Exam 3 NSG 526 2025|COMPLETE EXAM SET
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Terms in this set (174)
are considered the "right" patterns of behavior for a
Norms
society
should be included for problem-solving therapy for
Event interpretation
a child with conduct disorder.
can promote the greatest change in an adolescent's
Family therapy
behavior.
The Developmental describes a family's progression through the
Theoretical approach lifecycle.
Establishing a therapeutic is important because acceptance and trust convey a
alliance feeling of security in an adolescent.
as their parents (ex. If a child was brought up by
Most children will adopt parents who thought the world was hostile they
the same world view would most likely adopt this view as they grow
older.
Bibliotherapy uses books and a librarian as resources.
When conducting a it is important to have their peers involved in
counseling session for a teaching some problem-solving skills.
group of at risk
adolescents on drug use
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because it allows the child to play out their fears
Play therapy is important
and frustrations.
Therapeutic drawing is a is a child feels self-blame regarding their parent's
helpful technique divorce.
help the most in evaluating outcomes of child
Objective observations
therapy.
Schizoid personality Individual psychotherapy is the appropriate
disorder modality to use with this disorder.
The best response by the to assist the client to identify an appropriate coping
PMHNP when speaking strategy.
with a client with BPD
who has been in
counseling for
management of self-
harm behaviors who now
wants to cut themselves
is
Understand that if a client it is mostly the patient's best effort to cope.
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,
Self-mutilation is mainly fear of abandonment or the increase of
due to independence
BPD is often an inability to tolerate perceived rejection.
characterized by
the PMHNP can reflect back to the client an
Patients will respond
understanding and validation of their emotional
better to limit setting if
distress.
Clients with BPD have not the developmental stage of separation-
successfully achieved individuation.
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Paranoid Personality do not trust others easily, and it's best to use a
Disorder respectful neutral approach.
Paranoid Personality critical of others because they project blame for
Disorder are their own shortcomings onto others.
a client may feel that pain is better than not feeling
anything, it also results from feelings of
Self-mutilation occurs
abandonment, it can be a manipulative gesture, and
because
it is also happens when a safety plan has been put in
place.
DBT helps to replace irrational thoughts.
Respecting a client's important in establishing a therapeutic relationship
boundaries with a patient with BPD
providing a safe is the priority for any client who is a victim of a
environment serious crime/assault
Injuries are extensive and chances of survival are
unlikely even with definitive care. Persons in this
MCI Expectant category group should be separated from other casualties,
but not abandoned. Comfort measures should be
provided when possible
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
Black MCI CATEGORY
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.
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
Mindfulness 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.
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foster a child's healthy characteristics and existing
The psych NP needs to environmental supports no matter how negative (ex
a child lives in a homeless shelter).
children from different develop at different rates
cultures
Most psychiatric multifactorial.
disorders in children are
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;
Paranoid Personality
hostile; and aloof. Psychotic episodes may occur in
Disorder characteristics
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
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
Narcissistic Personality everything. When client is corrected, when
Disorder 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
BPD A major defense is splitting (alternating
splitting
between idealizing and devaluing).
cognitive therapy is the modality that prioritizes a
client schemas
client's schema.
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