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PSYCH Ch 9-13
| Question | Answer |
|---|---|
| Who developed the theory that considers communication as the social frame work for health care? | J. Ruesch |
| What type of process did Ruesch consider in which the messages traveled from within one person to another person and back again? | circular |
| What is the term for - 'unsuccessful interactions' | disturbed communications |
| When there is no opportunity for feedback what is this type of communication called? | disturbed |
| Who wrote 'Games People Play' | Eric Berne |
| Who used the term transactional analysis? | Eric Berne |
| What is transactional analysis? | the process of investigating what people say and do to each other |
| What is Berne's belief regarding 3 ego states? | Adult, child and parent |
| What do the 3 ego states of Berne make up? | personality |
| Whose work was the basis for neurolinguistic programming? | Milton Erickson |
| What are the 5 elements for communication? | message, sender, receiver, feedback and context |
| What are the 3 steps for communication? | perception, evaluation and transmission |
| What is another term for self talk? | intrapersonal communication |
| What is communication called when it is between two or more persons? | interpersonal communication |
| What are the 5 elements to communiction? | sender, message, receiver, feedback and context |
| What is level of relatedness? | the degree of intimacy authority and role status of the communication |
| What is in the 'context' of the message? | information being sent |
| What type of communication is occurring when there is a spoken word? | verbal communication |
| What elements does verbal communication include? | speaking, writing, the use of language and symbols |
| what is non verbal communication? | messages sent and received without the use of words |
| What are the 4 ways that messages are sent in the nonverbal level? | appearance, body motions, use of space and non language sounds |
| What refers to the rituals connected with greeting and departure ? | communication style |
| What is a linear communication style? | one that is direct to the point |
| What is a circular communication style? | one that is directed around the main point |
| What is acceptance communication style? | communication with favorable reception by implying |
| How do you communicate interest? | by expressing a desire to know another person |
| If you show consideration for another by communicating a willingness to work with the client what are you doing | showing respect |
| What are verbal and non verbal communications that encourage clients to communicate in a way that encourages growth called? | responding strategies or interaction skills |
| Messages that hinder effective communication are called ...? | non therapeutic communication |
| What are verbal messages that do not match the nonverbal communications called> | incongruent communications |
| What are communication acts of omission including? | failure to listen, probe, elicit descriptions, or explore the client's point of view |
| Definition: active process of receiving information and examining reaction | listening |
| Encouraging client to select topics for discussion | broad openings |
| Repeating main thought expressed by the client | restating |
| attempting to put into words vauge ideas of unclear thoughts of client | clarification |
| directing back client's ideas, feeling questions and content | reflection |
| discharge of energy through comic enjoyment | humor |
| skill of information giving | informing |
| asking the client to verify caregivers understanding of client's message | sharing perceptions |
| underlying client issues or problems that emerge repeatedly during caregiver client relationships | theme identifications |
| lack of verbal communicatino for therapeutic reason | silence |
| term fo the inability to speak | aphasia |
| term for impaired ability to read sometimes accompained by a mixing of letters or syllables in a word when speaking | dyslexia |
| What is rapid confused delivery of unrhythmic speech patterns | speech cluttering |
| How should you begin your interaction with the mentally ill when communicating? | by introducing yourself and explaining your purpose |
| What is one of the most important tools for communicating with mentall ill clients? | therapeutic listening |
| When assessing communicatino what should you first assess? | the client's ability to hear and speak |
| List nontherapeutic techniques for communication | failure to : listen, explore, probe ; eliciting vague descriptions, giving adequate answers, following standards too closely, parrotting, being judgmental, being defensive, giving reassurance, rejecting, using stereotyped words |
| What are the speech patterns associated with psychiatric patterns? | blocking, circumstantiality, echolalia, flight of ideas, mutism, neologism, perseveration, pressured speech, verbigeration, loose associations |
| How do you first establish trust in clients (what do you assess first?) | assess the client's ability to trust others |
| What is the second step in establishing trust? | be honest with them |
| What is the third focus in the establishment of trust? | clear communication |
| What is empathy? | the ability to walk a mile in another person's shoes |
| What is the term related to the concept of the ability to direct and control one's activities and destiny | autonomy |
| What concept relates to the process of sharing with another person | mutuality |
| What is the energy called that allows the caregivers to unconditionally accept all people even when they are most unlovable | caring |
| What concept involves the future | hope |
| What is defined by the confident yet uncertain expectation of achieving a future good | hope |
| Who described the 6 dimentions related to the concept of hope | Dufault and Martoccio |
| What are the 6 dimensions of hope? | affiliative, behavioral, cognitive, temporal, contextual and affective |
| If you receive what is being offered what are you said to be doing? | accepting |
| What is the ability to establish a meaningful connection with clients? | rapport |
| _________ implies that the nruse is open, hones, sincere, who is actively involved in the relationship | genuineness |
| The most therapeutic tool of any care provider is the_________ | self |
| What is the data gathering phase of therapeutic relationship called? | preparation |
| What phase of the therapeutic relationship does one become aquainted agree to work with each other? | orientation |
| what is the most importat step in the orientation phase? | to identify each other |
| in what phase of the relationship would you explain your role? | orientation |
| What is the focus of the working phase? | achieve the goals in the client cargiver agreement |
| What is referred to as the intervention designed to prevent clients from harming themselves or others? | limit setting |
| What is the phase that the goals of the therapeutic relationship are achieved? | termination |
| When should steps toward termination being? | before the last meeting |
| Who is the therapist among the following: CNA, nurse, social worker, psychiatrist | all |
| What are some environmental problems with regards to the physical environment? | lack of privacy, inappropriate meeting place, uncomfortable furniture, lighting and temperature |
| What are some problems with care providers with regards to therapeutic relationship? | attitude, setting helping boundaries and countertransferrence |
| What is the sign that the caregiver is becoming too involved? | when the need to "rescue" arrives |
| What is resistance? | attempts to avoid recognizing or exploring anxiety provoking material |
| What is primary resistance? | unwillingness to change even when they are aware of the need to change |
| What is secondary resistance? | when the client is motivated by drives other than the need to regain health |
| When emotions are placed upon one person from another this is____________ | transference |
| What is noncompliance? | not following the prescribed treatment regimen |
| what is the therapeutic milieu? | setting designed to hlep clients replace inappropriate behaviors with mroe effective personal and psychosocial needs |
| What are the 2 types of admission | voluntary and involuntary |
| What are the 3 uses of the inpatient setting? | for those experiencing crisis, for those with acute mental illness, and those with chronic mental illness |
| When is one said to be in 'crisis' | when their discomfort becomes greater than their need to solve their problems privately |
| What does the inpatient environment provide? | physical needs, safety , security |
| What is recidivism? | repeated inpatient admissions |
| For what 2 groups does recidivism seem to be problematic? | those with schizophrenia and those that use chemicals |
| What are the goals of a therapeutic environment? | provide protection, support and education |
| What are the 5 hierarchy needs according to Maslow? | physiological, safety and security, love and belonging, esteem needs, need for self-actualization |
| How is safety provided on the unit of inpatient setting? | objects that promote self harm are removed, identification codes |
| what is the intervention for poor perception of time? | clocks, calendars, schedules |
| ___________ means that caregivers acknowledge clients as human beings worthy of respect and dignity | acceptance |
| ___________is the need to achieve one's full potential | self actualization |
| What is the intervention for noncompliance related to lack of finances to pay for treatment | referral to social services |
| what is the intervention for noncompliance r/t physical side effects | refer to a physician , monitor clients response to meds |
| What is colic? | set of behaviors including severe crying in late afternoon |
| When does colic peak? | around 2-3 months |
| What are some problems with sleep ? | night terrors, problems falling asleep, nighttime awakenings |
| What is the most common expression of anger for children ages 1-4 years old | temper tantrums |
| What are temper tantrums a sign of ? | the child attempting to master their environment and them becoming frustrated when they are unable to achieve control |
| when a child is frustrated and begins to cry but no noise comes out and they turn blue and go limp what is this a sign of (if all medical problems are ruled out) | breath holding spell |
| What is the intervention for a breath holding spell? | ignore it , make sure child is safe and not actually choking |
| Approximately how many children are living in poverty in the nation? | 16% (16.3%) |
| How does emotional and psychological abuse erode a child's self esteem? | through rejection, criticism, isolation or terrorism |
| What parental characteristics influence the potential for abuse and neglect? | social isolation, teenage motherhood, difficulty controlling aggressive impulses |
| Environments filled with chronic stress may lead to____________ | child mistreatment |
| When is mental health assistance required with regards to child parent conflicts? | when the conflicts are contant and worsen over time |
| What is the vague uneasy feeling that occurs in resonse to a threat called? | anxiety |
| What is separation anxiety? | fear of being apart from ones parents |
| What is school avoidance and indicator of? | anxiety |
| What is the fear of being ridiculed or embarrassed at school indicative of? | social phobia |
| When older children or adolecents become depressed they manifest it by being what? | withdrawn |
| If a child has signs or symptoms of an illness but there is no traceable physical cause this is said to be what? | somatoform disorder |
| What is PTSD | post traumatic stress disorder |
| When does PTSD usually develop? | following an extremely traumatic event that involves injury or threat to the child |
| What are the 2 behavioral disorders in children that are most commonly encountered in children? | ADHD and conduct disordes |
| What is ADHD? | a cluster of behaviors relating to inattention and impulsive actions |
| What does the "immature child" display with ADHD? | silliness, distractibility, restlessness and clumsiness |
| Why does the ADHD child have problems with completing schoolwork? | because they are easily distracted |
| Children with ___________disorder are defiant of authority | conduct |
| Children with conduct disorder are classic of refusing to follow what? | society norms and violate rights of others |
| The oppositionally defiant have a recurring pattern of what? | disobedient , hostile behaviro towards authority figures |
| Children with eating disorders do what of 2 things? | do not eat enough or eat the wrong things |
| What is pica? | persistent eating of non food items for more than 1 month |
| How long does one have to have been eating non food items before the term Pica should be used? | 1 month |
| What is rumination disorder? | regurgitation of food for pleasure response |
| What is enuresis? | involuntary incontinence of a child 5 years or older |
| What is primary nocturnal enuresis? | wetting the bed at night |
| What is diurnal enuresis? | daytime wetting |
| What is secondary enuresis? | developed after a child has gained bladder control and is now incontinent |
| What is encopresis? | repeated usually voluntary passage of feces in inappropriate places |
| What must a child have to be considered retarded? | general intellectual and adaptive functioning |
| What are some things learning disorders affect in a child? | abilities of thinking, reading, writing, calculation, spelling, listening |
| Those who have problems with reading because they have difficulty integrating visual information are? | dyslexic |
| Problems with expression, receiving messages pronunciation and stuttering are all considered what? | communication disorders |
| Failing to use speech for his or her age group is what kind of disorder? | phonological |
| Speaking rapidly or slowly with strange rhythms is what disorder? | expresive language disorder |
| frequently repeated sounds is called when referring to communication disorders? | stuttering |
| What is a pervasive developmental disorder? | one that is severe enough to affect several areas of funcitoning |
| What is the disorder of communication, social interactionand behavior called? | autism |
| What is childhood disintegrative disorder | a period of severe regresion in many area following 2 years of normal development |
| _________ is a condition associated with disturbing thought patterns and a disorted reality | schizophrenia |
| What is the core disturbance with childhood schizophrenia? | lack of contact with reality, child's retreat into his own world |
| Caregivers are responsible for making sure the child gets what with regards to basic needs? | eats, sleeps, eliminates, and maintains personal cleanliness |
| What intellectual changes are in the adolescent? | learning to use abstract thinking |
| What is abstract thinking for the mid teen? | adaptable, flexible thinking that uses concepts, generalizations and problem solving |
| what is the most important function of a teen group? | to define differences between themselves and their parents |
| How do mid teens establish their identities? | by experimenting with dfferent images of themselves |
| How does spiritual development begin in teens? | with questioning family values and beliefs |
| What is introspection? | process of examining one's own thoughts, emotions, reactions, attitudes, opinions, values and behaviors by looking at the inner self |
| Problems that arise outside the teen are called | external problems |
| What kind of bonds do early teens form with certain groups? | intense bonds |
| Gangs are associated with what kind of behavior? | negative |
| What do peer groups focus on? | consturctive ways such as volunteering |
| An impairment in every day life is defined as? | dysfunction |
| What are the key features in ADHD? | inattention and impulsivity |
| Conduct disorders are characterized by what? | defiance of authority and aggressive behaviors towards others |
| When an adolescents ability to adapt is overwhelmed what may happen? | an anxiety disorder develops |
| Adolscents with mood disorders may display what? | depression to racing hyperactivity |
| What is mood | the ever present emotional state that colors ones perception of the world |
| How is depression characterized in the adolescent? | by irritable moods and acting out behaviors |
| Depressed teens do____________adults____________ | depressed teens act out , adults lose interest |
| ___________is the prolonged refusal to eat to keep body wt at a minimum | anorexia nervosa |
| Anorexia nervosa is characterized by what? | an intese fear of becoming fat and relentless pursuit of thinness |
| What is bulimia? | cycle of binge eating followed by purging |
| What follows a binge in the bulemic? | intense guilt or depression |
| If one physically and psychologically requires a drug they are ____________ | chemically dependent |
| Chemical dependency treatement with the adolescent focuses on what? | helping the teen replace the use of chemicals with more effective coping skills |
| What is a major characteristic of a personality disorder in a teen? | impulsivity |
| What is gender identity disorder? | one that the teen has a continual discomfort with ther assigned gender |
| A teen that has a loss of contact with reality is said to have a characteristic of what? | psychosis |
| What happens with the teen behavior when they are psychotic? | they become inappropriate, ritualistic, repetitive, disordered thougth patterns |
| A suicide attempt in a teen is a call for what? | help |
| Who is the highest risk for suicide in teens? | white adolescent males who express intention to die |
Created by:
Kelly Quijano
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