Skills & Principles
Assessment Skills
Therapeutic Communication
The Therapeutic Relationship
Cognitive Impairment, Alzheimer's Disease, & Dementia
100
A person who can cope with and adjust to the recurrent stresses of daily living in an acceptable way.
What is a mentally healthy adult.
100
_________ data relates to the patient's perceptions. For example, the experiences of pain, nausea and anxiety cannot be measured by anyone but the individual experiencing them. When documenting this type of data, quote the patient as much as possible; do not include judgements (i.e., the patient is sad).
What is subjective.
100
Messages sent and received without the use of words.
What is nonverbal communication.
100
A barrier in the therapeutic relationship based on the caregiver's inappropriate emotional response towards a patient. Common responses include intense feelings of caring, involvement, disgust, hostility or anxiety.
What is countertransference.
100
A change in consciousness that occurs quickly. Reversible if underlying cause is found and treated early.
What is delirium.
200
Care based on understanding patients in relation to their physical, cultural, intellectual, emotional, spiritual and social environment. Based on the concept of "whole".
What is holistic health care.
200
__________ is the process of purposeful looking. When using this data gathering technique, it is important to remain objective.
What is observation.
200
Speech becomes fast, loud, rushed and emphatic.
What is pressured speech.
200
When a patient denies the caregiver's help, demands to stop the relationship now, is absent from appointments, and superficially interacts with the caregiver, they are exhibiting _________ in response to the termination phase of the therapeutic relationship.
What is withdrawal.
200
Loss of multiple abilities, including memory, language, and the ability to think and understand. Two most common types are vascular and Alzheimer's disease.
What is dementia.
300
The ability to recognize and share the emotions of another person without actually experiencing them.
What is empathy.
300
The emotional display of the mood being experienced (i.e. flat).
What is affect.
300
When an individual describes in too much detail; cannot be selective.
What is circumstantiality.
300
When a patient tries to continue the relationship, brings up new problems, becomes helpless and wants the caregiver to solve his/her problems, the patient is exhibiting __________ in response to the termination phase of the therapeutic relationship.
What is continuation.
300
A group of behaviors characterized by confusion, agitation, and disruptive actions that occur in the late afternoon or evening.
What is sundown syndrome.
400
When coping mechanisms are successfully used, an individual is able to solve problems and reduce stress. These are considered adaptive or _________ coping mechanisms.
What is constructive.
400
False beliefs that cannot be corrected by reasoning or explanation.
What are delusions.
400
Described as shifting rapidly between unrelated topics.
What is flight of ideas.
400
During this phase of the therapeutic relationship the caregiver and patient become acquainted, agree to work with each other, and establish the purpose for the relationship.
What is orientation.
400
Scientists have found that the neurotransmitter _________ is greatly decreased in individuals with Alzheimer's disease.
What is acetylcholine.
500
_________ therapists do not accept the concept of mental illness. Instead, they call people "irresponsible" rather than "mentally ill". They describe how patients are irresponsible and help them develop the responsibility to satisfy their needs.
What is reality.
500
State of extreme excitement, elation, and activity.
What is mania.
500
The use of the senses to gain information. Vision, hearing and touch are all used in communication.
What is perception.
500
The focus of this phase of the therapeutic relationship is to achieve the goals in the client-caregiver agreement. This phase consists of periods of growth and resistance.
What is working phase.
500
The intellectual losses of Alzheimer's disease are also accompanied by the loss of mood, emotion and personality - known as ________ loss.
What is affective.