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NSG 526 Exam 3 Questions with Correct Answers

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Voorbeeld 4 van de 37 pagina's

NSG 526 Exam 3 Questions with Correct Answers

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NSG 526 Exam 3 Questions with Correct Answers
Norms

are considered the "right" patterns of behavior for a society

Event interpretation

should be included for problem-solving therapy for a child with conduct disorder.

Family therapy

can promote the greatest change in an adolescent's behavior.

The Developmental Theoretical approach

describes a family's progression through the lifecycle.

Establishing a therapeutic alliance

is important because acceptance and trust convey a feeling of security in an adolescent.

Most children will adopt the same world view

as their parents (ex. If a child was brought up by parents who thought the world was hostile

they would most likely adopt this view as they grow older.

Bibliotherapy

uses books and a librarian as resources.

When conducting a counseling session for a group of at risk adolescents on drug use

it is important to have their peers involved in teaching some problem-solving skills.

Play therapy is important

because it allows the child to play out their fears and frustrations.

,Therapeutic drawing is a helpful technique

is a child feels self-blame regarding their parent's divorce.

Objective observations

help the most in evaluating outcomes of child therapy.

Schizoid personality disorder

Individual psychotherapy is the appropriate modality to use with this disorder.

The best response by the PMHNP when speaking with a client with BPD who has been

in counseling for management of self-harm behaviors who now wants to cut themselves

is

to assist the client to identify an appropriate coping strategy.

Understand that if a client 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,

it is mostly the patient's best effort to cope.

Self-mutilation is mainly due to

fear of abandonment or the increase of independence

BPD is often characterized by

an inability to tolerate perceived rejection.

Patients will respond better to limit setting if

the PMHNP can reflect back to the client an understanding and validation of their emotional

distress.

,Clients with BPD have not successfully achieved

the developmental stage of separation-individuation.

Paranoid Personality Disorder

do not trust others easily, and it's best to use a respectful neutral approach.

Paranoid Personality Disorder are

critical of others because they project blame for their own shortcomings onto others.

Self-mutilation occurs because

a client may feel that pain is better than not feeling anything, it also results from feelings of

abandonment, it can be a manipulative gesture, and it is also happens when a safety plan has

been put in place.

DBT helps to

replace irrational thoughts.

Respecting a client's boundaries

important in establishing a therapeutic relationship with a patient with BPD

providing a safe environment

is the priority for any client who is a victim of a serious crime/assault

MCI Expectant category

Injuries are extensive and chances of survival are unlikely even with definitive care. Persons

in this group should be separated from other casualties, but not abandoned. Comfort measures

should be provided when possible

Black MCI CATEGORY

, 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 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.

Mindfulness

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 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.

The psych NP needs to

foster a child's healthy characteristics and existing environmental supports no matter how

negative (ex a child lives in a homeless shelter).

children from different cultures

develop at different rates

Most psychiatric disorders in children are

multifactorial.

Paranoid Personality Disorder characteristics

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; hostile; and aloof.

Psychotic episodes may occur in times of stress. Nurses should give straightforward

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