Psych Exam 1: 8 10 11

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Psych Exam 1: 8 10 11
2015-01-31 14:30:09
Psych 8, 10, 11
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  1. What is it called when each person has distinct gifts that we can learn to use creatively to form positive bonds with others
    Therapeutic Use of Self
  2. Name 3 different types of relationships
    • intimate
    • social
    • therapeutic
  3. What is a relationship that is primarily initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task
  4. What type of relationship allows the nurse to maximize his or her communication skills, understanding of human behaviors, and personal strengths to enhance the patient's growth
  5. Name 5 necessary behaviors of health care workers:
    • accountability
    • focus on pt needs
    • clinical competence
    • delaying judgment
    • supervision
  6. What is a  time limited relationship that can be substantial, useful, and important for the patient
    therapeutic encounter
  7. What are 3 terms that boundaries can be thought in?
    • Physical
    • The contract
    • Personal space
  8. Name two common circumstances in which boundaries are blurred.
    • When relationship switches to social context
    • When nurse needs are met at pt's expense
  9. Name 7 common countertransference reactions
    • boredom
    • rescue
    • overinvolvment
    • overidentification
    • misuse of honesty
    • Anger
    • Helplessness/hopelessness
  10. What are abstract standards that represent an ideal, either positive or negative
  11. What type of relationship consists of a nurse who has skills and expertise and a patient who wants to alleviate suffering, find solutions to problems, explorer different avenues to increased quality of life, and/or find an advocate
    professional nurse-pt relationship
  12. What phase the nurse-patient relationship occurs before actually meeting the patient
    Preorientation phase
  13. What phase of the nurse-patient relationship can last a few meetings or extend over a long period, its the first time nurse and pt meet and where nurse conducts initial interview
    Orientation phase
  14. What either stated or written contains the place, time, date, and duration of meetings?
  15. What phase of the nurse-patient relationship allow the nurse and patient together identify and explorer areas that are causing problems in the patients life?
    working phase
  16. What phase of the nurse-patient relationship occurs when the patient is discharged or when the student's rotation ends
    termination phase
  17. What are 3 vital components for establishing a therapeutic relationship
    • genuineness
    • empathy
    • positive regard
  18. What is self-awareness of one's feelings as they arise within the relationship and the ability to communicate them when appropriate
  19. What is the complex multidimensional concept in which helping the person attempts to understand the world from the patient's perspective
  20. Difference between empathy and sympathy
    • empathy: understand
    • Sympathy: pity
  21. What is the ability to view another person as being worthy of caring about and as someone who has strengths and achievement potential
    Positive regard
  22. What is a special kind of listening that refers to an intensity of presence or being with the patient
  23. What are psychological or physical stimuli that are incompatible with current functioning and require adaptation
  24. What effect does fight or flight have on vitals
    Increased BP, HR, and CO
  25. Name the 3 stages of general adaptation syndrome (GAS)
    • Alarm
    • Resistance
    • Exhaustion
  26. What stage of GAS is the initial, brief, and adaptive response to a stressor
  27. What are the 3 principle responses in Alarm Stage of GAS
    • Sympathetic (increased vitals, release adrenalin, pupil dilation, blood shunted from digestive/kidneys)
    • Corticosteroids (Increase muscle endurance)
    • Endorphins (Reduce pain from injury)
  28. What stage is of GAS is extremely intense, no organism can sustain this level of reactivity very long?
  29. What stage of GAS is also known as adaptation stage
  30. What stage of GAS occurs when attempts to resist the stressor prove futile?
  31. What is a negative draining of energy that results in anxiety, depression, confusion, helplessness,, hopelessness, and fatigue
  32. What is a positive, beneficial energy that motivates and results in feelings of happiness, hopefulness, and purposeful movement
  33. What focuses on the interaction between psychological process and nervous and immune functions
  34. Name 6 effective stress busters
    • sleep
    • exercise (aerobic)
    • Reduce Caffiene
    • Music
    • Pets
    • Massage
  35. What premise believes that anxiety results in tense muscles, one way to decrease anxiety is to nearly eliminate muscle contraction (Tense as tight as possible for 8 seconds, than relax)
    Progressive muscle relaxation (PMR)
  36. What is a discipline that trains the mind to develop greater calm then using that calm to bring penetrative insight into one's experience
  37. Name the steps of relaxation response
    • shoulders
    • hands
    • forehead
    • eyes
    • jaw
    • breathe
  38. What areas of the brain are activated in a default network of mind wandering
    medial prefrontal cortex and memory regions like hippocampus
  39. What areas of the brain are activated in a direct experience of mindfulness
    • Insular cortex (body sensation and self)
    • Anterior cingulate cortex (attention/focus)
  40. What is the goal of cognitive reframing
    change the individual's perception of stress by reassessing a situation and replacing irrational beliefs
  41. What is the style of behavior a child habitually uses to cope with the demands and expectations of the environment
  42. Name the types of assessment data
    • hx of present illness
    • developmental hx
    • developmental assessment
    • neurobiological assessment
    • medical hx
    • fx
    • mental status assessment
  43. What type of therapy involves using literature to help the child express feelings in a supportive environment, gain insights into feelings and behaviors, and learn new ways to cope with difficult situations
  44. What is a deficit in language skills acquisition that creates impairments in academic achievement, socialization, or self-care?
    communication disorders
  45. When are specific learning disorders identified
    during the school years
  46. What is difficulty in reading? Math? Writing?
    • dyslexia
    • dyscalculia
    • dysgraphia
  47. What are disorders characterized by deficits in 3 areas (intellect, social, practical)
    Intellectual development disorders
  48. What are complex, neurobiological and developmental disabilities that typically appear during the first 3 years of life (affects normal development of brain in social interaction and communication)
    Autism spectrum disorders
  49. What disorder is characterized by repetitive speech, use of objects, overadherence to routine or rituals, fixations with particular objects, hypo-hyper reactivity to sensory input, and extreme resistance to change
  50. What kind of meds are most popular for individuals with autism
  51. What disorder is characterized by inappropriate degree of inattention, impulsiveness, and hyperactivity
  52. What is the criteria for a child to be diagnosed with ADHD
    • sx present in two settings (home and school)
    • Sx occur before age 12
  53. What disorder can contribute to low frustration tolerance, temper outbursts, labile moods, poor school performance, peer rejection, and low self-esteem
  54. What kind of drugs are used to treat ADHD and how?
    • psychostimulant drugs
    • Quickly increase attention span and task-directed behavior while reducing impulsivity, restlessness, and distractibility