WILKES NSG 526 EXAM 3 150 EXAM SCRIPT
2026 FULL SOLUTION PRACTICE
◉ process of cognitive restructuring involves strategies. Answer:
finding out what the child means by statements he makes, teaching
him to question the "evidence" he's using to maintain any irrational
beliefs, helping him identify other options for what a situation might
mean, listing advantages and disadvantages of a particular belief,
and teaching him to use self-talk or directives to himself to help
change or reframe a situation.
For example, "Stop and wait; don't get angry until you find out more
◉ Family Therapy. Answer: This method is selected when
interactions among family members need attention in order to
address specific problems exhibited by the child. The goal is to
increase the likelihood that improvements in the child's mental
health will occur and will be supported in the home with consistent
and sustained family patterns
◉ If children under age 7 are involved in family therapy, the nurse
may choose to alternate between having the child present and
seeing the parents or other family members only becasue. Answer:
child's presence provides information for clinical assessment, allows
for direct comment on and discussion of the dynamics that occur
among parents and children, and provides opportunities for the
PMH-APRN to model effective interaction with the child, as well as
,teach the family about normal development and positive parenting.
However, there may be issues for discussion that are beyond the
child's capacity to understand and/or inappropriate for discussion
in front of the child. Meeting with the parents alone enables these
issues to be more openly addressed in a setting with fewer
distractions.
◉ Family play therapy. Answer: Usually, the first half of the family
session involves either directive or nondirective play. In the second
half, the parents talk with the therapist about family issues that
arose during the play, while the child continues to play or engages in
discussion as desired or when invited.
◉ If children are protected from experiencing negative events and
developing coping skills. Answer: they may be unable to cope and
adapt to crisis situations in later life.
◉ Crisis occurs when. Answer: there is a perceived challenge or
threat that overwhelms the capacity of the individual to cope
effectively with the event.
disrupts the life of the individual experiencing the event.
◉ In a crisis. Answer: the person's habits and coping patterns are
suspended. Often, unexpected emotional (e.g., depression) and
biologic (e.g., nausea, vomiting, diarrhea, headaches) responses
occur. Although a person may become extremely anxious, depressed,
,or elated, feeling states do not determine whether a person is in a
crisis. If functioning is severely impaired, a crisis is occurring
◉ A crisis is generally regarded as. Answer: time limited, lasting no
more than 4 to 6 weeks. There is no such thing as a chronic crisis.
People who live in constant turmoil are not in crisis but in chaos.
◉ A crisis can also represent. Answer: a turning point in a person's
life, with either positive or negative outcomes. It can be an
opportunity for growth and change because new ways of coping are
learned.
◉ can initiate a crisis. Answer: Either internal or external demands
that are perceived as threats to a person's physical or emotional
functioning. Many life events can evoke a crisis, such as pandemics,
natural disasters (e.g., floods, tornadoes, earthquakes) and
manmade disasters (e.g., wars, bombings, airplane crashes) as well
as traumatic experiences (e.g., rape, sexual abuse, assault). In
addition, interpersonal events (divorce, marriage, birth of a child)
may create a crisis event in the life of any person.
◉ A crisis is not the same as. Answer: a psychiatric emergency that
requires immediate intervention. A person in crisis may not need an
immediate intervention and should not be viewed as having a
mental disorder. However, if the person is significantly distressed or
social functioning impaired, an Axis I diagnosis of acute stress
disorder should be considered. The person with an acute stress
, disorder has dissociative symptoms and persistently re-experiences
the event (APA).
◉ The basis of our understanding of the biopsychosocial
implications of a crisis began. Answer: in the 1940s when Eric
Lindemann (l944) studied bereavement reactions among the friends
and relatives of the victims of the Coconut Grove nightclub fire in
Boston in 1942. That fire, in which 493 people died,
From those results, he hypothesized that during the course of one's
life, some situations, such as the birth of a child, marriage, and death,
evoke adaptive mechanisms that lead either to mastery of a new
situation (psychological growth) or impaired functioning.
◉ In 1961, psychiatrist Gerald Caplan defined a crisis. Answer: as
occurring when a person faces a problem that cannot be solved by
customary problem-solving methods. During period of
disequilibrium, there is a rise in inner tension and anxiety, followed
by emotional upset and an inability to function. This
conceptualization of phases of a crisis is used today. Four phases
◉ According to Caplan, during a crisis, a person. Answer: is open to
learning new ways of coping to survive
◉ Phase 1. Answer: A problem arises that contributes to increase in
anxiety levels. The anxiety stimulates the implementation of usual
problem-solving techniques of the person.
2026 FULL SOLUTION PRACTICE
◉ process of cognitive restructuring involves strategies. Answer:
finding out what the child means by statements he makes, teaching
him to question the "evidence" he's using to maintain any irrational
beliefs, helping him identify other options for what a situation might
mean, listing advantages and disadvantages of a particular belief,
and teaching him to use self-talk or directives to himself to help
change or reframe a situation.
For example, "Stop and wait; don't get angry until you find out more
◉ Family Therapy. Answer: This method is selected when
interactions among family members need attention in order to
address specific problems exhibited by the child. The goal is to
increase the likelihood that improvements in the child's mental
health will occur and will be supported in the home with consistent
and sustained family patterns
◉ If children under age 7 are involved in family therapy, the nurse
may choose to alternate between having the child present and
seeing the parents or other family members only becasue. Answer:
child's presence provides information for clinical assessment, allows
for direct comment on and discussion of the dynamics that occur
among parents and children, and provides opportunities for the
PMH-APRN to model effective interaction with the child, as well as
,teach the family about normal development and positive parenting.
However, there may be issues for discussion that are beyond the
child's capacity to understand and/or inappropriate for discussion
in front of the child. Meeting with the parents alone enables these
issues to be more openly addressed in a setting with fewer
distractions.
◉ Family play therapy. Answer: Usually, the first half of the family
session involves either directive or nondirective play. In the second
half, the parents talk with the therapist about family issues that
arose during the play, while the child continues to play or engages in
discussion as desired or when invited.
◉ If children are protected from experiencing negative events and
developing coping skills. Answer: they may be unable to cope and
adapt to crisis situations in later life.
◉ Crisis occurs when. Answer: there is a perceived challenge or
threat that overwhelms the capacity of the individual to cope
effectively with the event.
disrupts the life of the individual experiencing the event.
◉ In a crisis. Answer: the person's habits and coping patterns are
suspended. Often, unexpected emotional (e.g., depression) and
biologic (e.g., nausea, vomiting, diarrhea, headaches) responses
occur. Although a person may become extremely anxious, depressed,
,or elated, feeling states do not determine whether a person is in a
crisis. If functioning is severely impaired, a crisis is occurring
◉ A crisis is generally regarded as. Answer: time limited, lasting no
more than 4 to 6 weeks. There is no such thing as a chronic crisis.
People who live in constant turmoil are not in crisis but in chaos.
◉ A crisis can also represent. Answer: a turning point in a person's
life, with either positive or negative outcomes. It can be an
opportunity for growth and change because new ways of coping are
learned.
◉ can initiate a crisis. Answer: Either internal or external demands
that are perceived as threats to a person's physical or emotional
functioning. Many life events can evoke a crisis, such as pandemics,
natural disasters (e.g., floods, tornadoes, earthquakes) and
manmade disasters (e.g., wars, bombings, airplane crashes) as well
as traumatic experiences (e.g., rape, sexual abuse, assault). In
addition, interpersonal events (divorce, marriage, birth of a child)
may create a crisis event in the life of any person.
◉ A crisis is not the same as. Answer: a psychiatric emergency that
requires immediate intervention. A person in crisis may not need an
immediate intervention and should not be viewed as having a
mental disorder. However, if the person is significantly distressed or
social functioning impaired, an Axis I diagnosis of acute stress
disorder should be considered. The person with an acute stress
, disorder has dissociative symptoms and persistently re-experiences
the event (APA).
◉ The basis of our understanding of the biopsychosocial
implications of a crisis began. Answer: in the 1940s when Eric
Lindemann (l944) studied bereavement reactions among the friends
and relatives of the victims of the Coconut Grove nightclub fire in
Boston in 1942. That fire, in which 493 people died,
From those results, he hypothesized that during the course of one's
life, some situations, such as the birth of a child, marriage, and death,
evoke adaptive mechanisms that lead either to mastery of a new
situation (psychological growth) or impaired functioning.
◉ In 1961, psychiatrist Gerald Caplan defined a crisis. Answer: as
occurring when a person faces a problem that cannot be solved by
customary problem-solving methods. During period of
disequilibrium, there is a rise in inner tension and anxiety, followed
by emotional upset and an inability to function. This
conceptualization of phases of a crisis is used today. Four phases
◉ According to Caplan, during a crisis, a person. Answer: is open to
learning new ways of coping to survive
◉ Phase 1. Answer: A problem arises that contributes to increase in
anxiety levels. The anxiety stimulates the implementation of usual
problem-solving techniques of the person.
