CMAN 272 Exam Actual Questions and Answers 100% Correct

CMAN 272 Exam Actual Questions and Answers 100% Correct What is CISD and what are the different phases? Critical Incident Stress Debriefing - occurs after a group experiences a stressful event 1. Introduction 2. Facts 3. Thought 4. Reaction 5. Symptoms 6. Teaching 7. Reentry Yalom's Therapeutic Factors in Group Therapy 1/11 instillation of hope Yalom's Therapeutic Factors in Group Therapy 2/11 universality Yalom's Therapeutic Factors in Group Therapy 3/11 altruism - service to others Yalom's Therapeutic Factors in Group Therapy 4/11 imparting of information - teaching Yalom's Therapeutic Factors in Group Therapy 5/11 corrective recapitulation of primary family group - role model healthy behavior as group leader Yalom's Therapeutic Factors in Group Therapy 6/11 development of socializing techniques Yalom's Therapeutic Factors in Group Therapy 7/11 imitative behavior Yalom's Therapeutic Factors in Group Therapy 8/11 interpersonal learning Yalom's Therapeutic Factors in Group Therapy 9/11 group cohesiveness Yalom's Therapeutic Factors in Group Therapy 10/11 catharsis - releasing of emotions (venting) Yalom's Therapeutic Factors in Group Therapy 11/11 existential factors - here and now types of groups - homogenous - heterogeneous - open - closed - subgroup group development phases 1. orientation phase 2. working phase 3. termination phase what happens in the orientation phase? - introduction - state the purpose of the group and the expectations - (in outpatient) it might help to ask what their goals are what happens in termination phase? - reflect on what went well, what could be changed, and what was missing - make sure to keep track of time! - 5 minutes should be used at the end to summarize and thank the group for participation group leadership responsibility - initiating - maintaining (summarize, open-ended questions, paraphrasing, reflecting, clarifying, sharing observations) - terminate styles of leadership - autocratic - democratic - laissez-faire define autocratic leader - communication goes from leader to group members - not much interaction between the group members - one-way - group leader controls topic (much more structure) define democratic leader - group leader controls questions and encourages discussion among group define laissez-faire leader - group leader is more observant - more difficult to lead - group members are given freedom to lead topics and openly discuss what are some group norms? - be respectful of each other's thoughts and feelings - encourage participation - encourage to stay the whole time, but allow for them to leave if they need to - remind them about confidentiality - discourage cross talking (talking over one another) - encourage participation what are some group leader communication techniques? - giving information - clarification - confrontation - reflection (do not overuse because it may start to annoy the patient) - summarization - support - AVOID blocks What are communication blocks? - nonverbal gestures - trying to relate to patient by sharing your own story - reassuring cliché ("Don't worry, you'll be fine") what groups are a basic level RN permitted to leading? (7) 1. psychoeducational 2. medication education 3. health education 4. dual-DX (substance abuse + psychiatric disorder) 5. symptom-management 6. stress-management 7. support and self-help what groups are a advanced practice nurse permitted to leading? (3) 1. group psychotherapy 2. cognitive-behavioral treatment (Beck's theory) 3. dialectical behavior treatment (Marsha Linehan) - behavior and concepts like acceptance and mindfulness how can you handle a monopolizing member? - suggest to speak to member more about their concerns later (1-on-1) - thank the patient and ask how others felt about his/her statement how can you handle a complaining member who rejects help? validate their feelings and further ask how they will work to get what they need how can you handle a silent member? - go around and hear from everyone - respect the person and allow for him/her to take time and go back to the person later how can you handle a demoralizing member? - ask them to be more respectful - ask them to step out of the room what are the different characteristics of family function? (11) 1. ability to provide for safety of members 2. quality of resources and support systems 3. underlying issues 4. cultural concepts 5. developmental needs 6. patterns of behavior and interaction 7. responses to stressors 8. ability to interact w/ support services 9. parenting skill 10. relationships and interactions 11. overall flexibility or resilience what are the 6 different family structures? 1. nuclear 2. single parent 3. unmarried biological or adoptive family 4. blended 5. cohabitating 6. "other" - children living w/ unrelated or unrelated adults who are not biological nor adoptive OR children living w/ grandparents and foster families what is 1 out of the 5 different family functions? 1. management - how are things run in the family? - Who runs what? what is 1 out of the 5 different family functions? 2. boundaries - roles in the family - are they clear or enmeshed (WE don't feel that way) - speaking for others - are they rigid or disengaged? what is 1 out of the 5 different family functions? 3. communication what is 1 out of the 5 different family functions? 4. emotional support what is 1 out of the 5 different family functions? 5. socialization define family systems theory by altering family dynamics, we can decrease emotional reactivity, increase each member's sense of self, and/or improve patterns of family interaction what are the 5 areas usually explored before family therapy? 1. cohesiveness 2. communication 3. appreciation 4. commitment 5. coping define identified patient - individual typically identified as "the problem" - the family member whose beliefs, perceptions, actions, and responses demand an immediate fix - aka family symptom-bearer indications for antipsychotics (neuroleptics) - schizophrenia - bipolar (manic phase) - major depressive disorder w/ psychotic features - dementia and delusions - aggressive behavior - sedation - grandiose thoughts positive s/s of schizophrenia - hallucinations - delusions - abnormal thoughts