Exam 3 NSG 526
Norms - Answer are considered the "right" patterns of behavior for a society
Event interpretation - Answer should be included for problem-solving therapy for a child
with conduct disorder.
Family therapy - Answer can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - Answer describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - Answer is important because acceptance and trust
convey a feeling of security in an adolescent.
Most children will adopt the same world view - Answer as their parents (ex. If a child
was brought up by parents who thought the world was hostile they would most likely
adopt this view as they grow older.
Bibliotherapy - Answer uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use -
Answer it is important to have their peers involved in teaching some problem-solving
skills.
Play therapy is important - Answer because it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - Answer is a child feels self-blame regarding
their parent's divorce.
Objective observations - Answer help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - Answer Individual psychotherapy is the appropriate
modality to use with this disorder.
The best response by the PMHNP when speaking with a client with BPD who has been
in counseling for management of self-harm behaviors who now wants to cut themselves
is - Answer to assist the client to identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an
anxiety producing situation arise and now cut herself is that even though this behavior is
dysfunctional, - Answer it is mostly the patient's best effort to cope.
,Self-mutilation is mainly due to - Answer fear of abandonment or the increase of
independence
BPD is often characterized by - Answer an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - Answer the PMHNP can reflect back to
the client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - Answer the developmental stage of
separation-individuation.
Paranoid Personality Disorder - Answer do not trust others easily, and it's best to use a
respectful neutral approach.
Paranoid Personality Disorder are - Answer critical of others because they project
blame for their own shortcomings onto others.
Self-mutilation occurs because - Answer a client may feel that pain is better than not
feeling anything, it also results from feelings of abandonment, it can be a manipulative
gesture, and it is also happens when a safety plan has been put in place.
DBT helps to - Answer replace irrational thoughts.
Respecting a client's boundaries - Answer important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - Answer is the priority for any client who is a victim of a
serious crime/assault
MCI Expectant category - Answer Injuries are extensive and chances of survival are
unlikely even with definitive care. Persons in this group should be separated from other
casualties, but not abandoned. Comfort measures should be provided when possible
Black MCI CATEGORY - Answer Unresponsive patients with penetrating head wounds,
high spinal cord injuries, wounds involving multiple anatomical sites and organs,
2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24 hr after radiation exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated.
Mindfulness - Answer The essential part of all skills taught in skills group are the core
mindfulness skills. Mindfulness is the capacity to pay attention, non-judgmentally to the
present moment. It is derived from teachings of the Buddha, the Zen tradition being
perhaps one of its most well-known proponents. Mindfulness is all about living in the
moment, experiencing your emotions and all your senses and being aware of them.
, The psych NP needs to - Answer foster a child's healthy characteristics and existing
environmental supports no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - Answer develop at different rates
Most psychiatric disorders in children are - Answer multifactorial.
Paranoid Personality Disorder characteristics - Answer Characteristics: suspicious of
others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear
personal information will be used against them); misread compliments as manipulation;
hypervigilant; prone to counterattack; hostile; and aloof. Psychotic episodes may occur
in times of stress. Nurses should give straightforward explanations of tests, history
taking, and procedures, side effects of drugs, changes in treatment plan, and possible
further procedures, to counteract client fear
Narcissistic Personality Disorder - Answer Characteristics: grandiosity, fantasies of
power or brilliance, need to be admired, sense of entitlement, arrogant, patronizing,
rude, overestimates self and underestimates others. This behavior covers a fragile ego.
In health care setting demand the best of everything. When client is corrected, when
boundaries are defined, or when limits are set on client's behavior, client feels
humiliated, degraded, and empty. To lower anxiety the client may launch a
counterattack. The nurse should gently help the client identify attempts to seek and
become perfect, exhibit grandiose behavior, and sense of entitlement
splitting - Answer BPD A major defense is splitting (alternating between idealizing and
devaluing).
client schemas - Answer cognitive therapy is the modality that prioritizes a client's
schema.
Schemas - Answer stored bodies of knowledge that interact with incoming information
to influence selective attention and memory search
Bibliotherapy def - Answer is an expressive therapy which involves using child and
adolescent literature to help the child express feelings in a supportive environment, gain
insight into feelings and behavior, and learn new ways to cope with difficult situations.
as the process of using books to teach those receiving medical care about their
conditions
is believed to be one cost-effective and versatile option for the treatment of several
mental health issues.
When children listen to or read a story - Answer they unconsciously identify with the
characters and experience a catharsis of feelings. The books selected by the PMH-
APRN should reflect the situations or feelings the child is experiencing.
theoretical model based on the premise that people are greatly influenced by the
characters they identify with in stories.
Norms - Answer are considered the "right" patterns of behavior for a society
Event interpretation - Answer should be included for problem-solving therapy for a child
with conduct disorder.
Family therapy - Answer can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - Answer describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - Answer is important because acceptance and trust
convey a feeling of security in an adolescent.
Most children will adopt the same world view - Answer as their parents (ex. If a child
was brought up by parents who thought the world was hostile they would most likely
adopt this view as they grow older.
Bibliotherapy - Answer uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use -
Answer it is important to have their peers involved in teaching some problem-solving
skills.
Play therapy is important - Answer because it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - Answer is a child feels self-blame regarding
their parent's divorce.
Objective observations - Answer help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - Answer Individual psychotherapy is the appropriate
modality to use with this disorder.
The best response by the PMHNP when speaking with a client with BPD who has been
in counseling for management of self-harm behaviors who now wants to cut themselves
is - Answer to assist the client to identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an
anxiety producing situation arise and now cut herself is that even though this behavior is
dysfunctional, - Answer it is mostly the patient's best effort to cope.
,Self-mutilation is mainly due to - Answer fear of abandonment or the increase of
independence
BPD is often characterized by - Answer an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - Answer the PMHNP can reflect back to
the client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - Answer the developmental stage of
separation-individuation.
Paranoid Personality Disorder - Answer do not trust others easily, and it's best to use a
respectful neutral approach.
Paranoid Personality Disorder are - Answer critical of others because they project
blame for their own shortcomings onto others.
Self-mutilation occurs because - Answer a client may feel that pain is better than not
feeling anything, it also results from feelings of abandonment, it can be a manipulative
gesture, and it is also happens when a safety plan has been put in place.
DBT helps to - Answer replace irrational thoughts.
Respecting a client's boundaries - Answer important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - Answer is the priority for any client who is a victim of a
serious crime/assault
MCI Expectant category - Answer Injuries are extensive and chances of survival are
unlikely even with definitive care. Persons in this group should be separated from other
casualties, but not abandoned. Comfort measures should be provided when possible
Black MCI CATEGORY - Answer Unresponsive patients with penetrating head wounds,
high spinal cord injuries, wounds involving multiple anatomical sites and organs,
2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24 hr after radiation exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated.
Mindfulness - Answer The essential part of all skills taught in skills group are the core
mindfulness skills. Mindfulness is the capacity to pay attention, non-judgmentally to the
present moment. It is derived from teachings of the Buddha, the Zen tradition being
perhaps one of its most well-known proponents. Mindfulness is all about living in the
moment, experiencing your emotions and all your senses and being aware of them.
, The psych NP needs to - Answer foster a child's healthy characteristics and existing
environmental supports no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - Answer develop at different rates
Most psychiatric disorders in children are - Answer multifactorial.
Paranoid Personality Disorder characteristics - Answer Characteristics: suspicious of
others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear
personal information will be used against them); misread compliments as manipulation;
hypervigilant; prone to counterattack; hostile; and aloof. Psychotic episodes may occur
in times of stress. Nurses should give straightforward explanations of tests, history
taking, and procedures, side effects of drugs, changes in treatment plan, and possible
further procedures, to counteract client fear
Narcissistic Personality Disorder - Answer Characteristics: grandiosity, fantasies of
power or brilliance, need to be admired, sense of entitlement, arrogant, patronizing,
rude, overestimates self and underestimates others. This behavior covers a fragile ego.
In health care setting demand the best of everything. When client is corrected, when
boundaries are defined, or when limits are set on client's behavior, client feels
humiliated, degraded, and empty. To lower anxiety the client may launch a
counterattack. The nurse should gently help the client identify attempts to seek and
become perfect, exhibit grandiose behavior, and sense of entitlement
splitting - Answer BPD A major defense is splitting (alternating between idealizing and
devaluing).
client schemas - Answer cognitive therapy is the modality that prioritizes a client's
schema.
Schemas - Answer stored bodies of knowledge that interact with incoming information
to influence selective attention and memory search
Bibliotherapy def - Answer is an expressive therapy which involves using child and
adolescent literature to help the child express feelings in a supportive environment, gain
insight into feelings and behavior, and learn new ways to cope with difficult situations.
as the process of using books to teach those receiving medical care about their
conditions
is believed to be one cost-effective and versatile option for the treatment of several
mental health issues.
When children listen to or read a story - Answer they unconsciously identify with the
characters and experience a catharsis of feelings. The books selected by the PMH-
APRN should reflect the situations or feelings the child is experiencing.
theoretical model based on the premise that people are greatly influenced by the
characters they identify with in stories.
