Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/121

Click to flip

121 Cards in this Set

  • Front
  • Back
A person's image of oneself.
self-concept
The way a person explains himself to others based on own self evaluation.
self-perception
The individual's ability to develop and use skills to integrate and manage life skills.
Ego Integrity
This broad term includes self concept, body image, anxiety, coping and cultural and spiritual factors.
Ego Integrity
AKA self image
self-concept
How we explain ourself to others.
self-perception
How a person sees himself in interactions with others (role and role performance).
social identity
The awareness that one is distinct and separate from others.
personal identity
Our value, self worth
self-esteem
Term includes awareness of one's moral-ethical self, intellectual self and emotional self.
personal identity
How an individual feels about his body.
body image
How a person thinks they look.
body image
Body image is strongly influenced by ____ _____.
cultural factors
Self esteem is derived from these two sources:

a)
b)
a) self

b) others
Self esteem hinges on these two factors and when not given, the child incorporates a low self esteem.
1. love

2. approval
Early in life a child uses THIS as his self esteem. Later in life, he uses THIS as his form of self esteem.
parent's evaluation

other's appraisal along with self appraisal
What two types of assessments can you have in regard to self concept?
subjective (things they verbalize)

and

objective (measured, seen, quantified, behavior, palpated, observable, vital signs, physical assessment)
What would bad body posture signal?
self esteem issue
What would these observations signal?

inability to make eye contact

scars

hair style

clothing that hides body

family/friends present
inability to make eye contact = self esteem issue

scars= body image issue

hair style= identity

clothing that hides body=body image issue

family friends present = roles relationships
In the definition of anxiety, there is an uneasy feeling of discomfort or dread, accompanied by this....
an autonomic response
What is the cause of the uneasy feeling or discomfort or dread with anxiety?
no known cause
What is the source of anxiety for an individual?
not often known...unspecific
This is usually caused by a physical threat, threat to self concept or a threat to psychological self.
Anxiety
How can anxiety manifest?
physiological
behavioral
psychological

(symptoms)
There are four theories of anxiety. List them along with an example.
Psychological - Freud (conflict between id and superego)

Behavioral - (a learned way to respond that can be unlearned)

Biological - Cannon's fight or flight

Psychoneuroimmunological - (physiological)...there is a link between stress and the immune system and disease.
If a threat has a known cause, what is it called?
Fear, not anxiety
What level of anxiety has tachycardia?
severe

in panic it is severe tachycardia
What level of anxiety has increased respiration?
moderate
What is the respiration rate for panic anxiety?
gasping for breath
Describe the bp levels in the different stages of anxiety.
mild - slightly increased bp

moderate - increased bp

severe - hypertension 140/80

panic - increased hypertension; may suddenly drop and become hypotension
What is the key word to describe the voice in mild anxiety? and moderate anxiety?
mild anxiety - Normal & Even

moderate anxiety - slightly increased...pitch, volume, modulation or rate
Describe somatic response during panic attack.
might be immobilized, severe shakiness, prolonged panic states incompatable with life
If a patient has shakiness, what level of anxiety is this?
moderate
What if a patient has dizziness, nausea, headache, sleeplessness and cold sweats?

ANXIETY
severe anxiety
What can happen with prolonged severe anxiety to the somatic system?
possible tissue damage can occur if the anxiety state is prolonged

****note that this is at the severe level
What is the key to behavior to mark the severe stage in regard to anxiety?
not goal oriented behavior
How is the severe stage of anxiety different from the panic stage of anxiety with regard to behavioral data?
there is LOSS of behavioral control in panic

all behaviors seek IMMEDIATE RELIEF in panic

patient moves from crying, pacing and picking at self to SHOUTING AND SCREAMING
When a patient shows withdrawl, what stage of anxiety is it?
severe anxiety
When a patient is fidgeting, tapping or lip chewing, what stage is it?
mild anxiety
Patient reports tunnel vision. What level of anxiety?
severe
Child has selective filtrating...tuning out things. What level?
moderate
Patient is unable to focus on environment...feels she ceases to exist.
panic anxiety
Patient states learning is difficult and retention is low during day, and at night, learning is impossible.
am- moderate anxiety

pm- severe anxiety
Client is delusional with disorganized form of thought.
panic anxiety
Patient is able to label and own anxiety and its needs
mild anxiety
Patient is able to label anxiety with help
moderate anxiety
Client does not respond to outside attempts at clarification and validation of experience
severe anxiety
When do you need to stay with a client and provide safety and comforting measures?

level of anxiety
severe and panic

with panic stage, you need to also prevent dehydration and exhaustion, minimize environmental stimuli
What level of anxiety do you place no demands on the client?
panic stage...in severe stage you place limited demands on client
During each of the stages of anxiety, how do you communicate to client what is happening, or what they are feeling?
mild - acknowledge and validate client's id of anxiety and feelings assist client to identify the precipitating even/cause of anxiety

moderate - assist CLIENT to label as anxiety

severe - label anxiety FOR client

panic - INTERVENE IMMEDIATELY with client behaviors and symptoms as presented
Tears running down cheeks
severe anxiety
When you speak to patient, she does not acknowledge your presence.
severe - this falls under sensory...focus in on details or one specific detail
Repeated crossing of arms and uncrossing of arms.
moderate anxiety
BP is 132/85
moderate anxiety
Feelings of terror and frozen on the spot.
panic
Rambling incessantly
panic
Does not maintain eye contact

(anxiety level)
moderate...selective filtering
Patient reports problems with sleep and appetite.
Severe...under somatic responses.(dizziness, nausea, headache, sleeplessness, cold sweats)
The assessment should reveal data about coping skills. What four things do we look for?
What are the stressors?

How do you respond to the stressors normally?

How do you respond to the stress today?

Are you using adaptive or maladaptive coping?
What is the lowest level on Maslow's pyramid?
Physiological Needs (food, water, oxygen, elimination, rest and sex)
This level of need in Maslow's pyramid could be described as a feeling of security and order.
Safety Needs (also known as Erickson's Trust vs. Mistrust)
What is the third level on Maslow's pyramid, above physiological needs and safety needs?
Love and belonging needs....need for interaction with someone else
This level on Maslow's hierarchy of needs can be described as self value, worthiness.
Esteem Needs...self esteem related to competency, achievement and esteem from others
How do you describe the self actualization level on Maslow's hierarchy of needs pyramid?
Spiritual
Becoming all you can be
At the Top
Where does a need come from?
It evolves from a state of tension that disrupts your equilibrium..it motivates a response. (can be internal or external)

need - tension - behavior - need met
Defense Mechanism

Described as an attempt, by way of a symbolic act, to undo or abolish a previous act or thought.
Undoing
Defense Mechanism

Described as protection from awareness of unacceptable, unwanted thoughts, feelings or impulses by the development and overemphasis of the opposite.
Reaction-Formation
What are the categories of defense mechanisms?
Defenses against Knowing

Respecting Defenses

Distorting Defenses
Defense Mechanism

An example would be a homosexual male is incredibly religious and a gay basher.
Reaction-Formation
Defense Mechanism

An example would be apologizing.
Undoing
Suppression and repression are examples of what two categories of defense mechanism?
Defenses against Knowing

Respecting Defenses
Defense Mechanism

Described as the process of separating a painful emotion from a thought, idea or experience by talking about it without feeling the pain.
Intellectualization
Defense Mechanism

Described as the emotional components or affect of an idea, thought or experience is removed from awareness in an effort to prevent discomfort.
Isolation
Defense Mechanism

An example of this is when a person does not show the emotion and does not talk about it. It is removed from awareness.
Isolation
Defense Mechanism

An example of this would be a person that is talking very matter of factly about an emotional situation without showing the emotion. But they ARE talking about it.
Intellectualization
Defense Mechanism

An example of this is a person who is having a bad day at work, so they get mad at their kids.
Displacement
Defense Mechanism

An example of this is road rage, or spousal abuse.
Displacement
Defense Mechanism

Described as the transfer of emotions associated with one idea, person or situation to another more acceptable, less threatening one.
Displacement
How does isolation differ from intellectualization?
Intellectualization actually talks about the emotion while isolation does not even acknowledge it.
How does isolation differ from denial?
Denial you are aware of it and you change it because you can't handle it. Isolation is when you are totally unemotional and don't show emotion and don't talk directly about it.
Defense Mechanism

This is described as the expression of emotional discomfort and psychosocial stress in the physical language of bodily symptoms.
Somatization
Defense Mechanism

This could be described as psychosamatic, but they don't want us to use those words.
Somatization
Defense Mechanism

This is described as the category that is completely out of touch with reality.
Distorting defenses....these are maladaptive
Defense Mechanism

An example of this is when a person gets sick around someone else but they are unaware that it is because they don't like that person.
Somatization
Defense Mechanism

This is described as attributing one's own unacceptable thoughts or impulses to other as if they orignated in the other person.
Projection
Defense Mechanism

An example would be when someone is attracted to their boss, but accuse the boss of sexual harassment.
Projection
Defense Mechanism

Described as an individual accepts or takes in another's values, options, or attributes as their own.
Introjection
Defense Mechanism

An example is the I LIKE HORSES.
Introjection
Defense Mechanism

Described as the splitting off from awareness some aspect of an experience. The anxiety producing material is then repressed. Material that has been dissociated remains in the unconscious where it has a life of its own, separate from what is known to the individual.
Dissociation
Defense Mechanism

An example of this is a factory worker who earns minimum wage states, "I just bought an airplane for my upcoming trip to Europe."
Fantasy
Defense Mechanism

An example of this is multiple personality disorder.
Dissocation
What type of defense mechanism is fantasy?
distorting defense
Defense Mechanism

An example of this is blaming someone else for the problem.
rationalization
Defense Mechanism

Described as offering a socially acceptable and more or less logical explanation for an act or decision actually produced by unconscious factors.
rationalization
Defense Mechanism

This is our mind protecting us from a painful attack on our self image by blaming it on someone else.
Rationalization
Defense Mechanism

Described as deliberate and conscious (ONLY ONE) exclusion from awareness of unwanted thoughts, feelings or desires.
suppression
Defense Mechanism

An example of this is when a soldier is unable to recall battles he was in or his feelings while fighting.
Repression
This is the pivotal defense mechanism. Unacceptable material (desires, impulses, thoughts) is involuntarily put out of awareness and cannot be voluntarily recalled.
Repression
What is the difference between suppression and repression?
suppression is conscious and you can recall it later.

repression is unconscious and you can not recall it later
Defense mechanism

Described as painful or anxiety producing aspects of awareness are blocked completely out of consciousness. The reality of the situation is either completely disregarded or transformed so that it is no longer threatening.
denial
What is the first category of defense mechanisms?
Defenses against Knowing

suppression
repression
denial
rationalization
Defense Mechanism

Described as achieving gratification of a drive or impulse in an indirect way by channeling the energy of the drive into an acceptable adaptive or constructive pursuit.
Sublimation
Defense Mechanism

Described as overemphasizing a characteristic or other aspect of the personality to make up for a real or imagined failure or inadequacy.
Compensation
Defense Mechanism

Described as unconsciously modeling one's self after another person or group.
Identification
Defense Mechanism

Described as an object, idea or act represents another through some common aspect and carries the same emotional quality as the other.
Symbolization
Defense Mechanism

Described as loss of some mature personality development or reversion to immature levels or behaviors.
Regression
Defense Mechanism

Described as actual physical symptoms produced by the body to resolve conflict and prevent anxiety. These symptoms are often a symbolic expression of the conflict and are not under voluntary control.
Conversion
Defense mechanism

What is the difference between conversion and somatization? What are the similarities?
Conversion is much more severe than somatization....but they both have physical symptoms coming from some type of anxiety.
Defense mechanism

Defined as an object, idea or act represents another through some common aspect and carries the same emotional quality as the other.
Symbolization
Defense Mechanism

Example is older child resumes sucking thumb when new baby is born.
regression
Defense mechanism

Example is that tall men make you feel safe. You seek out tall men.
Symbolization
Defense mechanism

Example is person is unaware they act, speak and dress like their boss.
Identification
Defense Mechanism

Example is beauty and the geek.
Compensation
Defense Mechanism

Example is a very aggressive person becomes a butcher.
Sublimation

The only one that is healthy
Defense Mechanism

Example is a person becomes paralized so they don't have to go to war.
Conversion
What is role conflict?
When one or more role expections compete against one another.
What is role overload?
When the person can't manage the competing demands of the roles because of insufficient time.
What is role incompetence?
When a person doesn't have the skills or knowledge to fulfill a role
What is the difference between content and process?
content is just literal spoke or written language

process is verbal and non verbal together it is the overall message
What is directive communication?
an example would be your intake assessment. you asked all the questions
What is indirect conversation?
when a client directed the conversation and you answered their questions