NURS 661 Exam 1 Questions With Complete Solutions
Who can benefit from EMDR?
Anyone who has ever experienced an upset that they have not
recovered from. Often these people have one or more of the
following symptoms in varying degrees: feeling "stuck", excess
stress/tension, depression, anxiety, restlessness, sleep trouble,
fatigue, appetite disturbances, and ongoing physical health
concerns despite treatment. In the more severe cases: panic
attacks, flashbacks, nightmares, obsessions, compulsions, eating
disorder, and suicidal tendencies.
How does EMDR treatment work?
When an upset is experienced, it can become locked in the
nervous system with the original picture, sounds, thoughts,
feelings, and body sensations. This upset is stored in the brain
(and also the body) in an isolated memory network preventing
learning from taking place. Old material just keeps getting
triggered over & over again and you end up feeling "stuck"
emotionally. In another part of your brain, in a separate network,
is most of the information you need to resolve the upset. It's just
prevented from linking up to the old stuff. Once processing
starts with EMDR, the 2 networks can link up. New information
can then come to mind to resolve the old problems.
How effective is EMDR?
When compared to other methods of therapy (psychoanalysis,
cognitive, behavioral, etc), EMDR has been rated as far more
,effective by mental health professionals. Clients experience
emotional healing at an accelerated rate. If we use the metaphor
of a driving a car through a tunnel to get to the other side,
(where the tunnel represents the journey of healing and the other
side of the tunnel represents the healed state), EMDR is like
driving your car through the tunnel at very high speeds. Because
of this accelerated processing, you should notice improvement
within each session.
How does the overall treatment with EMDR look?
EMDR focuses first on the past, second on the present and third
on the future. The past is focused on first because it is the past
unresolved pain (whether it is childhood or the more recent past)
which is causing pain in the present. Dealing with the past is
therefore going to the root of the problem. For example, if a
client comes in with depression and she has a history of being
depressed since a death in her family, we would focus on the
time around the death first because it is the root of the
depression. To only focus on the symptoms of the depression in
the present would be like taking an aspirin for a headache
caused by a brain tumor rather than working with the brain
tumor.
1. A patient says to the nurse, I dreamed I was stoned. When I
woke up, I felt emotionally drained, as though I hadn't rested
well. Which response should the nurse use to clarify the patient's
comment?
a. It sounds as though you were uncomfortable with the content
,of your dream.
b. I understand what you're saying. Bad dreams leave me feeling
tired, too.
c. So you feel as though you did not get enough quality sleep
last night?
d. Can you give me an example of what you mean by stoned?
Answer: D
A patient diagnosed with schizophrenia tells the nurse, The CIA
is monitoring us through the fluorescent lights in this room. Be
careful what you say. Which response by the nurse would be
most therapeutic?
a. Let's talk about something other than the CIA.
b. It sounds like you're concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your
illness
Answer: B
The patient says, My marriage is just great. My spouse and I
always agree. The nurse observes the patients foot moving
continuously as the patient twirls a shirt button. The conclusion
the nurse can draw is that the patients communication is:
a. clear.
b. mixed
c. recise
d. inadequate
, Answer: B
A nurse interacts with a newly hospitalized patient. Select the
nurses comment that applies the communication technique of
offering self.
a. Ive also had traumatic life experiences. Maybe it would help
if I told you about them.
b. Why do you think you had so much difficulty adjusting to this
change in your life?
c. I hope you will feel better after getting accustomed to how
this unit operates.
d. Id like to sit with you for a while to help you get comfortable
talking to me.
Answer: D
Which technique will best communicate to a patient that the
nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what you're saying
Answer: A
A patient discloses several concerns and associated feelings. If
the nurse wants to seek clarification, which comment would be
appropriate?
a. What are the common elements here?
b. Tell me again about your experiences.
Who can benefit from EMDR?
Anyone who has ever experienced an upset that they have not
recovered from. Often these people have one or more of the
following symptoms in varying degrees: feeling "stuck", excess
stress/tension, depression, anxiety, restlessness, sleep trouble,
fatigue, appetite disturbances, and ongoing physical health
concerns despite treatment. In the more severe cases: panic
attacks, flashbacks, nightmares, obsessions, compulsions, eating
disorder, and suicidal tendencies.
How does EMDR treatment work?
When an upset is experienced, it can become locked in the
nervous system with the original picture, sounds, thoughts,
feelings, and body sensations. This upset is stored in the brain
(and also the body) in an isolated memory network preventing
learning from taking place. Old material just keeps getting
triggered over & over again and you end up feeling "stuck"
emotionally. In another part of your brain, in a separate network,
is most of the information you need to resolve the upset. It's just
prevented from linking up to the old stuff. Once processing
starts with EMDR, the 2 networks can link up. New information
can then come to mind to resolve the old problems.
How effective is EMDR?
When compared to other methods of therapy (psychoanalysis,
cognitive, behavioral, etc), EMDR has been rated as far more
,effective by mental health professionals. Clients experience
emotional healing at an accelerated rate. If we use the metaphor
of a driving a car through a tunnel to get to the other side,
(where the tunnel represents the journey of healing and the other
side of the tunnel represents the healed state), EMDR is like
driving your car through the tunnel at very high speeds. Because
of this accelerated processing, you should notice improvement
within each session.
How does the overall treatment with EMDR look?
EMDR focuses first on the past, second on the present and third
on the future. The past is focused on first because it is the past
unresolved pain (whether it is childhood or the more recent past)
which is causing pain in the present. Dealing with the past is
therefore going to the root of the problem. For example, if a
client comes in with depression and she has a history of being
depressed since a death in her family, we would focus on the
time around the death first because it is the root of the
depression. To only focus on the symptoms of the depression in
the present would be like taking an aspirin for a headache
caused by a brain tumor rather than working with the brain
tumor.
1. A patient says to the nurse, I dreamed I was stoned. When I
woke up, I felt emotionally drained, as though I hadn't rested
well. Which response should the nurse use to clarify the patient's
comment?
a. It sounds as though you were uncomfortable with the content
,of your dream.
b. I understand what you're saying. Bad dreams leave me feeling
tired, too.
c. So you feel as though you did not get enough quality sleep
last night?
d. Can you give me an example of what you mean by stoned?
Answer: D
A patient diagnosed with schizophrenia tells the nurse, The CIA
is monitoring us through the fluorescent lights in this room. Be
careful what you say. Which response by the nurse would be
most therapeutic?
a. Let's talk about something other than the CIA.
b. It sounds like you're concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your
illness
Answer: B
The patient says, My marriage is just great. My spouse and I
always agree. The nurse observes the patients foot moving
continuously as the patient twirls a shirt button. The conclusion
the nurse can draw is that the patients communication is:
a. clear.
b. mixed
c. recise
d. inadequate
, Answer: B
A nurse interacts with a newly hospitalized patient. Select the
nurses comment that applies the communication technique of
offering self.
a. Ive also had traumatic life experiences. Maybe it would help
if I told you about them.
b. Why do you think you had so much difficulty adjusting to this
change in your life?
c. I hope you will feel better after getting accustomed to how
this unit operates.
d. Id like to sit with you for a while to help you get comfortable
talking to me.
Answer: D
Which technique will best communicate to a patient that the
nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what you're saying
Answer: A
A patient discloses several concerns and associated feelings. If
the nurse wants to seek clarification, which comment would be
appropriate?
a. What are the common elements here?
b. Tell me again about your experiences.
