determine preconceptions, acknowledge past experiences, resolve past conflicts, explore own thoughts and feelings
25
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self-awareness / introspection to prevent
being judgmental and emotional
26
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problem in pre-orientation phase
reluctance of the nurse
27
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orientation phase responsibilities;
formulate nursing diagnosis
28
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orientation phase goal is
establish trust
29
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problem in orientation phase
resistance of the patient
30
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congruence
words and actions match
31
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Working Phase Responsibilities
promote the client's insights
32
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working phase goal is
for the nurse to explore and for the patient to verbalize
33
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working phase
longest phase
34
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important element in working phase
communciation
35
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problem in working phase
emotional attachment
36
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transference
the patient unconsciously redirects feelings experienced in an important personal relationship toward the therapist (patient to nurse)
37
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patient to nurse
transference
38
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Counter-transference
an emotional reaction of the therapist that reflects the therapist's inner needs and conflicts (nurse to patient)
39
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nurse to patient
counter-transference
40
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interventions in emotional attachment
remind the client about contract, redirect the feelings, encourage verbalization
41
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termination phase responsibilities
determine the client's feelings about the termination
42
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termination phase goal is
to evaluate effectiveness of intervention
43
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problem in termination phase
separation anxiety
44
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prevention of separation anxiety
constantly remind client of end of contract
45
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intervention for separation anxiety
encourage verbalization of feelings
46
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crisis
When coping mechanism are ineffective that results to disequilibrium
47
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types of crisis
Maturational or Situational or adventitious
48
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situational crisis
caused by unexpected event
49
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adventitious / social crisis
caused by natural catastrophe (crime)
50
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maturational / developmental crisis
caused by expected events
51
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duration of crisis in weeks
4-6 weeks
52
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crisis is self -
limiting
53
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goal in crisis management
help client return to pre-crisis level
54
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Gestalt therapy
has the goal of helping the client become aware of his or her thoughts, behaviors, experiences, and feelings and to "own" or take responsibility for them
55
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crisis management focuses on the
present
56
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directive approach
promote problem solving
57
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supportive approach
encourage expression of feelings
58
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factors to consider in crisis
perception, support system, and coping mechanism
59
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3 components of Freud's Structural Theory of Personality
Id, Ego, Superego
60
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ID
pleasure seeker, immediate gratification
61
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ego
The 'reality check' that balances the conflicting demands of the id and superego.
62
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superego
part of the personality that acts as a moral center, moral conscience, guilt
63
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disorder concerning sueprego
OCD , anorexia nervosa
64
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disorder concerning id
antisocial
65
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ego defense mechanism is
subconscious
66
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Denial
failure to admit reality of situation
67
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Regression
A reversion to immature patterns of behavior.
68
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ego defense mechanism of alcoholics
denial
69
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ego defense mechanism of schizophrenic, pt with dementia
regression
70
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identification
imitating others while searching for identity
71
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a child becoming a teacher because she admires her
identification
72
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introjection
accepting other person's attitude, beliefs, and values as one's own
73
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introjection
conforms feelings for approval
74
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Person who dislikes guns becomes an avid hunter, just like a best friend
introjection
75
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projection
unconscious blaming of unacceptable inclinations or thoughts on an external object
76
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an unfaithful husband suspects his wife of infidelity
projection
77
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displacement
ventilation of intense feelings toward persons less threatening
78
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person who is mad at the boss yess at his wife
displacement
79
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if you cant beat them, join them
introjection
80
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thinkers are doers
projection
81
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kick the cat phenomenon
displacement
82
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acrophobia
displacement
83
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reaction formation
Acting the opposite of what one thinks or feels
84
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undoing
Exhibiting acceptable behavior to make up for or negate unacceptable behavior
85
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Person who cheats on a spouse brings the spouse a bouquet of roses
undoing
86
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Person who despises the boss tells everyone what a great boss she is
reaction formation
87
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bipolar disorder
reaction formation
88
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ocd
undoing
89
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suppression
conscious forgetting
90
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repression
unconscious forgetting
91
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dissociation
unconscious forgetting with disintegration of personality, consciousness, memory, identity, and emotion.
92
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Woman has no memory of the mugging she suffered yesterday
repression
93
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Student decides not to think about a parent's illness to study for a tests