Nr 222 Exam 3

Front 1

a client reveals to the nurse that he is having an affair. what would be the most appropriate response?

Back 1

"this affair seems to be troubling you."

Front 2

during which phase of the therapeutic relationship would the nurse and client discuss the pros and cons experienced during the relationship?

Back 2

termination

Front 3

a nurse and patient take action to meet health- related goals. this occurs in which phase of the therapeutic relationship?

Back 3

working

Front 4

what are values

Back 4

qualities, principles, attitudes, and beliefs about worth of an object, behavior, or idea

whats important to you

values change over time- influenced over time

Front 5

types of values

Back 5

active- what we do

cognitive- what we think

Front 6

what is values clarification?

Back 6

a method for discovering ones values and the importance of those values

Front 7

steps within valuing process

Back 7

choosing (cognitive process)

choosing freely

prizing (affective/ emotional process)

being happy w/ personal beliefs and actions

acting (behavior)

acting in some pattern

Front 8

what is self concept?

Back 8

Selfconcept- mental pictureof self, evolves throughout life, shaped by genetics. Experiences. Individualaction. Feedback.

Front 9

what is self esteem?

Back 9

Selfesteem- learned fromexperience, results for feedback on abilities/ limitations, your feelings, how wefeel about ourselves

Front 10

what is self disclosure?

Back 10

Selfdisclosure- appropriatesharing of self enhances self knowledge, promotes reciprocal interaction;mutual exchange, what you share about yourself to others, making clientfeel relatable

Front 11

what are types of communication?

Back 11

Verbal(both written/ spoken)

Sign language and braille

Challenge if not fluent in thatlanguage

Nonverbal (gestures, facial expressions)

Body language, 5 senses

Cultural- hand gestures, eye contact

Vulnerable to misunderstanding

Metacommunication

Understanding the hidden meaning ofa message, reading between the lines

Verbal ad non verbal match butsomething is off

Front 12

what are factors in effective communication?

Back 12

1. firmly stating case- what we are going to discuss

2. clarifying the message- make sure they understand the message, say it back to you

3. seeking feedback- "did i explain that okay?"

4. being receptive to received feedback

Front 13

zones of space

Back 13

intimate space- up to 18 inches

personal space- 18 inches to 4 feet

social consultative space- 9 to 12 feet

public space- 12 feet +

Front 14

transference

Back 14

when the nurse reminds the client of someone

Front 15

countertransference

Back 15

the client reminds the nurse of someone

Front 16

how is growth defined?

Back 16

quantifiable change in structure thoughtout life

influences on growth

loosing and gaining weight- numeric

Front 17

how is development defined?

Back 17

advance in skill from lower to more advanced complexity

advancing in a skill.. moving to advanced skill

gradual change and expansion of ability and advance in skill from a lower to a more advanced complexity

Front 18

Erickson- psychosocial

Back 18

adolescent- 13 to 18- identity vs. role confusion

achieving identity

role confusion- don’t know who theyare- confused- weak sense of self-

young adult- 18 to 35- intimacy vs. isolation

intimacy-able to establish long lastingrelationships- marriage- set job

isolation- lonely-

middle adult- 35 to 65- generactivity vs. stagnation

generactivity- producing/ nurturing/creating.. Something good, leaving a lasting impressionstagnation- not going anywhere.. unfulfilled-

older adult- 65 and older- ego integrity vs. despair

ego integrity- im proud of myself andwhat I have accomplished

despair- didn’t do enough, could havedone more

Front 19

Kohlberg- behavioral

Back 19

goal is justice

Preconventional-avoid punishment, gain reward (school age)

Conventional-gain approval, avoid disapproval

(adolescent)

Postconventional-agreeing upon rights, personal moral standards (young adult)

Front 20

tanner staging

Back 20

sexual maturity rating

Front 21

signs of puberty

Back 21

male: thinning scrotal sac, enlargement of testes

females: breast buds, growth spurt

Front 22

turner syndrome

Back 22

female: short stature, webbed neck, low set ears, lack of sexual development, learning disabilities

Front 23

relationship stages

Back 23

1. orentation or intro phase- establishing a connection

2. working phase- action phase- providing instructions, change takes place

3. termination- end- say goodbye and part ways, achieved what you had listed as goals, no longer need to meet

Front 24

self awareness

Back 24

1. listening to oneself- paying attention to action and thoughts (memories,actions, emotions)

2. listening and learning from others- getting different viewpoints

3. self disclosure- what you share about yourself to others, make client feel comfortable, relatable

4. reflection- step back and think, improving self

Front 25

metacommunication

Back 25

understanding the hidden meaning of a message, reading between the lines, verbal and nonverbal match but something is off

Front 26

Gilligan's theory

Back 26

this theory is gender specific and uses

kohlbergs research as a foundation