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NSG 526 EXAM 3 QUESTIONS WITH
ANSWERS.
Cognitive Therapeutic Interventions - correct answer -the major
goal of cognitive therapeutic interventions is emotional regulation
- recognizing and controlling the expression of feelings. Clients
often fail even to recognize their feelings; instead, they respond
quickly without thinking about the consequences. Remember, the
time needed for taking action is shorter than the time needed for
thinking before acting. Pausing makes up for the momentary lag
between the limbic and autonomic response and the prefrontal
response.
The communication triad - correct answer -The triad provides a
specific syntax and order for clients to identify and express their
feelings and seek relief. The sentence" consists of three parts:
An "I" statement to identify the prevailing feeling
A nonjudgmental statement of the emotional trigger
What the client would like differently or what would restore
comfort to the situation. "Joe, I feel angry ("I" statement with
ownership of feeling) when you interrupt me (the trigger or
conditions of the emotion), and I would like you to apologize and
try not to do that with me (what the client wants and the remedy)."
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Delay gratification - correct answer -When the client wants
something that is not immediately available, the PMH-APRN can
teach clients to distract themselves, find alternate ways of
meeting the need, and think about what would happen if they
have to wait to meet the need.
Practice of thought stopping - correct answer -help the client to
control the inappropriate expression of feelings. The person
identifies what feelings and thoughts exist together. For example,
when the person is ruminating about a perceived hurt, the
individual might say "STOP THAT" (referring to the ruminative
thought) and engage in a distracting activity. (e.g., instead of
ruminating about an angry situation, think about a neutral or
positive self-affirmation)
The concept of acting out is complex. - correct answer -The term
has been used to describe a variety of behaviors, ranging from
antisocial, destructive acts to unconscious impulses expressed in
action rather than in symbolic words or symptoms. Acting out
may, and often does, include destructive actions and seemingly
undefinable behaviors. The term describes a re-creation of the
client's life experiences, relationships with significant others, and
resulting unresolved conflicts.
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Temperament - correct answer -is the constitutional makeup of
the child at birth, specifically the child's behavioral and
psychophysiological attributes. For instance, infants who have
been exposed to drugs in utero may be very sensitive to
stimulation from lights, sounds, or touch
Child-parent psychotherapy attempts to enhance the goodness-
of-fit - correct answer -between parent and child in order to
increase their enjoyment in one another and provide the child with
a more supportive foundation for optimal mental health.
Parent-child interaction - correct answer -Separation and reunion.
Examine how child reacts to separation and reunion with parent
Thought process: - correct answer -Looseness of associations,
magical thinking, preservation, echolalia, ability to distinguish
fantasy from reality (by age 4 children have some understanding
of what is real or made up), flight of ideas
Memory - correct answer -Test recall after 5 minutes (school-age
children should be able to remember three objects after 5
minutes)
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Abstraction - correct answer -Children ages 12 or younger not
expected to have abstractive thought abilities (young children
have concrete thinking)
Oppositional defiant disorder (ODD) - correct answer -is an
enduring pattern of angry or irritable mood and argumentative,
defiant, or vindictive behavior lasting at least 6 months with at
least four of the associated symptoms: Loses temper, Touchy or
easily annoyed, Angry or resentful, Argues with authority, Actively
defies or refuses to comply with request or rules from authority
figures, Blames others, Deliberately annoys others, Spiteful or
vindictive
Oppositional defiant disorder (ODD) tx - correct answer -Therapy
is mainstay:
Z Individual therapy
Z Family therapy, with emphasis on child management skills
Z Evidence-based treatment: child and parent problem-solving
skills training (American Academy of Child and Adolescent
Psychiatry [AACAP], 2007b).
X incredibleyears (group intervention)
X Parent-child interactional therapy (individual or family
intervention)
NSG 526 EXAM 3 QUESTIONS WITH
ANSWERS.
Cognitive Therapeutic Interventions - correct answer -the major
goal of cognitive therapeutic interventions is emotional regulation
- recognizing and controlling the expression of feelings. Clients
often fail even to recognize their feelings; instead, they respond
quickly without thinking about the consequences. Remember, the
time needed for taking action is shorter than the time needed for
thinking before acting. Pausing makes up for the momentary lag
between the limbic and autonomic response and the prefrontal
response.
The communication triad - correct answer -The triad provides a
specific syntax and order for clients to identify and express their
feelings and seek relief. The sentence" consists of three parts:
An "I" statement to identify the prevailing feeling
A nonjudgmental statement of the emotional trigger
What the client would like differently or what would restore
comfort to the situation. "Joe, I feel angry ("I" statement with
ownership of feeling) when you interrupt me (the trigger or
conditions of the emotion), and I would like you to apologize and
try not to do that with me (what the client wants and the remedy)."
, Page | 2
Delay gratification - correct answer -When the client wants
something that is not immediately available, the PMH-APRN can
teach clients to distract themselves, find alternate ways of
meeting the need, and think about what would happen if they
have to wait to meet the need.
Practice of thought stopping - correct answer -help the client to
control the inappropriate expression of feelings. The person
identifies what feelings and thoughts exist together. For example,
when the person is ruminating about a perceived hurt, the
individual might say "STOP THAT" (referring to the ruminative
thought) and engage in a distracting activity. (e.g., instead of
ruminating about an angry situation, think about a neutral or
positive self-affirmation)
The concept of acting out is complex. - correct answer -The term
has been used to describe a variety of behaviors, ranging from
antisocial, destructive acts to unconscious impulses expressed in
action rather than in symbolic words or symptoms. Acting out
may, and often does, include destructive actions and seemingly
undefinable behaviors. The term describes a re-creation of the
client's life experiences, relationships with significant others, and
resulting unresolved conflicts.
, Page | 3
Temperament - correct answer -is the constitutional makeup of
the child at birth, specifically the child's behavioral and
psychophysiological attributes. For instance, infants who have
been exposed to drugs in utero may be very sensitive to
stimulation from lights, sounds, or touch
Child-parent psychotherapy attempts to enhance the goodness-
of-fit - correct answer -between parent and child in order to
increase their enjoyment in one another and provide the child with
a more supportive foundation for optimal mental health.
Parent-child interaction - correct answer -Separation and reunion.
Examine how child reacts to separation and reunion with parent
Thought process: - correct answer -Looseness of associations,
magical thinking, preservation, echolalia, ability to distinguish
fantasy from reality (by age 4 children have some understanding
of what is real or made up), flight of ideas
Memory - correct answer -Test recall after 5 minutes (school-age
children should be able to remember three objects after 5
minutes)
, Page | 4
Abstraction - correct answer -Children ages 12 or younger not
expected to have abstractive thought abilities (young children
have concrete thinking)
Oppositional defiant disorder (ODD) - correct answer -is an
enduring pattern of angry or irritable mood and argumentative,
defiant, or vindictive behavior lasting at least 6 months with at
least four of the associated symptoms: Loses temper, Touchy or
easily annoyed, Angry or resentful, Argues with authority, Actively
defies or refuses to comply with request or rules from authority
figures, Blames others, Deliberately annoys others, Spiteful or
vindictive
Oppositional defiant disorder (ODD) tx - correct answer -Therapy
is mainstay:
Z Individual therapy
Z Family therapy, with emphasis on child management skills
Z Evidence-based treatment: child and parent problem-solving
skills training (American Academy of Child and Adolescent
Psychiatry [AACAP], 2007b).
X incredibleyears (group intervention)
X Parent-child interactional therapy (individual or family
intervention)
