NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
Tell me about the skill of mindfulness in DBT
Being aware of the present moment without judgment
Mindful abdominal breathing
Focusing/observing
Describing
Wise mind
Judgment diffusion
Tell me about the skill of emotion regulation in DBT
Understanding and reducing vulnerability to emotions; changing unwanted emotions
Radical acceptance
Distract
Relaxation
Self-soothing
Tell me about the skill of distress tolerance in DBT
Getting through crisis situations without making things worse; accepting reality
Radical acceptance
Distract
Relaxation
Self-soothing
Tell me about the skill of interpersonal regulation in DBT
Getting interpersonal objectives met; maintaining relationships; increasing self-respect
in relationships
Knowing what you want
Making a request
Passive vs. aggressive behavior
,Assertive listening
Negotiating
Tell me about the skill of self management in DBT
Knowing what you want
Making a request
Passive vs. aggressive behavior
Assertive listening
Negotiating
Tell me about the three part brain model in the trauma resiliency model
understand the work of the survival (brainstem), emotional (limbic system), and thinking
(cortex) parts of the brain—how they support us, but also how, when out of the RZ, the
subcortical parts of the brain dominate, making reasoned decision-making impossible.
EMDR and the hemispheres of the brain
facilitates interhemispheric connection trauma involves right-brain processing and most
psychotherapy is a left-brain endeavor, EMDR therapy seems to rapidly connect left-
brain ways of processing information with emotional right-brain information.
EMDR and REM sleep
integration of memory networks has been linked to the processes of rapid eye
movement (REM) sleep
EMDR and dual attention to internal and external stimuli
thought to disarm arousal by coupling attention to the disturbing dimensions of the
memory (internal stimulation) with attendant relaxation that occurs with BLS (external
stimulation) allowing the linkage of dysfunctional material with more adaptive memory
networks.
EMDR and the working memory hypothesis
Dual attention in EMDR therapy requires people to divide their attention between the
BLS and an aversive memory so that the aversive memory becomes reconsolidated
and less emotionally salient and vivid than previously.
EMDR and the cerebellum
role in associative learning, memory reconsolidation, and event-timing
Tell me about EMDR and the brain as a whole
, There may be both right and left hemisphere stimulation of attention that triggers the
integration of affect with cognition, sensations, and emotion in the brain along with top-
down cortical-hippocampal circuits and bottom-up amygdala-cortical activation with
subsequent processing. The activation of emotion and the right hemisphere along with
the simultaneous activation of the language-based left hemisphere may aid in
integration of these functions, thus enhancing the person's ability to gain cognitive
perspective and emotional regulation. This multilayered process produces a new
information-processing matrix in the brain that is essential for the resolution of trauma
and integration of the left hemisphere, which is language based, with the right
hemisphere, which contains the somatic and autobiographic components of the self.
EMDR prefrontal cortex and amygdala
the prefrontal cortex shows increased activation with increased inhibition of the
amygdala so that patients with PTSD are less hyperaroused and have fewer symptoms
of flashbacks and hallucinations
EMDR and the hippocampus
increase in hippocampal volume after PTSD patients are treated with EMDR
What are signs a person is stabilized?
no current life crisis, acceptance of the diagnosis, an ability to set and adhere to limits,
the ability to identify triggers, ability to self-soothe and to reach out to supportive people,
and the ability to communicate honestly with the clinician. In terms of mood stability, the
person's mood may be depressed but not labile
What are the 3 stages of EMDR?
targeting the original traumatic memory, targeting the present trigger, and incorporating
a positive template for the future
Assumption with EMDR
present dysfunctional emotions are related to past events that feed or keep alive the
present problems. Current situations serve as triggers that activate implicit or episodic
memories, and these unprocessed memories contain the emotions, thoughts, and
sensations from the original event
what assumptions are made in DBT
Tell me about the skill of mindfulness in DBT
Being aware of the present moment without judgment
Mindful abdominal breathing
Focusing/observing
Describing
Wise mind
Judgment diffusion
Tell me about the skill of emotion regulation in DBT
Understanding and reducing vulnerability to emotions; changing unwanted emotions
Radical acceptance
Distract
Relaxation
Self-soothing
Tell me about the skill of distress tolerance in DBT
Getting through crisis situations without making things worse; accepting reality
Radical acceptance
Distract
Relaxation
Self-soothing
Tell me about the skill of interpersonal regulation in DBT
Getting interpersonal objectives met; maintaining relationships; increasing self-respect
in relationships
Knowing what you want
Making a request
Passive vs. aggressive behavior
,Assertive listening
Negotiating
Tell me about the skill of self management in DBT
Knowing what you want
Making a request
Passive vs. aggressive behavior
Assertive listening
Negotiating
Tell me about the three part brain model in the trauma resiliency model
understand the work of the survival (brainstem), emotional (limbic system), and thinking
(cortex) parts of the brain—how they support us, but also how, when out of the RZ, the
subcortical parts of the brain dominate, making reasoned decision-making impossible.
EMDR and the hemispheres of the brain
facilitates interhemispheric connection trauma involves right-brain processing and most
psychotherapy is a left-brain endeavor, EMDR therapy seems to rapidly connect left-
brain ways of processing information with emotional right-brain information.
EMDR and REM sleep
integration of memory networks has been linked to the processes of rapid eye
movement (REM) sleep
EMDR and dual attention to internal and external stimuli
thought to disarm arousal by coupling attention to the disturbing dimensions of the
memory (internal stimulation) with attendant relaxation that occurs with BLS (external
stimulation) allowing the linkage of dysfunctional material with more adaptive memory
networks.
EMDR and the working memory hypothesis
Dual attention in EMDR therapy requires people to divide their attention between the
BLS and an aversive memory so that the aversive memory becomes reconsolidated
and less emotionally salient and vivid than previously.
EMDR and the cerebellum
role in associative learning, memory reconsolidation, and event-timing
Tell me about EMDR and the brain as a whole
, There may be both right and left hemisphere stimulation of attention that triggers the
integration of affect with cognition, sensations, and emotion in the brain along with top-
down cortical-hippocampal circuits and bottom-up amygdala-cortical activation with
subsequent processing. The activation of emotion and the right hemisphere along with
the simultaneous activation of the language-based left hemisphere may aid in
integration of these functions, thus enhancing the person's ability to gain cognitive
perspective and emotional regulation. This multilayered process produces a new
information-processing matrix in the brain that is essential for the resolution of trauma
and integration of the left hemisphere, which is language based, with the right
hemisphere, which contains the somatic and autobiographic components of the self.
EMDR prefrontal cortex and amygdala
the prefrontal cortex shows increased activation with increased inhibition of the
amygdala so that patients with PTSD are less hyperaroused and have fewer symptoms
of flashbacks and hallucinations
EMDR and the hippocampus
increase in hippocampal volume after PTSD patients are treated with EMDR
What are signs a person is stabilized?
no current life crisis, acceptance of the diagnosis, an ability to set and adhere to limits,
the ability to identify triggers, ability to self-soothe and to reach out to supportive people,
and the ability to communicate honestly with the clinician. In terms of mood stability, the
person's mood may be depressed but not labile
What are the 3 stages of EMDR?
targeting the original traumatic memory, targeting the present trigger, and incorporating
a positive template for the future
Assumption with EMDR
present dysfunctional emotions are related to past events that feed or keep alive the
present problems. Current situations serve as triggers that activate implicit or episodic
memories, and these unprocessed memories contain the emotions, thoughts, and
sensations from the original event
what assumptions are made in DBT
