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26 Cards in this Set
- Front
- Back
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a client reveals to the nurse that he is having an affair. what would be the most appropriate response? |
"this affair seems to be troubling you." |
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during which phase of the therapeutic relationship would the nurse and client discuss the pros and cons experienced during the relationship? |
termination |
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a nurse and patient take action to meet health- related goals. this occurs in which phase of the therapeutic relationship? |
working |
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what are values |
qualities, principles, attitudes, and beliefs about worth of an object, behavior, or idea whats important to you values change over time- influenced over time |
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types of values |
active- what we do cognitive- what we think |
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what is values clarification? |
a method for discovering ones values and the importance of those values |
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steps within valuing process |
choosing (cognitive process) choosing freely prizing (affective/ emotional process) being happy w/ personal beliefs and actions acting (behavior) acting in some pattern |
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what is self concept? |
Selfconcept- mental pictureof self, evolves throughout life, shaped by genetics. Experiences. Individualaction. Feedback. |
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what is self esteem? |
Selfesteem- learned fromexperience, results for feedback on abilities/ limitations, your feelings, how wefeel about ourselves
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what is self disclosure?
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Selfdisclosure- appropriatesharing of self enhances self knowledge, promotes reciprocal interaction;mutual exchange, what you share about yourself to others, making clientfeel relatable
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what are types of communication? |
Verbal(both written/ spoken) Sign language and braille Challenge if not fluent in thatlanguage Nonverbal (gestures, facial expressions) Body language, 5 senses Cultural- hand gestures, eye contact Vulnerable to misunderstanding Metacommunication Understanding the hidden meaning ofa message, reading between the lines Verbal ad non verbal match butsomething is off |
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what are factors in effective communication? |
1. firmly stating case- what we are going to discuss 2. clarifying the message- make sure they understand the message, say it back to you 3. seeking feedback- "did i explain that okay?" 4. being receptive to received feedback |
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zones of space |
intimate space- up to 18 inches personal space- 18 inches to 4 feet social consultative space- 9 to 12 feet public space- 12 feet + |
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transference |
when the nurse reminds the client of someone |
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countertransference |
the client reminds the nurse of someone |
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how is growth defined? |
quantifiable change in structure thoughtout life influences on growth loosing and gaining weight- numeric |
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how is development defined? |
advance in skill from lower to more advanced complexity advancing in a skill.. moving to advanced skill gradual change and expansion of ability and advance in skill from a lower to a more advanced complexity |
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Erickson- psychosocial |
adolescent- 13 to 18- identity vs. role confusion
achieving identity role confusion- don’t know who theyare- confused- weak sense of self-
young adult- 18 to 35- intimacy vs. isolation intimacy-able to establish long lastingrelationships- marriage- set job isolation- lonely- middle adult- 35 to 65- generactivity vs. stagnation generactivity- producing/ nurturing/creating.. Something good, leaving a lasting impressionstagnation- not going anywhere.. unfulfilled- older adult- 65 and older- ego integrity vs. despair ego integrity- im proud of myself andwhat I have accomplished despair- didn’t do enough, could havedone more |
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Kohlberg- behavioral |
goal is justice Preconventional-avoid punishment, gain reward (school age) Conventional-gain approval, avoid disapproval (adolescent) Postconventional-agreeing upon rights, personal moral standards (young adult) |
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tanner staging |
sexual maturity rating |
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signs of puberty |
male: thinning scrotal sac, enlargement of testes females: breast buds, growth spurt |
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turner syndrome |
female: short stature, webbed neck, low set ears, lack of sexual development, learning disabilities |
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relationship stages |
1. orentation or intro phase- establishing a connection 2. working phase- action phase- providing instructions, change takes place 3. termination- end- say goodbye and part ways, achieved what you had listed as goals, no longer need to meet |
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self awareness |
1. listening to oneself- paying attention to action and thoughts (memories,actions, emotions) 2. listening and learning from others- getting different viewpoints 3. self disclosure- what you share about yourself to others, make client feel comfortable, relatable 4. reflection- step back and think, improving self |
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metacommunication |
understanding the hidden meaning of a message, reading between the lines, verbal and nonverbal match but something is off |
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Gilligan's theory |
this theory is gender specific and uses kohlbergs research as a foundation |
