WILKES NSG 526 Exam 2 Questions with 100%
Verified Solutions
Milieu benefit eating disorder - ANSWER including normalization of eating. The highly
structures milieu includes precise meal times, adherence to the selected menus,
observation during and after meals, and regularly scheduled weighing
Milieu benefit schitzophrenic - ANSWER (1) protection from stressful or disruptive
environments and
(2) structure
Milieu benefit bipolar - ANSWER Seclusion room- comfort and relief for those that are
out of control.
Reduces overwhelming environmental stimuli
Protects a client form injuring self, others, or staff
Prevents destruction of personal property or property of others
Milieu benefit depression - ANSWER The client with depression needs protection from
suicidal acts and a supervised environment for regulating treatments. Often, being
removed from a stressful interpersonal situation increases therapeutic value.
Milieu benefit anxiety - ANSWER Structuring the daily routine to offer physical safety
and predictability, thus reducing anxiety over the unknown Providing daily activities
to promote sharing and cooperation
Providing therapeutic interactions, including one-on-one nursing care and behavior
contracts
Including the client in decisions about his or her own care
Organization to help learn more about complementary and alternative medicines -
ANSWER National Institutes of Health (NIH) established the National Center for
Complementary and Alternative Medicine (NCCAM) in 1998.
Acupuncture. - ANSWER The term "acupuncture" describes a family of procedures
involving the stimulation of anatomical points on the body using a variety of techniques.
The acupuncture technique that has been most often studied scientifically involves
penetrating the skin with thin, solid, metallic needles that are manipulated by the hands
or by electrical stimulation.
health is achieved by maintaining the body in a "balanced state"; disease is due to an
internal imbalance of yin and yang. This imbalance leads to blockage in the flow of qi Qi
can be unblocked, according to TCM, by using acupuncture at certain points on the
body that connect with these meridians.
,Herbal therapies advantages - ANSWER echinacea (immune stimulant and
antiinfection agent); garlic (antihypertensive and antibiotic); ginger (anti-nauseant and
antispasmodic); ginseng root (increased stamina and decreased fatigue); kava kava
(calming effect); and St. John's wort (anxiolytics and antidepressant).
Therapeutic touch - ANSWER useful in relieving premenstrual syndrome, depression,
complications in premature babies, and secondary infections associated with human
immunodeficiency virus (HN) infection; lowering blood pressure; decreasing edema;
easing abdominal cramps and nausea; resolving fevers; and accelerating the healing of
fractures, wounds, and infections.
Concurrent use of SSRI and St. John's Wort - ANSWER No, risk of serotonin syndrome
Yoga as a treatment approach - ANSWER People use yoga for a variety of conditions
and to achieve fitness and relaxation.
Dolores Krieger and use of therapeutic touch - ANSWER Dolores Krieger, a nursing
professor at New York University healing is promoted by balancing the body's energies.
practitioners focus completely on the person receiving the treatment, without any other
distraction. Practitioners then assess the energy field, clear and balance it through hand
movements, and/or direct energy in a specific region of the body. The therapist does not
physically touch the client. After undergoing a session of therapeutic touch, clients
report a sense of deep relaxation.
Beck's Cognitive Triad in depressed patients. - ANSWER negative views of self
tendency toward interpreting experiences in a negative manner
holding negative views of the future
Operant conditioning - ANSWER Operant conditioning is the basis for behavior
modification and uses positive reinforcement to increase desired behaviors. desired
goals are achieved or behaviors are performed, clients might be rewarded with tokens.
These tokens can be exchanged for food, small luxuries, or privileges. This reward
system is known as a token economy. been useful in improving the verbal behaviors of
mute, autistic, and developmentally disabled children. In clients with severe and
persistent mental illness, behavior modification has helped increase levels of self-care,
social behavior, group participation
Behavioral therapy - ANSWER Behavioral therapy is base on the assumption that
changes in maladaptive behavior can occur without insight into the underlying cause.
This approach works best when it is directed at specific problems and the goals are well
defined. Behavioral therapy is effective in treating people with phobias, alcoholism,
schizophrenia, and many other conditions.
4 types behavioral therapy - ANSWER Modeling, operant conditioning, systematic
desensitization, aversion
,Systematic Desensitization - ANSWER Systematic desensitization is another form of
behavior modification therapy that involves the development of behavioral tasks
customized to the client's specific fears; these tasks are presented to the client while
using learned relaxation techniques. The process involves four steps:
The client's fear is broken down into its components by exploring the particular stimulus
cues to which the client reacts.
The client is incrementally exposed to the fear.
The client is instructed in how to design a hierarchy of fears.
The client practices these techniques every day.
Approach to patient wanting to use CAM to treat his health conditions - ANSWER
studies in the field are minimal when compared to those of conventional medicine. no
standards or regulations that guarantee the safety or efficacy of herbal products.
Consumers may waste a great deal of money and risk their health on unproven,
fraudulently marketed, useless, or harmful products and treatments. Another concern
regarding CAM therapies is that diagnosis and treatment may be delayed while clients
try alternative interventions, which is common with mental health symptoms such as
major depression and anxiety. Research on herbs such as St. John's wort, valerian, and
ginkgo biloba and mind-body interventions such as yoga and meditation is extensive,
and results are available on the NCCAM website.
Cognitive distortions - ANSWER schemas can be conceptualized as stored bodies of
knowledge that interact with incoming information to influence selective attention and
memory search
schema is an abstract cognitive plan that serves as a guide for interpreting information
and solving problems
schema as "the basis for molding data into cognitions, defined as nay verbal or pictoral
content
schema is dormant until activated by a relevant stimulus
DBT - ANSWER tx designed specifically for individuals with self harm behaviors, self
cutting, suicide, etc.
three modes of dbt - ANSWER individual, skills group (mindfullness, interpersonal
effectiveness (ie), emotional regulation (er), distress tolerance (dt), telephone crises
management, contract to call therapist for suicide or self harm behaviors
piaget - ANSWER theory of cognitive development children move through 4
difference stages of mental development. sensorimotor- birth to 2 yearspreoperational-
2-7 yearsconcrete operational- 7-11 yearsformal operational- 12 plus
piaget assumption - ANSWER Assumption: children construct their own knowledge in
response to their experiences. Learn many things on own without intervention, children
are intrinsically motivated to learn
, Ainsworth - ANSWER theorist that studied types of attachment by use of the strange
situation test
strange situation test - ANSWER Gradually subjecting a child to a stressful situation
and observing his or her behavior toward the parent or caregiver. This test is used to
classify children according to type of attachment—secure, resistant, avoidant, or
disorganized/disoriented.
Yalom - ANSWER existential psychotherapy is an attitude toward human suffering and
has no manual. Asks deep questions about the nature of the human being and nature of
anxiety/despair/grief/loneliness/isolation. Questions meaning of love, creativity.
Primary purpose of group therapy. - ANSWER group therapy helps promotes and
enhances understanding of one's self, overcome fears, undesirable thoughts, and
feelings and adopt new behaviors.
Open groups - ANSWER permits termination of members at different points and their
substitution by new members. learning from each other, lots of participation, ideal for
most settings, groups also can vary in purpose
a group in which new members are added as others leave
closed groups - ANSWER members begin and end the group at the same time. ex.
outpatient smoking cessation
a group in which membership is restricted; no new members are added when other
leave
Agenda group - ANSWER size 6-12, inpatient/outpatient, each individual states an
agenda for that day's session. Higher functioning clients
Focus group - ANSWER size 4-7, inpatient, higher pathologies, lower functioning, goal
is to make this successful, non anxiety producing so clients comfortable in group, simple
tasks
Heterogeneous group - ANSWER a group in which a range of differences exists among
members
Homogeneous group - ANSWER a group in which all members share central traits
(e.g., men's group, group of clients with bipolar disorder)
reasons a therapist to share personal information with patients - ANSWER using self-
disclosure: demonstrate how you had changed similar automatic thoughts.
Verified Solutions
Milieu benefit eating disorder - ANSWER including normalization of eating. The highly
structures milieu includes precise meal times, adherence to the selected menus,
observation during and after meals, and regularly scheduled weighing
Milieu benefit schitzophrenic - ANSWER (1) protection from stressful or disruptive
environments and
(2) structure
Milieu benefit bipolar - ANSWER Seclusion room- comfort and relief for those that are
out of control.
Reduces overwhelming environmental stimuli
Protects a client form injuring self, others, or staff
Prevents destruction of personal property or property of others
Milieu benefit depression - ANSWER The client with depression needs protection from
suicidal acts and a supervised environment for regulating treatments. Often, being
removed from a stressful interpersonal situation increases therapeutic value.
Milieu benefit anxiety - ANSWER Structuring the daily routine to offer physical safety
and predictability, thus reducing anxiety over the unknown Providing daily activities
to promote sharing and cooperation
Providing therapeutic interactions, including one-on-one nursing care and behavior
contracts
Including the client in decisions about his or her own care
Organization to help learn more about complementary and alternative medicines -
ANSWER National Institutes of Health (NIH) established the National Center for
Complementary and Alternative Medicine (NCCAM) in 1998.
Acupuncture. - ANSWER The term "acupuncture" describes a family of procedures
involving the stimulation of anatomical points on the body using a variety of techniques.
The acupuncture technique that has been most often studied scientifically involves
penetrating the skin with thin, solid, metallic needles that are manipulated by the hands
or by electrical stimulation.
health is achieved by maintaining the body in a "balanced state"; disease is due to an
internal imbalance of yin and yang. This imbalance leads to blockage in the flow of qi Qi
can be unblocked, according to TCM, by using acupuncture at certain points on the
body that connect with these meridians.
,Herbal therapies advantages - ANSWER echinacea (immune stimulant and
antiinfection agent); garlic (antihypertensive and antibiotic); ginger (anti-nauseant and
antispasmodic); ginseng root (increased stamina and decreased fatigue); kava kava
(calming effect); and St. John's wort (anxiolytics and antidepressant).
Therapeutic touch - ANSWER useful in relieving premenstrual syndrome, depression,
complications in premature babies, and secondary infections associated with human
immunodeficiency virus (HN) infection; lowering blood pressure; decreasing edema;
easing abdominal cramps and nausea; resolving fevers; and accelerating the healing of
fractures, wounds, and infections.
Concurrent use of SSRI and St. John's Wort - ANSWER No, risk of serotonin syndrome
Yoga as a treatment approach - ANSWER People use yoga for a variety of conditions
and to achieve fitness and relaxation.
Dolores Krieger and use of therapeutic touch - ANSWER Dolores Krieger, a nursing
professor at New York University healing is promoted by balancing the body's energies.
practitioners focus completely on the person receiving the treatment, without any other
distraction. Practitioners then assess the energy field, clear and balance it through hand
movements, and/or direct energy in a specific region of the body. The therapist does not
physically touch the client. After undergoing a session of therapeutic touch, clients
report a sense of deep relaxation.
Beck's Cognitive Triad in depressed patients. - ANSWER negative views of self
tendency toward interpreting experiences in a negative manner
holding negative views of the future
Operant conditioning - ANSWER Operant conditioning is the basis for behavior
modification and uses positive reinforcement to increase desired behaviors. desired
goals are achieved or behaviors are performed, clients might be rewarded with tokens.
These tokens can be exchanged for food, small luxuries, or privileges. This reward
system is known as a token economy. been useful in improving the verbal behaviors of
mute, autistic, and developmentally disabled children. In clients with severe and
persistent mental illness, behavior modification has helped increase levels of self-care,
social behavior, group participation
Behavioral therapy - ANSWER Behavioral therapy is base on the assumption that
changes in maladaptive behavior can occur without insight into the underlying cause.
This approach works best when it is directed at specific problems and the goals are well
defined. Behavioral therapy is effective in treating people with phobias, alcoholism,
schizophrenia, and many other conditions.
4 types behavioral therapy - ANSWER Modeling, operant conditioning, systematic
desensitization, aversion
,Systematic Desensitization - ANSWER Systematic desensitization is another form of
behavior modification therapy that involves the development of behavioral tasks
customized to the client's specific fears; these tasks are presented to the client while
using learned relaxation techniques. The process involves four steps:
The client's fear is broken down into its components by exploring the particular stimulus
cues to which the client reacts.
The client is incrementally exposed to the fear.
The client is instructed in how to design a hierarchy of fears.
The client practices these techniques every day.
Approach to patient wanting to use CAM to treat his health conditions - ANSWER
studies in the field are minimal when compared to those of conventional medicine. no
standards or regulations that guarantee the safety or efficacy of herbal products.
Consumers may waste a great deal of money and risk their health on unproven,
fraudulently marketed, useless, or harmful products and treatments. Another concern
regarding CAM therapies is that diagnosis and treatment may be delayed while clients
try alternative interventions, which is common with mental health symptoms such as
major depression and anxiety. Research on herbs such as St. John's wort, valerian, and
ginkgo biloba and mind-body interventions such as yoga and meditation is extensive,
and results are available on the NCCAM website.
Cognitive distortions - ANSWER schemas can be conceptualized as stored bodies of
knowledge that interact with incoming information to influence selective attention and
memory search
schema is an abstract cognitive plan that serves as a guide for interpreting information
and solving problems
schema as "the basis for molding data into cognitions, defined as nay verbal or pictoral
content
schema is dormant until activated by a relevant stimulus
DBT - ANSWER tx designed specifically for individuals with self harm behaviors, self
cutting, suicide, etc.
three modes of dbt - ANSWER individual, skills group (mindfullness, interpersonal
effectiveness (ie), emotional regulation (er), distress tolerance (dt), telephone crises
management, contract to call therapist for suicide or self harm behaviors
piaget - ANSWER theory of cognitive development children move through 4
difference stages of mental development. sensorimotor- birth to 2 yearspreoperational-
2-7 yearsconcrete operational- 7-11 yearsformal operational- 12 plus
piaget assumption - ANSWER Assumption: children construct their own knowledge in
response to their experiences. Learn many things on own without intervention, children
are intrinsically motivated to learn
, Ainsworth - ANSWER theorist that studied types of attachment by use of the strange
situation test
strange situation test - ANSWER Gradually subjecting a child to a stressful situation
and observing his or her behavior toward the parent or caregiver. This test is used to
classify children according to type of attachment—secure, resistant, avoidant, or
disorganized/disoriented.
Yalom - ANSWER existential psychotherapy is an attitude toward human suffering and
has no manual. Asks deep questions about the nature of the human being and nature of
anxiety/despair/grief/loneliness/isolation. Questions meaning of love, creativity.
Primary purpose of group therapy. - ANSWER group therapy helps promotes and
enhances understanding of one's self, overcome fears, undesirable thoughts, and
feelings and adopt new behaviors.
Open groups - ANSWER permits termination of members at different points and their
substitution by new members. learning from each other, lots of participation, ideal for
most settings, groups also can vary in purpose
a group in which new members are added as others leave
closed groups - ANSWER members begin and end the group at the same time. ex.
outpatient smoking cessation
a group in which membership is restricted; no new members are added when other
leave
Agenda group - ANSWER size 6-12, inpatient/outpatient, each individual states an
agenda for that day's session. Higher functioning clients
Focus group - ANSWER size 4-7, inpatient, higher pathologies, lower functioning, goal
is to make this successful, non anxiety producing so clients comfortable in group, simple
tasks
Heterogeneous group - ANSWER a group in which a range of differences exists among
members
Homogeneous group - ANSWER a group in which all members share central traits
(e.g., men's group, group of clients with bipolar disorder)
reasons a therapist to share personal information with patients - ANSWER using self-
disclosure: demonstrate how you had changed similar automatic thoughts.
