70 Questions
What is the purpose of coping skills?
To enhance one's adaptations
Which defense mechanism involves a person attributing their own thoughts and feelings onto someone else?
Projection
In which defense mechanism does a person transform their anxiety or emotions into socially acceptable pursuits?
Sublimation
What is a characteristic of adaptive coping skills?
Behaviors congruent with local norms
Which behavior indicates successful adaptation to stress from internal and external environments?
Showing thoughts and behaviors congruent with cultural norms
What does a patient in the stage of denial fail to acknowledge?
Reality of loss
What does 'rapport' in the therapeutic relationship imply?
Special feelings based on acceptance, warmth, and trust
Which characteristic is essential for trust in a nurse-client relationship?
Reliability, integrity, and sincerity
What does 'genuineness' refer to in interactions with the patient?
Being open, honest, and real
Which action is part of the pre-interaction phase of the nurse-client relationship?
Gather assessment data
What is a key task during the orientation phase of the nurse-client relationship?
Establishing a contract of intervention
Which ability is crucial for nurses to have in a nurse-client relationship?
Empathy - seeing beyond outward behavior
Which type of suicide is characterized by the individual feeling separate and apart from society?
Egoistic suicide
What distinguishes altruistic suicide from egoistic suicide?
Excessive integration into a group
Which population is mentioned as having an alarming 41% lifetime prevalence of suicide?
Transgender individuals
Anomic suicide occurs in response to what type of changes in an individual's life?
Changes that disrupt feelings of relatedness to a group
What percentage of successful suicides are accounted for by women?
30%
What is the key priority assessment question to ask when caring for a patient with depression?
Is there a history of depressive disorder in the family and has a close relative committed suicide?
What is the main focus of focus charting in nursing documentation?
Choosing a 'focus' for documentation based on a medical diagnosis
What does 'A' stand for in the data, action, and response format of focus charting?
Action
Which documentation method uses the SOAPIE format?
Problem-oriented recording
What is the main difference between Advanced Practice Psychiatric Nurses and Registered Nurses in patient assessment?
The scope of practice in psychiatric problem assessments
What is the primary emphasis of autocratic leadership style?
Leader-focused decision making and control over the team
In nursing documentation, what does 'R' represent in the data, action, and response format of focus charting?
Response
What is the main purpose of the recovery model?
To empower consumers to have primary control over their care decisions
Which factor refers to the opportunity for group members to express both positive and negative feelings?
Catharsis
What does group cohesiveness help members develop?
A sense of belonging within the group
Which dimension of recovery involves overcoming or managing one's disease and living healthy in a physical and emotional manner?
Health
What is one of the benefits of group members who have mastered a particular skill serving as role models?
It provides valuable examples for other members to follow
Which factor involves assisting individual members in taking direction of their own lives and accepting responsibility for their existence?
Existential factors
Where in the brain is the limbic system located?
Frontal lobe
Which brain area plays a role in the expression of emotions?
Temporal lobes
What is the primary function of the occipital lobes in the brain?
Visual reception and interpretation
Which part of the brain is responsible for executive functioning?
Prefrontal cortex
What is the role of the temporal lobes in the brain?
Managing auditory functions
Which part of the brain is responsible for integration of visual, auditory, and righting reflexes?
Mesencephalon
What principle refers to the duty to always be truthful?
Veracity
'Beneficence' refers to which duty in healthcare?
'Promoting good of others'
Which leadership style is characterized by a focus on encouraging full participation from group members in problem-solving?
Democratic
Which therapeutic factor involves individuals realizing they are not alone in the problems, thoughts, and feelings they are experiencing?
Universality
Which of Yalom's therapeutic factors involves individuals providing assistance and support to each other, fostering positive self-image and self-growth?
Altruism
Which of the following is a characteristic of Laissez-Faire leadership?
Low productivity and morale
What does the 'Instillation of hope' therapeutic factor involve?
Observing others' progress to garner hope
Which factor allows group members to correct maladaptive social behaviors and learn new social skills?
Development of socializing techniques
In which type of leadership style are goals undefined and members do as they please?
Laissez-Faire
'Imparting of information' as a therapeutic factor involves what?
'Sharing knowledge among group members'
What is the main purpose of ego defense mechanisms?
To test the strength of the ego
Which defense mechanism involves a person attributing their own thoughts and feelings onto someone else?
Projection
In coping skills, what does 'maladaptive' refer to?
Unsuccessful adaptation to stress
What is the characteristic of adaptive coping skills?
Successful adaptation to stress
Which defense mechanism involves transferring emotions from one target to another?
Displacement
What does denial represent in the context of coping mechanisms?
Disbelief in reality of loss
Which behavior indicates a patient's successful adaptation to stress?
Thoughts, feelings, and behaviors congruent with norms
'Sublimation' as a defense mechanism involves:
'Channeling aggression into sports'
What is the main focus of the orientation phase in the nurse-client relationship?
Creating an environment of trust and rapport
In the context of a therapeutic relationship, what does 'genuineness' refer to?
The ability to be open, honest, and real in interactions
Which characteristic is essential for forming a therapeutic relationship that implies special feelings based on acceptance, warmth, and friendliness?
Rapport
What is the priority action during the pre-interaction phase of the nurse-client relationship?
Examine fears and anxieties about working with a patient
Which characteristic involves the ability to see beyond outward behavior and understand the situation from the patient's perspective?
Empathy
What is the primary purpose of establishing rapport in a therapeutic relationship?
To create an environment of trust and warmth
Which nursing action is most crucial during the orientation phase of the nurse-client relationship?
Create an environment of trust and rapport
'Trust' in a nurse-client relationship requires confidence in which aspect of the nurse?
Reliability, integrity, veracity, and desire to assist
What is the key difference between egoistic suicide and altruistic suicide?
Level of integration into a group
Which population is mentioned as a high-risk group for suicide with a 41% lifetime prevalence?
Transgender individuals
In which type of suicide does the individual respond to disruptions in their life that instill feelings of 'separateness'?
Anomic suicide
What percentage of successful suicides are accounted for by men?
70%
What is a priority assessment question to ask when caring for a patient with depression?
History of depressive disorder in the family
'Separateness' leading to anomic suicide is caused by disruptions in what aspect of an individual's life?
Norms of behavior
What distinguishes an individual prone to altruistic suicide from one prone to egoistic suicide?
'Integration' into a group
'Relatedness to a group' plays a significant role in which type of suicide?
Anomic suicide
Study Notes
Coping Skills and Ego Defense Mechanisms
- Coping skills are coping behaviors that enhance one's adaptations
- Ego defense mechanisms:
- Reaction formation: hiding negative reactions through an exaggerated expression of positive feelings
- Projection: attributing one's thoughts and feelings onto someone else
- Sublimation: transforming anxiety or emotions into pursuits considered useful by societal or cultural norms
- Displacement: transferring feelings or emotions from one target to another
- Denial: stage of disbelief in which the reality of loss is not acknowledged
Mental Health Disorder Risk and Adaptation
- A patient is at risk for developing a mental health disorder when they exhibit maladaptive behaviors
- Adaptive: successful adaptation to stress from internal and external environment, evidenced by thoughts, feelings, and behaviors that are age-appropriate and congruent with local and cultural norms
Psychotropic Medications
- Lithium is associated with weight gain
Therapeutic Relationship
- Steps to forming a therapeutic relationship:
- Rapport: acceptance, warmth, friendliness, trust, and nonjudgemental attitude
- Trust: confidence in the person's reliability, integrity, and veracity
- Respect: believing in the dignity and worth of an individual regardless of their behavior
- Genuineness: being open, honest, and real in interactions with the patient
- Empathy: understanding the situation from the patient's point of view
Nurse-Client Relationship
- Phases of the nurse-client relationship:
- Pre-interaction phase: preparation for the first meeting with the patient, gathering information, and examining one's fears and anxieties
- Orientation phase: establishing a contract of intervention, gathering assessment data, identifying strengths and limitations, and formulating nursing diagnoses
- Priority nursing actions during each phase: creating an environment of trust and rapport, establishing a contract of intervention, gathering assessment data, identifying strengths and limitations, and formulating nursing diagnoses
Suicide and Suicide Prevention
- Classification of suicide:
- Egoistic suicide: response of an individual who feels separate and apart from the mainstream of society
- Altruistic suicide: response of an individual who is excessively integrated into the group
- Anomic suicide: response to changes in an individual's life that disrupt feelings of relatedness to a group
- Priority assessment questions for patients with depression:
- History of depressive disorder in the family and close relatives who have committed suicide
- Percentage of people who kill themselves and have a prior suicide attempt
- Successful suicides and high-risk populations (e.g. transgender individuals, the elderly)
Leadership Styles
- Autocratic: focus on the leader, high production, but low morale
- Democratic: focus on members, encouraging participation, moderate production, but high morale
- Lassiez Faire: no focus, undefined goals, low productivity, and low morale
Yalom's Therapeutic Factors
- Instillation of hope: observing progress of others with similar problems
- Universality: realizing that one is not alone in their problems, thoughts, and feelings
- Imparting of information: sharing knowledge with each other
- Altruism: providing assistance and support to each other
- Corrective recapitulation of the primary family group: re-experiencing early family conflicts
- Development of socializing techniques: correcting maladaptive social behaviors and learning new social skills
Other Key Concepts
- Orientation: assessing a patient's awareness of their situation, including their identity, location, and circumstances
- Focus charting: a method of documentation that focuses on a specific problem or issue
- Problem-oriented recording: a method of documentation that uses a subjective, objective, assessment, plan, intervention, and evaluation (SOAPIE) format
Test your knowledge of coping skills and defense mechanisms in psychology. Learn about ego strength, defense mechanisms like reaction formation, projection, sublimation, displacement, denial, and more.
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