NSG-322 Exam 2 Questions And Answers Practice Questions with Solutions Newest | Already Graded A+

NSG-322 Exam 2 Questions And Answers Practice Questions with Solutions Newest | Already Graded A+ complex trauma - Answer- developmental consequences of multiple traumatic events or prolonged exposure to trauma complex trauma may develop from - Answer- -maltx -neglect -abuse immediate emotional response - Answer- -numbness and detachment -anxiety/severe fear -guilt -exhilaration -anger. sadness -helplessness -depersonalization -disorientation -feeling out of control -denial -constriction of feelings -feeling overwhelmed delayed emotional response - Answer- -irritability/hostility -depression -mood swings -anxiety -fear of trauma recurrence -grief reactions -shame feelings of fragility -emotional detachment immediate cognitive response - Answer- -Difficulty concentrating -Racing thoughts -Distortion of time and space -Memory problems -Strong identification with victims delayed cognitive response - Answer- -Intrusive memories or flashbacks -Reactivation of previous traumatic events -Self-blame -Preoccupation with event -Difficulty making decisions -Magical thinking -Belief that feelings or memories are dangerous -Generalization of triggers -Suicidal thinking immediate behavioral response - Answer- -Startled reaction -Restlessness -Sleep and appetite disturbances -Difficulty expressing oneself -Argumentative behavior -increased use of alcohol, drugs, and tobacco -Withdrawal and apathy -Avoidant behaviors delayed behavioral response - Answer- -Avoidance of event reminders -social relationship disturbances -Decreased activity level -Engagement in high-risk behaviors -Increased use of alcohol and drugs -Withdrawal trauma informed care - Answer- focuses on how trauma may affect an individual's life and his or her response to behavioral health services from prevention through treatment trauma informed approach incorporates - Answer- -realizing the prevalence of trauma -recognizing how trauma affects all individuals involved in the program, org, or syst -responding by putting this knowledge into practice Reactive Attachment Disorder - Answer- a consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers (child rarely seeks comfort or responds to comforting) reactive attachment disorder symptoms - Answer- -limited pos affect -irritability -sadness -fearfulness -minimal soc responsiveness reactive attachment disorder causes - Answer- -inconsistent care -freq changes in caregivers -living in foster homes/orphanages reactive attachment disorder tx - Answer- -ind. and family therapy -med for underlying depression/anxiety -bibliotherapy rape-trauma syndrome - Answer- specific type of PTSD which can develop after a client has been victim of sexual assault symptoms of PTSD - Answer- 1. re-experiencing symptoms 2. avoidance behavior 3. neg changes in cognition and mood 4. alt arousal and act re-experiencing symptoms (PTSD) - Answer- -Flashbacks -Bad dreams -Frightening thoughts. avoidance behaviors - Answer- -Staying away from places, events, or objects that are reminders of the experience -Feeling emotionally numb -Feeling strong guilt, depression, or worry -Losing interest in activities that were enjoyable in the past -Having trouble remembering the dangerous event. -Things that remind a person of the traumatic event can trigger avoidance symptoms. negative changes in cognition and mood - Answer- -cognitive distortions about self -feelings of detachment symptoms of hyperarousal - Answer- -being easily startled -feeling tense/on edge -difficulty sleeping -angry outbursts PTSD tx (pharm) - Answer- -SSRIs (dec anxiety and controls obsessive thinking) -Prazosin (lessens severity and freq of PTSD related nightmares) PTSD tx (psychotherapy) - Answer- -exposure therapy -cognitive restructuring -stress inoculation training -EMDR cognitive restructuring - Answer- -helps people make sense of the bad memories. -the therapist helps people with PTSD look at what happened in a realistic way. stress inoculation training - Answer- -tries to reduce PTSD symptoms by teaching a person how to reduce anxiety -helps people look at their memories in a helpful way EMDR - Answer- completes processing of trauma by utilizing lateral eye movement which helps to transfer information from the non-hippocampus dependent area in the amygdala to the Verbally Accessible Memory area in the hippocampus depersonalization/derealization disorder - Answer- a dissociative disorder marked by the presence of persistent and recurrent episodes of depersonalization, derealization, or both dissociative amnesia - Answer- -psychologically induced memory loss and inability to recall important personal info after severe stressor -occurs when a person blocks out certain information, leaving him or her unable to remember important personal information. -memories still exist but are deeply buried within person's mind and can't be recalled dissociative amnesia with fugue - Answer- disorder characterized by extreme memory loss that is caused by extensive psychological stress accompanied by moving and assuming a new identity dissociative identity disorder - Answer- disorder occurring when a person seems to have two or more distinct personalities within one body dissociation - Answer- disconnection between a person's thoughts, memories, feelings, actions or sense of who he or she is. severe traumatic dissociation - Answer- comes from major trauma depersonalization disorder - Answer- Recurrent periods of feeling unreal, detached, outside the body, dreamlike, numb, or with a distorted sense of time or visual perception. derealization disorder - Answer- Recurrent periods of feeling that one's surroundings are not real or "right". dissociative disorders implementation - Answer- -comm guidelines: gentle, supportive, build rapport -health teaching/promo: coping skills, stress manage, techniques to interrupt dissociative episode, journal for triggers -Milieu therapy: safe, quiet, structured, supportive -Psychotherapy: most effective tx risk factors for depression - Answer- -Prior hx of depression/Fam hx -member of certain vulnerable groups -female -40+ y.o. -active subst abuse -hx of sexual abuse -postpartum pd -stressful life events -hx of other chronic mental/med illness Stress-Diathesis Model - Answer- people have vulnerabilities/predispositions for developing depression diathesis+stress=disorder learned helplessness - Answer- condition of human/animal that has learned to behave helplessly, failing to respond even though there are opportunities for it to help itself cognitive theory-beck's cognitive triad - Answer- negative view of self+ pessimistic view of world + belief that neg reinforcement will continue -people acquire psych disposition to depression from early life experiences clinical manifestations of depression - Answer- -sadness, despair, emptiness -neg pessimistic thinking -anhedonia -anergia -avolition -low self esteem -apathy -soc withdrawal -excessive emo sensitivity -irritability -low frustration level -insomnia/hypersomnia -disrupt in concentration and decision-making ability -excessive guilt -indecisiveness