Friday, August 26, 2005

Study Guide for Exam 1 -5 questions inc #16

4. Describe the characteristics of the defense mechanisms of denial, regression and compensation, passive aggression and rationalization.
Denial: refusal to accept facts
Regression: return to an earlier stage of development
Compensation: making up for perceived inadequacies
Passive-Aggression: getting even in an indirect and unassertive manner
Rationalization: justifying illogical, or unreasonable ideas, action or feelings by developing acceptable explanations that satisfy the tell

14. Which level of anxiety will produce distorted perceptions and ineffective reasoning?
Severe level of anxiety
What should be the nurse’s response to a patient with this level of anxiety?
Move to a quiet environment, possibly provide exercise to help reduce tension, look for the themes in the person’s communication, be firm and use short and simple statements.

16. Discuss the phenomenon of “secondary anxiety” and who might experience it. (In Glossary, pg. G-9)
Secondary anxiety: anxiety that is due to physiological abnormalities such as certain medical disorder or is secondary to a pervasive psychiatric disorder such as depression.

Experianced by persons have medical problems such as cardiovascular, endocrine or neurological illness or injury. (Glossary, G-9)

17. Explain the difference between assertive and aggressive.
Assertive is asking for what one wants or acting to get it in a way that respects the rights and feeling of others.
Aggressive is getting what you want through the use of verbal or nonverbal forceful means.

18. Review Maslow’s needs hierarchy.
Physiological: food, drink, air
Psychological: security, love, esteem
Meta-needs: desire to know, appreciation of truth and beauty, and the tendency toward growth and fulfillment (self-actualization)

We will not pay attention to higher needs (meta-needs) until the others are reasonable well satisfied.

1 comment:

Leslie Reisig said...

Thank you Debbie - it's nice to compare notes.