Psychosocial Nursing Final
Vata
1 of the 3 bodily humors in India that is associated with air/space/wind and constipation, insomnia, nerves
Pita
1 of the 3 bodily humors in India that is associated with fire/heat and stomach ulcers
Kapha
1 of the 3 bodily humors in India that is associated with water/earth and obesity, bloating
Chronic illness
1 out of every 10 suicides are associated with __________
Chronic illness
1 out of every 5 patients with ____________ will develop major depressive disorder
C (the boundaries are enmeshed)
A 30-year-old client seeking therapy states, "My mom cries when she is not included in all my social activities and thinks of my friends as her own." How would the nurse describe the boundaries between this family's parent and child subsystems? A. The boundaries are rigid. B. The boundaries are restructured. C. The boundaries are enmeshed. D. The boundaries are disengaged.
B
A 52-year-old client states, "My husband is upset because I don't enjoy sex as much as I used to." Which priority client data should a nurse initially collect? A. History of hysterectomy B. Date of last menstrual cycle C. Use of birth control methods D. History of thought disorder
B (use of traditional folk remedies)
A Latino patient with severe stomach pain comes to the emergency department after several days of treating the pain at home with herbal medicine, massage, and prayer. The nurse interprets these actions as: A. an attempt to avoid a costly physician visit B. use of traditional folk remedies C. denial of the seriousness of the condition D. a lack of understanding of the seriousness of the condition
Tension
A _________ headache is characterized by bandlike pressure around the head at the end of the day associated with chronic contraction of muscles of neck and scalp resulting from emotional and/or physical strain
Nuclear
A __________ family is composed of two parents and a child or children
Blended
A ___________ family is composed of a combination of family types
Single member
A ___________ family is composed of one person by themself
Single parent
A _____________ family is composed of one parent and a child or children
Sinus
A _____________ headache is characterized by inflammation with pain over facial sinuses related to virus, bacteria or allergy
Confession
A catholic is not supposed to take communion until they have gone to ___________
B
A child, age four, says, "If I can make a big enough wish, my daddy will not be dead anymore." The nurse concludes that the child is doing which of the following? A. Expressing magical thinking common to much older children B. Voicing thoughts that are normal for kids his age C. Delusional and should be evaluated by a psychiatrist D. Making up the story in order to avoid feeling sad and scared
C (Coping by avoiding)
A client is angry because her husband has forgotten their anniversary. The following week, the client is still unwilling to discuss this with her husband because she is afraid she will lose control. How should the nurse interpret this client's means of coping with anger? A. Coping by attacking B. Coping by surrendering C. Coping by avoiding D. Coping by belittling
B
A client reports that since her husband's death four years ago, she has experienced migraine headaches and severe nausea each year around the date of the husband's death. The nurse suspects the client is experiencing which of the following? A. Delayed grief B. Anniversary grief experience C. Disenfranchised grief D. Unresolved grief
A B
A client underwent a gastric banding surgical procedure as treatment for morbid obesity. Following a 140 pound weight loss, the client's body mass index (BMI) is now 24.8. The client states "I am too fat. I always have been." The nurse concludes that this client has a disturbed body image related to which type(s) of psychological loss? Select all that apply. A. Actual B. Perceived C. Anticipatory D. Permanent E. Painful
A (taking over)
A clinic nurse is caring for a 40-year-old client who lives with his parents. The client's mother continues to do the client's laundry and provides spending money. Based on this situation, which family dynamic does the nurse recognize? A. Taking over B. Communicating indirectly C. Belittling feelings D. Making assumptions
Mecca
A consideration given to patients who are Muslim is to face their hospital bed toward ___________
D (The couple has an incompatible marriage relationship.)
A couple has been married for 20 years. They argue constantly, belittle feelings, and continuously contradict each other. During a therapy session, the nurse documents "Marital schism." What does the nurse mean by this documentation? A. The couple has a compatible marriage relationship. B. The husband has a dominant relationship over the wife. C. The couple has an enmeshed relationship. D. The couple has an incompatible marriage relationship.
A (Triangulation)
A couple is in counseling related to their dysfunctional relationship. Their daughter has recently made a suicide gesture. The nurse should recognize that this might be an example of which family system concept? A. Triangulation B. Pseudohostility C. Double-bind communication D. Pseudomutuality
D (the mother is using double blind communication)
A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, "That's wonderful, I'll be fine all alone." How would the nurse interpret the mother's statements? A. The mother is withholding supportive messages. B. The mother is expressing denigrating remarks. C. The mother is communicating indirectly. D. The mother is using double-bind communication.
A
A father who recently lost his eldest son to cancer refuses to share his feelings in a support group and has not shown any tears related to the loss. What is the nurse's most appropriate interpretation of this behavior? A. A common expression of how men grieve loss and death B. A dysfunctional expression of grief, and the client should be referred to counseling C. A common expression of denial and refusal to accept death or loss D. The father's attempt to be strong for the rest of the family
C (normal; cultural variations exist in the family life cycle)
A fatherless, 11-year-old African American girl lives with her grandmother after the death of her mother. Her older stepbrother is very involved in her life. How should the community health nurse view this family constellation, and why? A. Abnormal; the grandmother should be concerned with issues other than child rearing. B. Abnormal; a two-parent household is the most advantageous arrangement for parenting C. Normal; cultural variations exist in the family life cycle. D. Normal; because of their wisdom, older adults make better parenting figures.
Mambo
A female priest in voodoo
D
A frail 79 year old calls the home health nurse and says "I am a failure, and I can no longer care adequately for my husband who has Dementia." She has been his primary caregiver for over five years, and now he has become despondent, is unable to ambulate, and is difficult to manage. The nurse determines that which nursing diagnosis is most appropriate? A. Ineffective coping related to chronic illness B. Social isolation of family unit related to altered state of health C. Dysfunctional grief related to not accepting personal limitations D. Caregiver role strain related to overwhelming caregiving tasks and expectations
C (extended family living arrangements are common in some cultures)
A home health nurse is visiting an Asian family. A married couple, their three children, and the maternal grandparents all live in the home. How should the nurse interpret the presence of the grandparents in the home? A. The parents have diffuse boundaries and have allowed the grandparental subsystem to be present. B. The grandparental subsystem is not successfully managing separation from the parental subsystem. C. Extended family living arrangements are common in some cultures. D. The nuclear family living arrangement is the preferred environment for child rearing.
Primary appraisal
A judgement about a situation in one of three ways: irrelevant, benign-positive, or stressful
Women
A large percentage of African American families are led by men?/women?
Houngan
A male priest in voodoo
Triangulation
A manipulation tactic where one person will not communicate directly with another person, instead using a third person to relay communication to the second, thus forming a triangle
A
A newly married woman comes to a gynecology clinic reporting extreme dyspareunia that have affected her intimate relationship. What initial intervention should the nurse expect a physician to implement? A. A thorough physical to include gynecological examination B. Referral to a sex therapist C. Assessment of sexual history and previous satisfaction with sexual relationships D. Referral to the recreational therapist for relaxation therapy
D (All family members should respect differing opinions and use compromise and negotiation)
A nurse enters an inpatient room and finds the family disagreeing about the client's living arrangements after discharge. Which information should the nurse provide when teaching techniques to resolve family conflicts? A. All family members should use past incidents to make their point B. One family member should act as a gatekeeper in order to avoid family confrontation. C. One family member should act as a compromiser to preserve harmony in the family system. D. All family members should respect differing opinions and use compromise and negotiation
B
A nurse is assessing a client diagnosed with pedophilia. What would differentiate this sexual disorder from a sexual dysfunction? A. Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response. B. Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response. C. Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders. D. Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.
B
A nurse is counseling a client diagnosed with transgenderism. Which characteristic would differentiate this disorder from transvestic fetishism? A. Clients diagnosed with transvestic fetishism are dissatisfied with their gender, whereas clients diagnosed with transgenderism are not. B. Clients diagnosed with transgenderism are dissatisfied with their gender, whereas clients diagnosed with transvestic fetishism are not. C. Clients diagnosed with transgenderism never engage in cross-dressing, whereas clients diagnosed with transvestic fetishism do. D. Clients diagnosed with transvestic fetishism never engage in cross-dressing, whereas clients diagnosed with transgenderism do.
Quietly
A nurse should speak loudly?/quietly? when talking to an Asian American patient
B ("Healthy family member expectations should be conforming.")
A nursing instructor is teaching about the importance of healthy family member expectations for newly blended families. Which student statement indicates a need for further instruction? A. "Healthy family member expectations should be flexible." B. "Healthy family member expectations should be conforming." C. "Healthy family member expectations should be individual." D. "Healthy family member expectations should be realistic."
B C E
A nursing instructor is teaching about the various categories of paraphilia. Which of the following categories are correctly matched with expected behaviors? (Select all that apply.) A. Exhibitionism: Mary models lingerie for a company that specializes in home parties. B. Voyeurism: John is arrested for peering in a neighbor's bathroom window. C. Frotteurism: Peter enjoys subway rush-hour female contact that results in arousal. D. Pedophilia: George can experience an orgasm by holding and feeling shoes. E. Fetishism: Henry masturbates into his wife's silk panties.
Transcultural nursing
A nursing specialty focused on care differences and similarities among and between cultures to assist human beings in health practices that are culturally based
B
A patient newly diagnosed with terminal cancer says to the nurse, "I am so angry! Why me?" The nurse recognizes this patient is in which stage of grieving: A. deny the illness or condition B. anger C. bargaining D. depression E. acceptance
Acculturation
A person changing to the environment of the culture
B
A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight. Which correctly written nursing diagnosis should be prioritized for this client? A. Risk for situational low self-esteem AEB inability to achieve an erection B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities D. Disturbed body image RT penile flaccidity AEB client statements
Companionate
A relationship that has commitment and intimacy but no passion is considered ____________ love
Fatuous
A relationship that has commitment and passion but no intimacy is considered ___________ love
Empty
A relationship that has commitment but no intimacy or passion is considered ____________ love
Consummate
A relationship that has commitment, passion, and intimacy is considered __________ love
Romatic
A relationship that has intimacy and passion but no commitment is considered ___________ love
Hoodoo
A religion that is a mix of African American folk beliefs and magic
Religion
A set of beliefs, values, rites, and rituals adopted by a group of people
Suffering
A state of distress induced by threat of loss of intactness or the disintegration of the person from whatever cause; loss of central life purpose
Precipitating event
A stimulus arising from the internal or external environment and perceived by the individual in a specific manner
Passion
A strong uncontrollable excitement and a strong romance
B
A terminally ill 78 year old female client tells the nurse she does not want her adult children to know she is dying. Later that day when the adult children visit, they tell the nurse that they know their mother is dying but will not talk about this in front of her. The nurse mentions in the inter-shift report that this family's situation is one that can be characterized in which way? A. Closed awareness B. Mutual pretense C. Mutual concern D. Open awareness
nurse patient relationship
A time bound alliance between a nurse and patient, consciously entered into and characterized by respect, acceptance, empathy, and genuineness
Spiritual assessment tool
A tool created by Dossey that provides reflective questions for assessing, evaluating, and increasing awareness of spirituality in patients
Hijab
A women's head covering often used by Arab Americans
A
A young woman arrives at a routine medical visit, appears distressed, and tells the nurse she is having difficulty dealing with the death of her infant son. The nurse learns the infant died 30 months ago in an automobile accident. The initial diagnosis is Dysfunctional Grieving. Which statement by the client would support this diagnosis? A. "When children play in playgrounds it makes me angry that my son will never be able to play like other children." B. I sometimes cry in my son's old bedroom because he's not there anymore." C. "I watch other toddlers in the neighborhood play and I wish my son were still alive." D. "I think of my son and I am sad that my new baby will never be able to know his brother."
Acknowledge patient Introduce yourself Duration (spend time) Explain Thank the patient
AIDET tool
Cultural skill
Ability to collect cultural data and perform a culturally based assessment
Amenorrhea
Absence of menses resulting from lack of menarche by age 16 or for more than 3 months in women who have menstruated and are not pregnant
Active listening
Active process of focusing objective and empathetic attention on all the behaviors expressed by the client
Adaptation
Adjusting to things as they occur
Formally
African Americans tend to greet formally?/informally?
Tuskegee study
African Americans tend to have distrust of healthcare providers due to the ______________
Ministers
African Americans will often seek advice from _____________
Islam
After birth, people who practice __________ often keep the placenta to bury it
B (triangulation)
After hearing parents discuss divorce, a 5-year-old develops behavioral problems. Upon dealing with the child's behavioral issues, the marital relationship conflict decreases. The pediatric clinic nurse should recognize that this is an example of which family system concept? A. Differentiation of self B. Triangulation C. Fusion D. Emotional cutoff
Lose/lose
Aggressive communication = _________/__________
Present
Alaskan Natives are often future?/present? oriented
Handshake
Alaskan Natives often greet their newborn children with ___________
Death
Alaskan Natives often view the hospital as a place of ____________
Folk remedies
Alternative health practices based on health beliefs and practices within cultural groups
C
An African American family who has gathered around their dying grandmother's bed refuse to allow a feeding tube to be removed and stop feeding her, even after the health care team has stated that nothing else could be done to help her recover. The nurse concludes that the family's resistance to removing the feeding tube is most likely based on which factor? A. Their refusal to accept the finality of death B. Their need to try every possible solution C. Their spiritual and cultural beliefs D. Their distrust of the health care system
C ("You need to keep the lines of communication open between all of you.")
An adolescent, his mother, and his soon-to-be stepfather have been in counseling with the nurse. Which statement by the nurse fosters positive relationships within this new family structure? A. "Your son should be consistently disciplined by only one parent." B. "You should not have any more children because your son will need your full attention." C. "You need to keep the lines of communication open between all of you." D. "Allow your son to make his own choices because this new situation will be stressful."
Secondary appraisal
An assessment of skills, resources, and knowledge that a person possesses to deal with a situation
Paraphilia
An atypical sexual interest or sexual arousal in response to unusual stimuli
Sensuality
An awareness & acceptance of own body
C
An elderly patient is admitted to the hospital for the third time in one month with heart failure. The patient tells the nurse, "I know I'm sick, but I really can take care of myself at home." The nurse recognizes the patient is attempting to: A. deny the illness B. suppressing his/her fears C. maintain independence D. reduce financial stressors on the patient's middle aged children
Loss
An experience in which a person relinquishes a connection to a valued object
A (An adult child considers, but is not governed by, the advice of his or her parents.)
An instructor is teaching about differentiated parent and adult child relationships. Students are instructed to give an example of a well-differentiated parent and adult child relationship. Which student example meets the instructor requirement? A. An adult child considers, but is not governed by, the advice of his or her parents. B. An adult child appears to listen, but ignores, the advice of his or her parents. C. An adult child respects and is governed by the wishes of his or her parents. D. An adult child never requests advice or feedback from his or her parents.
Complementary medicine
An intervention that is different from, but used in conjunction with, traditional or conventional medical treatment
Fatigue
An overwhelming, sustained sense of exhaustion or lack of energy and decreased capacity for mental or physical work
Should
As a nurse, you should?/shouldn't? consider writing as an alternative means of communication for patients who are deaf/HOH
Future
Asian Americans are often future?/present? oriented
Nod
Asian patients often __________ while listening even if they do not understand
Win/win
Assertive communication = __________/_________
Low
Attending too little to emotional sensations is associated with high?/low? hypnotic ability
High
Attending too much to emotional sensations is associated with high?/low? hypnotic ability
Bisexuality
Attraction & preference for both genders
Heterosexuality
Attraction & preference for the other gender
Homosexuality
Attraction & preference for the same gender
Does
Awareness and expression of sexuality does?/doesn't? change across the lifespan
A
Before counseling parents who have recently lost a child to death, it is important for the nurse to have already dealt with personal feelings about death, grief, and loss in children. Having this self awareness is important for which reason? A. It assists the nurse to help the parents express their grief fully B. It prevents the nurse from being personally affected by the loss C. It prevents the nurse from sharing any personal feelings with the parents D. It assists the nurse to avoid discussing unpleasant feelings with the patients
Offering self
Being physically and psychologically available to the client
Shifting from content to process
Changing the focus of the communication from discussing the topic at hand to analyzing what is actually going on in the interaction
9
Children understand the concept of death by the age of _____
Shenism
Chinese medicine
Psoriasis
Chronic skin disorder commonly on knees, shins, elbows, umbilicus, lower back, buttocks, ears, along hairline with red, scaly plaques with sharply defined borders
Bereavement overload
Circumstances in which a grieving individual confronts multiple losses simultaneously or in rapid succession, such that one loss cannot be accommodated before another occurs
Men
Cluster headaches are more common in men?/women?
Mind
Cognition, perception, memory, judgement, regulation, and control of emotions and impulses
Therapeutic communication
Communication between people with the intent of one to help the others through verbal and nonverbal communication strategies
Loss Restoration
Coping with bereavement should be both _________ oriented and _________ oriented
3-4
Core gender identity develops around age ___-___
Decreasing
Currently, the trends of divorce are increasing?/decreasing? in the United States
Estrogen
Decreased ___________ in women leads to decreased vaginal lubrication, vaginal canal size & elasticity, and breast size
Illustrators
Demonstrating something you are talking about (Ex. showing how big something was)
Grief Depression
Differentiating depression and grief: _______________ is characterized by feelings of emptiness and loss _______________ is characterized by feelings of low mood
Insomnia
Difficulty falling or staying asleep
Gender dysphoria
Distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender
C (Mother-child subsystem)
During family counseling a child states, "I just want to surf like other kids. Mom says it's okay, but Dad says I'm too young." The mother allows surfing when the father is absent. In the structural model of family therapy, what family interactional pattern should the nurse recognize? A. Multigenerational transmission B. Disengagement C. Mother-child subsystem D. Emotional cutoff
D (Paradoxical intervention)
During family counseling a husband states, "Every time my wife and I discuss child discipline, we get into shouting matches." The nurse instructs the couple to shout at each other for 2 weeks on Tuesdays and Thursdays for 30 minutes. What intervention is the nurse using? A. Reframing B. Restructuring the family C. Expressive psychotherapy D. Paradoxical intervention
B (The husband is expressing double-bind communication.)
During family counseling, a husband tells his wife to spend more time with the family, and she responds by stating, "Okay, I'll turn in my resignation tomorrow." The husband replies, "I knew it You've always been a quitter!" How should the nurse interpret the husband's statement? A. The husband is expressing an emotional cutoff. B. The husband is expressing double-bind communication. C. The husband is expressing indirect messages. D. The husband is expressing avoidance behaviors.
C (scapegoat)
During their visits by the family to the hospital, the nurse observes that the child's parents make only negative comments about the child and see him as the source of their family's problems. The nurse would recognize that this child's role in the family as: A. computer B. autocratic leader C. scapegoat D. triangler
Single young adult
Duvall's stage of family development were problems arise when either the young adult or the parents have difficulty separating from the previous interdependent relationship
Stage 1 (beginning family)
Duvall's stage of family development where problems arise when either partner has difficulty separating from family of origin or when the couple cut themselves off completely from extended family
Stage 8 (old age family)
Duvall's stage of family development where problems arise when older adults have failed to fulfill the tasks of earlier stages and are dissatisfied with the way their lives have gone
Stage 5 (family with adolescents)
Duvall's stage of family development where problems arise when parents are unable to relinquish control and allow the adolescent increasing autonomy or when the parents cannot agree and support each other in this effort
Stage 2 (early childbearing)
Duvall's stage of family development where problems arise when the parents' lack of knowledge about normal childhood development interferes with satisfactory child-rearing
Stage 3 (families with preschool children)
Duvall's stage of family development where problems arise when the parents' lack of knowledge about normal childhood development interferes with satisfactory child-rearing
Stage 4 (families with school age children)
Duvall's stage of family development where problems arise when the parents' lack of knowledge about normal childhood development interferes with satisfactory child-rearing and lack of time and energy into couple relationship
Stage 6 (launching center family)
Duvall's stage of family development where the goal is accepting a multitude of exits from & entries into the family system
Stage 2 (early childbearing)
Duvall's stage of family development where the goal is accepting a new generation of members into the system
Stage 8 (old age family)
Duvall's stage of family development where the goal is accepting the shifting of generational roles
Stage 1 (beginning family)
Duvall's stage of family development where the goal is commitment to the new system
Stage 5 (family with adolescents)
Duvall's stage of family development where the goal is increasing the flexibility of family boundaries to include children's independence and grandparents' increasing dependence
Stage 2 (early childbearing)
Duvall's stage of family development where the tasks are: Developing a stable family unit with new parent roles (adjusting the couple/marital relationship to accommodate parental responsibilities while preserving the integrity of the couple relationship) Sharing equally in the tasks of child-rearing Jointly facilitating developmental needs of family Accepting the new child's personality Integrating the roles of extended family members into the family
Stage 1 (beginning family)
Duvall's stage of family development where the tasks are: Establishing a mutually satisfying marriage by learning to live together & provide for each other's needs Establishing a new identity as a couple Realigning relationships with members of the extended family Family planning Developing a satisfactory sexual & marital role adjustment
Stage 6 (launching center family)
Duvall's stage of family development where the tasks are: Expanding the family circle to include new members by marriage/relationship, in-laws and grandchildren Accepting new couple's own life-style & values Development of adult-to-adult relationships between grown children and parents Reestablishing the wife/husband/partner roles as the children achieve independent roles Devoting time to other activities & relationships by parents Assisting with aging & ill parents and death of parents (grandparents)
Stage 3 (families with preschool children)
Duvall's stage of family development where the tasks are: Exploration of environment by children Establishment of privacy, housing & adequate space Husband-father becomes more involved in household responsibilities Preschooler develops more mature role & assumes responsibilities for self-care Socialization of children, e.g. school, church, sports Integration of new family members (2nd or 3rd child) Separation from children as they enter school
Single young adult
Duvall's stage of family development where the tasks are: Forming an identity separate from that of parents Establishing intimate peer relationships Advancing toward financial independence
Stage 7 (family of middle years)
Duvall's stage of family development where the tasks are: Maintaining a sense of well-being psychologically & physiologically by living in a healthy environment Attaining & enjoying a career or other creative accomplishments by cultivating leisure-time activities and interests Sustaining satisfying and meaningful relationships with aging parents and adult children Strengthening the marital/couple relationship
Stage 8 (old age family)
Duvall's stage of family development where the tasks are: Maintaining satisfying living arrangments Maintaining own and/or couple functioning and interests in face of physiological decline Exploration of new familial and social role options Support for a more central role for the middle generation Adjusting to reduced income Dealing with loss of spouse, siblings, and other peers, and preparation for own death; life review and integration
Stage 4 (families with school age children)
Duvall's stage of family development where the tasks are: Promoting school achievement of children Maintaining a satisfying couple/marital relationship because this is a period when it diminishes Promoting open communication within the family Accepting adolescence
Stage 5 (family with adolescents)
Duvall's stage of family development where the tasks are: Shifting of parent-child relationships to permit adolescents to move in and out of the system Maintaining a satisfying couple/marital relationship with handling parental responsibilities Maintaining open communication between generations Maintaining family ethical & moral standards by parents while teens search for their own beliefs/values Refocusing on midlife marital and career issues Beginning a shift toward concern for the older generation
Single young adult
Duvall's stage of family development with the goal of accepting separation from parents and responsibility for self
Intimacy
Emotional closeness to another
Personality
Enduring patterns of perceiving, relating to, and thinking about environments and oneself that are exhibited in a wide range of social and personal contexts
Hypersomnia
Excessive sleepiness or seeking excessive amounts of sleep
Disequilibrium
Experience of disharmony between self and environment
Anticipatory grief
Experience of feelings & emotions of grief before loss occurs
Gender dysphoria
Feelings of unhappiness & incongruity concerning one's sex or gender role
Female Male
Fill in the blank (male, female): In Yin Yang Yin = _____________ Yang = ____________
Somatoform Psychophysiological
Fill in the blank (psychophysiological, somatoform): ___________ = physical symptoms with no physical cause ___________ = physical cause but made worse by psychological components
Smaller Larger
Fill in the blank (smaller, larger): In Spanish and Italian families, breakfast is usually _____________ while lunch is usually ___________
Beef
Food forbidden in Hinduism
Family therapy
Form of intervention in which members of a family are assisted to identify and change relationship patterns
Anal
Gay and bisexual men are at an increased risk for developing ____________ cancer
Emblems
Gestures that have cultural meaning (Ex. thumbs up)
Feedback
Giving information about how an individual is perceived by another
High or low
Having _____________ hypnotic ability will increase the risk for having a psychophysiological disorder
Centering
Idea of focusing on a certain point to reduce anxiety
Evil eye (mal de ojo)
Idea that a fixed stare by an adult can cause illness in a child or other adult
Holism
Idea that the whole is greater than the sum of the parts
Shouldn't
If a deaf/HOH patient asks "what did you say?" you should?/shouldn't? say "nevermind, it's not important."
Should
If communicating with a deaf/HOH patient, you should?/shouldn't? gain their attention before starting a conversation
Shouldn't
If you are performing post mortem care on the body of a Jewish patient, you should?/shouldn't? wash blood off of them
Big toe
In Afro-Carribean culture, diarrhea may be treated by tying a string around the patient's __________
Right
In India, people typically only eat with their ___________ hand
Dessert Salad
In India, the meal typically begins with __________ and ends with ___________
Ayurveda
In India, the term for the science of life
7
In India, there are _____ energy centers, or Chakras, in the body
More
In Indian culture, the more a person nods or wobbles their head, the more?/less? they understand
Friday
In Islam, ____________ is considered the holy day of the week
Are
In Islam, blood transfusions typically are?/aren't? acceptable
Aren't
In Islam, shoes are?/aren't? worn indoors
Quarentena
In Latino culture, 40 days following the delivery of the baby to promote bonding and prevent infections
Food
In Spanish and Italian families, offering _________ is hospitality
C
In a child newly diagnosed with leukemia, which nursing care measure would the nurse identify as a teaching priority for the child and family? A. Comfort measures B. Distraction activities C. Anticipatory grieving D. Bereavement counseling
A (the teenager is attempting to differentiate self)
In defiance of parental wishes, a Japanese teenager succumbs to peer pressure and gets a tattoo. According to Bowen's family systems theory, how should the community health nurse interpret the teenager's action? A. The teenager is attempting to differentiate self. B. The teenager is triangulating self. C. The teenager is cutting self off emotionally. D. The teenager is exhibiting antisocial traits.
D (main dish of lamb, chicken, or fish with curry)
In meeting the nutritional needs of Indian (India) American patients, the nurse would recognize which of the following food preferences: A. main dish of rice and fish B. cold water to aid digestion C. vegetarianism is rarely practiced D. main dish of lamb, chicken or fish with curry
B (support the use of herbal medicines)
In supporting the traditional voodoo folk practices of patients from the Caribbean, the nurse would: A. remove any voodoo dolls found in the patient's room B. support the use of herbal medicines C. remove any charms or amulets from the patient D. discourage an ill patient from singing
A
In the course of an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client? A. Self-assess personal attitudes toward homosexuality. B. Review client's possible childhood sexual abuse history. C. Encourage discussion of aversion to heterosexual relationships. D. Explore client's family history of homosexuality
Snakes
In voodoo, ____________ may be seen as a diety
Self esteem
Individual judgement about one's own worth
Dermatitis
Inflammation of the integument
Psychosocial nursing
Interventions in individuals who are having difficulty coping with the emotional aspects of illness or with a life crisis that affects health and healthcare
Alternative medicine
Interventions that differ from the traditional or conventional biomedical treatment of a disease
Paralanguage
Intonation, pitch, and speed are all examples of _____________
Eczema
Itchy, red rash that weeps or oozes serum that becomes encrusted, thickened or scaly
Increased
LGBT youth have an increased?/decreased? risk of smoking and substance abuse
Avoid
Latino families tend to encourage?/avoid? competition
Carb
Latinos typically have a high ___________ diet
Increased
Lesbian and bisexual women are at an increased?/decreased? risk for smoking and alcohol abuse
Superego
Logical component of the brain (Freud)
Punishment
Loss in people ages 3-5 oftens seems as a _____________ to them
Houngans
Male priests in the Caribbean American population
Manipulators
Manipulations of the hands (ex. rubbing, twirling hair, etc.)
Harmless
Masturbation is physically and psychologically harmful?/harmless?
Ego
Mediator component of the brain (Freud)
Allopathic medicine
Medical treatment based solely on scientific methodolgy
Elderly
Members of the ______________ population are at an increased risk for bereavement overload
Bipolar (manic phase)
Mental disorder that may lead to increased sexual interest
Paraphilic disorder
Mental disorder where patients have a sexual desire or behavior that involves another person's psychological distress, injury, or death, or a desire for sexual behaviors with persons who are unwilling or unable to give legal consent
Women
Migraines are more common in men?/women?
Orthodox
Most people from Greece practice a ____________ religion
Cultural desire
Motivation to engage in cultural competence
Same
Muslims are usually most comfortable when they have a same?/opposite? sex healthcare provider
Right
Muslims often only eat with their _________ hand
5
Muslims often pray _____ times a day
Do
Muslims typically do?/don't? practice circumcision
Shouldn't
Nurses should?/shouldn't? allow things to be draped around the neck of a pregnant Native American patient
Lower
Obesity rates tend to be higher?/lower? in the Spanish and Italian populations
C (sickle cell disease, hypertension, obesity, type 2 diabetes)
Of the following health disparities, which would be more commonly seen in African American patients? A. Tay Sachs disease, coronary heart disease, cancers B. Alcoholism, anemia C. Sickle cell disease, hypertension, obesity, type 2 diabetes D. Chronic ear and upper respiratory tract infections
Less
Pacific Islanders tend to visit health care providers more?/less? frequently
Dysmenorrhea
Pain just before or with start of menses
Pedophilic disorder
Paraphilic disorder where the patient has intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger)
Fetishistic disorder
Paraphilic disorder where the patient has recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body part(s)
Frotteristic disorder
Paraphilic disorder where the patient has recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors
Sexual sadism disorder
Paraphilic disorder where the patient has recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person
Sexual masochism disorder
Paraphilic disorder where the patient has recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer
Voyeuristic disorder
Paraphilic disorder where the patient has recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity
Exhibitionist disorder
Paraphilic disorder where the patient has recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one's genitals to an unsuspecting stranger
Transvestic disorder
Paraphilic disorder where the patient has, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing
Win/lose
Passive communication = _________/________
Social organizations
Patterns of cultural behavior learned through enculturation to recognize and accept that individuals from culturally diverse backgrounds may desire varying degrees of acculturation into the dominant culture
Virgin Mary
People of the Roman Catholic faith often pray to ___________
Personal identity
Perceptual, cognitive, emotional images we have of ourselves
Pre interaction (1)
Phase of the nurse patient relationship that only involves the nurse
Pre interaction (1)
Phase of the nurse patient relationship where the goals are for the nurse to explore self perceptions and build knowledge
Orientation (2)
Phase of the nurse patient relationship where the goals are to establish trust, formulate nursing diagnosis, establish therapeutic boundaries, and formulate a contract for intervention
Working (3)
Phase of the nurse patient relationship where the goals are to promote patient change
Working (3)
Phase of the nurse patient relationship where the nurse acts as a resource person, teacher, leader, surrogate, advocate, and counselor
Orientation (2)
Phase of the nurse patient relationship where the nurse and the client are both strangers
Orientation (2)
Phase of the nurse patient relationship where the nurse would want to use the AIDET tool
Pre interaction (1)
Phase of the nurse patient relationship where the tasks are for the nurse to build knowledge, obtain information about the client, explore personal beliefs, and analyze personal strengths
Working (3)
Phase of the nurse patient relationship where the tasks are to promote patient insight and perception of reality, explore past attempts to cope with problems and outcomes, and continuous evaluation of progress towards goal attainment
Id
Pleasure component of the brain (Freud)
Bris
Practice in the Jewish faith where the male infant is circumcised on the 8th day
Autonomic
Psychological disorders are under the control of the __________ nervous system
Defusing
Putting off further discussion with an angry individual until he or she is calmer
Adolescence
Rapid biological changes in ______________ result in anxiety about maturation
300 500
Recent Life Changes Questionnaire (Miller and Rahe): scores > _________ in 6 months = high stress scores > __________ in 1 year = high stress
Subsystems
Relationships between two individuals inside of the family
Hinduism
Religion centered around the idea that all life is sacred and nonviolence should be practiced
Cultural awareness
Self examination of one's cultural background, biases, and prejudices
Males
Sexual addiction is more common in males?/females?
Masturbation
Sexual self-stimulation either manually or with the aid of an artificial device such as a vibrator
Sympathy
Sharing the feeling and experiences of the patient
Acceptance
Showing a willingness to participate in communication with the client on the client's terms and without condemning or condoning
Parasomnias
Sleep walking, nightmares, and sleep terrors are all examples of __________
Late
Spanish and Italian families usually eat early?/late? in the evening
Encourage
Spanish and Italians encourage?/discourage? direct eye contact
Is
Spiritual distress is?/isn't? a nursing diagnosis
Latency (4)
Stage of Freudian development that has relative stability
Anal (2)
Stage of Freudian development where fixation leads to obsession with cleanliness, perfection, and control
Oral (1)
Stage of Freudian development where fixation leads to overly dependent on others, gullible, and perpetual followers
Phallic (3)
Stage of Freudian development where fixation leads to sexual deviances or weak and confused sexual identity
Genital (5)
Stage of Freudian development where sexual urges are directed onto peers
Formal operational (4)
Stage of Piaget development where adolescents can transcend the concrete situation and think about the future
Sensorimotor (1)
Stage of Piaget development where the child begins to interact with the environment
Preoperational (2)
Stage of Piaget development where the child begins to represent the world symbolically
Concrete operational (3)
Stage of Piaget development where the child learns rules such as conservation
Infant
Stage of life where, if the person experiences grief, it can be manifested as an inability to comprehend the death and fear of separation or abandonment
Reorganization
Stage of the grieving process where the patient experiences a gradual return to normal functioning but still feels differently
Disorganization
Stage of the grieving process where the patient experiences an overwhelming bleakness, despair, apathy, anxiety, and confusion
Shock
Stage of the grieving process where the patient experiences numbness, denial, disbelief, hysteria, and an inability to think straight
Protest
Stage of the grieving process where the patient experiences strong, powerful feelings of anger, guilt, sadness, fear, yearning, and searching
Active (permissive)
Stage on the sexuality continuum where lifespan sexuality is encouraged
Celibate (repressive)
Stage on the sexuality continuum where sex is seen as being for procreation only
Chaste (restrictive)
Stage on the sexuality continuum where sexual knowledge is only given to correct problems
Expressive (supportive)
Stage on the sexuality continuum where sexuality is considered essential
Active (permissive)
Stage on the sexuality continuum where sexuality is seen as normal and natural
Celibate (repressive)
Stage on the sexuality continuum where there is a denial of sexuality
Bereavement
State or experience of having suffered a loss
Self transcendence
Stepping back from an original traumatic experience and moving beyond what it is
Meat
Strict Roman Catholics may not eat _________ on Fridays
Women
Temporomandibular Joint Disorder (TMJ) is more common in men?/women?
Transexual
Term for a person who desires or has achieved changing one's anatomical gender
Maschismo
Term for manhood in Latino culture
Intersex
Term for someone born with tissues of both sexes
Transvestite
Term for someone who dresses in clothing of the opposite sex; "cross dresser"
Metrosexual
Term for sraight, sensitive educated urban dweller in touch with feminine side
Curanderos
Term for traditional healers in Latino culture
Susto
Term in Latin America for physical and emotional symptoms related to a traumatic injury or fright that caused the patient's soul to leave the body
Reproduction
Term that involves values, attitudes & behaviors related to reproduction
Intimacy Passion Commitment
The 3 components of love/relationships
Good me Bad me Not me
The 3 parts of self image
Preoccupation Ritualization Compulsivity Shame (dispair)
The 4 stages of sexual addiction
Shock Protest Disorganization Reorganization
The 4 stages of the grieving process
Denial Anger Bargaining Depression Acceptance
The 5 stages of grief
Communication Self concept reinforcement Family member's expectations Handling differences Interaction patterns Family climate
The 6 elements of family
18 months - 3 years
The Autonomy v Shame and Doubt stage of Erikson development occurs from _______-_______
65 years - end of life
The Ego Integrity v Despair stage of Erikson development occurs from ________-__________
30 - 65 years
The Generativity v Stagnation stage of Erikson development occurs from ________-_________
Females
The Gilligan theory of moral development is used for males?/females?
12 - 20 years
The Identity v Role Confusion stage of Erikson development occurs from ______-_______
6 - 12 years
The Industry v Inferiority stage of Erikson development occurs from ________-________
3 - 6 years
The Initiative v Guilt stage of Erikson development occurs from _______-_______
20 - 30 years
The Intimacy v Isolation stage of Erikson development occurs from __________-_________
Males
The Kohlberg theory of moral development is used for males?/females?
Male
The Latino family is usually led by the male?/female?
1. Sensorimotor 2. Preoperational 3. Concrete operational 4. Formal operational
The Piaget stages of development
Birth - 18 months
The Trust v Mistrust stage of Erikson development occurs from ________-_________
6-8
The acute phase of grief lasts _____-_____ weeks
18 months - 3 years
The anal stage of Freudian development spans from ________-________
A
The client whose spouse died four months ago is admitted for inpatient psychiatric care. The client has been unable to work since the spouse's death and has lost 20 pounds. The client cries frequently and says, "No, I won't believe it. It's not true." The client further describes feeling "numb" and "empty". The admitting medical diagnosis is major depression. The nurse identifies which of the following as the priority problem? A. Dysfunctional grief B. Disenfranchised grief C. Distorted grief D. Normal grief
B E
The client with lung cancer is expected to die within three months. When working with this client, the nurse assist the client to do which of the following? Select all that apply. A. Avoid discussing the future or making future plans, as the future is uncertain B. Discuss feelings of impending death and acknowledge the inevitable outcome. C. Verbalize need to avoid taking narcotic analgesics since they can cause clouded thinking. D. Allow caregivers to provide as much care as possible to reduce stress and to preserve energy. E. Explore what the person believes about the grieving process.
B
The community health nurse arrives at a home for a routine monthly visit. The client, who is crying, invites the nurse and says, "My mother's funeral was yesterday. I'm so sad." What is the most appropriate action by the nurse at this time? A. Encourage the client to think about something other than the mother's death B. Allow the client to talk about personal memories of the mother C. Ask the client to describe what led to the mother's death D. Explore the nature of the client's relationship with the mother
7-12
The concrete operational stage of Piaget development occurs from ages _______-______
Sexuality
The constitution and life of an individual relative to characteristics regarding intimacy, and it reflects the totality of the person and does not relate exclusively to the sex organs or sexual behavior
Equilibrium
The driving force to maintain harmony between self and environment
12-adulthood
The formal operational stage of Piaget development occurs from ages _______-______
13 - 20 years
The genital stage of Freudian development spans _________-________
C E
The grandfather of a three-year-old client died two days ago. Based on an understanding of normal growth and development, the nurse anticipates hearing the client make which type of comment? Select all that apply. A. "Grandfather would not have died if I had wished a little harder." B. "Grandfather will be waiting for me when I die." C. "Grandfather will be back to take me to the ball game next week." D. "Grandfather is gone, and now I have to be strong and not cry." E. "Grandfather and I are going for ice cream tomorrow."
Greece
The idea of the evil eye (mal de ojo) is recognized by people from ____________
Karma
The idea that people create their own destinies through thoughts, actions, and words
Spiritual distress
The impaired ability to experience and integrate meaning and purpose in life through connectedness with self, other, art, music, literature, nature, and a power greater than oneself
6 - 12 years
The latency stage of Freudian development spans _______-________
Ideal self
The me that a person believes they ought to be or would like to be
D
The nurse informs a 20-year-old client that both parents and two older siblings were killed in an automobile accident. The client screams "No, no!!" while covering the ears and crying. Which of the following types of behavior is the nurse likely to observe next? A. Denial B. Depression C. Bargaining D. Anger
B
The nurse is caring for a client with chronic low back pain who has been unable to work as a carpenter for the last 8 months. Before his injury, his wife didn't work outside the home. The nurse would identify which of the following nursing diagnoses for this patient? A. Disturbed body image B. Ineffective role performance C. Ineffective health maintenance D. Knowledge deficit
B (contacting a rabbi and helping the patient to put on his prayer shawl)
The nurse is caring for a critically ill patient who is Jewish. Which of the following would support this patient spiritually? A. Contacting a priest and providing a Bible B. Contacting a rabbi and helping the patient to put on his prayer shawl C. Contacting an Imam and providing a Qur'an D. Contacting a Buddhist monk
A D
The nurse is counseling a client who has lost the spouse through death. Which of the following is an appropriate outcome criterion for the client? Select all that apply. A. Accept profesional assistant if needed B. Stop expressing feelings about the spouse's death C. Plan a memorial tribute for the spouse D. Attend grief support groups E. Avoid sharing loss with significant others
D
The nurse is to counsel a mother who recently placed her newborn baby up for adoption. Before beginning the counseling, it is important for the nurse to deal with personal feelings about adoption, grief, and loss. This self awareness would do which of the following? A. Prevent the nurse from being personally affected by the client's choice in adoption B. Prevent the nurse from sharing any personal feelings with the client C. Assist the nurse to avoid discussing unpleasant feelings with the client D. Assist the nurse to help the client express grief fully
Transference
The nurse reminds the patient of someone from their past
C (use of Native healing practices)
The nurse understands that which of the following health and healing practices would likely be seen in Native American patients? A. high use of western health care services B. low rate of alcoholism, depression and accidents C. use of Native healing practices D. healing ceremonies done in private
C
The nurse works in a crisis clinic. A client arrives in a very agitated state saying, "My life partner of 15 years has died of cancer and the family will not allow me to attend the funeral. They never accepted our relationship." The nurse plans to facilitate the grieving process in this client because circumstances place the client at risk for which type of grief? A. Delayed B. Inhibited C. Disenfranchised D. Unresolved
Male
The oldest male?/female? is often the decision maker in the Asian American family
D
The opposite of type A personality is type _____
C
The opposite of type B personality is type ____
B
The opposite of type C personality is type _____
A
The opposite of type D personality is type _____
birth - 18 months
The oral stage of Freudian development spans from ______-________
Countertransference
The patient reminds the nurse of someone from their past
3 - 6 years
The phallic stage of Freudian development spans ________-_______
1. Pre interaction 2. Orientation 3. Working 4. Termination
The phases of the nurse patient relationship
Catholic
The predominant religion for Spanish and Italians
2-7
The preoperational stage of Piaget development occurs from ages _______-______
Sexual identity
The process of discovering who we are sexually
Healing
The process of restoring a person to health, soundness, or wholeness
Transformation
The process of working through the original body responses to toxic emotional states caused by change
Phsycological disorder
The psychological contribution to the initiation, exacerbation or delay in recovery from a physical condition
Mourning
The psychological process/stages through which a person passes on path to successful adaptation to the loss
Spirituality
The recognition or experience of a dimension of life that is invisible, and both within us and yet beyond our material world, providing a sense of connectedness and interrelatedness with the universe
0-2
The sensorimotor stage of Piaget development occurs from ages _______-______
1. Trust v Mistrust 2. Autonomy v Shame and Doubt 3. Initiative v Guilt 4. Industry v Inferiority 5. Identity v Role Confusion 6. Intimacy v Isolation 7. Generativity v Stagnation 8. Ego Integrity v Despair
The stage of Erikson development
1. oral 2. anal 3. phallic 4. latency 5. genital
The stages of Freudian development
Grief
The subjective experience that accompanies the emotional work involved in the mourning process
Tallit
The term for a prayer shawl in Judiasm
Imam
The term for the leader of a mosque
Normal sexual expression
The term for whatever behaviors give pleasure and satisfaction to the adults involved without any threat of coercion or injury to others
Sexualization
The use of sexuality to influence, control, manipulate
Spirit
The vital center, the essence of the whole being
Accomodation
The way a person modifies their existing life schema to the the new environment
Assimilation
The way a person responds to the environment based on existing life schema
Body
The whole of all anatomical parts and physiological functions
Is
There is?/isn't? observed differences in male and female behaviors since infancy
Empathy
Trying to understand the patient's experience
African American Asian American
Two cultural group that have an increased risk for developing lactose intolerance
Type 2 DM HTN
Two illness that Carribean Americans are at an increased risk for developing
B
Type ____ personality tends to be more laid back, goal directed, and social
C
Type ____ personality tends to be more serious, fact oriented, and introverted
D
Type ____ personality tends to like guidelines, be supportive of others, dislike change, and dislike taking risks
A
Type _____ personality tends to be more independent, more direct, hate routine, multi task, and take risks
C
Type _____ personality tends to have an increased risk for cancer
A
Type _____ personality tends to have increased stress and increased risk for heart disease
Biofeedback
Using electrical devices to record changes in body function to achieve relaxation and muscle control
Guided imagery
Using the conscious mind to create images to evoke physiological changes and promote healing and relaxation
Migraine
Vascular event in which pain arises from waves of electrical activity spreading across the outer portions of the brain, leading to inflammation & overactive nerve cells that are near congested blood vessels
Reflection
Verbatim repeating the client's verbal statement
Double blind communication
When an individual (or group) receives two or more conflicting messages, with one negating the other
Shouldn't
When caring for a Native American patient, a nurse should?/shouldn't? used sustained eye contact
C (ask the client to identify their family members)
When determining which family members should be involved in a client's care, the nurse would: A. Look at the client's record for the names of the next of kin B. Determine which family members would be the most helpful C. Ask the client to identify their family members D. Ask the client's visitors who should be involved
A (use a formal greeting, speak slowly and calmly)
When greeting an elderly Asian American patient who has difficulty speaking English, the nurse would: A. use a formal greeting, speak slowly and calmly B. use the patient's first name C. speak loudly to help the patient to understand the nurse D. stand close to the patient and touch the arm frequently
D (listen and give brief answers when asked questions)
When providing pre-operative teaching to an Alaskan Native before surgery, the nurse would expect this patient to: A. Prefer western physicians to Native healers B. Openly express their feelings and concerns C. Ask many questions about their upcoming surgery and post-operative care D. Listen and give brief answers when asked questions
B (reach out to the patient using the right hand)
Which of the following behaviors by the nurse would respectful toward a patient who is Islamic? A. Wearing shoes in the house or mosque B. Reach out to the patient using the right hand C. Touching the head, back and shoulders of the elderly D. Reach out to the patient using the left hand
C
Which of the following behaviors by the nurse would show respect for a lesbian patient? A. Assume any woman's spouse/partner is male and say "your husband" B. Ask questions that satisfy the nurse's curiosity about a same sex lifestyle C. Do not whisper or laugh in the hall after leaving the patient's room D. Refer to the patient as a minority group member
A B E
Which of the following characteristics should a nurse identify as "normal" in the development of human sexuality for an 11-year-old child? (Select all that apply.) A. The child experiments with masturbation. B. The child may experience homosexual play. C. The child shows little interest in the opposite sex. D. The child shows little concern about physical attractiveness. E. The child is unlikely to want to undress in front of others.
A
Which of the following statements made by the client indicate an accurate understanding aboutmasturbation? A. "It is a healthy, appropriate sexual activity." B. "It is unhealthy because it can cause blindness." C. "It prevents a person from enjoying heterosexual activity." D. "It is inappropriate and confuses a person's sexuality."
C (redefining the level of dependence so that adolescents are provided with greater autonomy)
Which task should the nurse recognize as appropriate to stage IV of the family life cycle? A. Making adjustments within the marital system to meet the responsibilities of parenthood B. Establishing a new identity as a couple by realigning relationships with extended family C. Redefining the level of dependence so that adolescents are provided with greater autonomy. D. Reestablishing the bond of the dyadic marital relationship.
Family of origin
Who a person was raised with; family a person is born or adopted into
Don't
You do?/don't? want to use family and friends of the patient as an interpreter
Should
You should?/shouldn't? address the patient directly if they are using an interpreter
Should
You should?/shouldn't? place the interpreter beside and slightly behind the nurse so that the patient can see both of you at the same time
55
________% percent of LGBT youth ages 12-24 are homeless
Meta
_________ communication = relationship aspects
Verbal
____________ communication = words + paralanguage
Narrative
____________ therapy emphasizes the role of the stories people construct about their experience
Nonverbal
_____________ communication = behaviors
Somatoform
_____________ disorders are characterized by physical symptoms suggesting disease but without a demonstrable organic pathological condition or a known pathophysiological mechanism to account for them
Feminist family
_____________ therapy addresses family gender roles, patriarchal attitudes, and social and economic inequalities in male-female relationships
Social constructionist
_____________ therapy is concerned with all family members' views about the problem
Psychoeducational family
________________ therapy emphasizes education of family members to help them understand and cope with a seriously disturbed family member
Clouding (fogging)
concurring with the critic's argument without becoming defensive and without agreeing to change
