NMNC 1110 ACTUAL EVALUATION TEST
QUESTIONS AND ANSWERS SURE A+
✔✔• Psychobiological - ✔✔o Recognition that psychiatric illnesses are as much
physical in origin as physiological diseases decreases the stigma
o Telling pt & their family they aren't responsible/at fault for the illness
o Med management & admin
✔✔• Countertransference - ✔✔unconscious feelings that the hc worker has toward the
pt
✔✔• Transference - ✔✔unconscious feelings the pt has toward the hc worker originally
felt in childhood for a significant other
• Classical conditioning: natural stimulus repeatedly paired with another stimulus,
eventually the "sound" of the stimulus could elicit a desired response
o Ex: getting sick after eating spoiled eggs and being nauseated whenever smelling
eggs as an older adult
✔✔• Operant conditioning - ✔✔learning that occurs through rewards & punishment for
voluntary behavior
o Elicited through reinforcement
♣ Positive - addition of a reward
♣ Negative - removal of an averse stimulus
,o Helpful for improving verbal behaviors of mute, autistic, and developmentally disabled
children
✔✔• Systematic desensitization - ✔✔involves development of behavior tasks
customized to pt's specific fears; tasks are presented to pt while using learned
relaxation techniques
o Pt fear broken down into components; explore stimulus cues
o Pt exposed to fear little by little
o Pt instructed in how to design a hierarchy of fears
o Pt practices techniques every day
✔✔• Aversion therapy - ✔✔used to treat behaviors such as alcoholism, paraphilic
disorders, shoplifting, violent/aggressive behavior, self-mutation
o Pairs negative stimulus w/ specific target behavior (suppresses behavior)
o Ex: painting foul smelling substances on the hands of people who bite their nails/suck
their thumbs
✔✔• Modeling - ✔✔therapist provides a role model for specific identified behaviors &
the pt learns through imitation
o Demonstrate patterns of behavior that prove more effective than those usually
engaged, have pt practice these new behaviors
✔✔Therapeutic techniques used with cognitive behavioral therapy - ✔✔· Feelings &
behaviors are determined by the way people think about the world
· Therapist helps pt ID, reality-test and correct distorted concepts and dysfunctional
beliefs
· Pt learns to think more realistically & adaptively
· Help pt ID negative thought patterns
✔✔Milieu - ✔✔· surroundings & physical environment
o Therapeutic - overall environment & interactions within that environment
· Recognizes people, setting, structure, and emotional climate as important to healing
· Well-managed milieu offers pts a sense of security & promotes healing
o Structured aspects include activities, rules, reality orientation practices, and
environment
· Managing behavioral crises - crisis prevention & management techniques
o De-escalation, rapid/organized plans, relevant timing
· Safety- tracking pt whereabouts, monitoring visitation, prohibiting intimate relationships
between pts
· Emphasize group & social interaction; rules mediated by peers, pt involved in goal
setting & have freedom of movement
✔✔settings for psychiatric care - ✔✔inpatient, community mental health centers,
psychiatric home care, assertive community treatment, Partial hospitalization programs
, ✔✔• Inpatient psychiatric care - ✔✔o Criteria
♣ danger to self/others
♣ unable to care for basic needs
o Goals for acute hospitalization
♣ prevention of self-harm/harm to others
♣ crisis stabilization
♣ reintegration to the community
o Discharge planning starts @ admin
✔✔• Partial hospitalization program - ✔✔o Short term intensive treatment
o 5-6 hrs of tx daily for several weeks, return home each day
o Criteria
♣ need to prevent hospitalization
♣ Step down from an acute inpatient treatment
♣ Presence of responsible caregiver who assures pt safety
✔✔• Psychiatric home care - ✔✔o Trtmt of homebound pts (1-3 weeks for 1-2mo)
o Criteria
♣ Acute inpatient episode
♣ Prevent hospitalization
♣ Homebound
o Family members/SO's highly involved in care
✔✔• Assertive community treatment (aka mobile trtmt units) - ✔✔o Assess pt in setting
where they are found (3-5/week)
o May extend to years until pt is ready1to accept transfer to more structured site
o Criteria
♣ Pattern of repeated hospitalizations for severe symptoms
♣ Inability to participate in more traditional treatments
✔✔• Community Mental Health Center - ✔✔o Wide range of services (for those who
can't access private care)
o Criteria
♣ Need for long term follow-up by inpatient/outpatient providers @ higher intensity
levels
♣ May attend clinic for years or be discharged when they improve/reach goals
✔✔defense mechanisms - ✔✔denial, displacement, projection, rationalization, reaction
formation
✔✔• Defense mechanisms - ✔✔ward off anxiety; prevent conscious awareness of
threatening feelings
o All except suppression operate on unconscious level
o Deny, falsify, or distort reality to make it less threatening
QUESTIONS AND ANSWERS SURE A+
✔✔• Psychobiological - ✔✔o Recognition that psychiatric illnesses are as much
physical in origin as physiological diseases decreases the stigma
o Telling pt & their family they aren't responsible/at fault for the illness
o Med management & admin
✔✔• Countertransference - ✔✔unconscious feelings that the hc worker has toward the
pt
✔✔• Transference - ✔✔unconscious feelings the pt has toward the hc worker originally
felt in childhood for a significant other
• Classical conditioning: natural stimulus repeatedly paired with another stimulus,
eventually the "sound" of the stimulus could elicit a desired response
o Ex: getting sick after eating spoiled eggs and being nauseated whenever smelling
eggs as an older adult
✔✔• Operant conditioning - ✔✔learning that occurs through rewards & punishment for
voluntary behavior
o Elicited through reinforcement
♣ Positive - addition of a reward
♣ Negative - removal of an averse stimulus
,o Helpful for improving verbal behaviors of mute, autistic, and developmentally disabled
children
✔✔• Systematic desensitization - ✔✔involves development of behavior tasks
customized to pt's specific fears; tasks are presented to pt while using learned
relaxation techniques
o Pt fear broken down into components; explore stimulus cues
o Pt exposed to fear little by little
o Pt instructed in how to design a hierarchy of fears
o Pt practices techniques every day
✔✔• Aversion therapy - ✔✔used to treat behaviors such as alcoholism, paraphilic
disorders, shoplifting, violent/aggressive behavior, self-mutation
o Pairs negative stimulus w/ specific target behavior (suppresses behavior)
o Ex: painting foul smelling substances on the hands of people who bite their nails/suck
their thumbs
✔✔• Modeling - ✔✔therapist provides a role model for specific identified behaviors &
the pt learns through imitation
o Demonstrate patterns of behavior that prove more effective than those usually
engaged, have pt practice these new behaviors
✔✔Therapeutic techniques used with cognitive behavioral therapy - ✔✔· Feelings &
behaviors are determined by the way people think about the world
· Therapist helps pt ID, reality-test and correct distorted concepts and dysfunctional
beliefs
· Pt learns to think more realistically & adaptively
· Help pt ID negative thought patterns
✔✔Milieu - ✔✔· surroundings & physical environment
o Therapeutic - overall environment & interactions within that environment
· Recognizes people, setting, structure, and emotional climate as important to healing
· Well-managed milieu offers pts a sense of security & promotes healing
o Structured aspects include activities, rules, reality orientation practices, and
environment
· Managing behavioral crises - crisis prevention & management techniques
o De-escalation, rapid/organized plans, relevant timing
· Safety- tracking pt whereabouts, monitoring visitation, prohibiting intimate relationships
between pts
· Emphasize group & social interaction; rules mediated by peers, pt involved in goal
setting & have freedom of movement
✔✔settings for psychiatric care - ✔✔inpatient, community mental health centers,
psychiatric home care, assertive community treatment, Partial hospitalization programs
, ✔✔• Inpatient psychiatric care - ✔✔o Criteria
♣ danger to self/others
♣ unable to care for basic needs
o Goals for acute hospitalization
♣ prevention of self-harm/harm to others
♣ crisis stabilization
♣ reintegration to the community
o Discharge planning starts @ admin
✔✔• Partial hospitalization program - ✔✔o Short term intensive treatment
o 5-6 hrs of tx daily for several weeks, return home each day
o Criteria
♣ need to prevent hospitalization
♣ Step down from an acute inpatient treatment
♣ Presence of responsible caregiver who assures pt safety
✔✔• Psychiatric home care - ✔✔o Trtmt of homebound pts (1-3 weeks for 1-2mo)
o Criteria
♣ Acute inpatient episode
♣ Prevent hospitalization
♣ Homebound
o Family members/SO's highly involved in care
✔✔• Assertive community treatment (aka mobile trtmt units) - ✔✔o Assess pt in setting
where they are found (3-5/week)
o May extend to years until pt is ready1to accept transfer to more structured site
o Criteria
♣ Pattern of repeated hospitalizations for severe symptoms
♣ Inability to participate in more traditional treatments
✔✔• Community Mental Health Center - ✔✔o Wide range of services (for those who
can't access private care)
o Criteria
♣ Need for long term follow-up by inpatient/outpatient providers @ higher intensity
levels
♣ May attend clinic for years or be discharged when they improve/reach goals
✔✔defense mechanisms - ✔✔denial, displacement, projection, rationalization, reaction
formation
✔✔• Defense mechanisms - ✔✔ward off anxiety; prevent conscious awareness of
threatening feelings
o All except suppression operate on unconscious level
o Deny, falsify, or distort reality to make it less threatening
