Answers
1. When should self determination be limited?: Only in situations where it would
cause harm to a client or others.
2. Jean Piaget: Developmental psychologist best known for his theory of cognitive development.
Theory states that children learn through interaction in the environment.
3. Nature vs nurture: Whether cognitive development is mainly determined by a clients
innate qualities (nature), or by his personal experiences (nurture). Many experts avoid this
question today.
4. Social development on micro level: Learning how to behave and interact well with
others. Relies on managing feelings.
5. Social development on a macro level: Commitment that development processes
need to benefit people. Recognizes the way people interact in groups and society.
6. Social development: Change in social institutions.
7. Spiritual growth and development stages: -Unwilling to accept a will greater
than their own.
-Blind faith in authority figures, world is divided into good and evil.
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, -Scientific skepticism and questioning.
-Enjoys mystery and beauty of existence.
8. Bio psychosocial-spiritual-cultural challenges older people are faced
with: - Health and physical abilities, accessing attordable-high quality health care, decreased
economic security, increased vulnerability to abuse and exploitation, and loss of meaningful roles.
9. Health care issues with adults 80+: Communication: Encourage to express feelings,
stay positive Health: monitor closely, promote self care, ensure nutrition, stress, and activity levels
Safety:ensure safe living
10. Development: Product of the elaborate interplay of biological, psychological, spiritual,
and social influ-ences
11. John Bowlby: Originated Attachment Theory.
12. Attachment: defined by Bowlby: A lasting psychological connectedness that
can be understood within an evolutionary context in which a caregiver provides safety and security
to a child. Child is pre-programmed to create attachments.
13. Monotropy: One primary attachment figure. Acts as a secure base for exploring the
world.
14. Learned behavior attachment: Child will form an attachment to whoever
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