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show | Compensation
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Which defense mechanism is refusing to acknowledge the existence of a real situation or the feelings associated with it? | show 🗑
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Which defense mechanism is the transfer of feelings from one target to another that is considered less threatening or that is neutral? | show 🗑
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Which defense mechanism is an attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires? | show 🗑
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show | Intellectualization
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show | Introjection
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Which defense mechanism separates a thought or memory from the feeling, tone, or emotion associated with it? | show 🗑
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show | Projection
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Which defense mechanism attempts to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors? | show 🗑
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show | Reaction Formation
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show | Regression
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show | Repression
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Which defense mechanism re-channels drives or impulses that are personally or socially unacceptable into activities that are constructive? | show 🗑
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Which defense mechanism in the voluntary blocking of unpleasant feelings and experiences from one's awareness? | show 🗑
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show | Undoing
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Why does mental illness seem to occur? | show 🗑
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show | GAS- General Adaptation Syndrome. Developed by Hans Selye
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What is the basic principle behind the General Adaptation Syndrome? | show 🗑
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show | The Recent Life Changes Questionnaire where a high score means a person could be at greater susceptibility to physical or psychological illness
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What is considered a high score in the RLCQ for a six month period? | show 🗑
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What is considered a high score in the RLCQ for a 12 month period? | show 🗑
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show | How a client perceives a stressor, whether it's positive or negative
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With the transaction theory, what is considered a secondary appraisal? | show 🗑
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What is considered a MILD level of anxiety? | show 🗑
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show | The client's focus is impaired but they are still able to follow directions
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show | The client's focus is very limited, they are fixated on a single detail
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show | The client has zero focus because they have shut down. They aren't thinking and judgement is impaired
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What is our goal with psych patients? | show 🗑
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show | Dorothea Dix
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show | Linda Richards
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Name Maslow's Hierarchy of Needs from bottom to top | show 🗑
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show | 1. A positive attitude toward self 2. Growth, development, and the ability to achieve self-actualization 3. Integration 4. Autonomy 5. Perception of reality 6. Environmental mastery
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show | The APA
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show | Diagnostic & Statistical Manual of Mental Disorders, 4th Ed. Text Revision and it's used my doctors
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show | What the pt is being treated for; their focus of care
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What is the Axis II of the DSM-IV-TR? | show 🗑
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show | General medical conditions
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show | Problems that pt are having difficulty with such as family functioning, support groups, etc.
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What are primary prevention services? | show 🗑
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What are secondary prevention interventions? | show 🗑
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show | Pts go to outpatient therapy; almost like a rehab
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show | Taking care of pts while keeping in mind their cultural, spiritual and religious needs
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show | Sigmund Freud and he believed that a mental illness could occur when there was a malfunction between the id, ego and superego
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Who developed the Interpersonal theory and what did it entail? | show 🗑
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What was Erikson's type of theory called? | show 🗑
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What type of theory did Piaget have and what did it deal with? | show 🗑
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Who developed the Moral Development Theory? | show 🗑
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What four aspects did Peplou point out in her Nursing Model? | show 🗑
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Define a therapeutic relationship? | show 🗑
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What are some roles that a nurse takes on in a Nurse-Client relationship? | show 🗑
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What is the end goal of most therapeutic relationships? | show 🗑
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What are the 7 characteristics of a therapeutic relationship? | show 🗑
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show | Pre-interaction, Orientation, Working, & Termination
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What happens in the pre-interaction phase of the therapeutic relationship? | show 🗑
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What happens in the orientation phase of the therapeutic relationship? | show 🗑
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show | You work on coping strategies with the pt to help get them to a point where they can solve some problems
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What is it called when a pt suddenly starts looking at you unconsciously and you remind them of someone and they start to treat you as if you are that person? | show 🗑
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show | Counter-transference
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show | The working phase of the therapeutic relationship
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What occurs in the termination phase of the therapeutic relationship? | show 🗑
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What are three boundaries in the Nurse/Client relationship? | show 🗑
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show | Sit squarely, Open posture, Lean forward, Establish eye contact, Relax
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show | Listening
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What are five pre-existing conditions that occur with communication? | show 🗑
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show | Physical Appearance & Dress: Body Movement & Posture: Touch: Facial Expressions: Eye Behavior: Vocal Cues or Paralanguage. ( VEPT BF)
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show | A movement done by schizophrenic pts in which limbs stay in whatever position they are placed
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What is paralanguage? | show 🗑
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show | Place them in prayer mode
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show | It is the therapeutic community
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show | That in order for us to be able to have a better community for the pts, we should have 7 basic assumptions with three basic goals.
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show | 1) Get pts to learn coping skills (either something they have used in the pst or something new) 2) Show pts appropriate role models 3) Develop healthy relationship skills
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What are the 7 basic assumptions that Skinner believed in? | show 🗑
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show | So pts know there are some good things about them; it's important to give them positive feedback
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With Skinner's 7 basic assumptions, why is interpersonal interaction inevitable? | show 🗑
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With Skinner's 7 basic assumptions, how do you get a pt to be responsible for their own behavior? | show 🗑
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show | Talk a pt down, chemical restraints and lastly physical restraints
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show | We want them to preserve their dignity
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show | It's a treatment for mental illness in which a mental health professional and a pt discuss problems and their feelings and work together to find solutions
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show | Assessment (what brought pt here) Resolution (pt feel like their making headway; problem is closed to be resolved or thought of in a different way) Growth [Self-Actualization] (meet all your goals by Maslow)
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What do you call a group a ppl that come together to share a common interest to learn to practice skills resolve conflict, etc? | show 🗑
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What's the number of ppl that you want in a therapeutic group? | show 🗑
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What are three leadership styles? | show 🗑
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show | It's all about the leader, what he wants and how he wants to get it done, members of the group are unhappy; things get done
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show | Members have input and are the focus of the group; productivity is lower because the members are well-informed with knowledgeable opinions and resolutions to problems
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show | The group doesn't get a lot done because they have a 'who cares' attitude
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What is considered a crisis intervention? | show 🗑
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show | It can be either all dependent on the pts perception
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show | disequilibrium and at times, so severe that the individual requires assistance to recover
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How many phases of crisis development are there? | show 🗑
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show | Being exposed to the stressor
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What is phase II of crisis development? | show 🗑
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show | Pt tries to use all resources. They get into panic type situation trying everything in their power to get back to homeostasis
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What is phase IV of crisis development? | show 🗑
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show | It's unanticipated, could be chronic where the pt feels like they are out of control
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show | They are milestones you know are coming but they are still difficult such as the death of a parent
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What is traumatic stress? | show 🗑
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show | They are anticipated crises that make you feel helpless, rejected or depressed
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show | It is when the pt already has a mental illness diagnosis but then they have a crisis in their life and it may become so distorted that the pt may feel abandoned or like they can't resolve the crisis due to their mental illness
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show | The person's ability to function physically & psychologically are impaired and it becomes a question if the pt will be safe. They need someone to intervene on their behalf because they can't take responsibility for themselves
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What is the essential goal of the Nurse Practice Act and what gives it, it's authority? | show 🗑
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Who's duties are delineated in the Nurse Practice Act? | show 🗑
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show | Statutory law
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What are common laws? | show 🗑
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show | Private and property rights of people and business (tort & contracts)
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show | Laws that offer protection from conduct that could injure the public
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What are torts? | show 🗑
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show | Malpractice & negligence
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show | Battery & assault
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show | Confidentiality & the Right to Privacy
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show | An act that protects pts privacy and information
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What is it considered when a pt tells you information? | show 🗑
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show | When they are of mental status and awareness and are there by voluntary consent
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When is it okay to challenge informed consent? | show 🗑
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show | In 1980 the bill came up stating that mental health pts have the right to have physiological needs met
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show | It has to be an emergent situation to put someone in restraints & seclusion; there are very specific timelines when using restraints & seclusion; different guidelines for different ages; tell you how to evaluate pt to make sure they are safe in restraints
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show | Pts that sign themselves in
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With an involuntary admission, how often may a pt must be re-evaluated to see if they stay on this status and be documented? | show 🗑
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show | 1) Pt has to be dangerous to self or to others 2) They have to be observed as a mentally ill pt 3) They have to be gravely disabled
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show | Emergency commitment; person has to be obviously unsafe and the board decides if pt can stay or leave
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What is involuntary outpatient commitment? | show 🗑
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