, diagnosis, or the ability to pay?
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yes
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Hospice care requires a physicans best clinical judgement that the client is terminally ill with a life expectancy of ____ months or less
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6
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The client chooses _________ _____ rather than curative treatment
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hospice care
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In end of life care, the art of Presence:
means that the role of the nurse includes human ________ and __________ |
presence and receptivity
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In end of life care, the art of Presence:
Observe client's ________ ______________ |
nonverbal communications
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In end of life care, the art of Presence:
pay attention to your own _________ _________ |
emotional resourcesq
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In end of life care, the art of Presence:
ask the client ______ _______ questions |
open-ended
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In end of life care, the art of Presence:
stay _______; give the client all the time needed to respond |
silent
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In end of life care, the art of Presence:
offer a ________ ________ |
reassuring touch
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In end of life care, the art of Presence:
you must communicate ________ and shared ________ |
acecptance and shared humanity
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spirituality involves questions about how our lives relate to the rest of _________
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creation
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Religion:
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structured communities with shared spiritual beliefs
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What are structured communities with shared spiritual beliefs referred to as?
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religion
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Clients report that they feel cared about when nurses are interested in their _________
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spirituality
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Clients prefer spiritual discussion in the context of _________ __________
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ordinary conversation
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When starting a spiritual conversation, just _______ and seek to __________ the client
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listen and uderstand
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In spiritual conversations the nurse is there to ______ and ______
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learn and support
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When assessing spiritual issues the nurse must seek to hear....
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unspoken questions
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to grow more comfortable in hearing and expressing spiritual concepts a nurse can ...
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explore their own spirituality
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What is the hallmark of palliative nursing?
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excellent symptom management
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What is the goal of palliative symptom management?
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relieve a suffering person's pain and nausea
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Fears of a dying person include:
loss of _______ |
control
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Fears of a dying person include:
what physical symptom? |
pain
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Fears of a dying person include:
having death prolonged __________ |
artificially
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Fears of a dying person include:
submitting to the suffering of ________ |
death
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Palliative nursing returns a sense of ________ to a dying perosn as well as hope that uncomfortable symptoms can be _______
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control, alleviated
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What is the core competency for nursing at the end of life?
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knowledge of how to talk to clients and families about dying
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Caregviers value practical information such as:
Information about the ________ |
illness
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Caregviers value practical information such as:
how to give __________ |
medications
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Caregviers value practical information such as:
effect of ___________ |
medications
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Caregviers value practical information such as:
how to provide comfort ____ |
care
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Caregviers value practical information such as:
what to expect at the time of ________- |
death
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Caregviers value practical information such as:
how to make end-of-life _________ |
decision
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How many reiterations of new information do people need when they are under stress?
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at least 6
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When educating a stressed person:
convey information _____ |
slowly
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When educating a stressed person:
give information _________ |
repeatedly
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When educating a stressed person:
Have caregivers ________ _________ information |
write down
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When educating a stressed person:
review information _______ |
frequently
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Try to help the client and caregivers to focus on the _____ and _______
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here and now
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Help client and caregivers seek opporunitities to find ________ and _________
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respite and comfort
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Help client and caregivers live ___ ___ at a time
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one day
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To answer the "how long will this go on?"
Offer clinicall data based on _________ _________ |
physical examination
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To answer the "how long will this go on?"
Provide informaiton from which family and client can draw some __________ |
conclusions
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To counsel about anticipatory grieving a nurse can:
validate expressions of _____ |
grief
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To counsel about anticipatory grieving a nurse can:
invite clients and families to deal with ________- ______ |
affective issues
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To counsel about anticipatory grieving a nurse can:
Acknowledge the ________ and ______ in their lives |
loss and change
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To counsel about anticipatory grieving a nurse can:
explore ways of _______ |
coping
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An important role of the hospice caregiver is to encourage families to consent to the __________ of death
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inevitability
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What is the Four Gifts tool?
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forgiveness
love gratitude farewell |
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The following are part of what tool used to open conversation about the coming loss?
Forgiveness Love Gratitiude Farewell |
Four GIfts tool
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In the four gifts tool, forgivness is used to admit the _____ and ________ experienced form actions of the other person
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wrongs and hurts
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In the four gifts tool, forgivness intention is to _____ and ______ the hurt
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forgive and release
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In the four gifts tool, forgivness is a _________ act
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one-sided
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In the four gifts tool, forgivness does not mean that a truly injurious or abusive action has been ________ or _________
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condoned or accepted
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In the four gifts tool, forgivness signals a desire to let go of _____ and ________
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blame and anger
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In the four gifts tool, forgivness is a figt to the one _________ forgiveness
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offering
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In the four gifts tool, forgivness is accompanied by the question....
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"is there anything I have done or not done for which I need to say I am sorry?
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In the four gifts tool, love is expressed to _____________
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eachother
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In the four gifts tool, love is the message that...
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all people are loved for being just hwo they are, and they are loved just for being.
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With the four Gifts tool, gratitidue phase is taking the time to....
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thank eachother for what each has been in the other's life.
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With the four Gifts tool, gratitidue phase acknowledges the things that were taken for _______
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granted
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With the four Gifts tool, farewell is a deeploy appropriate and meaningful act when the _____ ______ of death is near
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final separation
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In the Seven Motifs, responses to dying are integrated with....
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broader themes in an individuals life
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In the Seven Motifs, quality of the death should be evaluated in reference to....
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life motifs and not by anyone else's standards
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In the Seven Motifs, dying is not necessarily or solely a _____ of ______
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crisis of meaning
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In the Seven Motifs, the struggle refferes to...
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living and dying are a struggle
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In the Seven Motifs, dissonance refers to...
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dying is not living
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In the Seven Motifs, endurance means...
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triumph of inner strength
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In the Seven Motifs, incorporation means...
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a belief system that accommodates death
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In the Seven Motifs, coping is...
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working to find a new balance
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In the Seven Motifs, the quest is...
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seeking meaning in dying
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In the Seven Motifs, volatile refers to...
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unresolved and unresigned
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In the seven motifs, any person will _______ motifs
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combine
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In the Seven Motifs, dying is a _____________ of an already compex and individualized life
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continuation
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In the Seven Motifs, we are to be reminded that dying is a deeply _____ event, deserving of ________, ________, and _______.
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personal; dignity, care, respect
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Grief is the reaction to _____
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loss
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What includes the depressed mood, insomnia, anxiety, poor appetite, loss of interest, guilt feeling, dreams about the deceased, poor concentration
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grief
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Bereavement:
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the social experience of dealing with the death of a loved one
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What is the the social experience of dealing with the death of a loved one
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bereavement
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Mourning:
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culturally patterned expressions of bereavement and grief
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WHat are culturally patterned expressions of bereavement and grief
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mourning
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Disenfranchised grief:
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grief that a person experiences when they incur a loss that is not and cannot be openly acknowledged, publicly mourned, or socially supported
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What type:
grief that a person experiences when they incur a loss that is not and cannot be openly |
diesnefranchised grief
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What is the 7 step pattern of response to loss?
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1- shock and disbelief
2- somatic distress 3- preoccupation with the image of the deceased 4- guilt 5- anger 6- change in behavior 7- reorganization of behavior directed toward a new object or activity |
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WHat is the most important support for acute grief?
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listening
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Is telling the story over and over normal?
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yes it is therapeutic for the bereaved
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You must communicate the message that the bereaved is _______ and ______
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understood and supported
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Are comments like:
"His death will be a terrible loss", "no one can replace her", and "he will be missed for a long time" helpful? |
yes
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What does dysfunctional grief mean?
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grief work is unresolved
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What is the most common response to unresolved grief?
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prolonged depression
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Tasks involved in the process of mourning include:
accepting the ______ of the loss |
reality
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Tasks involved in the process of mourning include:
working through the _____ of grief |
pain
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Tasks involved in the process of mourning include:
adjusting to an _________ in which the deceased is missing |
environment
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Tasks involved in the process of mourning include:
restructuring the family's relationship with the deceased and ______ in other relationships and life pursuits |
reinvest
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The work of mourning is over when the bereaved can remember realistically both the _________ and the _________
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pleasures and disappointments
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Group psychotherapy offers specialized __________ ___________
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treatment intervention
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Group psychotherapy is led by a _______ leader or co-leaders
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trained
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Group psychotherapy's purpose is to treat clients with __________- _______
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psychiatric disorders
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Advantages of group work include:
Cost _________ |
effective
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Advantages of group work include:
client feels less ______ |
isolated
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Advantages of group work include:
client recieves peer ________ |
feedback
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Advantages of group work include:
ability to teach different __________________ approaches |
problem-solving
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In the first phase of group development who is responsible for:
set up an atmosphere of respect, confidentiality, and trust? |
leader
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In the first phase of group development who is responsible for:
get to know one another |
group
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What does the group do in the first phase of group development?
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get to know one another
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What does the leader do in the initial phase of group development?
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set up an atmosphere of respect, confidentiality, and trust
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In the working phase of group development who is responsible for:
encouraging members to cooperate with each other and handle conflict? |
leader
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In the working phase of group development who is responsible for:
issues of power and control? |
group
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What does the group experience in the working phase of group development?
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issues or power and control
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What does the leader do in the working phase of group development?
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encourage members to cooperate with each other and handle conflict
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In the mature phase of group development who is responsible for:
keeping group focused on therapeutic goals of individual members? |
leader
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In the mature phase of group development who is responsible for:
developing functional norms and a sense of group identity? |
group
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In mature phase of group developemnt, the group...
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develops funcitonal norms and a sense of group identity
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In the working phase of group development who is responsible for:
acknowledging the contributions of each member and the experience as a whole? |
leader
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In the working phase of group development who is responsible for:
preparing for the separation and for the future? |
group
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In mature phase of group developemnt, the leader....
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keeps groups focused on therapeutic goals of individual members
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In the termination phase of group development the group....
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prepares for the separation and for the future
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In the termination phase of group development the leader....
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acknowledges the contributions of each member and the experience as a whole
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Task
Maintenance Individual Roles are ________ roles of group members |
informal
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Starting
Maintaining Terminating are roles of the group ________ |
leader
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What are 3 styles of group leadership?
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autocratic
democratic laissez-faire |
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THerapeutic factors of groups include:
the instillation of ______ |
hope
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THerapeutic factors of groups include:
_________ and _______ |
universality and altruism
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THerapeutic factors of groups include:
corrective recapitulation of the priamry ______ ______ |
family group
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THerapeutic factors of groups include:
development of ________ _________ |
socializing techniques
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THerapeutic factors of groups include:
_______ behavior |
imitative
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THerapeutic factors of groups include:
_____________ learning |
interpersonal
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THerapeutic factors of groups include:
group ___________ |
cohesiveness
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THerapeutic factors of groups include:
__________ |
catharsis
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THerapeutic factors of groups include:
__________ resolution |
existential
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Who can assume responsbility for a group on:
Medication education |
basic level RN
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Who can assume responsbility for a group on:
sexuality |
basic level RN
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Who can assume responsbility for a group on:
dual diagnosis |
basic level RN
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Who can assume responsbility for a group on:
multifamily |
basic level RN
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Who can assume responsbility for a group on:
symptom management |
basic level RN
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Who can assume responsbility for a group on:
stress management |
basic level RN
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Who can assume responsbility for a group on:
community |
basic level RN
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Who can assume responsbility for a group on:
self-care |
basic level RN
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Who can assume responsbility for a group on:
psychotherapy |
Advanced practice nurse
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Is this a problematic behavior in group therapy?
monoplizing the group |
yes
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Is this a problematic behavior in group therapy?
complains but ontinues to reject help |
yes
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Is this a problematic behavior in group therapy?
demoralizes others |
yes
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Is this a problematic behavior in group therapy?
silent person |
yes
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IAFN
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international association of forensic nurses
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When was the IAFN established?
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1992
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When did the ANA begin to recognize forensic nursing as a specialty practice area?
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1995
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What 3 elements are combined in the definition of forensic nursing?
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nursing science
forensic science criminal justice |
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What is the nurse-client relationship based on for a forensic nurse?
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the possibility that a crime has been committed
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What type of nurse works as a:
Coroner |
forensic nurse
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What type of nurse works as a:
death investigator |
forensic nurse
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What type of nurse works as a:
sexual assault nurse examiner |
forensic nurse
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What type of nurse works as a:
child abuse or elder abuse specialist |
forensic nurse
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What type of nurse works as a:
spouse or partner abuse specialist |
forensic nurse
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What type of nurse works as a:
legal nurse consultant |
forensic nurse
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The approach of the forensic nurse who is evaluating sanity of a client before child should be....
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detached, objective, and neutral
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The approach of the forensic nurse whos client is the jail or prison inmate should be...
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empathetic, supportive, accepting
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Legal sanity is the individuals ability to:
discriminate _________ from _______ with reference to the act charged |
right from wrong
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Legal sanity is the individuals ability to:
understand the ____ and ________ of the act charged |
nature and quality
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Legal sanity is the individuals ability to:
form the _________ to commit the crim |
intent
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Competence to proceed is determined by the defendants _________ in the p_______ at the time of the trial
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thinking in the present
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Competence to proceed is defined as the capacity to assists ones ________ and to ________ the legal proceedings
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attorney and understand
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A fact witness testifies regarding ____________ experience only
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first hand
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A fact witness testifies regarding what was ______ or _____, __________, or _________ regarding a patients care
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seen or heard, performed, or documented
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An expert Witness needs expertise, established by _____ __________
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professional credentials
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An expert Witness needs trustworthiness, established by the degree of _______ in demenaor and opinion as perceived by the ______ or ______
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honesty, judge or jury
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An expert Witness needs presentation style which is the ability to communicate in a _______ and _________ fashion
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concise and convincing
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In a healthy family management refers to: adults _______ as to how functions are to be performed
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agree
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In a healthy family the boundary needs to be ____, to help define _____ and allow for differences.
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clear, roles
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In a healthy family communication needs to be ________ and __________ messages about wants and needs
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clear and direct
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In a healthy family emotional-supportive means that feelings of _______ dominate family pattern and member's _____- needs are met
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affection; emotional
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In a healthy family socialization refers to members who are ____________ in adapting to new roles within the family
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flexible
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In a dysfunction family management is seen as an ___________ member making decisions
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innappropriate
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In a dysfunction family boundaries are _________ or _________: roles, thoughts, and feelings of members merged together
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diffuse and enmeshed
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In a dysfunction family boundaries are _______ or ________: established roles and rules are follosed no matter what
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rigid or disengaged
|
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In a dysfunction family communication is....
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manipulating, distracting, generalizing, blaming, placating
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In a dysfunction family emotional-supportive characteristics are ______ and __________ dominated
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conflic and anger
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In a dysfunction family socialization is characterized by role changed ________ resulting in increased _______
|
difficulty; stress
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Which fmaily therapy theory is:
psychodynamic family of origin experimental-existential? |
Insight-oreinted family therapy
|
|
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Which fmaily therapy theory is:
structural strategic cognitive-beavioral |
behavioral
|
|
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Basic concepts of family therapy sees the family as a ________
|
system
|
|
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basic concepts in family therapy have an __________ client
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identified
|
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basic concepts in family therapy have family _______
|
triangles
|
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basic concepts in family therapy recognize a _________ family emotional system
|
nuclear
|
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Which nurse may expeirience strong positive or negative reactions to a family?
|
basic level
|
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Which nurse may seek a supervisor to discuss what is happening?
|
basic level
|
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Which nurse will carry own family or origin factors in therapy?
|
AP
|
|
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WHich nurse will continue work with therapist on own fmaily issues?
|
AP
|
|
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Which nurse with hold the family in therapy accountable for themselves?
|
AP
|
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Which nurse will stay clear of the family trinagle's meaning and value of family's sociocultural context interventions?
|
AP
|
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|
OAM
|
Office of Alternative Medicine
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|
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NCCAM
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national center for complementary and alternative medicine
|
|
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Ayurvedic medicine origininated in
|
india
|
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Ayurvedic medicine supports ________
|
prevention
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Chinese medicine is derived from....
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taoism
|
|
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QI, or yin and yang are...
|
life force
health is the balance between yin and yang |
|
|
What are the 5 primordial elements in chinese theory?
|
wood, fire, earth, metal, and water
|
|
|
how many pulses are assessed in the chinese pulse diagnosis?
|
6
|
|
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in chiropractic theories misalignments are referred to as...
|
subluxations
|
|
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Chiropractic work forcus' on the relationship between _______ and _________
|
structure and function
|
|
|
Effleurage
petrissage vibration and percussion Friction are the four basic techniques of.... |
massage therapy
|
|
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Swedish massage provides soothing relaxation and an increase in ___________
|
circulation
|
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Which type of massage focus' on acupoints to balance Ki (life energy)?
|
Shiatsu
|
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Rolfing focus; on the treatment of __________ tissue and the _____________
|
connective tissue and fascia
|
|
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Reflexology focus' on the ________
|
feet
|
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how is life energy transferred bwetween layers and into the physical body?
|
chakras
|
|
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orthomoleculartherapy is...
|
megavitamin therapy
|
|
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In chinese medicine, how does qi move through the body?
|
through meridians
|
|
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Medical research indicates that accupuncture can:
Regulate blood ____ ____ Trigger ______ production Control blood _______ |
cell counts
endorphin pressure |
|
|
accupuncture is used to treat ________, _______ abuse, and _________ disorders
|
pain, substance, emotional
|
|
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In therapeutic touch does the practitioner's hands ever touch the patient?
|
no
|
|
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Aromatherapy is based on the theory that essential oils stimulates...
|
the release of neurotransmitters in the brain
|
