Question | Answer |
________ 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 |