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________ defined parts of the psyche and stages of psychosocial development; Id, Ego, Superego Freud
unconscious, immediate, pleasure principle id
conscious, compromising, based in reality ego
both unconscious and conscious, uncompromising, basis of shame and guilt superego
Erikson Stage: recognizes and attaches to primary caretaker, develops simple motor skills, moves from instant gratification to coping with anxiety; learns about self through the environment Trust vs Mistrust; birth-18months
Erikson Stage: learns to manipulate environment, learns self-control in toilet training, parallel play; develops expressive language and symbolic play Autonomy vs shame and doubt; 18months-3years
Erikson Stage: learns symbols and concepts, assertiveness against environment; learsn sex role identity Initiative vs Guilt; 3-6 years
Erikson Stage: sees cause and effect and draws conclusions, develops allegiance to friends, uses energy to industriously create and perform tasks,shows competency in school and with friends Industry vs Inferiority; 6-12 years
Erikson Stage: thinks abstractly, uses logic and scientific reason, masters independence through rebellion, develops firm sense of self, is strongly influenced by peers, develops sexual maturity, explores sexual relationships Identity vs role diffusion; 12-18 years
Erikson Stage: develops a lasting intimate relationships and good work relationships Intimacy vs isolation; 18-30 years
Erikson Stage: Establishes a family and oversees next generation, is productive, shows concern for others Generativity vs Stagnation; 30-65 years
Erikson stage: sees own life as meaningful, is productive, accepts physical changes Integrity vs despair; 65 years- death
What is the order of basic human needs according to Maslow? Physical, Safety, Love and Belonging, Esteem and recognition, Self-actualization, Aesthetic
What is PHYSICAL in Maslows hierarchy of needs? oxygen, water, food, sleep, sex
What is SAFETY in Maslows hierarchy of needs? physical, security, order
What is LOVE and BELONGING in Maslows hierarchy of needs? affection, companionship, identification
What is ESTEEM and RECOGNITION in Maslows hierarchy of needs? status, success, prestige
What is SELF-ACTUALIZATION in Maslows hierarchy of needs? self-fulfillment, creativity
What is AESTHETIC in Maslows hierarchy of needs? harmony, spirituality
What nursing diagnoses can be uses psychosocial processes? Impaired social interactions, Anxiety, Ineffective coping, Self-esteem disturbance
listening to and understanding client while promoting clarification and insight? Therapeutic Communication
what are the goals of therapeutic communication? (4) 1) understand the clients message (verbal and nonverbal) 2) facilitate verbalization of feelings 3) communicate understandings and acceptance 4) identify problems, goals, and objectives
nonverbal communication is ______ of all communication and gives the most accurate reflection of attitude. 2/3
physical appearance, body movement, posture, gesture, facial expression, eye contact, physical distance maintained, ability to touch and be touched are all examples of __________ __________ nonverbal communication
What are the phases of therapeutic communication and what do they mean? 1)Initiating Phase- boundaries of relationship are determined 2)Working Phase- client develops insights and learns coping 3) Terminating Phase- work of relationship is summarized
technigues which are the main tools to promote therapeutic exchange between nurse and client Therapeutic responses
responses to avoid nontherapeutic responses
allows patient time to think and reflect; conveys acceptance; allows patient to take lead in conversation Using silence (nonverbal)
encourages patient to talk; indicates interest in patient; allows patient to choose subject. sets tone for depressed patient using general leads or broad openings
encourages recall and details of particular experience; encourages description of feelings; seeks clarification, pinpoints specifics; makes sure nurse understands patient clarification
paraphrases what patient says; reflects what patient says, especially feelings being conveyed reflecting
questions that can be answered by a "yes" or "no" or other monosyllabic response; prevents sharing; puts pressure on patient close-ended questions
encourages dependency, may not be right for a particular patient (what type of statement) Advice-giving statements
response in which patient benefits more by exploring own ideas and feelings reassuring
questions that can imply disapporval and patient may become defensive why
Created by: nickijohnson07