NR 222 Health and Wellness, NR 222 Exam 3 Chamberlain College Questions With Detailed Verified Correct Answers

trust v. mistrust - correct answers Erikson infant autonomy v. shame and doubt - correct answers Erikson toddler initiative v. guilt - correct answers Erikson preschooler industry v. inferiority - correct answers Erikson school-aged identity v. role confusion - correct answers Erikson adolescence intimacy v. isolation - correct answers Erikson young adult generativity v. stagnation - correct answers Erikson middle adult integrity v. despair - correct answers Erikson older adult sensorimotor - correct answers Piaget infant preoperational - correct answers Piaget toddler to preschooler concrete operational - correct answers Piaget school-aged formal operational - correct answers Piaget adolescence upwards Choosing Freely Choose Alternatives Choosing after careful consideration of potential outcomes Cherishing and being happy with personal beliefs Affirming choices in public Acting out the choice Repeating acting in some type of pattern - correct answers 7 Steps of Values Clarification What is important to you? What do you value most - correct answers Techniques to clarify values I understand what you value most I hear that it is very important to you that.... - correct answers How to restate the value Are your actions consistent with your values? What are some ways you might put your values into action? - correct answers Identify Value Conflicts between values and actions Therapeutic use of self - correct answers Without self awareness and clarification of values what is impaired Mental picture of self Evolves through life Shaped by genetics, experiences, individual action, and feedback from others Facts about self How a person sees themselves and how that person grows/changes with new experiences and lessons learned Self concept might include beliefs "I am easy going" "I am pretty" - correct answers Self Concept Emotions attached to the way you see yourself/the facts from the self-concept Feelings of how you view yourself - correct answers Self Esteem 1) Public self known to self and others ex. name, skin color, sex, age 2)semipublic known only to outsiders (outside of the persons awareness) ex. biting the lip, squinting of eyes 3) Private self known only to self- not revealed to others ex. Secrets, fantasies, etc. 4) Inner self known neither to self or others ex. Obessions, fears, through dreams - correct answers Johari Window (Components of Self) 1) Listening to one self 2) Listening to and learning from others 3) Self disclosure 4) Practical reflection - correct answers Steps in Self-awareness Attention to emotions, thoughts, memories, reactions Self Reflection are the reactions realistic What am I feeling? Where are my thoughts? What actions did I take and why? - correct answers Listening to one self Feedback reflection on the feedback is important ask others directly for feedback feedback on abilities/limitations Listening to others does mean doing what they say but interpreting and making the best choice - correct answers Listening to and learning from others Sharing info about self Appropriate sharing of self enhances self knowledge Law of reciprocity (you share I share) Self disclosure allows one to know themselves better by holding thoughts, actions, feelings up to the light for examination with others - correct answers Self Disclosure Understanding Events and the correct action to take ex. Recall incident that happened remembering images retelling events and associated emotions, nurses interpret the story of communication that failed by examine expectations, ideals, goals, personal actions that occurred during the event, honest inspection of role in the story - correct answers Practical Reflection Confirmation that both sender/receiver understand the information. Ask the patient to explain the message and how to ask for further information - correct answers Consenual Validation Process in which one person promotes the development of another person by fostering maturation, adapation, integration, openness, and ability to find meaning in the present situation - correct answers Therapeutic Relationship 1) Preorientation 2) Orientation 3) Working Phase 4) Termination Phase - correct answers Phases of Therapeutic Relationship Nurse prep for day/ get self together - correct answers Preorientation phase When patient/nurse meet Establish names, purpose, date to follow up - correct answers Orientation Promotion of health, assessment, trust established, resistant behaviors are noticed - correct answers Working Phase End of relationship anxiety again, loss, sadness, discuss goals make referrals - correct answers Termination Phase Toward a particular goal - correct answers Purposeful Harmony btwn people, getting at eye level - correct answers Rapport Reliance on a person to carry put responsbilities - correct answers Trust Ability to understand ones feelings without losing identity Never say I know how you feel - correct answers Empathy Meet some need/ promote growth - correct answers Goal Direction Making problem belongs to the patient, respect individual rights, verbal and nonverbal should always match - correct answers Ethical Decision Listening Flexibility Silence Humor Touch - correct answers Examples of Effective Communication Lack of knowledge on nurses part Anxiety Attitudes Gaps between nurse and individual (Language, religion, verbal/ nonverbal communication) Resistance Transference (reacting to another person as if they were someone else because of the way they act/look) Countertransference (develop feelings for the patient and think the patient can't function without you treating like child) - correct answers Ineffective Communication 1) Intimate Space - up to 18 inches high interpersonal sensory stimulation 2) Personal Space 18in-4ft - close relationships/touching involved/good visualization is desired 3) Social-Consultative space 9-12 feet, less intimate and personal, requiring louder verbal communication 4) Public space- 12ft appropriated used for formal gatherings, giving speeches - correct answers Zones of Space Prenatal, infancy, adolescence - correct answers Rapid Growth occurs Toddler, preschool, school age - correct answers Slower Growth occurs 1) Cephalocaudal - head to toe, neck and head 2) Proximodistal - midline to periphery, CNS develops first 3) Differentiation- simple to complex, general to specific whole hand grasp before pinch, babble to speak, crawl before walk - correct answers Developmental patterns Females have one X chromosome rather than 2 Short Stature, webbed neck, low posterior hair- line, low set ears, shield shaped chest with widely spaced nipples, lack of sexual development and menses during puberty, cardiac/renal abnormalities, sterile - correct answers Turner Syndrome Male XXY extra X chromosome Tall thin lack of secondary sexual characteristics learning/behavioral problems sterile - correct answers Klienfelter Syndrome