Communication-Kaplan
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________ defined parts of the psyche and stages of psychosocial development; Id, Ego, Superego | Freud
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unconscious, immediate, pleasure principle | id
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conscious, compromising, based in reality | ego
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both unconscious and conscious, uncompromising, basis of shame and guilt | superego
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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
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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
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Erikson Stage: learns symbols and concepts, assertiveness against environment; learsn sex role identity | Initiative vs Guilt; 3-6 years
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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
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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
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Erikson Stage: develops a lasting intimate relationships and good work relationships | Intimacy vs isolation; 18-30 years
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Erikson Stage: Establishes a family and oversees next generation, is productive, shows concern for others | Generativity vs Stagnation; 30-65 years
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Erikson stage: sees own life as meaningful, is productive, accepts physical changes | Integrity vs despair; 65 years- death
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What is the order of basic human needs according to Maslow? | Physical, Safety, Love and Belonging, Esteem and recognition, Self-actualization, Aesthetic
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What is PHYSICAL in Maslows hierarchy of needs? | oxygen, water, food, sleep, sex
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What is SAFETY in Maslows hierarchy of needs? | physical, security, order
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What is LOVE and BELONGING in Maslows hierarchy of needs? | affection, companionship, identification
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What is ESTEEM and RECOGNITION in Maslows hierarchy of needs? | status, success, prestige
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What is SELF-ACTUALIZATION in Maslows hierarchy of needs? | self-fulfillment, creativity
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What is AESTHETIC in Maslows hierarchy of needs? | harmony, spirituality
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What nursing diagnoses can be uses psychosocial processes? | Impaired social interactions, Anxiety, Ineffective coping, Self-esteem disturbance
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listening to and understanding client while promoting clarification and insight? | Therapeutic Communication
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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
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nonverbal communication is ______ of all communication and gives the most accurate reflection of attitude. | 2/3
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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
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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
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technigues which are the main tools to promote therapeutic exchange between nurse and client | Therapeutic responses
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responses to avoid | nontherapeutic responses
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allows patient time to think and reflect; conveys acceptance; allows patient to take lead in conversation | Using silence (nonverbal)
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encourages patient to talk; indicates interest in patient; allows patient to choose subject. sets tone for depressed patient | using general leads or broad openings
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encourages recall and details of particular experience; encourages description of feelings; seeks clarification, pinpoints specifics; makes sure nurse understands patient | clarification
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paraphrases what patient says; reflects what patient says, especially feelings being conveyed | reflecting
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questions that can be answered by a "yes" or "no" or other monosyllabic response; prevents sharing; puts pressure on patient | close-ended questions
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encourages dependency, may not be right for a particular patient (what type of statement) | Advice-giving statements
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response in which patient benefits more by exploring own ideas and feelings | reassuring
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questions that can imply disapporval and patient may become defensive | why
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