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NURS 661 Exam

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Exam study book Illustrated Study Guide for the NCLEX-RN® Exam EBook of JoAnn Zerwekh - ISBN: 9780323777803 (NURS 661 Exam)

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NURS 661 Exam 2: Questions & Answers: Updated A+
Score Guide
Unconscious incompetency: - ANSWERNovice no experience, governed by rules and
regulations

2.Conscious incompetency: - ANSWERAdvanced beginner recognizes aspects of
situations and makes

3.Conscious competency: - ANSWERCompetency/Proficiency 2 to 5 years'
experience, coordinates complex care and sees situations as wholes, and long-term
solutions

4U.nconscious competency - ANSWERExpert flexible, efficient, and uses intuition.

Attunement - ANSWERdescribes how reactive a person is to another's emotional
needs and moods. A person who is well attuned will respond with appropriate
language and behaviors based on another person's emotional state. Are you able to
read social cues? Verbal or non-verbal, whether to engage with it or not

Egocentrism: - ANSWERis the inability to differentiate between self and other. More
specifically, it is the inability to untangle subjective schemas from objective reality
and an inability to accurately assume or understand any perspective other than
one's own. All about me, especially in teens and kids.

Minimizing: - ANSWERdownplaying the significance of an event or emotion—is a
common strategy in dealing with feelings of guilt. In teens. Not to minimizing
patient's problem. Normalizing their situation is good but not minimizing.

Neuroplasticity: - ANSWERalso known as brain plasticity, neuroelasticity, or neural
plasticity, is the ability of the brain (cortex) to change continuously throughout an
individual's life, e.g., brain activity associated with a given function can be
transferred to a different location, the proportion of grey matter can change, and
synapses may strengthen or weaken over time. Therapy can help to change the
brain.

Nurturing: - ANSWERthe entirety of climate-related aspects which impact the growth
and actions of an individual. Psychologists have displayed specific interest in
sociosocial and ecological factors, like family characteristics, child-rearing traditions,
and economic status. Can be immature or maladaptive

Overdeterminism: - ANSWERoccurs when a single-observed effect is determined by
multiple causes, any one of which alone would be sufficient to account for the effect.
That is, there are more causes present than are necessary to cause the effect.
Problem may come from different source.

, Reframing: - ANSWERDeveloping a new conceptual or emotional outlook relating to
situations experienced, and putting it into another frame which follows the facts or
evidence equally well, changing its whole definition. Reconstruction of a subject's
experiential view to impart a more positive view of it. Method for changing self-
defeating thought processes by consciously inserting more positive ones. Restarting

Resilience - ANSWERThe ability to adapt or rebound quickly from change, illness, or
bad fortune. Also known as: psychic resilience; psychological resilience. Able to
handle stress. May have a genetic component.

Know what the adaptive information processing model and what it is used for. -
ANSWERThe AIP model was developed by Shapiro through her development and
observations of the effects of eye movement desensitization and reprocessing
(EMDR) therapy (Shapiro, 2001). AIP hypothesizes that humans have an inherent
information processing system that usually processes experiences to a physiological
adaptive state in which information can be taken in and learning can occur. This
model posits that there is an innate self-healing quality in the brain that strives to
regulate its internal environment to survive and to maintain a stable, constant
condition by means of dynamic regulation. Positive and negative experiences affect
neurophysiological harmony. Optimally, memory is stored in a way that allows for
connection with other adaptive memory networks. how traumatic memories are
stored in the brain.

Know what the Diathesis-Stress model is what it is used for: - ANSWERTheory stating
that mental and physical disorders develop from genetic or biological predisposition
combined with stress. This theory is often used to describe the pronunciation of
mental disorders, like schizophrenia, that are produced by the interaction of a
vulnerable hereditary predisposition, with precipitating events in the environment.
Nature (genetic) vs nurture (stress). Schizophrenia and bipolar look at this module.

Acetylcholine - ANSWERthis neurotransmitter occurs in cholinergic tracts extending
from the limbic structures to the cortex, and a decrease in concentration is
associated with memory and cognitive impairments. An increase is associated with
Alzheimer's disease.

Cortisol - ANSWERa potent stress hormone that mobilizes energy stores, stimulates
the release of glucose, potentiates the release of adrenaline, increases
cardiovascular tone, and inhibits growth, immune, and inflammatory responses. An
increase leads to cell atrophy and a decrease leads to cell growth. Weight gain, PTSD.

Dopamine - ANSWERproduced in the substantia nigra and other areas in the
brainstem, it is a key neurotransmitter for motor action and the reward system. Too
much may change mood, increase motor behavior, and disturb frontal lobe
functioning, resulting in depression, memory impairment, and apathy. Parkinson's
disease has been linked with decreased levels of dopamine. Mood, reward. Positive
symptoms in schizophrenia and psychosis due to increase the DA. Antipsychotic can
cause EPS, because it lowers the dopamine. Nuplazid, does not hit DA for Parkinson.

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