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NURS 661 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (85)
Unconscious incompetency: Novice no experience, governed by rules and regulations
2.Conscious incompetency: Advanced beginner recognizes aspects of situations and makes
Competency/Proficiency 2 to 5 years' experience, coordinates complex care and
3.Conscious competency:
sees situations as wholes, and long-term solutions
4U.nconscious competency Expert flexible, efficient, and uses intuition.
describes how reactive a person is to another's emotional needs and moods. A
person who is well attuned will respond with appropriate language and
Attunement
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
is 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
Egocentrism:
accurately assume or understand any perspective other than one's own. All about
me, especially in teens and kids.
downplaying the significance of an event or emotion—is a common strategy in
Minimizing: dealing with feelings of guilt. In teens. Not to minimizing patient's problem.
Normalizing their situation is good but not minimizing.
also 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
Neuroplasticity: 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.
the entirety of climate-related aspects which impact the growth and actions of an
individual. Psychologists have displayed specific interest in sociosocial and
Nurturing:
ecological factors, like family characteristics, child-rearing traditions, and economic
status. Can be immature or maladaptive
occurs 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
Overdeterminism:
more causes present than are necessary to cause the effect. Problem may
come from different source.
Developing a new conceptual or emotional outlook relating to situations
experienced, and putting it into another frame which follows the facts or evidence
Reframing: 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
The ability to adapt or rebound quickly from change, illness, or bad fortune. Also
Resilience known as: psychic resilience; psychological resilience. Able to handle stress.
May have a genetic component.
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, 3/23/25, 8:00 Nurs 661 Flashcards |
AM
The 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
Know what the adaptive information
model posits that there is an innate self-healing quality in the brain that strives to
processing model and what it is used for.
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.
Theory stating that mental and physical disorders develop from genetic or biological
predisposition combined with stress. This theory is often used to describe the
Know what the Diathesis-Stress model is pronunciation of mental disorders, like schizophrenia, that are produced by the
what it is used for: interaction of a vulnerable hereditary predisposition, with precipitating events in
the environment. Nature (genetic) vs nurture (stress). Schizophrenia and bipolar look
at this module.
this neurotransmitter occurs in cholinergic tracts extending from the limbic
Acetylcholine structures to the cortex, and a decrease in concentration is associated with
memory and cognitive impairments. An increase is associated with Alzheimer's
disease.
a potent stress hormone that mobilizes energy stores, stimulates the release of
glucose, potentiates the release of adrenaline, increases cardiovascular tone, and
Cortisol
inhibits growth, immune, and inflammatory responses. An increase leads to cell
atrophy and a decrease leads to cell growth. Weight gain, PTSD.
produced 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,
Dopamine 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.
this inhibitory neurotransmitter contributes to a momentary refraction of neuron
firing, and the glutamate derivative is found in most neurons in the central nervous
system. It is involved in postsynaptic inhibition when benzodiazepines are given for
Gaba: anxiety, which further decreases the firing of the neurons. A decrease is associated
with anxiety disorders. Dependency, addiction, seizure if withdraw. Gaba and
benzo, brain accommodates to benzo quickly so after two weeks brain needs more.
so only as needed.
it is found in all cells, and its major receptor, N-methyl-d-aspartate (NMDA), helps to
Glutamate regulate brain development. Too much glutamate is toxic to neurons. Very exciting.
Can cause problem with ACH if dysfunctional. Helps with memory.
avoiding conscious experience of the emotion through impulsive action (e.g.,
Acting Out:
instead of feeling sad, a person gets drunk). Impulsive to undesired feeling.
Dysfunctional.
avoiding the reality of painful reality by ignoring or refusing to acknowledge reality
Denial: (e.g., a man with schizophrenia denies that he is ill and does not take his 99 62
medication).
exaggerating an illness arising from unacceptable feelings (e.g., anger and
Hypochondria:
hostility are transformed into pain and somatic complaints). Response to fear or
stressors.
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